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Transkutane Sonographie

Transcutaneous ultrasound

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Zusammenfassung

Die präoperative transkutane Sonographie erlaubt dem Chirurgen in Ergänzung zur klinischen Untersuchung eine direkte Beurteilung des pathologischen Befundes. Die Qualität und das Untersuchungsspektrum der Ultraschalldiagnostik haben in den letzten Jahren durch technische Weiterentwicklungen wie z. B. den Power-Doppler oder die 3D-Sonographie, aber auch durch den Einsatz von Ultraschallkontrastmitteln erheblich zugenommen. In dieser Arbeit geben wir einen Überblick über relevante neue Aspekte der transkutanen Sonographie im chirurgischen Kontext.

Abstract

Preoperative transcutaneous ultrasound allows surgeons to assess the pathology directly, thus supplementing clinical examination of the patient. Technical advances including power doppler, three-dimensional ultrasound, and the advent of ultrasound contrast agents have increased the quality and broadened the diagnostic spectrum of ultrasound. This article reviews relevant new aspects of transcutaneous ultrasound in the surgical setting.

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Literatur

  1. Albrecht H, Stroszczynski C, Felix R, Hünerbein M (2006) Real time 3D (4D) ultrasound-guided biopsy of solid tumours. Ultraschall Med 27: 324–328

    Article  PubMed  Google Scholar 

  2. Becker D (2002) Kontrastmittelsonographie der Leber mit niedriger Sendeleistung – was ist neu? Ultraschall Med 23: 397–402

    Article  PubMed  Google Scholar 

  3. Bekeredjian R, Katus HA, Kuecherer HF (2006) Therapeutic use of ultrasound targeted microbubble destruction: a review of non-cardiac applications. Ultraschall Med 27: 134–140

    Article  PubMed  Google Scholar 

  4. Birth M, Hildebrand P, Dahmen G et al. (2004) Aktueller Stand der Radiofrequenzablation von Lebertumoren. Eine deutschlandweite Umfrage. Chirurg 75: 417–423

    Article  PubMed  Google Scholar 

  5. Bunk A, Pistorius S, Konopke R et al. (2001) Farbduplexsonographie zur Beurteilung der Resektabilitat von Pankreastumoren. Ultraschall Med 22: 265–273

    Article  PubMed  Google Scholar 

  6. Dietrich CF, Kratzer W, Strobe D et al. (2006) Assessment of metastatic liver disease in patients with primary extrahepatic tumors by contrast-enhanced sonography versus CT and MRI. World J Gastroenterol 12: 1699–1705

    PubMed  Google Scholar 

  7. Hamper UM, Trapanotto V, Sheth S et al. (1994) Three-dimensional US: preliminary clinical experience.Radiology 191: 397–401

    PubMed  Google Scholar 

  8. Hildebrand P, Kleemann M, Roblick UJ et al. (2006) Radiofrequency-ablation of unresectable primary and secondary liver tumors: results in 88 patients. Langenbecks Arch Surg 391: 1–6

    Article  PubMed  Google Scholar 

  9. Hocke M, Schulze E, Gottschalk P et al. (2006) Contrast-enhanced endoscopic ultrasound in discrimination between focal pancreatitis and pancreatic cancer. World J Gastroenterol 12: 246–250

    PubMed  Google Scholar 

  10. Hollerweger A (2006) Sonographie der akuten Appendizitis. Ultraschall Med 27: 412–432

    PubMed  Google Scholar 

  11. Hom BK, Shrestha R, Palmer K et al. (2006) Prospective evaluation of vascular complications after liver transplantation: comparison of conventional and microbubble contrast-enhanced US. Radiology 241: 267–274

    Article  PubMed  Google Scholar 

  12. Hünerbein M, Stroszczynski C, Ulmer C et al. (2003) Prospective comparison of transcutaneous 3-dimenstional US cholangiography, magnetic resonance cholangiography, and direct cholangiography in the evaluation of malignant biliary obstruction. Gastrointest Endosc 58: 853–858

    Article  PubMed  Google Scholar 

  13. Klimek L (2003) Computer-assistierte Chirurgie. Fortschr Röntgenstr 170: 233–234

    Google Scholar 

  14. Kormann J, Ockert D, Bunk A (2001) Hochfrequenz-Thermoablation bei Lebertumoren. Zentralbl Chir 126: 576–585

    Article  PubMed  Google Scholar 

  15. Kroger K, Massalha K, Dobonici G, Rudofsky G (1998) SieScape: a new sonographic dimension with fictive images. Ultrasound Med Biol 24: 1125–1129

    Article  PubMed  Google Scholar 

  16. Lamade W, Glombitza G, Fischer L et al. (2000) The impact of 3-dimensional reconstructions on operation planning in liver surgery. Arch Surg 135: 1256–1261

    Article  PubMed  Google Scholar 

  17. Lange T, Hünerbein M, Eulenstein S et al. (2006) Development of navigation systems for image-guided laparoscopic tumor resections in liver surgery. Recent Results Cancer Res 167: 13–36

    PubMed  Google Scholar 

  18. Lange T, Wenckebach TH, Lamecker H et al. (2006) Registration of different phases of contrast enhanced CT/MRI data for computer assisted liver surgery planning. Int J Med Rob Comp Ass Surg 1: 6–20

    Article  Google Scholar 

  19. Lemke AJ, Chopra SS, Hengst SA et al. (2004) Charakterisierung von Lebertumoren durch kontrastverstarkte Sonographie und digitale Graustufenbestimmung. Rofo 176: 1607–1616

    PubMed  Google Scholar 

  20. Merz E, Bahlmann F, Weber G (1995) Volume scanning in the evaluation of fetal malformations: a new deimension in prenatal diagnosis. Ultrasound Obstet Gynecol 5: 222–227

    Article  PubMed  Google Scholar 

  21. Miao CH, Brayman AA, Loeb KR et al. (2005) Ultrasound enhances gene delivery of human factor IX plasmid. Hum Gene Ther 16: 893–905

    Article  PubMed  Google Scholar 

  22. Ohlsson B, Tranberg KG, Lundstedt C et al. (1993) Detection of hepatic metastases in colorectal cancer: a prospective study of laboratory and imaging methods. Eur J Surg 159: 275–281

    PubMed  Google Scholar 

  23. Polakow J, Janica J, Serwatka W et al. (2003) Value of three-dimensional sonography in biopsy of focal liver lesions. J Hepatobiliary Pancreat Surg 10: 87–89

    PubMed  Google Scholar 

  24. Puylaert JB (2003) Ultrasonography of the acute abdomen: gastrointestinal conditions. Radiol Clin North Am 41: 1227–1242, vii

    Article  PubMed  Google Scholar 

  25. Ricke J (2004) Interventionelle Therapie von Lebermetastasen. [Interventional therapy for liver metastases]. Z Gastroenterol 42: 1321–1328

    Article  PubMed  Google Scholar 

  26. Rose SC, Hassanein TI, Easter DW et al. (2001) Value of three-dimensional US for optimizing guidance for ablating focal liver tumors. J Vasc Interv Radiol 12: 507–515

    PubMed  Google Scholar 

  27. Rose SC, Roberts AC, Kinney TB et al. (2003) Three-dimensional ultrasonography for planning percutaneous drainage of complex abdominal fluid collections. J Vasc Interv Radiol 14: 451–459

    PubMed  Google Scholar 

  28. Schreve RH, Terpsta OT, Ausema L et al. (1984) Detection of Livermetastases. A prospective study comparing Liver enzymes, scintigraphy ultrsaonography and computed tomography. Br J Surg 71: 947–949

    Article  PubMed  Google Scholar 

  29. Seitz K (2004) Sonographische Divertikulitisdiagnostik: Der mühsame Weg zur Akzeptanz. [Sonographic diagnosis of diverticulitis: the burdensome way to acceptance]. Ultraschall Med 25: 335–336

    Article  PubMed  Google Scholar 

  30. Steitz HO (2007) Definition von Indikation und Verfahren der operativen Therapie von intra-abdominale Verwachsungen. Viszeralchirurgie 39: 52

    Google Scholar 

  31. Strobel D, Kleinecke C, Hansler J et al. (2005) Contrast-enhanced sonography for the characterisation of hepatocellular carcinomas–correlation with histological differentiation. Ultraschall Med 26: 270–276

    Article  PubMed  Google Scholar 

  32. Sutherland LM, Williams JA, Padbury RT et al. (2006) Radiofrequency ablation of liver tumors: a systematic review. Arch Surg 141: 181–190

    Article  PubMed  Google Scholar 

  33. Trubenbach J, Schmidt D, Pereira PL (2003) Interventionell-radiologische Therapie bei Lebermetastasen. Zentralbl Chir 128: 920–927

    Article  PubMed  Google Scholar 

  34. Vogl TJ, Muller PK, Mack MG et al. (1999) Therapiemoglichkeiten bei nicht resektablen Lebermetastasen. Percutane radiologische Interventionen. Chirurg 70: 133–140

    Article  PubMed  Google Scholar 

  35. Herbay A von, Vogt C, Haussinger D (2001) Neue Verfahren in der abdominellen Sonographie: Haben sie einen klinischen Nutzen? Panoramabildverfahren, Harmonic-Imaging-Technologien und kontrastmittelunterstautzte Sonographie. Z Gastroenterol 39: 295–304

    Article  PubMed  Google Scholar 

  36. Weismann CF, Forstner R, Prokop E, Rettenbacher T (2000) Three-dimensional targeting: a new three-dimensional ultrasound technique to evaluate needle position during breast biopsy. Ultrasound Obstet Gynecol 16: 359–364

    Article  PubMed  Google Scholar 

  37. Zielke A (2002) Appendizitis. Moderne Diagnostik. Chirurg 73: 782–790

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik für Chirurgie und Chirurgische Onkologie, Charite Campus Buch, Universitätsmedizin Berlin, 13122, Berlin, Deutschland

    M. Hünerbein, S.S. Chopra & P.M. Schlag

Authors
  1. M. Hünerbein
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  2. S.S. Chopra
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  3. P.M. Schlag
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Correspondence to M. Hünerbein.

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Hünerbein, M., Chopra, S. & Schlag, P. Transkutane Sonographie. Chirurg 78, 407–412 (2007). https://doi.org/10.1007/s00104-007-1331-7

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  • DOI: https://doi.org/10.1007/s00104-007-1331-7

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