Abstract
While the continuous development and improvements in tumor ablation techniques and equipment have made the percutaneous non-surgical approach ever more successful, even for larger lesions, there is still a need for ablative treatments in the operating room. In some practices, based on local referral patterns, the surgical approach to tumor ablation may be predominant, either via laparoscopy or open laparotomy. In other settings, additional tumor sites may be encountered during a planned surgical excision that can be efficiently treated intraoperatively with a variety of ablative approaches. Finally, some techniques, such as cryoablation, may be best performed intraoperatively, particularly when treating large tumors with 5- to 10-mm diameter cryoprobes. Therefore, a review of intraoperative ultrasound (IOUS) scanning and guidance techniques for ablation is appropriate. This chapter discusses the optimal approach to intraoperative and laparoscopic ultrasound (LUS) scanning techniques, equipment, technical preparations, and methods for guidance of interventional techniques.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Sammons LG, Kane RA. Technical aspects of intraoperative ultrasound. In: Kane RA, ed. Intraoperative, Laparoscopic, and Endoluminal Ultrasound. Philadelphia: Churchill Livingstone/Saunders, 1999:1–11.
Kane RA. Laparoscopic ultrasound. In: Kane RA, ed. Intraoperative, Laparoscopic, and Endoluminal Ultrasound. Philadelphia: Churchill Livingstone/Saunders, 1999:90–105.
Kane RA. Intra-operative ultrasound. In: Meire HB, Cosgrove DO, Dewbury KC, Farrant P, eds. Clinical Ultrasound: A Comprehensive Text: Abdominal and General Ultrasound. 2nd ed. London; Churchill Livingstone, 2001:143–164.
Kruskal JB, Kane RA. Intraoperative ultrasound of the liver. In: Kane RA, ed. Intraoperative, Laparoscopic, and Endoluminal Ultrasound. Philadelphia: Churchill Livingstone/Saunders, 1999:40–67.
Machi J, Isomoto H, Kurohiji T, et al. Accuracy of intraoperative ultrasound in diagnosing liver metastases from colorectal cancer: evaluation with postoperative follow-up results. World J Surg 1991;15:551–556.
Clarke MP, Kane RA, Steele GD, et al. Prospective comparison of preoperative imaging and intraoperative ultrasonography in the detection of liver tumors. Surgery 1989;106:849–855.
Soyer P, Levesque M, Elias D, Zeitoun G, Roche A. Detection of liver metastases from colorectal cancer: comparison of intraoperative US and CT during arterial portography. Radiology 1992;183:541–544.
Kane RA, Hughes LA, Cua EJ, et al. The impact of intraoperative ultrasonography on surgery for liver neoplasms. J Ultrasound Med 1994;13:1–6.
Lee RA, Kane RA, Lantz EJ, Charboneau JW. Intraoperative and laparoscopic sonography of the abdomen. In: Rumack CM, Wilson SR, Charboneau JW, eds. Diagnostic Ultrasound, vol 1. St. Louis: Mosby, 1998:671–699.
Patterson EJ, Scudamore CH, Buczkowski AK, Owen DA, Nagy AG. Radiofrequency ablation in surgery. Surg Technol Int 1997;6:69–75.
McPhee MD, Kane RA. Cryosurgery for hepatic tumor ablation. Semin Intervent Radiol 1997;14:285–293.
Littrup PJ, Lee FT, Rajan D, Meetze K, Weaver D. Hepatic cryotherapy: state-of-the-art techniques and future developments. Ultrasound Q 1998;14(3):171–188.
Ravikumar TS, Kane RA, Cady B, et al. A 5-year study of cryosurgery in the treatment of liver tumors. Arch Surg 1991;126:1520–1523.
Onik G, Kane RA, Steele G, et al. Monitoring hepatic cryosurgery with sonography. AJR 1986;147:665–669.
DeSanctis JT, Goldberg SN, Mueller PR. Percutaneous treatment of hepatic neoplasms: a review of current techniques. Semin Intervent Radiol 1997;14(3):255–284.
Simonetti RG, Liberati A, Angiolini C, Pagliaro L. Treatment of hepatocellular carcinoma: a systematic review of randomized controlled trials. Ann Oncol 1997;8:117–136.
Livraghi T, Bolondi L, Buscarini L, et al., and the Italian Cooperative HCC Study Group. No treatment, resection and ethanol injection in hepatocellular carcinoma: a retrospective analysis of survival in 391 patients with cirrhosis. J Hepatol 1995;22:522–526.
Korpan NN. Hepatic cryosurgery for liver metastases: long-term follow-up. Ann Surg 1997;225:193–201.
Goldberg SN, Lazzaroni S, Meloni F, et al. Hepatocellular carcinoma: Radio-frequency ablation of medium and large lesions. Radiology 2000;214:761–768.
Rush BJ, Koneru B. Locoregional techniques in the treatment of hepatic tumors. J Surg Oncol 1997;64:259–261.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2005 Springer Science+Business Media, Inc.
About this chapter
Cite this chapter
Kane, R.A. (2005). Intraoperative Ultrasound-Guided Procedures. In: vanSonnenberg, E., McMullen, W.N., Solbiati, L., Livraghi, T., Müeller, P.R., Silverman, S.G. (eds) Tumor Ablation. Springer, New York, NY. https://doi.org/10.1007/0-387-28674-8_8
Download citation
DOI: https://doi.org/10.1007/0-387-28674-8_8
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-95539-1
Online ISBN: 978-0-387-28674-7
eBook Packages: MedicineMedicine (R0)