Portal de Periódicos da CAPES

INTRAOPERATIVE AND LAPAROSCOPIC ULTRASOUND

1998; Elsevier BV; Volume: 78; Issue: 2 Linguagem: Inglês

10.1016/s0039-6109(05)70312-1

1558-3171

Robert V. Kolecki, Bruce D. Schirmer,

Gallbladder and Bile Duct Disorders

The practicing general surgeon has always relied on improving technologic advances to assist in the provision of optimal care to patients. This has been particularly true in the past decade, with the incorporation of laparoscopic surgery into the practice of general surgery. During this past decade, general surgeons have also witnessed improvements in technology in other areas of the practice of surgery, not the least of which is the fairly recent widespread interest in learning the use of ultrasonography for the evaluation and treatment of surgical disease. Although a great deal of that interest has been stimulated by the use of office-based ultrasonography for detecting and treating lesions of the breast, the general surgeon has also made increasing use of the valuable tool of intraoperative ultrasound for detecting, staging, and treating lesions of the liver, pancreas, and biliary tree. Although other organs can on occasion offer problems for which intraoperative ultrasound is useful, these areas—in particular, the assessment of neoplastic disease of the liver and pancreas and calculous disease of the extrahepatic biliary tree—are the problems to which this technology is most commonly applicable. Although ultrasound has other “intraoperative” uses by the general surgeon for the performance of vascular reconstruction, vascular access, and even endocrine (particularly thyroid) surgery, this article is devoted to the use of intraoperative ultrasound (IOUS) in the management of intra-abdominal problems.