Principles of Hepatic Surgery

Intraoperative Assessement of the Liver

Author(s): Matteo Donadon, Guido Costa and Guido Torzilli

Pp: 38-47 (10)

DOI: 10.2174/9781681082851116010007

* (Excluding Mailing and Handling)

Abstract

• Intraoperative ultrasound (IOUS) is a fundamental tool used in modern hepatic surgery, which can precisely define the liver anatomy and accurately identify target lesions.

• IOUS is one of the key factors to spare hepatic parenchyma without compromising the oncological endpoints.

• IOUS should be performed by the first surgeon with the aim of gathering information that might impact the surgical strategy.

• IOUS is an important tool for staging malignancies, determining resectability, and planning the most adequate procedure.

• Contrast-enhanced IOUS (CEIOUS) is useful in the differential diagnosis of new lesions eventually detected with basic IOUS and can increase its overall sensitivity.

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