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[Intraoperative abdominal echography]

G Dimitrov, V Borisov, G Tsirovski

    Khirurgiia
    |January 1, 1996
    PubMed
    Summary
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    Intraoperative abdominal echography enhances surgical decision-making for various conditions, including digestive tract tumors and liver echinococcosis. This imaging technique accurately stages cancers and identifies critical details in biliary tract diseases.

    Area of Science:

    • Surgical Imaging
    • Diagnostic Ultrasound
    • Gastroenterology

    Background:

    • Intraoperative abdominal echography (IAE) adoption was evaluated in 18 patients.
    • Patient demographics included ages 26-73, with equal male and female representation.
    • Diverse pathologies were addressed, including colorectal carcinoma, liver echinococcosis, and choledocholithiasis.

    Observation:

    • Fifty IAE procedures were performed, along with one intrathoracic supradiaphragmatic liver echography.
    • IAE was utilized in conjunction with intraoperative fiber choledochoscopy in five cases.

    Findings:

    • IAE accurately stages neoplastic processes in digestive tract tumors.
    • For liver echinococcosis, IAE precisely quantifies cysts and detects impalpable formations.

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  • In choledocholithiasis, IAE confirms biliary calculi and identifies intrahepatic ductal dilatation.

    • Implications:

    • IAE provides crucial intraoperative guidance for complex surgical cases.
    • This technique improves diagnostic accuracy and staging for gastrointestinal and hepatobiliary conditions.
    • IAE integration with other procedures like choledochoscopy offers comprehensive surgical assessment.