Intraoperative ultrasound liver assessment in patients who undergo to colonic resections: when and why
In our experience we suggest to submit patients, who undergo to colonic resections for cancer, to a CT or a MRI pre-operative staging.
Unfortunately, in or experience we found at an intra-operative ultrasound assessment, several patients (7/250) with unknown liver or lymph-nodal metastases. In these patients we furthermore observe that they have, at pre-operative staging, liver focal lesions misdiagnosed as cysts or benign adenomas frequently on patients suffering for chronic liver pathologies.
We suggest to perform on these patients an intra-operative full hepatic ultrasound observation due to avoid any risk of unknown liver metastases.