Ultraschall in Med 2007; 28 - P_1_21
DOI: 10.1055/s-2007-988898

Intraoperative ultrasound liver assessment in patients who undergo to colonic resections: when and why

R Di Lorenzo 1, F Sanfilippo 2, G Cocorullo 2, A Agrusa 2, G Gulotta 2
  • 1Policlinico Universitario Palermo, Chirurgia Generale E D'Urgenza, Palermo, Italy
  • 2Policlinico Universitario Palermo, Cattedra di Chirurgia Generale e d'Urgenza, Università degli studi di Palermo, Palermo, Italy

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.