Torzilli Guido, Makuuchi Masatoshi
Liver Surgery Unit, Reparto di Chirurgia Generale 1 Ospedale Maggiore di Lodi, Largo Donatori di Sangue, 2, I-26900, Lodi, Italy.
Hepatogastroenterology. 2003 Jan-Feb;50(49):1-3.
Nowadays, tumor clearance for colorectal liver metastases can be achieved in most patients undergoing liver resection with survival benefits. Most merits of conservative and radical resections should probably be addressed to the extensive use of intraoperative ultrasound. Mostly for this reason, surgery can be still considered the treatment of choice. For this purpose, intraoperative ultrasound-guidance technique should be a familiar instrument for the hepatic surgeon. The technical tricks needed to perform a real intraoperative ultrasound-guided hepatectomy in the management of liver metastases from colorectal cancer are described.
如今，大多数接受肝切除术的结直肠癌肝转移患者都能实现肿瘤清除，并获得生存益处。保守性和根治性切除的大多数优点可能都归功于术中超声的广泛应用。主要出于这个原因，手术仍可被视为首选治疗方法。为此，术中超声引导技术应成为肝脏外科医生熟悉的工具。本文描述了在结直肠癌肝转移的管理中进行真正的术中超声引导肝切除术所需的技术技巧。
