González Sánchez J A, Miguel Velasco J E, Domínguez Sayans J F, Aguinaga de Manzano M V, Cobos Mateos J M, Soleto Sáez E
Servicio de Cirugía General, Hospital General La Paz, Madrid.
Rev Esp Enferm Dig. 1992 Nov;82(5):325-9.
In order to evaluate the usefulness of intraoperative echography in the study of liver metastases, two groups of patients were submitted to study: A consecutive series of 25 patients operated on for digestive tumours. Before operation, echography was performed to all of them. Four patients operated on for liver metastases. In the patients who were operated for digestive tumors, the authors found 8.6% of metastasis which neither the preoperative echography nor liver palpation had detected. The usefulness of the examination in the patients to whom resective hepatic surgery was going to be performed was based on: The finding of a portal thrombosis which had not been detected in the preoperative study. The possibility of connecting the intrahepatic vascularity with the lesions, in order to decide which technique to choose. The demonstration of the non-existence of other metastases.
为了评估术中超声检查在肝转移瘤研究中的作用，对两组患者进行了研究：一组是连续25例接受消化肿瘤手术的患者。术前对所有患者均进行了超声检查。其中4例患者患有肝转移瘤。在接受消化肿瘤手术的患者中，作者发现8.6%的转移瘤术前超声检查和肝脏触诊均未检测到。该检查对拟行肝切除手术患者的作用基于：发现术前检查未检测到的门静脉血栓形成；将肝内血管与病变相联系以决定选择何种技术的可能性；证实不存在其他转移瘤。
