Rethy Anna, Langø Thomas, Mårvik Ronald
Department of Cancer Research and Molecular Medicine, Medical Faculty, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Surg Laparosc Endosc Percutan Tech. 2013 Apr;23(2):135-44. doi: 10.1097/SLE.0b013e31828a0b9a.
Laparoscopic ultrasound (LUS) increases patient safety by allowing the surgeon to see beyond surfaces of organs. LUS, however, is not in widespread use due to long learning curve and difficulties in interpreting the ultrasound images. In this paper, we highlight LUS's many advantages and its indispensable nature in laparoscopic liver procedures. The focus is the use of LUS in diagnosis and treatment of hepatocellular carcinoma and colorectal metastasis. The majority of patients have associated liver cirrhosis, and are terminally ill. Therefore, it is important to avoid unnecessary surgical trauma. LUS is sensitive in the detection of small liver lesions that are often missed by other preoperative imaging methods. This makes LUS an excellent tool for diagnostic and therapeutic purposes. Our overview focuses on procedures relating to hepatocellular carcinoma and colorectal metastasis where LUS is used and has been proven to benefit patient survival and potentially improve quality of life.
腹腔镜超声（LUS）通过使外科医生能够看到器官表面以外的情况来提高患者安全性。然而，由于学习曲线长以及超声图像解读困难，LUS尚未得到广泛应用。在本文中，我们强调了LUS在腹腔镜肝脏手术中的诸多优势及其不可或缺的性质。重点是LUS在肝细胞癌和结直肠癌转移的诊断和治疗中的应用。大多数患者伴有肝硬化，且已处于晚期。因此，避免不必要的手术创伤很重要。LUS对检测其他术前成像方法经常遗漏的小肝脏病变很敏感。这使得LUS成为诊断和治疗的优秀工具。我们的综述重点关注与肝细胞癌和结直肠癌转移相关的手术，在这些手术中LUS得到应用并已被证明有利于患者生存并可能改善生活质量。
