Alexandre J H, Hernigou A, Bouillot J L, Plainfossé M C, Billebaud T
Ann Gastroenterol Hepatol (Paris). 1985 Jan;21(1):27-9.
Current research is devoted to the most appropriate treatment for hepatic metastases. Intra-operative ultrasonography is very valuable for assessing metastatic lesions, their exact number and their topography in relation to surgical landmarks such as the fissures and the hepatic pedicles. Surgery can then be adapted (metastasectomy, segmentectomy, hepatectomy) in relation to the peripheral parenchyma and the remaining parenchyma. The authors present the results of intra-operative ultrasonography performed at the hôpital Broussais in the diagnosis and treatment of 41 hepatic masses. In every case, the treatment of choice was surgical resection and chemotherapy was only administered as second line therapy in cases of failure.
当前的研究致力于寻找治疗肝转移瘤的最佳方法。术中超声检查对于评估转移病灶、其确切数量以及它们相对于手术标志（如肝裂和肝蒂）的位置非常有价值。然后可根据周围实质和剩余实质调整手术方式（转移瘤切除术、肝段切除术、肝切除术）。作者展示了在布鲁赛医院对41例肝脏肿物进行术中超声检查并用于诊断和治疗的结果。在每种情况下，首选的治疗方法是手术切除，仅在治疗失败的情况下才将化疗作为二线治疗。
