Department of Clinical Radiology, Great Ormond Street Hospital for Children, NHS Foundation Trust, Great Ormond Street, London, WC1H 3JH, UK.
Department of Urology, Great Ormond Street Hospital for Children, London, WC1H 3JH, UK.
Pediatr Radiol. 2024 Oct;54(11):1818-1830. doi: 10.1007/s00247-024-06035-y. Epub 2024 Aug 30.
Intraoperative ultrasound is described widely in multiple pathological scenarios in adult practice and in image-guided interventions in children. We aim to describe the technique and range of potential uses of intraoperative ultrasound in paediatric urological surgery, from outlining the process of case selection, preparation, and logistics to demonstrating the ranging benefits of real-time, high spatial resolution ultrasound during resection. At our centre, we use intraoperative ultrasound to assist in a variety of operations. These include guiding excision margins in nephron-sparing surgery, assessing for vascular infiltration in renal tumours, and identifying salvageable testicular tissue in orchidectomy. By exhibiting these scenarios, we hope to display the unique value that intraoperative ultrasound can have to the paediatric surgeon and inspire additional uses further afield.
术中超声在成人实践中的多种病理情况下以及在儿童的影像引导介入中都有广泛的描述。我们旨在描述术中超声在小儿泌尿外科手术中的技术和潜在用途范围,从概述病例选择、准备和后勤工作的过程,到展示实时高空间分辨率超声在切除过程中的测距优势。在我们中心,我们使用术中超声来辅助各种手术。这些包括在保肾手术中引导切除边缘,评估肾肿瘤中的血管浸润,以及在睾丸切除术时识别可挽救的睾丸组织。通过展示这些场景,我们希望展示术中超声对小儿外科医生的独特价值,并激发更广泛的其他用途。