Belghiti J, Menu Y, Nahum H, Fekete F
Presse Med. 1984;13(30):1839-41.
Intra-operative ultrasonography was performed in 10 patients with apparently single malignant tumours of the liver without invasion of the portal or hepatic veins. Five patients had hepatocellular carcinoma associated with cirrhosis and 5 had a secondary liver cancer. At laparotomy other tumoral lesions in 3 cases, portal vein thrombosis in 2 cases and invasion of the left hepatic vein in 1 case were detected by ultrasonography. In 2 patients deep intra-hepatic tumours less than 2 cm in diameter, which were neither visible nor palpable, were also detected by this method. As a result of the examination, subsegmental resection was carried out in 3 cases and hepatic lobectomy in 2 cases. Intra-operative ultrasonography therefore is a useful method to locate invisible tumours and vascular structures, thus preventing vascular injuries during the operation, facilitating limited tumoral resections and generally improving prognosis in patients operated upon for malignant hepatic tumours.
对10例肝脏表面看似单一恶性肿瘤且未侵犯门静脉或肝静脉的患者进行了术中超声检查。其中5例为肝细胞癌合并肝硬化，5例为继发性肝癌。在剖腹手术中，超声检查发现3例有其他肿瘤病变，2例有门静脉血栓形成，1例有左肝静脉侵犯。通过该方法还在2例患者中检测到直径小于2 cm的肝内深部肿瘤，这些肿瘤既不可见也不可触及。检查结果是，3例行亚段切除，2例行肝叶切除。因此，术中超声检查是一种有用的方法，可用于定位不可见的肿瘤和血管结构，从而防止手术期间的血管损伤，便于进行有限的肿瘤切除，并总体改善接受恶性肝肿瘤手术患者的预后。
