Gassel H J, Gasser M, Bühler C, Moll R, Miller T C, Kenn W, Timmermann W, Thiede A
Chirurgische Universitätsklinik Würzburg.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:425-7.
In order to select those patients with colorectal liver metastases who may have benefit from an operation, preoperative detection and localization of tumors in the liver is necessary. In this study, the specificity and sensitivity of a CT arterial portography and magnetic resonance imaging with contrast media was compared with the results of operative findings and intraoperative ultrasonography. The combination of both preoperative methods led to an accuracy rate of more than 90%, and all patients who underwent laparotomy were resected or treated with an arterial infusion port system. Negative laparotomies were excluded completely.
为了筛选出可能从手术中获益的结直肠癌肝转移患者,术前对肝脏肿瘤进行检测和定位是必要的。在本研究中,将CT动脉门静脉造影和磁共振成像造影剂的特异性和敏感性与手术结果及术中超声检查结果进行了比较。两种术前方法联合使用的准确率超过90%,所有接受剖腹手术的患者均接受了切除或动脉灌注端口系统治疗。完全排除了阴性剖腹手术。