Skip to Main content Skip to Navigation
Master thesis

L'échographie per opératoire est-elle encore utile dans la chirurgie des métastases hépatiques des cancers colorectaux ?

Abstract : Background : Surgical liver resection remain the only potentially curative treatment forcolorectal liver metastases (CRLM). This study was designed to evaluate the role of intraoperative ultrasound scan (IOUS) in the area of large use of high quality cross sectionalimaging technique.Methods : From January 2006 to December 2013, all patients who underwent a liverresection for CRLM in a tertiary care referral center were included. Every patient had a CT- Scan and/or a liver MRI before surgery, IOUS was performed mainly to detect non previously diagnosed tumours that would change surgical strategy. Indications for surgery and/or chemotherapy and/or radiotherapy were discussed in our Multidisciplinary Team (MDT) meeting.Results : A total of 225 liver resections were performed. Liver MRI were available for 202patients (89.7%). Radiological reports mentioned 632 liver tumours, 2.9 lesions per patients. Median time between pre operative MRI and surgical resection was 36.0 days. Intraoperative inspection, palpation and IOUS found 20 additional lesions in 18 patients (8%), only 12 lesions were malignant. IOUS alone found 3 lesions in 3 patients (1.4%), 2 were non malignant, 1 was radio ablated.Conclusion : In the area of large use of pre operative CT – scan and liver MRI, IOUS aloneallow to find only very few additional lesions. Operative strategy is also changed in 1,4% ofthe cases
Document type :
Master thesis
Complete list of metadata

Cited literature [25 references]  Display  Hide  Download

https://hal.univ-lorraine.fr/hal-01734204
Contributor : Colette Orange <>
Submitted on : Wednesday, March 14, 2018 - 4:28:29 PM
Last modification on : Friday, October 23, 2020 - 4:58:51 PM
Long-term archiving on: : Wednesday, September 5, 2018 - 11:58:00 AM

File

BUMED_T_2014_HOCH_GUILLAUME.pd...
Files produced by the author(s)

Identifiers

  • HAL Id : hal-01734204, version 1

Citation

Guillaume Hoch. L'échographie per opératoire est-elle encore utile dans la chirurgie des métastases hépatiques des cancers colorectaux ?. Sciences du Vivant [q-bio]. 2014. ⟨hal-01734204⟩

Share

Metrics

Record views

25

Files downloads

34