Value of intraoperative ultrasound with conventional probes and its usefulness in surgical and therapeutic management of patients

Autor: C. Vidal Cameán, G. Calvo Arrojo, J.M. Crespo Teijeiro, A.M. Novo Amado, J. González Ramírez, M. Fraga Sánchez
Rok vydání: 2017
Předmět:
Zdroj: Radiología (English Edition). 59:516-522
ISSN: 2173-5107
Popis: Objective To prove both the reliability and the applications presented by intraoperative ultrasonography (IOUS) in surgical and therapeutic management of diverse pathologies and the possibility of doing it by using conventional equipment. Material and methods Single-center retrospective study of 145 IOUS performed by using conventional equipment in 135 patients between January 2011 and June 2016. We assessed the organs studied by ultrasound, underlying conditions of patients, preoperative imaging and the degree of matching them with the histological findings. The functions of the intraoperative ultrasound were assessed in each case. Results 91.7 per cent of the scans performed were hepatic, being other locations varied but less common. They had a high concordance with the histological results of the lesions analyzed (95.4 per cent) and in 24 per cent of the cases their results did not coincide with those of the preoperative imaging tests, being decisive for the management of the patients. Conclusion Despite the limitations of our study, IOUS has proven to be a reliable and safe diagnostic test with advantages over conventional imaging techniques. It contributes to get a correct diagnosis in those lesions not characterized by the preoperative imaging tests, to locate and delimit the extension of a lesion within an organ and facilitate the performance of diagnostic procedures (intraoperative biopsy) even in centers where we do not have specific probes.
Databáze: OpenAIRE