[Resection of hepatocarcinomas in liver cirrhosis: the value of intraoperative echography].
In the last 3 years 21 cirrhotic patients with hepatocellular carcinoma were operated. All patients fulfilled the criteria of localized tumor and good liver function and underwent a laparotomy with the aim of resecting the tumor. Intraoperative ultrasound examination was essential to localize a non visible and non palpable tumor in 2 cases and it was useful to detect other nodules in 3 of the 16 patients who underwent a hepatic resection of the tumor. In 5 patients resection was considered not indicated. Therefore, the initial therapeutic approach of tumoral resection was changed in 23.8% of patients. Also, intraoperative ultrasonography was essential for performing a guided resection of hepatocellular carcinomas in cirrhotic liver with the aim of preserving as much liver parenchyma as possible.
Margarit
C
C
Unidad de Trasplante Hepático, Hospital General Vall d'Hebrón, Barcelona.
Balsells
J
J
García Sureda
D
D
Boyer
R
R
Lázaro
J L
JL
Murio
E
E
Charco
R
R
Vargas
V
V
Bonnin
J
J
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D008103:Liver Cirrhosis / Q000150:complications*; D008113:Liver Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography
Resección de hepatocarcinomas en hígado cirrótico: valor de la ecografía intraoperatoria.