[Laparoscopic ultrasonography of liver, biliary tract and pancreas with flexible tip transducers].
The scanning procedure and the ultrasound-anatomy of the liver, gall-bladder, bile ducts and pancreas are presented. Ten consecutive patients referred for laparoscopic cholecystectomy were scanned through a 10/11 mm trocar inserted periumbilically. In two cases concrements in the bile ducts were found peroperatively. The flexible-tip enables operator steering of the transducer which ensures an optimal acoustic contact. Colour and spectral Doppler were frequently used to identify vascular structures. We conclude that a flexible-tip laparoscopic ultrasound-scanner provides valuable assistance in abdominal laparoscopic procedures, and may substitute the palpation of the abdominal organs in laparoscopic abdominal surgery.
Skjoldbye
B
B
Ultralydafdelingen, Amtssygehuset i Herlev.
Brahe
N E
NE
Jess
P
P
Nolsøe
C P
CP
D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008107:Liver Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D010865:Pilot Projects; D011446:Prospective Studies; D014463:Ultrasonography / Q000295:instrumentation*
Laparoskopisk ultralydskanning af lever, galdeveje og pancreas med styrbart lydhoved.