Operative Ultrasonography: During Hepatobiliary and Pancreatic SurgeryBernard Deixonne, Francois-Michel Lopez Surgery an essentially manual exercise in its early days, has progressively grown richer in complementary techniques helping the surgeon to perfect his movements and increase efficiency. This is particularly the case with digestive surgery, which has been thoroughly transformed by radiology, endoscopy and extemporaneous examinations effected during surgical intervention. Such methods make it possible for surgeons to develop subtle nuances in operative techniques and to specify indi cations more and more precisely. Ultrasonography must now be included among such techniques. It supplements them and can sometimes even replace them. For these reasons, this work devoted to the use of ultrasound by the surgeon during surgical intervention is of great interest. Two general conditions had to be met before ultrasonography could be em ployed in abdominal surgery: the method and apparatus had to be adapted to its surgical utilization, and the surgeon had to adapt to a nonsurgical technique. The first condition has been fulfilled for all purposes. Intraoperative sonograms can be generated at a very high rate and are proving to be more and more useful. The miniaturization of probes permits their application almost everywhere with opti mal results. Of course, the costs are still high, but one can expect them to decrease. |
Contents
Ultrasonography of the Biliary Tract | 89 |
Table of Contents | 106 |
Ultrasonography of the Pancreas | 109 |
Other editions - View all
Operative Ultrasonography: During Hepatobiliary and Pancreatic Surgery Bernard Deixonne,Francois-Michel Lopez No preview available - 2012 |
Common terms and phrases
abdominal acoustic energy acoustic shadow anatomy anechogenic aorta axial resolution axis biliary ducts branch to segment calculi caliber cancer cholangiography common bile duct cyst detected diagnosis dilated duodenum echoes echogenic Echotomography emission examination exeresis fissure foie frequency gallbladder gland hepatic artery hepatic duct hepatic metastases hepatic parenchyma hepatic pedicle hepatic vein hépatiques hilum hyperechogenic inferior surface inferior vena cava interface intrahepatic biliary ducts intraoperative sonography intraoperative ultrasonography left hepatic left lobe lesions ligament ligamentum teres ligamentum venosum lithiasis located Longitudinal section main pancreatic duct Makuuchi metastases middle hepatic vein needle opacification pancreatic duct parenchyma patient portal branch portal vein posterior posteriorly preoperative principal pancreatic duct pulse puncture right hepatic vein right lobe scanning probes screen Sigel Sonogram sonographic exploration sonographic images structures superior biliary convergence superior mesenteric artery surgeon surgery surgical technique tion tissues transducer Transverse section trunk ultrasonography ultrasound beam venous visualization zone