Intraoperative Ultrasound in Colorectal Liver Metastases

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Abstract

Intraoperative ultrasound (IOUS) is a diagnostic technique that allows obtaining additional information about the number and localization of colorectal cancer (CRC) metastases in the liver (especially with their intraparenchymal location), determining their relationship with the arteries and veins of the liver, navigating for puncture biopsy and / or performing minimally invasive treatment of lesions, and adjusting the amount of resection intervention on the liver during surgery. When performing minimally invasive medical procedures, IOUS application helps to avoid injuries to blood vessels, bile ducts and adjacent organs, and also allows evaluating the effectiveness of treatment and identifying potential complications. An important component of IOUS is the support of surgical procedures with a staged assessment of the liver hemodynamics, providing an immediate correction of the surgical situation. Thus, IOUS is a safe, inexpensive and highly informative diagnostic option, which should be a mandatory diagnostic step in the surgical treatment of CRC liver metastases.
Based on literature data and personal experience, the authors present indications, technical aspects and features of application of various IOUS options and modalities in the surgical treatment of CRC liver metastases.

About the authors

Yulia Alexandrovna Stepanova

A.V. Vishnevsky National Medical Research Center of Surgery; A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: stepanovaua@mail.ru
ORCID iD: 0000-0002-2348-4963
SPIN-code: 1288-6141

MD, Professor; Academic Secretary; prof. of Surgery and Surgical Technologies Department

Russian Federation, 27, Bolshaya Serpukhovskaya street, Moscow, 117997; 20/1, Delegatskaya street, Moscow, 127473

Dmitry Anatolyevich Ionkin

A.V. Vishnevsky National Medical Research Center of Surgery

Email: da.ionkin@gmail.com
ORCID iD: 0000-0002-4903-5293
SPIN-code: 1075-0861

Cand. of Med. Sci., Senior Researcher of the Oncology Department of Surgical Methods of Treatment

Russian Federation, 27, Bolshaya Serpukhovskaya street, Moscow, 117997

Olga Ivanovna Zhavoronkova

A.V. Vishnevsky National Medical Research Center of Surgery

Email: zhavoronkovaoi@yandex.ru
ORCID iD: 0000-0002-8598-8008

Cand. of Med. Sci., Senior Researcher of Ultrasound Diagnostics Department

Russian Federation, 27, Bolshaya Serpukhovskaya street, Moscow, 117997

Yan Yanovich Gavrilov

A.V. Vishnevsky National Medical Research Center of Surgery

Email: jngavrilov@mail.ru
ORCID iD: 0000-0003-0716-5353
SPIN-code: 5293-7828

Junior Researcher of Ultrasound Diagnostics Department

Russian Federation, 27, Bolshaya Serpukhovskaya street, Moscow, 117997

Aleksey Vladimirovich Zhao

A.V. Vishnevsky National Medical Research Center of Surgery

Email: alexeyzhao@gmail.com
ORCID iD: 0000-0002-0204-8337
SPIN-code: 1101-6874

Doc. of Med. Sci., Prof., Head of the Oncology Department of Surgical Methods of Treatment

Russian Federation, 27, Bolshaya Serpukhovskaya street, Moscow, 117997

Vladimir Aleksandrovich Vishnevsky

A.V. Vishnevsky National Medical Research Center of Surgery

Author for correspondence.
Email: v-vishnevskii@mail.ru
ORCID iD: 0000-0003-1467-5853

Doc. of Med. Sci., Prof., Advisor to the Director for Surgery

Russian Federation, 27, Bolshaya Serpukhovskaya street, Moscow, 117997

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