Laparoscopic ultrasound for the detection of hepatic metastases during laparoscopic colorectal cancer surgery

Hartley, John E.; Kumar, Harish; Drew, Philip; Heer, K.; Avery, Ged; Duthie, G. S.; Monson, J. R. T.

doi:10.1007/bf02258295

Cited by 37 publications

(21 citation statements)

References 15 publications

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“…Even with state of the art imaging, additional disease may be found at laparotomy, which might preclude hepatic resection [40]. Staging laparoscopy and laparoscopic ultrasound scan may reduce this risk [41–44]. Direct inspection of the abdominal cavity and liver surface can detect peritoneal deposits and small superficial hepatic lesions, easily missed with other techniques.…”

Section: Stagingmentioning

confidence: 99%

Management of colorectal liver metastases

Fusai

Davidson

2003

Colorectal Disease

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Hepatic metastases occur in 60% of patients following resection for colorectal cancer. Liver resection is the only curative option, with one third of resected patients alive at five years. In those developing recurrence in the liver following resection, further liver surgery may be curative, with similar 5 years survival rates of about 30%. Until recently surgery was feasible in only 15-25% of patients with colorectal liver metastases. New strategies, such as downstaging chemotherapy, portal vein embolization and two-stage hepatectomy, may increase the resectability rate by 15%. Earlier detection of liver metastases would increase resectability, although good follow-up trials are lacking. Once suspected, colorectal liver metastases are staged by spiral CT, CT portography and MRI, which have similar overall accuracies. Mortality following liver resection is less than 5% in major centres, with a morbidity rate of 20% to 50%. Prognostic scoring systems can be used to predict the likely cure rate with resection. Pulmonary metastases occur in 10-25% of patients with resected colorectal cancer, but are limited to the lung in only 2% of cases. In these selected cases surgery provides long-term survival in 20-40%, and repeat lung resection has shown similar rates. For patients with unresectable disease, chemotherapy and ablation techniques have been demonstrated to prolong survival, although chemotherapy alone has been shown to improve quality of life.

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Section: Stagingmentioning

confidence: 99%

Management of colorectal liver metastases

Fusai

Davidson

2003

Colorectal Disease

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“…As for metastatic lesions, Goletti et al [13] found LIOUS to be of value for detecting further liver lesions in 10%-30% of the cases and changing the surgical program in 12%, while Hartley et al [14] found that it helped diagnosis in only 2.6% of the treated patients.…”

Section: Discussionmentioning

confidence: 97%

The role of echo-laparoscopy in abdominal surgery: five years’ experience in a dedicated center

et al. 2007

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“…It has been suggested that laparoscopic ultrasound could help to overcome this problem. Hartley et al performed a prospective study to evaluate the accuracy of laparoscopic ultrasound for liver scanning [36]. A total of 76 consecutive patients undergoing laparoscopic colorectal resections for malignancy was recruited.…”

Section: Recommendations Of Staging Laparoscopy For Liver Tumoursmentioning

confidence: 99%