Intraoperative Ultrasonography

The first report of intraoperative imaging of an insulinoma by ultrasonography was by Lane and Coupland in 1982.38 In 1985, Norton and colleagues reported the first intraoperative localization by ultrasonography of an insulinoma that had eluded preoperative identification.39 In the last 20 years, numerous studies have documented that intraoperative ultrasonography (IOUS) is a very sensitive method for the localization of pancreatic insulinomas (Fig. 79-11A). The reported sensitivity of IOUS is 75% to 91%, and it improves with experience.40,41 In addition, IOUS can provide valuable information about the relationship of the tumor to critical structures such as the pancreatic duct, portal vein, common bile duct, and superior mesenteric vessels. This technique is shown in Figure 79-12A. Note that full mobilization of the pancreas is required to perform the procedure properly.

10 Ways To Fight Off Cancer

10 Ways To Fight Off Cancer

Learning About 10 Ways Fight Off Cancer Can Have Amazing Benefits For Your Life The Best Tips On How To Keep This Killer At Bay Discovering that you or a loved one has cancer can be utterly terrifying. All the same, once you comprehend the causes of cancer and learn how to reverse those causes, you or your loved one may have more than a fighting chance of beating out cancer.

Get My Free Ebook


Post a comment