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Intraoperative cholangio-ultrasonography (IOCUS) during hepatectomy with resection of the biliary confluence: An effective alternative to intraoperative cholangiography |
Daniele Del Fabbro a , Fabio Procopio a , b , Jacopo Galvanin a , Guido Costa a , Simone Famularo a , Angela Palmisano a , Matteo Donadon a , b , Guido Torzilli a , b , ∗ |
a Division of Hepatobiliary Surgery, Department of Surgery, IRCCS Humanitas Research Hospital, Via A. Manzoni 56, Rozzano 20089, Milan, Italy
b Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele 20072, Milan, Italy
∗ Corresponding author at: Division of Hepatobiliary Surgery, Department of Surgery, IRCCS Humanitas Research Hospital, Via A. Manzoni 56, 20089 Rozzano, Milan, Italy.
E-mail address: guido.torzilli@hunimed.eu (G. Torzilli). |
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Abstract Intraoperative ultrasonography (IOUS) in hepatobiliary surgery is well known as an essential tool for radical and safe hepatectomies, allowing to perform parenchymal sparing surgery and, as consequence, to expand the surgical indications for patients otherwise considered unresectable. Nevertheless, since many years, despite its effectiveness in the study of vascular anatomy of the liver, the gold standard for the assessment of biliary anatomy during surgery is intraoperative cholangiography (IOC), which is used for the validation of preoperative imaging as well as for guiding reconstruction in case of bile duct injury or resection.
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