Ultrasound-Guided Liver Surgery: An Atlas

Ultrasound guidance of liver surgery is a very sophisticated approach that permits the performance of otherwise
unfeasible operations, discloses the true extent of tumors, increases the indications for hepatectomy, and renders
surgery safer. Despite this, it has remained relatively neglected in the literature over the past two decades, during
which time much progress has been achieved.

This is the first atlas on the subject, and it is comprehensive in scope. The state of the art in the use of ultrasound
for resection guidance is carefully documented, and new techniques for exploration of the biliary tract and
facilitation of transplant surgery are presented. Further important topics include the role of ultrasound in
laparoscopic approaches, the use of contrast agents for diagnosis and staging, and developments in the planning of
surgical strategy. The editor is a leading authority whose group has been responsible for a variety of advances in the
field. He has brought together other experts whose aim throughout is to provide clear information and guidance on the
optimal use of ultrasound when performing liver surgery. This atlas is intended especially for hepatobiliary surgeons
but will also be of considerable value for general surgeons.

Content Level ?Professional/practitioner



Contents
Part I Introductory Aspects
1 Technological Requirements for Ultrasound-Guided
Liver Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Guido Torzilli, Fabio Procopio and Daniele Del Fabbro
2 Technical Tricks to Start Exploring the Liver
with Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Guido Torzilli, Daniele Del Fabbro and Matteo Cimino
3 Exploring the Liver by Ultrasound Along its Anatomy . . . 25
Guido Torzilli, Guido Costa and Florin Botea
Part II Diagnosis and Staging
4 Diagnosis and Staging: Intraoperative Ultrasound . . . . . . . 43
Guido Torzilli, Matteo Donadon and Matteo Cimino
5 Diagnosis and Staging: Contrast-Enhanced
Intraoperative Ultrasound (CEIOUS) Using
Intravascular Contrast Agents . . . . . . . . . . . . . . . . . . . . . 55
Guido Torzilli, Matteo Donadon and Guido Costa
6 Contrast-Enhanced Intraoperative Ultrasound
Using Liver-Specific Contrast Agents . . . . . . . . . . . . . . . . 67
Junichi Arita and Norihiro Kokudo
Part III Hepatobiliary Surgery
7 Planning of the Surgical Strategy . . . . . . . . . . . . . . . . . . . 75
Guido Torzilli, Fabio Procopio and Guido Costa
8 Resection Guidance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Guido Torzilli, Fabio Procopio and Guido Costa
xv
9 Intraoperative Cholangio Ultrasound in the Study
of the Biliary Tree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Guido Torzilli, Fabio Procopio and Angela Palmisano
Part IV Liver Transplantation
10 Liver Transplantation from Deceased Donors . . . . . . . . . . 185
Matteo Cescon, Fabio Piscaglia, Alessandro Cucchetti
and Antonio Daniele Pinna
11 Liver Transplantation from Living Donors . . . . . . . . . . . . 209
Kiyoshi Hasegawa, Yasuhiko Sugawara and Norihiro Kokudo
Part V Minimally Invasive Surgery and Interventional
Procedures
12 Laparoscopic Ultrasound: Impact in Liver Surgery . . . . . . 217
Alessandro Ferrero, Luca Vigan? Roberto Lo Tesoriere
and Lorenzo Capussotti
13 Ultrasound-Guided Intraoperative Ablation Therapies. . . . 231
Roberto Santambrogio, Matteo Barabino and Enrico Opocher
14 Robotic Ultrasound-Guided Liver Resections. . . . . . . . . . . 249
Alberto Patriti, Marco Carlani and Luciano Casciola
15 Trends and Future Prospects in the Use of Ultrasound
in Liver Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267
Guido Torzilli, Matteo Donadon and Matteo Cimino
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277
xvi Contents