Abstract
In the operating room surgeons have greatest access to their armamentarium, including ultrasonography. Intraoperative ultrasound (IOUS) has proven to be useful for localization, planning extent of surgery, and analyzing completeness of intervention in procedures including hepatectomy, ablation of metastatic neuroendocrine tumors to the liver, pancreatic resections, and laparoscopic adrenalectomy (Jrearz et al., Can J Surg, 58(5):318–322, 2015; Mitchell et al., Endocrine surgery: principles and practice, Springer, 2009; Jaroszewski et al., Ann Surg, 139(3):270–274, 2004; Pautler et al., J Urol, 168(4):1352–1355, 2002). Surgeons can use this technology in a similar fashion during thyroid, parathyroid, and cervical lymph node operations. Using ultrasound requires a baseline proficiency to optimize its full potential during an operation. The ultrasound should be performed after the patient has been administered anesthetics and the neck is gently hyperextended (Fig. 34.1). This exposes the neck contents and allows for gentle pressure with the probe, potentially providing more information than the ultrasound in the office setting. This chapter provides examples and suggestions for how ultrasound can be implemented in both an extracorporeal and intracorporeal capacity during operations for the thyroid, the parathyroid glands, and lymph nodes.
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Krishnamurthy, V.D., Berber, E., Shin, J.J. (2017). Intraoperative Use of Ultrasound in Thyroid, Parathyroid, and Cervical Lymph Node Surgery. In: Milas, M., Mandel, S.J., Langer, J.E. (eds) Advanced Thyroid and Parathyroid Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-319-44100-9_34
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DOI: https://doi.org/10.1007/978-3-319-44100-9_34
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