68 research outputs found
Aspirationâsclerotherapy Results in Effective Control of Liver Volume in Patients with Liver Cysts
Purpose To study the extent to which aspirationâsclerotherapy reduces liver volume and whether this therapy results in relief of symptoms. Results Four patients, group I, with isolated large liver cysts, and 11 patients, group II, with polycystic livers, underwent aspirationâsclerotherapy. Average volume of aspirated cyst fluid was 1,044Â ml (range 225â2,000Â ml) in group I and 1,326Â ml (range 40â4,200Â ml) in group II. Mean liver volume before the procedure was 2,157Â ml (range 1,706â2,841Â ml) in group I and 4,086Â ml (range 1,553â7,085Â ml) in group II. This decreased after the procedure to 1,757Â ml (range 1,479â2,187Â ml) in group I. In group II there was a statistically significant decrease to 3,347Â ml (range 1,249â6,930Â ml, PÂ =Â 0.008). Volume reduction was 17.1% (range â34.7% to â4.1%) and 19.2% (range â53.9% to +2.4%) in groups I and II, respectively. Clinical severity of all symptoms decreased, except for involuntary weight loss and pain in group II. Conclusion Aspirationâsclerotherapy is an effective means of achieving liver volume reduction and relief of symptoms
A comprehensive overview of radioguided surgery using gamma detection probe technology
The concept of radioguided surgery, which was first developed some 60 years ago, involves the use of a radiation detection probe system for the intraoperative detection of radionuclides. The use of gamma detection probe technology in radioguided surgery has tremendously expanded and has evolved into what is now considered an established discipline within the practice of surgery, revolutionizing the surgical management of many malignancies, including breast cancer, melanoma, and colorectal cancer, as well as the surgical management of parathyroid disease. The impact of radioguided surgery on the surgical management of cancer patients includes providing vital and real-time information to the surgeon regarding the location and extent of disease, as well as regarding the assessment of surgical resection margins. Additionally, it has allowed the surgeon to minimize the surgical invasiveness of many diagnostic and therapeutic procedures, while still maintaining maximum benefit to the cancer patient. In the current review, we have attempted to comprehensively evaluate the history, technical aspects, and clinical applications of radioguided surgery using gamma detection probe technology
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