AJR AJR Integrative Imaging Dec 2008 articles
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DOI:10.2214/AJR.06.1017
AJR 2007; 189:56-60
© American Roentgen Ray Society

Clinical Observations

Imaging-Guided Minimally Invasive Laparoscopic Resection of Intraluminal Small-Bowel Tumor: Report of Two Cases

Joon Seok Lim1, Woo Jin Hyung2, Mi-Suk Park3, Myeong-Jin Kim3, Sung Hoon Noh2 and Ki Whang Kim3

1 Department of Diagnostic Radiology, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, South Korea.
2 Department of Surgery, Yonsei University College of Medicine, 134 Shinchondong, Seodaemoon-Gu, Seoul, South Korea.
3 Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, South Korea.

OBJECTIVE. The purpose of our study was to introduce a method of effective localization of intraluminal small-bowel tumors. Our adapted technique, performed on two patients, consists of preoperative 3D distance measurement with MDCT data and intraoperative laparoscopic sonographic guidance.

CONCLUSION. Combining distance measurement on reformatted MDCT images with intraoperative laparoscopic sonography results in accurate localization of small-bowel tumors. Use of this technique may allow minimally invasive laparoscopic treatment of patients.

Keywords: abdominal imaging • CT • MDCT • small bowel • sonography


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