BK BLOG

In this video, Dr. Robert Martin, Division Director of Surgical Oncology at the University of Louisville School of Medicine, talks about intraoperative ultrasound and how he uses it in his practice for patients with upper gastrointestinal malignancies. Specifically, Dr. Martin discusses:

Learn more about how intraoperative ultrasound can influence operative strategy in two-stage liver resections through:
 - mapping hepatic vasculature with regards to tumors
 - defining margins of resection 
 - enabling parenchymal-preserving resection

Mathieu D'Hondt, MD
Dept. of Digestive and Hepatobiliary and Pancreatic Surgery, AZ Groeninge Hospital, Kortrijk, Belgium

Liver resection remains the only potentially curative treatment providing long-term survival for patients with extensive bilobar colorectal liver metastases.

A two-stage hepatectomy is a potentially curative strategy that consists of:
• A first-stage procedure, where colorectal liver metastases in one hemiliver are resected. The primary colorectal tumor is often resected by combining a partial colectomy with the first-stage liver resection.
• A second-stage procedure, where all colorectal liver metastases in the contralateral hemiliver are resected.

Read about the advantages of intraoperative ultrasound in the detection of liver tumours and the planning of surgery.

Mathieu D'Hondt, MD
Dept. of Digestive and Hepatobiliary and Pancreatic Surgery, AZ Groeninge Hospital, Kortrijk, Belgium

Liver resection is the standard treatment for colorectal liver metastases and has a five-year overall survival rate estimated to be as high as 58%¹. However, up to 75% of patients undergoing liver resection for colorectal liver metastases will develop intrahepatic recurrence². The modern treatment of colorectal liver metastases is based on a multidisclipinary approach. From a surgical point of view, the management of colorectal liver metastases has significantly changed over recent years.

Christopher C. Raio, MD MBA FACEP
Chairman, Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West Islip, NY, USA Progressive Emergency Physicians

A 72 year-old female with a past medical history significant for diabetes and congestive heart failure presented to the emergency department with three days of worsening fatigue. “Mom just has not been acting like herself, and today seems slightly confused at times”, her daughter stated. The day prior, the patient developed a mild, dry cough and fever, with a maximum temperature of 101.2°F (38.4°C). Vital signs on arrival were:

Temperature: 100.5°F (38.1°C)
Pulse: 88 beats/min
BP: 112/76 mmHg
Respirations: 24 breaths/min
Pulse Ox: 95%

UCSF (University of California San Francisco) is ranked by U.S. News as a top-five hospital for Neurology and Neurosurgery in the United States¹. Recently-retired Dr. Jeffrey Yablon was a neurosurgery faculty member at UCSF, and Medical Director of Queen of the Valley, a medical center serving the Napa Valley region in Northern California. The following is from a 2014 BK Ultrasound video profile with Dr. Yablon.

The following story is an exerpt from a 2012 article,"Ultrasound Opens New Doors in Robotic Surgery," by Lisa Fratt of Health Imaging.

Since its introduction more than a decade ago, robotic-assisted surgery has stood out as a game-changer. The robotic console provides a robust platform to enable minimally invasive procedures in urologic, cardiothoracic, gynecologic and general surgical procedures. Today, robotic surgery is witnessing an evolution. The most recent surgical ultrasound systems, specifically BK Ultrasound systems for robotic surgery, are ushering in a new level of precision and diagnostic confidence. Intraoperative robotic-assisted ultrasound helps surgeons to perform more complex procedures robotically with potentially improved outcomes, particularly in radical prostatectomy and partial nephrectomy.

Dr. Brian J. Moran is Medical Director at Chicago Prostate Cancer Center in Illinois and an experienced practitioner of prostate brachytherapy, having performed thousands of prostate seed implants. He is a frequent speaker at professional meetings and has authored numerous publications in medical journals and textbooks.

Professor Hongguang Wang is a hepatobiliary surgeon at the Chinese PLA General Hospital, in Beijing, China, one of the largest hospitals in the country. The facility has five sections in the hepatobiliary surgery department: hepatic surgery, biliary surgery, pancreatic surgery, minimally invasive surgery, and liver transplantation surgery. Dr. Wang is in charge of the minimally invasive surgery section. There, he performs laparoscopic hepatectomies, laparoscopic cholecystectomies, and laparoscopic common bile duct exploration.

Pelvic floor disorders lead to hundreds of thousands of surgical interventions on female patients in the USA each year. An estimated 30% of these cases require re-operations.