Abstract

Laparoscopic hepatic sonography is becoming a standard procedure with the arrival of specifically designed probes. The technique of liver exploration used in open surgery has to be adapted. The technique we propose is initiated by a sagittal sonography associated with rotation movements. The basic exploration follows firstly the hepatic veins and then the portal branches. During the period of vascular exploration, the corresponding liver parenchyma is examined. As the quality of the laparoscopic sonography is becoming equivalent to that observed in open surgery, in the near future the results of laparoscopic and open surgery sonography will probably be identical.

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