Stapler vs. LigaSure in Elective Hepatic Resection

NCT ID: NCT01858987

Last Updated: 2017-10-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

138 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-02

Study Completion Date

2014-08-14

Brief Summary

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The optimal technique of parenchymal transection in liver surgery has remained a matter of controversial debate among hepatobiliary surgeons. The optimal technique should enable secure sealing of the vascular and biliary structures that results in low intraoperative blood loss as well as low postoperative complication rates. Although numerous devices have been introduced and are used widely, high-level evidence, randomized controlled trials, that evaluate efficacy and safety of these devices are scarce. In the present randomized controlled trial two techniques of hepatic resection using vascular staplers and the LigaSure vessel sealing device are compared. While the primary endpoint is intraoperative blood loss a set of general and surgical variables will be analyzed to evaluate efficacy and safety of both methods.

Detailed Description

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Conditions

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Liver Resection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Stapler hepatectomy

Liver resection using vascular stapler for transection of the parenchyma

Group Type ACTIVE_COMPARATOR

Stapler hepatectomy

Intervention Type PROCEDURE

Liver resection using vascular stapler for transection of the parenchyma

vascular staple

Intervention Type OTHER

LigaSure Hepatectomy

Liver resection using LigaSure for transection of the parenchyma

Group Type EXPERIMENTAL

LigaSure hepatectomy

Intervention Type PROCEDURE

Liver resection using LigaSure for transection of the parenchyma

Ligasure

Intervention Type DEVICE

Interventions

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Stapler hepatectomy

Liver resection using vascular stapler for transection of the parenchyma

Intervention Type PROCEDURE

LigaSure hepatectomy

Liver resection using LigaSure for transection of the parenchyma

Intervention Type PROCEDURE

Ligasure

Intervention Type DEVICE

vascular staple

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients scheduled for elective hepatic resection
* Parenchymal transection by vascular stapler and LigaSure feasible
* Age equal or greater than 18 years
* Informed consent

Exclusion Criteria

* Extrahepatic resection required based on preoperative imaging
* Participation in concurrent surgical intervention trials
* Expected lack of compliance
* Impaired mental state or language problems
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Heidelberg University

OTHER

Sponsor Role lead

Responsible Party

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Nuh Rahbari

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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UniversityHospital Dresden

Dresden, , Germany

Site Status

Countries

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Germany

References

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Fritzmann J, Kirchberg J, Sturm D, Ulrich AB, Knebel P, Mehrabi A, Buchler MW, Weitz J, Reissfelder C, Rahbari NN. Randomized clinical trial of stapler hepatectomy versus LigaSure transection in elective hepatic resection. Br J Surg. 2018 Aug;105(9):1119-1127. doi: 10.1002/bjs.10902.

Reference Type DERIVED
PMID: 30069876 (View on PubMed)

Other Identifiers

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NNR-08

Identifier Type: -

Identifier Source: org_study_id