A Novel Laparoscopic Hepatectomy Posture, Left Lateral Position Plus Jackknife Position

NCT ID: NCT02809287

Last Updated: 2016-06-22

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 10 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2015-01-31
• Study Completion Date: 2016-01-31

Brief Summary

Since the first report of laparoscopic resection of a benign hepatic tumor by Professor H. Reith in 1991, the laparoscope has been widely used in liver disease. Based on its advantages in laparoscopic vision and amplification, laparoscopic hepatectomy (LH) has been well recognized globally. Generally speaking, for lesions located in the left, front or lower part of the liver, corresponding to Couinaud segments II, III, IVb, V and VI, an LH surgery is recommended; however, for lesions located in segments VII and VIII, the surgery is high technically difficult due to poor exposure. Therefore,the investigators employ the left lateral position plus jackknife position to better expose lesions in these segments, hoping to reduce surgical time and bleeding in LH.

Conditions

Hepatocellular Carcinoma

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

study group

patients with left lateral position plus jackknife posture when perform laparoscopic hepatectomy

Jackknife posture

Intervention Type: PROCEDURE

patients with left lateral position plus jackknife position when perform laparoscopic hepatectomy

Interventions

Jackknife posture

patients with left lateral position plus jackknife position when perform laparoscopic hepatectomy

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

1. Patients were diagnosed with hepatocellular carcinoma (HCC) based on the criteria established by the European Association for the Study of the Liver

2. Tumor located in segment VI, VII, or VIII.

Exclusion Criteria

1. Major vessel or bile duct tumor invasion,

2. Recurrent HCC

3. Tumor close to secondary vessels and bile ducts

4. Patients with extrahepatic metastasis

5. Grade C liver function,

6. Significant surgical contraindications

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Sun Yat-sen University

OTHER

Sponsor Role: lead

Responsible Party

Zhongguo Zhou

Dr

Responsibility Role: PRINCIPAL_INVESTIGATOR

References

Chen JC, Zhang RX, Chen MS, Xu L, Chen JB, Yang KL, Zhang YJ, Zhou ZG. Left jackknife position: a novel position for laparoscopic hepatectomy. Chin J Cancer. 2017 Mar 20;36(1):31. doi: 10.1186/s40880-017-0190-y.

Reference Type: DERIVED

PMID: 28320486 (View on PubMed)

Other Identifiers

20160609

Identifier Type: -

Identifier Source: org_study_id