New Techniques to Reduce Intra-operative Bleeding During Complex Liver Resection

NCT ID: NCT02996006

Last Updated: 2016-12-19

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

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-11-30

Brief Summary

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This observational study introduced an new advanced bleeding control strategy during complex liver resection.This newly described "stepwise vascular control" technique was efficacious and feasible to control intra-operative bleeding in complex hepatectomy involving second hepatic hilum and retro-hepatic inferior vena cava.

Detailed Description

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Conditions

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Surgical Blood Loss

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Interventions

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stepwise vascular control

Before liver parenchymal resection, we performed "total hepatic vascular preparation for occlusion" with portal triad (PT), infra-hepatic inferior vena cava (IIVC), and supra-hepatic inferior vena cava (SIVC) preparation in order. Then we performed step-by-step vascular occlusion according to the individual bleeding situation.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* tumor size is more than 5cm in diameter;
* these tumor were close to or were compressing main hepatic veins and RIVC directly;
* Pugh-Child Grade is A or Indocyanine green retention rate at 15min (ICG15%) is less than 10% .
Minimum Eligible Age

41 Years

Maximum Eligible Age

68 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tongji Hospital

OTHER

Sponsor Role lead

Responsible Party

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Lei Dou

Registrar

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Dou L, Yu ZP, Yang HY, Ran J, Chen YF, Chen XP. Personalized stepwise vascular control during complex hepatectomy involving hepatocaval confluence. ANZ J Surg. 2018 Jul-Aug;88(7-8):E606-E609. doi: 10.1111/ans.14301. Epub 2017 Dec 10.

Reference Type DERIVED
PMID: 29224239 (View on PubMed)

Other Identifiers

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TJ-liver-200804

Identifier Type: -

Identifier Source: org_study_id