Hepatectomy With or Without the Thoraco-abdominal Approach

NCT ID: NCT03171428

Last Updated: 2017-06-01

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

744 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-01-01

Study Completion Date

2015-04-01

Brief Summary

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The performance of hepatectomy for liver tumors using the thoraco-abdominal approach (TAA) versus the abdominal approach (AA) is still debated.

The aim of the study is the analysis of the perioperative outcome of patients operated with or without the TAA for liver tumors.

Detailed Description

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The prospectively maintained database was queried. A 1:1 propensity score-matched analysis was applied. Among 744 patients, 246 undergoing hepatectomy with TAA and 246 undergoing hepatectomy with AA were compared. These patients were matched for baseline characteristics, underlying liver disease, comorbidity, tumor features, and extent of the resection. The rates of morbidity and mortality were the study endpoints.

Conditions

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Surgery Liver Tumors Hepatectomy Liver Resection

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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TAA

Thoraco-Abdominal Approach: those patients with liver tumors operated with the thoracic-abdominal approach

Hepatectomy

Intervention Type PROCEDURE

Surgery for liver tumors is the removal of a part of the liver affected by a tumor.

AA

Abdominal Approach: those patients with liver tumors operated with the abdominal approach (without the thoracotomy)

Hepatectomy

Intervention Type PROCEDURE

Surgery for liver tumors is the removal of a part of the liver affected by a tumor.

Interventions

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Hepatectomy

Surgery for liver tumors is the removal of a part of the liver affected by a tumor.

Intervention Type PROCEDURE

Other Intervention Names

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hepatic resection; liver resection; liver surgery

Eligibility Criteria

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Inclusion Criteria

* First liver surgery;
* Any type of malignant liver tumor, including hepatocellular carcinoma on cirrhosis.

Exclusion Criteria

* Previous history of liver surgery;
* Any type of benign liver tumor;
* Incomplete clinical, surgical, pathological or postoperative data;
* Patients treated with radiofrequency ablation alone or in combination with surgery were also excluded.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Milan

OTHER

Sponsor Role lead

Responsible Party

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Prof. Guido Torzilli

Director of the Department of Hepatobiliary Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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ThoraxForLiver

Identifier Type: -

Identifier Source: org_study_id

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