Waterjet Versus Ultrasound Dissection During Hepatic Transection

Phase 2CompletedNCT02041065

Karolinska University Hospital84 enrolled

Overview

Before liver transection patients are allocated to either waterjet or CUSA to divide the liver parenchyma.

Transection time, bloodloss, total operation time and postoperative complication rates are registered.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Liver Tumour

Interventions

Waterjet induced dissectionDEVICE

Waterjet induced dissection of the liver during resection.Waterjet dissection device mechanically separates hepatic tissue from bile ducts and vessels, the latter two to be separately ligated.

CUSA induced dissectionDEVICE

Ultrasound based destruction of the liver

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Hepatic tumour suitable for resection * patients 18 year or older Segmental resection Local resection Left sided hemihepatectomy Exclusion Criteria: * Right sided hemihepatectoyReresection In Situ Split Liver Extended left- and rightsided hemihepatectomy Lobus caudatus resection Central resections Hilus tumour/Klatskin/Cholangiocarcinoma Surgery on biliary tree Extended resection on other organs Resection on gallbladder Resection on other organs during the same operation.

Locations (1)

Karolinska University Hospital, Centra of Gastroenterology

Stockholm, Sweden

Outcomes

Primary Outcomes

Peroperative bloodloss

Peroperative bloodloss in ml during liver transection by use of either waterjet or CUSA.

Time frame: During liver transection (on an average<90 min)

Secondary Outcomes

Transection time in minutes

Time frame: During liver transection (on an average< 90 minutes)

Operation time in minutes

Time frame: Time spent in theater in minutes (on an average <240 minutes)

Hospital stay in days

Time frame: Days spent in hospital after surgery (on an average < 10 days)

Data from ClinicalTrials.gov

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