Intra Versus Extrahepatic Division of Right Hepatic Vein During Rightsided Hemihepatectomy

Phase 2UnknownNCT02041078

Karolinska University Hospital100 enrolled

Overview

Intrahepatic division of the hepatic vein is associated with less blood loss than extrahepatic dissection and division of the right hepatic vein.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

100

Conditions

Reduction of Peroperative Blood Loss During Liver Resection

Interventions

Intrahepatic division of the right hepatic vein.PROCEDURE

Ligation and division of the entrance of the right hepatic vein into the suprarenal cava vein are done at the end of transection of the liver parenchyma with CUSA.

Extrahepatic vein divisionPROCEDURE

Standard surgical procedure with extrahepatic ligation/division of the right hepatic vein prior to parenchymal division with CUSA.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Hepatic lesion amenable to right sided hemihepatectomy. Exclusion Criteria: * Hepatic lesions not suitable for a anatomical right sided hemihepatectomy. * Unfit for surgery * Unwillingness to participate

Locations (1)

Department of Surgery Gastrocentrum Karolinska Univeristy Hospital

Stockholm, Sweden

Outcomes

Primary Outcomes

Intraoperative bloodloss

Time frame: Intraoperative time (in minutes) for the division of the liver parenchyma

Secondary Outcomes

Operation time, postoperative complication rate

Time frame: Total time in minutes spent in theater, in hospital stay in days (on an average less than 30 days), total complication rate during hospital stay (on an average less than 30 days), surgical complications during in hospital stay (on an average<30days).

postoperative complication rate

Time frame: in hospital stay in days (on an average <30 days), total complication rate during hospital stay (on an average <30 days), surgical complications during in hospital stay (on an average <30 days).

Data from ClinicalTrials.gov

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