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

Tongji Hospital80 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Surgical Blood Loss

Interventions

stepwise vascular controlPROCEDURE

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.

Eligibility

Sex: ALLMin age: 41 YearsMax age: 68 Years

Medical Language ↔ Plain English

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% .

Outcomes

Primary Outcomes

blood loss during liver resection

Time frame: duration of operation time

Data from ClinicalTrials.gov

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