Physical Recovery After Laparoscopic vs. Open Liver Resection

Medical University of Vienna21 enrolled

Overview

The role of laparoscopic liver surgery with respect to clinical outcome remains unclear.

The role of laparoscopic liver surgery with respect to clinical outcome remains unclear. The investigators hypothesized that laparoscopic liver resection (LLR) is associated with better postoperative recovery than open liver resection (OLR). Twenty-one patients who underwent LR were included in this study (11 OLR (52.4%) and 10 LLR (47.6%), respectively). Postoperative recovery was measured by bicycle stress testing at months 1 and 6 after surgery and compared to preoperative stress testing. Standardized performance for bicycle stress testing was calculated based on age, sex, height and weight. Postoperative recovery was compared between groups as change of performance (%).

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

Conditions

Postoperative Complications Liver Diseases Physical Stress Surgery

Interventions

ErgometryOTHER

Patients underwent a preoperative ergometry to assess their physical fitness prior to their planned liver resection. Bicycle stress testing was performed preoperatively and 1 and 6 months postoperatively.

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * all patients undergoing liver resection (open vs. laparoscopic) * all patients willing participate and gave written informed consent Exclusion Criteria: * pregnancy * significant traumatic injury within 30 days prior to study enrolment * inability or unwillingness to comply to the protocol or to perform bicycle ergometry

Locations (1)

Medical University of Vienna, Department of Surgery

Vienna, Austria

Outcomes

Primary Outcomes

Overall change in performance

The change in performance after 1 and 6 months postoperatively in comparison to preoperative ergometry.

Time frame: 1, 6 months

Secondary Outcomes

Postoperative Complications

Secondary endpoints included postoperative complications (wound healing, liver failure, adverse events)

Time frame: 1 months

Liver resection and effect on postoperative fitness

patients were divided into two groups ( major (\>2 segments) vs. minor (≤2segments) liver resection) and postoperative performance was evaluated

Time frame: 2 years

length of stay

Length of postoperative hospital stay

Time frame: 1 month

Data from ClinicalTrials.gov

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