A Study of Laparoscopic Middle Hepatic Vein Guidance and Traditional Anatomic Hemihepatectomy

  • STATUS
    Recruiting
  • participants needed
    95
  • sponsor
    Southwest Hospital, China
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Updated on 16 February 2024
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metastasis
hypertension
carcinoma
cirrhosis
hepatocellular carcinoma
vascular invasion

Summary

The study, entitled "RCT study of laparoscopic middle hepatic venous guidance versus conventional ananatomical hemihepatectomy", was designed to compare the efficacy of two different ananatomical hemihepatectomy procedures under laparoscopy.

Description

Backgroud & Aim:Hepatectomy is the main way to treat all kinds of liver surgical diseases, which can be divided into anatomic hepatectomy and non-anatomic hepatectomy.Among them, anatomic hepatectomy is suitable for primary liver cancer, hepatolithiasis and other benign and malignant diseases;It can be divided into hepatic venous guidance and non-hepatic venous guidance hepatectomy (traditional ananatomical hepatectomy).The aim of this study was to observe and compare the perioperative period and follow-up results of the two different laparoscopic surgical resection methods, and to provide high-level evidence-based medicine evidence for the selection of surgical methods for laparoscopic anatomical hemihepatectomy.

Details
Condition Adenocarcinoma, Adenocarcinoma, HEPATIC NEOPLASM, liver cancer, HEPATOCELLULAR CARCINOMA, liver cancer
Age 18years - 70years
Treatment laparoscopic middle hepatic vein guidance anatomic hemihepatectomy
Clinical Study IdentifierNCT04422249
SponsorSouthwest Hospital, China
Last Modified on16 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

the site was limited to the patients who were suitable for dissecting hemihepatectomy
the type of disease was limited to hepatocellular carcinoma
the patients were generally able to tolerate anesthesia, the liver reserve function was good, and the patients were suitable for laparoscopic surgery
child-pugh grade A, no severe liver cirrhosis, portal hypertension, no extrahepatic and extrahepatic metastasis and main vascular invasion
the subjects who participated in this study indicated that they were willing to accept the two surgical methods and agreed to be randomly divided into groups during the operation
18 age 70, male or female

Exclusion Criteria

preoperative liver function Child-pugh grade B or C
patients with poor general condition and could not tolerate pneumoperitoneum or anesthesia
patients with severe liver cirrhosis, portal hypertension and lesions invading liver porta
patients with other treatment methods such as radio frequency ablation in addition to dissecting hepatectomy
repeated abdominal operations resulting in severe abdominal adhesion, unable to perform laparoscopic hepatectomy; male and female are not limited
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