Associating Liver Partition and Portal Vein Ligation (ALPPS) for Potentially Resectable Liver Metastasis From Colorectal Cancer: Prospective Evaluation of the Early Two-stage Hepatectomy by the Simon's Methods
Trial Snapshot
- Phase
- Phase 3
- Status
- Terminated
- Enrollment
- 3
- Locations
- 2
- Primary Endpoint
- number of complete surgical procedure
Study Overview
Brief Summary
The aim of this study is evaluate the feasibility of early two-stage hepatectomy in patients with liver metastasis from colorectal cancer.
Detailed Description
In France, each year around 36,000 new cases of colorectal cancers are registered responsible in 16,000 deaths because of liver metastasis.
In case of bilobar metastasis, classic two-stage hepatectomy with portal embolization could be performed.
An alternative to the classic surgery, early two stage hepatectomy, could be proposed to simplify the patient's management and to improve the resectability.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •potentially resectable liver metastasis from colorectal cancer
- •portal embolisation required
- •older than 18 years old
Exclusion Criteria
- •synchronous surgery on the colon or the rectum
- •extra hepatic metastasis
- •history of hepatectomy
- •pregnancy or breastfeeding
Outcomes
Primary Outcomes
number of complete surgical procedure
Time Frame: postoperative week 4
the number of complete surgical procedure is defined as the number of patients in whom the two stage hepatectomy is complete.
Secondary Outcomes
- overall mortality(one year after the two stage hepatectomy)
- overall morbidity(postoperative day 30)
- preoperative liver volumetry(one week prior to the surgery)
- quality of life(the day before the first stage surgery and the day before the second stage surgery)
- number of patient with hepatocellular insufficiency(postoperative day 30)
