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Nursing Fro Laparoscopic vs. Open Hepatectomy

Conditions
Liver Cancer
Liver Neoplasms
Interventions
Procedure: open hepatectomy
Procedure: lpaparoscopic hepatectomy
Registration Number
NCT03585166
Lead Sponsor
Wuhan Union Hospital, China
Brief Summary

This study was divided into laparoscopic hepatectomy (observation group) and laparoscopic hepatectomy (control group).Compared two groups of age, sex, body mass index (BMI), tumor diameter, number of tumors (single/multiple), pathologic characteristics, HBsAg (positive/negative), liver function, AFP, Child - Pugh, grading, nursing method and comparison of two groups of patients after surgery (surgical incision length, intraoperative blood, intraoperative blood transfusion and transfusion volume, operation time) the number of cases of and postoperative rehabilitation (death cases, for the first time the meal time, anus exhaust time, analgesic bed, first time, the abdominal cavity drainage tube time, length of hospital stay, postoperative days and liver function index.Follow-up: the survival rates of the two groups were compared in six months, one year, two years, three years and five years.In this study, the initial selection of the minimum sample size of 30 cases, plus 20% inefficiencies, the final initial selection of 36 cases, and the later expansion of the sample size of 100 cases.The research date starts on October 1, 2017.

Detailed Description

Research design and methods:

This study was divided into laparoscopic hepatectomy (observation group) and laparoscopic hepatectomy (control group).Compared two groups of age, sex, body mass index (BMI), tumor diameter, number of tumors (single/multiple), pathologic characteristics, HBsAg (positive/negative), liver function, AFP, Child - Pugh, grading, nursing method and comparison of two groups of patients after surgery (surgical incision length, intraoperative blood, intraoperative blood transfusion and transfusion volume, operation time) the number of cases of and postoperative rehabilitation (death cases, for the first time the meal time, anus exhaust time, analgesic bed, first time, the abdominal cavity drainage tube time, length of hospital stay, postoperative days and liver function index.Follow-up: the survival rates of the two groups were compared in six months, one year, two years, three years and five years.In this study, the initial selection of the minimum sample size of 30 cases, plus 20% inefficiencies, the final initial selection of 36 cases, and the later expansion of the sample size of 100 cases.

Statistical methods: by means of SPSS 23.0 to analyze the data, all data after the normal test to choose the appropriate statistical methods, the normal distribution of measurement data in the two groups use surgery and postoperative recovery using two sets of samples t test, liver function index using analysis of variance, non-normal distribution using nonparametric test, count data chi-square test, P \< 0.05 for the difference was statistically significant.Survival analysis was performed on two groups of patients.The research date starts on October 1, 2017.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
open hepatectomyopen hepatectomyopen hepatectomy for primary liver cancer
laparoscopic hepatectomylpaparoscopic hepatectomylaparoscopic hepatectomy for primary liver cancer
Primary Outcome Measures
NameTimeMethod
The incidence of complications of primary liver cancer treated by laparoscopic hepatectomy and laparoscopic hepatectomy,The questionnaire surveyPatients with hepatocellular carcinoma who were hospitalized together on October 1, 2017 were studied at the time point before discharge.

The incidence of complications, in percent

The survival rate of primary liver cancer treated by laparoscopic hepatectomy and laparoscopic hepatectomy,Telephone pays a return visit5 year after discharge

Survival rate, percent

Secondary Outcome Measures
NameTimeMethod
Comparison of oxygen uptake days between laparoscopic hepatectomy and laparoscopic hepatectomy for primary liver cancer, unit: dayPatients with liver cancer who are hospitalized on 1 October 2017 will be included in the study date.The study time is 1 year.

Oxygen uptake days, per day

Comparison of the number of replacement drainage bags for primary hepatocellular carcinoma between laparoscopic hepatectomy and laparoscopic hepatectomy, unit: numberPatients with liver cancer who are hospitalized on 1 October 2017 will be included in the study date.The study time is 1 year.

Compare the number of times to replace the drainage bag, unit: number

Comparison of ecg monitoring days between laparoscopic hepatectomy and laparoscopic hepatectomy for primary liver cancer Unit: dayPatients with liver cancer who are hospitalized on 1 October 2017 will be included in the study date.The study time is 1 year.

Guardianship days, unit: days

Comparison of infusion days between laparoscopic hepatectomy and laparoscopic hepatectomy for primary liver cancer Unit: dayPatients with liver cancer who are hospitalized on 1 October 2017 will be included in the study date.The study time is 1 year.

Infusion days, unit: days

Comparison of muscle injection times between laparoscopic hepatectomy and laparoscopic hepatectomy in primary liver cancer: timesPatients with liver cancer who are hospitalized on 1 October 2017 will be included in the study date.The study time is 1 year.

Muscle injections,Unit: times

Comparison between laparoscopic hepatectomy and laparoscopic hepatectomy in primary hepatocellular carcinoma Unit: timesPatients with liver cancer who are hospitalized on 1 October 2017 will be included in the study date.The study time is 1 year.

Number of subcutaneous injections Unit: times

Trial Locations

Locations (1)

Union hospital

🇨🇳

Wuhan, Hubei, China

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