Preoperative Ultrasonographic Liver Size as a Predictor for Difficulty in Bariatric Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- intraoperative maximum diameter of left lobe of the liver
研究概览
简要总结
the left lobe of the liver in obese patient usually fatty and enlarged and may cause difficulty during bariatric surgery. the aim of this study is to test the impact of routine preoperative ultrasound to evaluate the size of left lobe of the liver as a preoperative predictor for difficulty
详细描述
the left lobe of the liver in obese patient usually fatty and enlarged and may cause difficulty during bariatric surgery. the aim of this study is to test the impact of routine preoperative ultrasound to evaluate the size of left lobe of the liver as a preoperative predictor for difficulty. two equal groups of patients are operated by laparoscopic sleeve gastrectomy with loop bipartition, in one group routine abdominal ultrasound is done, in the other group ultrasound not routinely done.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Morbidly obese patient with BMI more than 40 with or without co-morbidity
- •Morbidly obese patient with BMI more than 35 with co-morbidity
排除标准
- •Unfit patients for laparoscopy
- •patients refuse to share in the study
- •revisional surgery for obesity
- •previous upper abdominal surgery
研究组 & 干预措施
Control group
Control group without routine measurement of left lobe
干预措施: control group (Other)
preoperative left lobe measurement
routine preoperative left lobe measurement
干预措施: Routine measurement of left lobe (Other)
结局指标
主要结局
intraoperative maximum diameter of left lobe of the liver
时间窗: 4 hours
intraoperative maximum diameter of left lobe of the liver in centimeter using intraoperative tape
score of difficulty
时间窗: 6 hours
score of difficulty from:exposure of the hiatus, retraction of the liver and operative time
次要结局
- early postoperative complications(2 weeks)
- incidence of intraoperative complications(3 days)
- operative time(6 hours)
研究者
Alaa Mstafa Hassan Sewefy
Assistant professor
Minia University