Evaluation of Laparoscopic Non Anatomical Liver Resection in Hepatic Pathology
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Laparoscopic Liver Resection
- Sponsor
- Assiut University
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Post operative pain
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen and pelvis without making large incisions in the skin.The use of laparoscopy in abdomenal surgeries increases for its great benefits over open surgery as:
1)faster recovery, 2)decrease blood loss, 3)shorter hospital stays, 4)decreased postoperative pain, 5)earlier return to work and resumption of normal daily activity as well as, 6)cosmetic benefits.
few studies discuss the efficacy and safety of using Laparoscopy in liver non anatomical resection.
Detailed Description
this study will include any male and female above 18 that presented with localized liver pathology (as benign hepatic tumours, resectable primary(HCC) or secondary malignancies, hydatid cyst any other hepatic cysts, haemangiomas,etc......) and underwent laparoscopic non anatomical resection of liver in Assiut university hospitals. Investigators will record the time of operation, number of cases with intra operative mortality or complication and then follow up these patients during time of hospital stay for: 1) post operative pain 2) secondary bleeding and 3) wound infection. Then follow up these patients in out patient clinic visit for their: 1. satisfaction 2. cosmetic outcomes and 3. rate of recurrence of the pathology.
Investigators
Nader Nasih Adly
Resedent doctor
Assiut University
Eligibility Criteria
Inclusion Criteria
- •any male or female above 18 that has one of the following pathologies and underwent non anatomical hepatic resection:
- •hepatic benign tumours as adenoma
- •resectable secondary malignancies (2)
- •any type of hepatic cysts e.g., hydatid cyst
- •HCC on top of liver cirrhosis.
Exclusion Criteria
- •any immunocompromised patient 2) Patient with contraindicdtions to use laparoscopy. 3) patient who are difficult to follow up.
Outcomes
Primary Outcomes
Post operative pain
Time Frame: 2 years
Pain scale post operative
Incidence of post operative complications
Time Frame: 2 years
Type and incidence of post operative complications
Incidence of intra operative mortality
Time Frame: 2 years
Number of cases die intra operative
Length of operation
Time Frame: 2 years
Time of operation
Incidence of intra operative complications
Time Frame: 2 years
Type of complications and Its incidence
Length of hospital stay
Time Frame: 2 years
Time spended by cases in hospital
Secondary Outcomes
- Cosmetic outcome(2 years)
- Incidence of recurrence of pathology(2 years)