BReLLS: A Prospective Belgian Registry on Laparoscopic Liver Surgery
- Conditions
- Laparoscopic Liver Surgery
- Registration Number
- NCT03175419
- Lead Sponsor
- University Hospital, Ghent
- Brief Summary
Setting up a Prospective Belgian National Registry of patients undergoing minimally invasive liver resections will allow the constitution of a national network able to get updated information on indication and results. Data will be of great importance for additional scientific projects aimed to clarify the role of minimally invasive approach in surgical liver pathology, especially malignancies.
- Detailed Description
During recent years we saw over the world a consistent growth of laparoscopic liver surgery (LLS), essentially due to progress of the surgical techniques, technology and diagnostic imaging. During the Louisville conference on LLS (2008) the technique was thoroughly described and defined. One of the most important statements was the promotion of national registries, taking into account the logistics and feasibility problems of randomized trials in this setting. The main purpose to hold a Belgian national registry is to define the role of LLS in our country, looking for short and long-term outcomes, especially in case of liver tumors.
In Belgium approximately 1000 liver resections are performed each year, however, the rate and results of LLS are unknown. The prospective data collection will highlight the role and incidence of LLS. Eventually, the registry will serve as support for scientific projects on different topics.
The evolution of the national practice will be measured by looking to the ratio between laparoscopic and open procedures registered in the electronic CRF (eCRF) in a single center during a time period.
The registration of additional parameters (as per below) will be necessary for comparing outcomes between conventional and laparoscopic techniques.
The registered cases will be recorded prospectively and consecutively.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1500
- Patients undergoing hepatic resection with minimally invasive approach (laparoscopic and robotic assisted)
- minimum age of > or = 18 years
- Signed informed consent.
- Cysts deroofing
- Laparoscopic resections combined to ablation procedures
- Ablation procedures (RFA, MWA, other)
Exclusion criteria:
- Laparoscopic staging procedures of the liver with/without intraoperative ultrasonography and/or biopsy.
- Solely others therapeutic procedure of the liver (RFA, MWA, PV ligation, etc.)
Not provided
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Clavien-dindo grade I 24 month Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic and radiological interventions.Allowed therapeutic regimens are: drugs as antiemetics, antipyretics, analgetics, diuretics and electrolytes and physiotherapy. This grade also includes wound infections opened at the bedside.
Clavien-dindo grade II 24 month Requiring pharmacological treatment with drugs other than such allowed for grade I complications.
Blood transfusions and total parenteral nutrition are also included.Clavien-dindo grade III A and B 24 month Requiring surgical, endoscopic or radiological intervention, intervention not (A) under general anesthesia; intervention under general anesthesia (B)
Clavien-dindo grade IV 24 month Life-threatening complication (including CNS complications)‡ requiring IC/ICU-management
Clavien-dindo grade V 24 month Death of a patient
- Secondary Outcome Measures
Name Time Method Evolution of the laparoscopic approach 24 month Comparison between open and lap procedures in the same center
Mortality 24 month Incidence
Assessment of tumor margins 24 month Comparison between R0 and R1 margins
Outcome in HCC and CRLM 24 month Overall and disease free survival calculation for the specific above mentioned pathologies
Trial Locations
- Locations (1)
Ghent University Hospital
🇧🇪Ghent, East Flanders, Belgium