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Impact of Blood Salvage Therapy on Outcomes After Oncologic Liver Surgery

Completed
Conditions
Liver Neoplasms
Interventions
Procedure: Blood salvage therapy
Registration Number
NCT05164406
Lead Sponsor
Université de Sherbrooke
Brief Summary

A before and after trial comparing the systematic use of blood salvage therapy with leucocyte filter during oncologic liver resections. Recurrence, survival, allogenic transfusion rates and surgical outcomes are compared with a representative historic cohort.

Detailed Description

Blood salvage therapy in oncologic liver surgery is seldom used based on unproven concerns about the safety of the technique regarding potential cancer dissemination or recurrence. Nevertheless, the technique has proven advantages in other surgical settings regarding the allogenic transfusion outcomes. Allogenic blood transfusion has been scientifically proven to worsen prognosis in oncologic surgery. This study compares a cohort of patients systematically exposed the blood salvage therapy to one comparable cohort without the therapy and outcomes regarding transfusion rates, post-operative Hb measurement, recurrence, overall survival, and post-operative adverse events.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
106
Inclusion Criteria
  • Adult Oncologic liver surgery scheduled in our institution
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Exclusion Criteria
  • Condition precluding consent for trial Pregnancy
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
With blood salvageBlood salvage therapyPatients undergoing oncologic liver surgery with systematic use of blood salvage therapy
Primary Outcome Measures
NameTimeMethod
Recurrence free survival18 months
Overall survival18 months
TransfusionUp to 30 days after surgery

Allogenic blood products requirements

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Centre Hospitalier Universitaire de Sherbrooke

🇨🇦

Sherbrooke, Quebec, Canada

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