Waterjet Versus Ultrasound Dissection During Hepatic Transection
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 84
- 试验地点
- 2
- 主要终点
- Peroperative bloodloss
研究概览
简要总结
Before liver transection patients are allocated to either waterjet or CUSA to divide the liver parenchyma.
详细描述
Transection time, bloodloss, total operation time and postoperative complication rates are registered.
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 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Hepatic tumour suitable for resection
- •patients 18 year or older Segmental resection Local resection Left sided hemihepatectomy
排除标准
- •Right sided hemihepatectoyReresection In Situ Split Liver Extended left- and rightsided hemihepatectomy Lobus caudatus resection Central resections Hilus tumour/Klatskin/Cholangiocarcinoma Surgery on biliary tree Extended resection on other organs
- •Resection on gallbladder Resection on other organs during the same operation.
研究组 & 干预措施
CUSA induced dissection
CUSA transection of the liver. Ultrasound based destruction of the liver parenchyma to allow separate ligation of the bile duct and intrahepatic vessels.
干预措施: CUSA induced dissection (Device)
Waterjet induced dissection
Waterjet induced dissection of the liver during resection.Waterjet dissection device mechanically separates hepatic tissue from bile ducts and vessels, the latter two to be separately ligated.
干预措施: Waterjet induced dissection (Device)
结局指标
主要结局
Peroperative bloodloss
时间窗: During liver transection (on an average<90 min)
Peroperative bloodloss in ml during liver transection by use of either waterjet or CUSA.
次要结局
- Transection time in minutes(During liver transection (on an average< 90 minutes))
- Operation time in minutes(Time spent in theater in minutes (on an average <240 minutes))
- Hospital stay in days(Days spent in hospital after surgery (on an average < 10 days))
研究者
Lars Lundell
Professor
Karolinska University Hospital