Health Condition 1: K742- Hepatic fibrosis with hepatic sclerosis
Conditions
Interventions
Intervention1: nil: nil
Intervention2: Taking pure right lobe grafts: Pure right lobe grafts may have more segmental veins as they are take early in transection at being of seg 5 vein
Control Interven
Sponsors
Amrita Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: All adult robotic donor hepatectomies at our centre.
Exclusion criteria
Exclusion criteria: A open donor hepatectomies performed during this study period will be excluded. These include (a)emergency donor hepactectomies (b)robotic slot not available or (c)patient nor willing for robotic (d)ABO incompatible grafts. (e) Combined liver, pancreas, small bowel transplantation. (f) Retransplantation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary To compare the patency of Neo Middle Hepatic Vein of right lobe grafts with and without partial MHV retrieved robotically in the recipient at 2 weeks, 8weeks. Timepoint: 2 weeks, 8weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| Donor parameters 1.Transection time 2.Blood loss during the procedure. 3.Peak and mean lactate levels 4.Post operative liver function -Peak and mean levels of Serum Bilirubin, SGOT, SGPT, ALP,GGT&PTINR 5.Time taken for normalization of transaminases, INR 6.Post hepatectomy complications as per clavian dindo classification 7. Satava Classification 8.Graft steatosis using liver biopsy 9.Liver regeneration using plain CT volumetry done after 8 weeks. 10.Duration of ICU stay 11.Need for readmissionTimepoint: 2 weeks, 8weeks.;Recipient parameters 1.Blood loss. 2.Peak and mean lactate levels 3.Post operative liver function -Peak and mean levels of Serum Bilirubin, SGOT, SGPT, ALP,GGT&PTINR 4.Peak transaminitis 5. Time taken for normalization of transaminases,INR 6. Early graft dysfunction 7.Clavien dindo classification for severity of surgical complication 8.Satava Classification 9.Small for size graft syndrome 10.Primary non function of the graft ( (PNF) 11.Duration of ICU stay 12.Liver regeneration using CT volumetry done after 8 weeks. 13.Need for readmission 14.Mortality. Timepoint: 2 weeks, 8weeks.;During bench 1.Reconstructable veins during bench more than 4mm 2.Cold ischemia time (CIT) 3.Warm ischemia time (WIT)Timepoint: 2 weeks, 8 weeks | — |
Countries
India
Contacts
Public ContactDr Aishwarya Pal
Amrita Institute of Medical Sciences
Outcome results
None listed