liver cancer
Conditions
Interventions
Group 1:laparoscopic major hepatectomy
Group2: robotic major hepatectomy
Sponsors
The General Hospital of the People's Liberation Army
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) The preoperative diagnosis of primary hepatocellular carcinoma is clear and the pathological reports are consistent after operation; (2) the general condition and the function of important organs are good, and they can tolerate general anesthesia and hepatectomy; (3) the preoperative enhanced CT, contrast-enhanced ultrasound or MRI examination of the upper abdomen are performed, and the extent of resection is more than three segments (i.e. major hepatectomy); (4) Child-Pugh grade A or B of liver function, with no active liver Inflammation and severe portal hypertension; (5) Reserved liver volume/standard remnant liver volume (> 30%); (6) Complete clinical data; (7) The patient had agreed to sign the informed consent.
Exclusion criteria
Exclusion criteria: (1) General anesthesia and hepatectomy can not be tolerated; (2) Child-Pugh grade C of liver function, with severe portal hypertension or active hepatitis; (3) severe epigastric adhesions caused by previous abdominal surgery, endoscopic surgical instruments can not be implanted or established; (4) With rupture of tumors and hemorrhagic peritoneal effusion were detected during operation; (5) treated by TACE, RF, radiotherapy and chemotherapy were performed before operation; (6) lack of clinical data.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of complications (Clavien-Dindo grade (> 3a);90-day mortality rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operative time;Intraoperative blood loss;Intraoperative blood transfusion rate;Number of lymph nodes and positive lymph nodes (based on postoperative pathology);Negative rate of tumor margin;Time of first eating after operation;The length of hospital stay; | — |
Countries
China
Contacts
Public ContactZhang Haifeng
The General Hospital of the People's Liberation Army
Outcome results
None listed