Improvement of surgical technique in the context of right hemihepatectomy
Conditions
Interventions
Group 1: Parenchymal dissection and intraparenchymal dissection of the hepatic pedicle via stapler
Group 2: Extrahepatic approach with hilar preparation
Sponsors
Charité Universitätsmedizin Berlin
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1. Indication: Patients with (histologically confirmed or clinically suspected) primarily resectable benign or malign primary or secondary liver tumors 2. Surgical extend: minimal-invasive right hepatectomy (or extended right) , indication for right hepatectomy must be confirmed by two experienced liver surgeons 3. Multidisciplinary tumor board recommendation in patients with malignancies 4. Written informed consent of the participating person 5. ECOG = 2
Exclusion criteria
Exclusion criteria: 1. Hepatobiliary reconstruction necessary 2. Open surgery, hybrid surgery, hand-assisted surgery 3. Simultaneous resection of liver (-metastases) and primary tumor/other organs 4. Pregnant or breast-feeding women 5. Indications that the patient is unlikely to comply with the protocol (e.g. unwillingness to cooperate) 6. Thrombosis close to the bifurcation of the portal vein
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative complications using the Comprehensive Complication Index (CCI) | — |
Secondary
| Measure | Time frame |
|---|---|
| surgical radicality using the resection margin (R0) length of hospital stay postoperative serum aminotransferases 30-day mortality intraoperative blood loss operative time Disease free survival (DFS) overall survival (OS) | — |
Countries
Germany
Contacts
Public ContactRamin Raul Ossami Saidy
Charité Universitäsmedizin Berlin
Outcome results
None listed