Liver surgery, liver malignancies, surgical planning
Conditions
Interventions
Group 1: Intervention arm:
Advanced preoperative 3D-reconstruction of CT and/or MRI pictures for pre- and intraoperative surgical mapping and navigation.
Group 2: Control arm:
Standard minimally invas
Sponsors
Uniklinik RWTH Aachen, Klinik für Allgemein-, Viszeral-, Kinder- & Transplantationschirurgie
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Indication for elective liver resection (benign or malignant disease) 2. Availability of contrast-enhanced preoperative CT and/or MRI suitable for 3D reconstruction 3. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Emergency liver surgery 2. Liver transplantation or living donor hepatectomy 3. Previous major liver resection 4. Preoperative known necessity of further extrahepatic resections or extensive adhesolysis 5. Inability to provide informed consent 6. Current institutionalization on court or official order 7. Current or planned Pregnancy preoperatively
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Operative time, defined as the time from first cutaneous incision to final suture, measured in minutes. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints include surgeon stress level (self-reported stress-level; salivary cortisol sampling), intraoperative blood loss, rate of R0 resection in oncological cases, extent of resection beyond the tumor margins (exploratory endpoint by synchrotron-based phase-contrast imaging), surgeons stress and anxiety levels and cost-effectiveness of pre- and intraoperative 3D mapping. | — |
Countries
Germany
Contacts
Public ContactNils Laurenz, B.Sc.
Uniklinik RWTH Aachen, Studienzentrum der Klinik für Allgemein-, Viszeral-, Kinder- & Transplantationschirurgie
Outcome results
None listed