Liver resection surgery Surgery Liver resection surgery
Conditions
Interventions
Randomisation ? patients will be randomised into the IG or CG. Randomisation will be carried out by an independent statistician in the Department of Mathematics, University of Surrey. Concealment will
this is also what other surgical Event-Related Potentials (ERPs) have achieved. In order to determine (with a power of 80%, using a two-sided two-sample Student?s t-test), whether the IG group have a
Sponsors
Royal Surrey County Hospital NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All adult open elective liver resections
Exclusion criteria
Exclusion criteria: 1. Contraindications to epidural anaesthesia 2. Combined liver procedures e.g. with biliary surgery 3. Laparoscopic surgery 4. Adults unable to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The post-operative length of stay (in days): two independent assessors (who will be blinded to group allocation) will assess whether the patient is ready to be discharged home. The patient will only be discharged from hospital if both assessors agree to discharge. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Quality of Life (using EQ-5D) 2. Patient satisfaction 3. Incidence of post-operative morbidity (using Post-Operative Morbidity Survey [POMS]) 4. Pain scores (Visual Analogue Score 0-10) 5. Stress response and cell-mediated immunity. The venous blood samples obtained from the patients will be analysed for the following: 5.1. Insulin, cortisol and glucose levels - to assess endocrine and metabolic response 5.2. C-reactive proteins (CRP) and cytokines (including interleukin [IL] 2, IL 4, IL 6, IL 8, IL 10, granulocyte-macrophage colony stimulating factor [GM-CSF], interferon gamma, tumour necrosis factor alpha) to assess the inflammatory response 5.3. T-cell markers (CD3, CD4, CD8, CD45RO, HLA-DR), natural killer (NK) cell markers (CD56, CD16) to assess the immune response | — |
Countries
United Kingdom
Outcome results
None listed