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Enhanced recovery in liver resection surgery

Enhanced recovery in liver resection surgery: a single-blinded randomised controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN03274575
Enrollment
90
Registered
2011-07-28
Start date
2011-03-22
Completion date
Unknown
Last updated
2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Liver resection surgery Surgery Liver resection surgery

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)
Lead Sponsor

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

MeasureTime 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

MeasureTime 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

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 23, 2026