Elective hepatic resection without biliary reconstruction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Undergoing elective hepatic resection without biliary reconstruction 2) ECOG performance status: 0-2 3) Unimpaired organ function: 1. WBC >= 2,000/mm3 2. Plt >= 50,000/mm3 3. T.Bil <= 2.0 mg/dL 4. Cre <= 1.5 mg/dL 4) Age: 20 years or older 5) Written informed consent
Exclusion criteria
Exclusion criteria: 1) Concomitant resection of other organs excluding gallbladder 2) Administration of anti-coagulant drug just before the operation 3) Schedule to administrate anti-coagulant drug by 3 days after operation 4) Psychiatric disorder 5) Pregnant 6) Supposed extremely high risk of biliary leakage or bleeding after operation because of area of hepatic transection, and exposure of Glisson sheath on transection surface 7) C-tube placement 8) Thoracic tube placement
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of postoperative complication at or greater than Clavien-Dindo grade 3 | — |
Secondary
| Measure | Time frame |
|---|---|
| Wound-related complication, total postoperative complication, biliary leakage, inflammatory indicator in blood and serum examination, duration of postoperative hospital stay | — |
Countries
Japan
Contacts
Graduate School of Medicine, University of Tokyo Hepatobiliary-Pancreatic Surgery Division, Department of Surgery