Hepatocellular Carcinoma, Surgery
Conditions
Keywords
Hepatocellular carcinoma, Cirrhosis, Liver resection, FibroScan
Brief summary
The purpose of this study is to determine whether liver transient elastography performed before the surgical procedure is able to predict liver failure in patients undergoing hepatectomy for hepatocellular carcinoma.
Interventions
Preoperative evaluation of liver stiffness through FibroScan
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients already scheduled to undergo liver resection fo hepatocellular carcinoma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cut-off value of liver stiffness measured in kilopascal (kPa) able to predict the occurrence of postoperative liver failure. | Participants will be followed for the duration of postoperative hospital stay, an expected average of 4 weeks | Definition of the cut-off value in kPa able to predict postoperative liver failure, i.e. the presence of at least one of the following variables: ascites causing a delay in the removal of surgical drainages and/or requiring paracentesis; increase of bilirubin levels \>3 mg/dL; alteration of coagulation factors requiring plasma infusion with an INR above 1.50 (with serum bilirubin levels \<12mg/dL); renal impairment, defined as blood urea nitrogen \>2.00 g/L and/or increase of serum creatinine \>2.00 mg/dL requiring only loop diuretics, dopamine/terlipressin, or dialysis. |
Countries
Italy