Liver Tumour
Conditions
Keywords
Liver transection, Bloodloss, Operation time, Safety, feasibility
Brief summary
Before liver transection patients are allocated to either waterjet or CUSA to divide the liver parenchyma.
Detailed description
Transection time, bloodloss, total operation time and postoperative complication rates are registered.
Interventions
DEVICEWaterjet induced dissection
Waterjet induced dissection of the liver during resection.Waterjet dissection device mechanically separates hepatic tissue from bile ducts and vessels, the latter two to be separately ligated.
DEVICECUSA induced dissection
Ultrasound based destruction of the liver
Sponsors
Bengt Isaksson
Jansson, Anders, M.D.
Karolinska University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Hepatic tumour suitable for resection * patients 18 year or older Segmental resection Local resection Left sided hemihepatectomy
Exclusion criteria
* Right sided hemihepatectoyReresection In Situ Split Liver Extended left- and rightsided hemihepatectomy Lobus caudatus resection Central resections Hilus tumour/Klatskin/Cholangiocarcinoma Surgery on biliary tree Extended resection on other organs Resection on gallbladder Resection on other organs during the same operation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peroperative bloodloss | During liver transection (on an average<90 min) | Peroperative bloodloss in ml during liver transection by use of either waterjet or CUSA. |
Secondary
| Measure | Time frame |
|---|---|
| Transection time in minutes | During liver transection (on an average< 90 minutes) |
| Operation time in minutes | Time spent in theater in minutes (on an average <240 minutes) |
| Hospital stay in days | Days spent in hospital after surgery (on an average < 10 days) |
Countries
Sweden
Outcome results
None listed