Liver surgery, Liver cancer, intraoperative fluid therapy
Conditions
Interventions
- GDFT
- Low CVP
Sponsors
Academic Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients, undergoing open liver resection and which are able to provide written informed consent
Exclusion criteria
Exclusion criteria: • Age 1.5 of normal) and/or low albumin) • Significant ischemic heart disease, heart failure or severe arrhythmias • Laparoscopic liver resection • Minor resection (such as wedge resections) • Liver resections in combination with biliary tract resections • If no resection is performed
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| -Total intraoperative blood loss | — |
Secondary
| Measure | Time frame |
|---|---|
| 28-okt-2016 amendment: - Kidney function day 1-5 (Na/K/Creat/Osm/Ureum, blood and (2x 12h a day) urine) - RAAS system (aldosterone, renine, ADH in plasma), just before and after resection during the operation - Outcome data: all complications - Body weight and ankle & abdominal girth (pre-op and day 1,2,5) - Microcirculatory measurements: - Sublingual measurements pre-op, during the surgery (T0 baseline (after skin incision), T1 (at the end of the ischemia phase, during the first VIO), T2 (30-60 minutes after reperfusion), 24, 48h and 5 days - Abdominal organ measurements during the surgery T0 baseline (after skin incision), T1 (at the end of the ischemia phase, during the first VIO), T2 (30-60 minutes after reperfusion). - Photo of liver tissue (to identify measured area with the Cytocam). - Liver tissue from the already resected part, for the use of the histology sample preparations | — |
Contacts
Public ContactTimothy Mungroop
AMC
Outcome results
None listed