Resectable Hilar cholangiocarcinoma patients Resectable intrahepatic cholangiocarcinoma Liver resection Cholangiocarcinoma Selective Hepatic Vascular Exclusion Intraoperative blood loss Complications
Conditions
Interventions
intermettent hepatoduodenal ligament clamping with vascular clamp or snuggling with cord tape 15 minutes interchange with releasing clamp or snuggling for 5 minutes until complete parenchymal liver re
Experimental Procedure/Surgery,Experimental Procedure/Surgery
Intermittent Vascular Inflow Occlusion ,Intermittent Vascular Inflow Occlusion with Selective Hepatic Vascular Exclusion
Sponsors
Sakon Nakhon Hospital, Ministry of Public Health
Khon Kaen Hospital,
Ministry of Public Health
Eligibility
Sex/Gender
All
Age
20 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1.20-year-old to 70 year-old Cholangiocarcinoma patients 2.Resectable cases according to CT or MRi 3.No distant metastasis 4.Willing to participate the study
Exclusion criteria
Exclusion criteria: 1.Serum total bilirubin > 5 mg/dL 2. Liver volume after resection less than 40% of estimated total liver volume
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intra-operative blood loss Start operation to closure of skin incision ML | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood transfusion during operation after operation to discharge date Blood transfusion during operation will be measured in ML. ,Procedural related complications after operation to discharge date Procedural related complications will be recorded during daily patient visit after hepatic resection | — |
Countries
Thailand
Contacts
Public ContactNisit Tongsiri
Sakon Nakhon Hospital
Outcome results
None listed