- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04422249
A Study of Laparoscopic Middle Hepatic Vein Guidance and Traditional Anatomic Hemihepatectomy
December 21, 2023 updated by: Shuguo Zheng, MD, Southwest Hospital, China
A RCT Study of Laparoscopic Middle Hepatic Vein Guidance and Traditional Anatomic Hemihepatectomy
The study, entitled "RCT study of laparoscopic middle hepatic venous guidance versus conventional ananatomical hemihepatectomy", was designed to compare the efficacy of two different ananatomical hemihepatectomy procedures under laparoscopy.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Backgroud & Aim:Hepatectomy is the main way to treat all kinds of liver surgical diseases, which can be divided into anatomic hepatectomy and non-anatomic hepatectomy.Among them, anatomic hepatectomy is suitable for primary liver cancer, hepatolithiasis and other benign and malignant diseases;It can be divided into hepatic venous guidance and non-hepatic venous guidance hepatectomy (traditional ananatomical hepatectomy).The aim of this study was to observe and compare the perioperative period and follow-up results of the two different laparoscopic surgical resection methods, and to provide high-level evidence-based medicine evidence for the selection of surgical methods for laparoscopic anatomical hemihepatectomy.
Study Type
Interventional
Enrollment (Estimated)
95
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Shuguo Zheng, M.D.
- Phone Number: 0086-13508308676
- Email: shuguozh@yahoo.com.cn
Study Contact Backup
- Name: Shuguo Zheng, Zheng
- Phone Number: 0086-13508308676
- Email: shuguozh@yahoo.com.cn
Study Locations
-
-
Chongqing
-
Chongqing, Chongqing, China, 400038
- Recruiting
- Southwest Hospital
-
Contact:
- Shuguo Zheng, MD
- Phone Number: 0086-13508308676
- Email: shuguozh@yahoo.com.cn
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- the site was limited to the patients who were suitable for dissecting hemihepatectomy;
- the type of disease was limited to hepatocellular carcinoma;
- the patients were generally able to tolerate anesthesia, the liver reserve function was good, and the patients were suitable for laparoscopic surgery;
- child-pugh grade A, no severe liver cirrhosis, portal hypertension, no extrahepatic and extrahepatic metastasis and main vascular invasion;
- the subjects who participated in this study indicated that they were willing to accept the two surgical methods and agreed to be randomly divided into groups during the operation;
- 18 ≤ age ≤ 70, male or female.
Exclusion Criteria:
- preoperative liver function Child-pugh grade B or C;
- patients with poor general condition and could not tolerate pneumoperitoneum or anesthesia;
- patients with severe liver cirrhosis, portal hypertension and lesions invading liver porta;
- patients with other treatment methods such as radio frequency ablation in addition to dissecting hepatectomy;
- repeated abdominal operations resulting in severe abdominal adhesion, unable to perform laparoscopic hepatectomy; male and female are not limited
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: laparoscopic middle hepatic vein guidance hemihepatectomy
In theory, the advantages of anatomical hemihepatectomy guided by middle hepatic vein are as follows: 1) correctly guiding the transecting plane of the liver parenchyma can reduce the cross-sectional area of the liver and avoid damaging the vascular ducts of the pre-cut liver.
so as to reduce the residue of necrotic tissue without blood supply and reduce the occurrence of postoperative complications.
2) active anatomy and exposure of hepatic vein can avoid uncontrollable bleeding after passive injury of hepatic vein, and laparoscopic anatomy has obvious advantage in exposing hepatic vein.
3) it may reduce the early recurrence rate of hepatocellular carcinoma after operation.
|
95 patients with primary HCC were divided into the middle hepatic vein guidance group(n=45) and the traditional group(n=45) according to the odd and even Numbers, and sealed into envelopes.Outcomes were monitored and evaluated during the 3-year follow-up period
Other Names:
|
Active Comparator: laparoscopic traditional anatomic hemihepatectomy
According to textbooks and the views of some scholars at present, traditional anatomical hepatectomy (non-hepatic vein-guided anatomical hepatectomy) has the following advantages: 1) avoiding exposure of hepatic vein can reduce the probability of injury to the trunk of hepatic vein, thus reduce the risk of massive bleeding during operation; 2) the difficulty of operation is relatively low, and a better short-term and long-term effect can be obtained.
|
95 patients with primary HCC were divided into the middle hepatic vein guidance group(n=45) and the traditional group(n=45) according to the odd and even Numbers, and sealed into envelopes.Outcomes were monitored and evaluated during the 3-year follow-up period
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Survival rate
Time Frame: 3 years
|
follow-up after the surgery every 3 months, to understand statistics 1-year overall survival、3-year overall survival、1-year disease-free survival、3-year disease-free survival
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Perioperative results
Time Frame: Duration perioperation(an expected average of 3 days)
|
the angle of hepatic vein between segment Ⅳ b and Ⅴ, angle between MHV and IVC
|
Duration perioperation(an expected average of 3 days)
|
intraoperative parameters
Time Frame: during the operation
|
blood loss per unit area will be combined to report intraoperative parameters in milliliter/square centimetre(ml/c㎡)
|
during the operation
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of postoperative complications
Time Frame: Duration hospitalization(an expected average of 7 days)
|
hemorrhage,biliary leakage,ascites,intra-abdominal infection,pleural effusion,pulmonary infection,cardiopulmonary insufficiency,liver function failure
|
Duration hospitalization(an expected average of 7 days)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 23, 2019
Primary Completion (Estimated)
December 23, 2023
Study Completion (Estimated)
December 23, 2023
Study Registration Dates
First Submitted
May 20, 2020
First Submitted That Met QC Criteria
June 6, 2020
First Posted (Actual)
June 9, 2020
Study Record Updates
Last Update Posted (Actual)
December 26, 2023
Last Update Submitted That Met QC Criteria
December 21, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SWHZSG009
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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