A Novel Laparoscopic Hepatectomy Posture, Left Lateral Position Plus Jackknife Position

Since the first report of laparoscopic resection of a benign hepatic tumor by Professor H. Reith in 1991, the laparoscope has been widely used in liver disease. Based on its advantages in laparoscopic vision and amplification, laparoscopic hepatectomy (LH) has been well recognized globally. Generally speaking, for lesions located in the left, front or lower part of the liver, corresponding to Couinaud segments II, III, IVb, V and VI, an LH surgery is recommended; however, for lesions located in segments VII and VIII, the surgery is high technically difficult due to poor exposure. Therefore,the investigators employ the left lateral position plus jackknife position to better expose lesions in these segments, hoping to reduce surgical time and bleeding in LH.

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Key information

Conditions

Hepatocellular Carcinoma Adenocarcinoma Carcinoma Carcinoma, Hepatocellular Digestive System Diseases Digestive System Neoplasms Liver Diseases Liver Neoplasms Neoplasms Neoplasms by Histologic Type Neoplasms by Site Neoplasms, Glandular and Epithelial

Age range

20 year–70 year

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients were diagnosed with hepatocellular carcinoma (HCC) based on the criteria established by the European Association for the Study of the Liver
Tumor located in segment VI, VII, or VIII.

Exclusion criteria

Major vessel or bile duct tumor invasion,
Recurrent HCC
Tumor close to secondary vessels and bile ducts
Patients with extrahepatic metastasis
Grade C liver function,
Significant surgical contraindications

Treatment and study plan

Jackknife posture

Procedure

patients with left lateral position plus jackknife position when perform laparoscopic hepatectomy

Primary outcomes

Operation time

Time frame: intraoperative

evaluate the efficiency with this posture
Blood loss

Time frame: intraoperative

evaluate the blood loss with this posture

Sponsors and collaborators

Lead sponsor

Sun Yat-sen University

Other

Registry information

Official study title

A Novel Laparoscopic Hepatectomy Posture, Left Lateral Position Plus Jackknife

Important dates

Study start: 2015
Primary completion: 2016
Study completion: 2016
First posted: Jun 22, 2016
Registry last updated: Jun 22, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed