Classical Procedure Versus Intrahepatic Glisson's Approach
China80 participantsStarted 2012-01
Plain-language summary
The purpose of this research is to compare the classical procedure with intrahepatic Glisson's approach for laparoscopic anatomical hepatectomy. The validity, feasibility and limitations were assessed objectively through our clinical prospective study. The investigators expect laparoscopic anatomical hepatectomy with intrahepatic Glisson's approach is safe, effective and feasible.
Who can participate
Age range18 Years – 70 Years
SexALL
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Inclusion criteria
✓. Patients with liver malignant or benign disease distributed in a segment, lobe or half liver, malignant tumor ≤5 cm, without rupture, bleeding, and liver metastases, benign tumor ≤15cm.
✓. Liver function \> Child-pugh level B, no severe biliary cirrhosis, ICG ≤ 15%, the residual liver volume and standard liver volume ratio ≥ 40%. The conditions of open hepatectomy were achieved
✓. Age: Between 18 to 70 years
✓. Patients with regional stones distributed in a segment, lobe or half liver, combined or not combined with extrahepatic biliary calculi, hepatic parenchymal atrophy or fibrosis in the lesion region
✓. Patients with good general condition, the conditions of open Anatomical Hepatectomy were achieved
Exclusion criteria
✕. Written informed consent
✕. Patients with bad general condition or important organ lesions, liver resection could not be tolerated
✕. Age:Younger than 18 or more than 70 years old
✕. Malignant tumor recurrence within one month postoperation
✕. Combined with severe liver atrophy hypertrophy syndrome, hepatic portal transposition or hilar biliary fibrosis / stenosis
✕. Complicated case need to get emergency operation
✕
What they're measuring
1
Number of participants with operation complication
Timeframe: Duration hospitalization(an expected average of 8 days)
. Contraindication of laparoscopy: Combined with complicated acute cholangitis, repeated biliary tract operation, heavy intra-abdominal adhesion, Trocar can not be placed in. Artificial pneumoperitoneum could not be tolerated