Hepatobiliary Disease Clinical Trial
Official title:
BiClamp Forceps Liver Transection Versus Clamp Crushing Technique in Liver Resections: A Randomized Clinical Trial
The purpose of this study is to compare short-term and long-term efficacy of BiClamp forceps hepatectomy and clamp-crushing technique for parenchymal transection during elective hepatic resection.
Background: Blood loss and the need for blood transfusions during the liver transection have
shown to be correlated with higher morbidity and mortality rates and with worsen prognosis.
Various devices of liver parenchymal transection have been developed with a view to reducing
the intraoperative blood loss. However, to the present there is no randomized controlled
trial evaluating the technique of BiClamp forceps during the liver transection. The goal of
the present study was to evaluate the safety and effectiveness of BiClamp forceps transection
in comparison to the clamp crushing technique in patients offered liver resection.
Intervention: One hundred patients with hepatobiliary disease need undergo hepatectomy at
Anhui medical university were selected and divided into BiClamp forceps hepatectomy group and
clamp-crushing hepatectomy group, each group contains 50 cases.
Results:
1. Clinical data include: blood loss during liver transection, total blood loss, blood
transfusion, hospital stay, morbidity, mortality, biliary leakage, postoperative liver
function, liver transection time, operation time, resection margins, need for portal
trial clamping.
2. Statistical method: groups t-test, univariate/multivariate analysis, logistic regression
analysis, mixed linear regression and Cox survival analysis were used.
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