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| ID | Type | Description | Link |
|---|---|---|---|
| 2011/2.4 | Other Identifier | Swedish Ethical Board |
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| Name | Class |
|---|---|
| Bengt Isaksson | UNKNOWN |
| Jansson, Anders, M.D. | INDIV |
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Before liver transection patients are allocated to either waterjet or CUSA to divide the liver parenchyma.
Transection time, bloodloss, total operation time and postoperative complication rates are registered.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Waterjet induced dissection | Experimental | Waterjet induced dissection of the liver during resection.Waterjet dissection device mechanically separates hepatic tissue from bile ducts and vessels, the latter two to be separately ligated. |
|
| CUSA induced dissection | Active Comparator | CUSA transection of the liver. Ultrasound based destruction of the liver parenchyma to allow separate ligation of the bile duct and intrahepatic vessels. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Waterjet induced dissection | Device | Waterjet induced dissection of the liver during resection.Waterjet dissection device mechanically separates hepatic tissue from bile ducts and vessels, the latter two to be separately ligated. |
| Measure | Description | Time Frame |
|---|---|---|
| Peroperative bloodloss | Peroperative bloodloss in ml during liver transection by use of either waterjet or CUSA. | During liver transection (on an average<90 min) |
| Measure | Description | Time Frame |
|---|---|---|
| Transection time in minutes | During liver transection (on an average< 90 minutes) | |
| Operation time in minutes | Time spent in theater in minutes (on an average <240 minutes) | |
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Inclusion Criteria:
Exclusion Criteria:
Resection on gallbladder Resection on other organs during the same operation.
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| Name | Affiliation | Role |
|---|---|---|
| Anders Jansson, MdPhd | Karolinska University Hospital | Study Chair |
| Lars Lundell, Professor | Karolinska University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska University Hospital, Centra of Gastroenterology | Stockholm | 14186 | Sweden |
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| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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| CUSA induced dissection | Device | Ultrasound based destruction of the liver |
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| Hospital stay in days |
| Days spent in hospital after surgery (on an average < 10 days) |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |