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The purpose of this study is to determine whether clamp-crush technique for liver parenchymal transection is as safe as Harmonic scalpel device. outcomes will include: perioperative mortality, surgery-related complications, blood loss, amount of blood loss during hepatectomy, operating time, transection speed, markers of liver parenchymal injury and hospital stay.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Harmonic scalpel group | Active Comparator | group of donors whom will undergo liver transection using harmonic scalpel. |
|
| clamp-crush group | Active Comparator | group of donors whom will undergo liver transection using Kelly clamp. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Harmonic scalpel | Device | a method for liver parenchymal transection |
| |
| Measure | Description | Time Frame |
|---|---|---|
| blood loss during hepatectomy | bleeding during transection phase will be calculated in mL. based on the blood in the sucker machine and the surgical towels | intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| transection speed | the transection speed will be calculated in minutes based on the relation between the transecition time divided by the surface area of the raw area of the graft measured on the backtable. | intraoperative |
| liver pathology from the cut margin |
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Inclusion Criteria:
Exclusion Criteria:
-
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| Name | Affiliation | Role |
|---|---|---|
| Ahmad M Sultan, MD | Assistant prof of general surgery | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gastro-enterolgy surgical center, Mansoura University | Al Mansurah | Al-Dakahleia | 35516 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30671805 | Derived | Sultan AM, Shehta A, Salah T, Elshoubary M, Elghawalby AN, Said R, Elmorshedi M, Marwan A, Shiha U, Fathy O, Wahab MA. Clamp-Crush Technique Versus Harmonic Scalpel for Hepatic Parenchymal Transection in Living Donor Hepatectomy: a Randomized Controlled Trial. J Gastrointest Surg. 2019 Aug;23(8):1568-1577. doi: 10.1007/s11605-019-04103-5. Epub 2019 Jan 22. |
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| Kelly clamp crush technique |
| Device |
a method for liver parenchymal transection |
|
the area of necrosis will be measured in millimeters by the pathologist |
| intraoperative |