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| Name | Class |
|---|---|
| Second Affiliated Hospital, School of Medicine, Zhejiang University | OTHER |
| Chinese PLA General Hospital | OTHER |
| Eastern Hepatobiliary Surgery Hospital | OTHER |
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For some complicated hepatolithiasis, it is difficult to decide whether to perform surgery on biliary stone and portal hypertension simultaneously or separately by staged surgery.There's a high risk of intraoperative bleeding, postoperative liver failure and variceal bleeding for these patients.How to develop a optimized algorism of simultaneous and staged surgery is highly needed.
For some complicated hepatolithiasis, it is difficult to decide whether to perform surgery on biliary stone and portal hypertension simultaneously or separately by staged surgery.There's a high risk of intraoperative bleeding, postoperative liver failure and variceal bleeding for these patients.How to develop a optimized algorism of simultaneous and staged surgery is highly needed. In this protocol, we will assign the eligible cases into two group. And then perform surgery as simultaneously or separately.By long-term follow-up,to examine the safety and advantages of each procedure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Simultaneous surgery | Experimental | to perform surgery both on biliary stone and portal hypertension |
|
| Staged surgery | Active Comparator | to perform surgery on biliary stone and portal hypertension by staged surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Simultaneous surgery | Procedure | Simultaneous surgery in complicated hepatolithiasis |
|
| Measure | Description | Time Frame |
|---|---|---|
| residual ratio of biliary stone | residual ratio of biliary stone diagnosed within 3 months | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative complications | postoperative complications diagnosed within 6 months | 6 months |
| residual lesions | residual lesions diagnosed within 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaobin Feng, MD | Contact | +86-2368765297 | fengxiaobin200708@aliyun.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Southwest Hospital | Recruiting | Chongqing | Chongqing Municipality | 400038 | China |
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| ID | Term |
|---|---|
| D000096584 | Overlapping Surgery |
| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| First Affiliated Hospital of Zhongshan Medical University |
| OTHER |
| Air Force Military Medical University, China | OTHER |
| Huaxi Hospital | OTHER |
| Tongji Hospital | OTHER |
| Union hospital of Fujian Medical University | OTHER |
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| staged surgery | Procedure | staged surgery in complicated hepatolithiasis |
|
| 6 months |
| Health economics index | Health economics index within 3 months | 3 months |
| mortality | mortality occured within 3 months | 3 months |