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The purpose of this study is to determine whether a particular method of operating on the liver is superior to the "gold" standard commonest technique. CUSA (ultrasonic agitation) will be compared to the newer heat coagulation technique (radiofrequency ablation) and comparisons of blood loss, transfusion requirements, complication rates, hospital stay, effect on liver function, health economics and death rate will be made. The groups will be assessed for comparability in terms of underlying disease, resection type, underlying concurrent illnesses, sex, age, background liver disease. Standardisations of the rest of the operation will be carried out including anaesthetic technique and fluid requirements will be assessed by oesophageal Doppler. 100 patients will be recruited.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Radiofrequency ablation | Active Comparator | 50 patients randomised to radiofrequency ablation technique of liver resection |
|
| CUSA | No Intervention | 50 patients having liver resection randomised to CUSA |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| radiofrequency ablation | Device | FDA approved intervention being compared with gold standard (most common intervention) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Blood loss per cm squared of liver parenchyma cut through | operation date until three months from discharge |
| Measure | Description | Time Frame |
|---|---|---|
| mortality | incidence of post-operative complications measured over a thirty day period | inpatient and thirty day mortality |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robert R Hutchins, MB BS MS FRCS | Royal London Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal London Hospital | London | E1 1BB | United Kingdom |
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| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D006470 | Hemorrhage |
| ID | Term |
|---|---|
| D004066 | Digestive System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000078703 | Radiofrequency Ablation |
| ID | Term |
|---|---|
| D000078702 | Radiofrequency Therapy |
| D013812 | Therapeutics |
| D055011 | Ablation Techniques |
| D013514 | Surgical Procedures, Operative |
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