Anatomical Resection of the Liver for Hepatocellular Carcinoma: a New Ultrasound Guided Approach
NCT00829335 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 30
Last updated 2009-01-27
Summary
Anatomical resection is the gold standard approach for liver resection in patients with HCC. A new method for that by means of IOUS-guided finger compression has been devised.
Conditions
Interventions
- PROCEDURE
-
IOUS-GUIDED INTRAHEPATIC VESSEL COMPRESSION
Using the IOUS, the tumor and the level targeted for compression are identified. Than, under the IOUS guidance, the surgeon compresses bilaterally the liver at the targeted position resulting in the compression of the portal pedicle feeding the tumor previously identified. This maneuver is constantly monitored in real-time just using the same microconvex probe, and it is maintained until the surface of the targeted liver area begins to discolor, at that time the first assistant marks the discolored area with the electrocautery, and the compression is released. Once the area is demarcated, liver dissection is started under intermittent Pringle's maneuver.
Sponsors & Collaborators
-
University of Milan
lead OTHER
Principal Investigators
-
GUIDO TORZILLI, MD, PHD · University of Milan
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-01-31
- Primary Completion
- 2009-01-31
- Completion
- 2009-01-31
Countries
- Italy
Study Locations
More Related Trials
-
Randomized Controlled Trial Comparing Closed-suction Drain Versus Passive Gravity Drain Following Pancreatic Resection
NCT01988519 ·Status: COMPLETED ·Phase: NA
-
Prophylactic Cholecystectomy is Not Mandatory in Patients Candidate to the Resection for Small Intestine Neuroendocrine Neoplasms: a Propensity Score-matched and Cost-minimization Analysis
NCT04780737 ·Status: COMPLETED
-
Value of the Laparoscopic Approach in the Surgical Management of Resectable Hepatocellular Carcinoma
NCT04791735 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Closed Suction Drainage and Natural Drainage of the Pancreatic Duct in Pancreaticojejunostomy
NCT00679952 ·Status: COMPLETED ·Phase: PHASE3
-
Effect of Vascular Inflow Occlusion in Open Liver Resection for Hepatocellular Carcinoma
NCT01759901 ·Status: COMPLETED ·Phase: NA
-
Effect of Surgeon Volume on Outcome of Pancreaticoduodenectomy
NCT01059097 ·Status: COMPLETED ·Phase: NA
-
A Prospective Clinical Study Using an Artery-first Intermediate Approach in Robot-assisted Pancreaticoduodenectomy
NCT05660915 ·Status: RECRUITING ·Phase: NA
-
Endoscopic Ultrasound-guided Biliary Drainage for Malignant Biliary Obstruction After Failed ERCP
NCT03510754 ·Status: COMPLETED
-
Efficacy of Fistulotomy for Biliary Cannulation
NCT04037007 ·Status: RECRUITING ·Phase: NA
-
Randomized Trial of Early Versus Standard Drainage Removal After Pancreatic Resections
NCT00931554 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Ultrasound-guided Fine-needle Biopsy for Tissue Sampling of Biliary Strictures: a Multicenter Prospective Study
NCT06614452 ·Status: RECRUITING ·Phase: NA
-
Robotically Assisted Surgery For Perihilar Cholangiocarcinoma: A Prospective Study
NCT06720883 ·Status: RECRUITING
-
Minimally Invasive Pancreatico-duodenectomy
NCT02807701 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Versus Percutaneous Biliary Drainage for Resectable Pancreatic Head Cancer
NCT04823832 ·Status: COMPLETED ·Phase: NA
-
Primary EUS-GBD in Patients With Unresectable Malignant Biliary Obstruction and Cystic Duct Orifice Involvement.
NCT03729882 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Ultrasonography Guided Biliary Drainage
NCT03195075 ·Status: UNKNOWN ·Phase: NA
-
Inverted-Ω Anastomosis in Laparoscopic Duodenum-Preserving Pancreatic Head Resection or Laparoscopic Central Pancreatectomy
NCT07087392 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Minimally Invasive Pancreatoduodenectomy for Distal Cholangiocarcinoma
NCT05478889 ·Status: COMPLETED
-
Spyglass+RFA Versus Cytobrush+RFA for Extrahepatic Cholangiocarcinoma
NCT05233293 ·Status: UNKNOWN ·Phase: NA
-
Immediate vs. On-demand Endoscopic Necrosectomy in Infected Walled-off Pancreatic Necrosis
NCT05530772 ·Status: COMPLETED ·Phase: NA
-
Pre-cut Versus Intentional Double Guidewire for ERCP Cannulation: Prospective, Randomized Controlled Trial
NCT07329803 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluation of a Novel Pancreaticojejunostomy Technique for Pancreaticoduodenectomy
NCT01696903 ·Status: COMPLETED ·Phase: NA
-
The Effect in Wedge Resection and IVb/V Resection of the Liver for Gallbladder Cancer
NCT02920554 ·Status: RECRUITING ·Phase: NA
-
Hemopatch as a Tool to Prevent Biliary Fistula in Liver Surgery.
NCT03993067 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Ultrasonography (EUS) Guided Gallbladder Drainage With Two Months Stent Removal for Acute Cholecystitis: a Prospective Study
NCT05272007 ·Status: UNKNOWN