Hepatic Vein-sparing Hepatectomy for Colorectal Liver Metastases at the Caval Confluence
NCT02391207 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 50
Last updated 2015-03-18
Summary
Major hepatectomies are generally selected for tumors involving the hepatic vein (HV) at the caval confluence (CC). As alternative, HV reconstruction has been proposed. The present study aimed to evaluate the feasibility and safety of a HV-sparing policy guided by intraoperative ultrasonography (IOUS) in a cohort of patients having at least one colorectal liver metastasis (CLM) in contact with a HV at CC. HV section can be avoided in the large majority of cases thanking to CLMs detachment or to HV partial resection or reconstruction: this policy seems feasible, safe, reduces the need of major hepatectomies, and oncologically provides an adequate local control.
Conditions
- Secondary Malignant Neoplasm of Liver
Interventions
- PROCEDURE
-
Hepatic vein-sparing hepatectomy
HV detachment, partial resection and section on the basis of HV-CLM relationship
Sponsors & Collaborators
-
University of Milan
lead OTHER
Principal Investigators
-
Guido Torzilli, MD,PhD,FACS · Department of Hepatobiliary and General Surgery, University of Milan, Humanitas Research Hospital, Rozzano, Milan, Italy
-
Fabio Procopio, MD · Department of Hepatobiliary and General Surgery, University of Milan, Humanitas Research Hospital, Rozzano, Milan, Italy
Eligibility
- Min Age
- 28 Years
- Max Age
- 79 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-01-31
- Primary Completion
- 2012-12-31
- Completion
- 2014-12-31
Countries
- Italy
Study Locations
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