Actively Recruiting

Age: 18Years - 80Years
All Genders
ID06532214

Clinical Retrospective Study Analysis of Postoperative Complications Following Hepatectomy

Led by Nanfang Hospital, Southern Medical University · Updated on 2024-08-01

2000

Participants Needed

1

Research Sites

65 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are conducting a retrospective study to analyze complications following hepatectomy, a key surgical treatment for liver diseases like liver cancer, hepatic hemangiomas, and biliary stones. While hepatectomy has shown significant benefits, postoperative complications such as liver failure, hepatic vascular thrombosis, wound infections, and bile leakage remain serious concerns that threaten patient health and increase treatment costs. Prior studies have mostly focused on isolated complications with small patient groups, lacking a comprehensive overview. This observational study uses diagnostic criteria from the International Study Group for Liver Surgery (ISGLS) to identify liver failure occurring on or after the fifth day following surgery. The study groups patients into those who experienced post-hepatectomy liver failure (PHLF) and those who did not, as well as patients with and without liver cirrhosis. The research collects data retrospectively from patients who underwent liver resection surgery at participating centers. Participants' medical records will be reviewed to assess the incidence and risk factors of complications after hepatectomy. The primary outcome is the occurrence of liver failure after surgery, with mortality evaluated within 30 days post-operation. The study aims to provide clinical doctors with better guidance on preventing and managing postoperative complications by analyzing a large patient sample. The study includes adults aged 18 to 80 years who had liver surgery and excludes patients with prior cancer treatments, repeat surgeries, other malignancies, severe concurrent diseases, or incomplete data.

CONDITIONS

Brief Title

Clinical Retrospective Study Analysis of Postoperative Complications Following Hepatectomy

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 18 to 80 years
  • Patients who underwent liver resection surgery at the participating centers
Not Eligible

You will not qualify if you...

  • Prior cancer treatments such as transarterial chemoembolization, ablation, or targeted therapy
  • Repeat liver resection surgeries
  • Presence of other malignancies
  • Concurrent end-stage diseases including active infections, respiratory failure, decompensated heart failure, and autoimmune disease exacerbations
  • Inadequate clinical data availability in medical records

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Assessment starts on postoperative day 5

Participants undergo evaluation for post-hepatectomy liver failure using liver function markers measured on or after postoperative day 5.

1 visit on or after postoperative day 5

Long-term Monitoring

Duration - 30 days after surgery

Participants are observed for postoperative complications including mortality during the 30 days after surgery.

Follow-up visits during 30 days post-surgery

Trial Site Locations

Total: 1 location

1

Nanfang Hospital

Guangzhou, Guangdong, China, 510515

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Research Team

K

Kai Wang

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Published Research Related To This Trial

Learning-based early detection of post-hepatectomy liver failure using temporal perioperative data: a nationwide multicenter retrospective study in China.

Kai Wang, Qian Yang, Kang Li...

https://pubmed.ncbi.nlm.nih.gov/40630620