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/40630620Actively Recruiting
Led by Nanfang Hospital, Southern Medical University · Updated on 2024-08-01
2000
Participants Needed
1
Research Sites
65 weeks
Total Duration
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
Clinical Retrospective Study Analysis of Postoperative Complications Following Hepatectomy
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Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
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
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
Total: 1 location
1
Nanfang Hospital
Guangzhou, Guangdong, China, 510515
Actively Recruiting
K
Kai Wang
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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Kai Wang, Qian Yang, Kang Li...
https://pubmed.ncbi.nlm.nih.gov/40630620