Actively Recruiting

Age: 18Years +
All Genders
ID06950827

Textbook Outcomes of Right Hemihepatectomy in Patients With Hepatocellular Carcinoma Comparing Laparoscopic and Open Surgery

Led by West China Hospital · Updated on 2025-04-30

400

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating the outcomes of right hemihepatectomy surgery in patients with hepatocellular carcinoma, a type of liver cancer. This study compares traditional open surgery with laparoscopic surgery, which uses smaller incisions and may lead to faster recovery. Despite advances in laparoscopic liver surgery, its safety and effectiveness, especially in right hemihepatectomy, remain uncertain. The study aims to determine differences in textbook outcomes and how these relate to patient survival. The study observes two groups of patients: those who underwent laparoscopic right hemihepatectomy and those who had open right hemihepatectomy. Both procedures are elective surgeries performed to remove the right half of the liver affected by cancer. Laparoscopic surgery is noted for its smaller incision and quicker recovery. Data from surgeries conducted between January 2018 and January 2023 will be analyzed to assess outcomes. Participants will have their medical records reviewed to measure textbook outcomes, overall survival, and disease-free survival over the study period. Liver function before surgery and other health ratings will be considered. The study excludes patients with certain other types of cancer, previous upper abdominal surgeries, or complex additional surgeries. Follow-up data and primary clinical information are essential for inclusion. The study is conducted by West China Hospital and runs until May 15, 2025.

CONDITIONS

Brief Title

Textbook Outcomes of Right Hemihepatectomy in Patients With Hepatocellular Carcinoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Lesion limited to the right half of the liver diagnosed as hepatocellular carcinoma by pathology
  • Elective right hemihepatectomy surgery planned
  • Preoperative liver function Child Pugh grade A or B
  • Preoperative ASA rating of I, II, or III
Not Eligible

You will not qualify if you...

  • Pathologically confirmed cholangiocarcinoma, mixed cell carcinoma, or extrahepatic metastatic tumors
  • Previous upper abdominal surgery
  • Undergoing concurrent resection of adjacent abdominal organs or major vessel/bile duct reconstruction except gallbladder
  • Invasion of adjacent organs except gallbladder, main blood vessels, bile duct cancer emboli, or distant metastases
  • Lost to follow-up or missing primary clinical data

AI-Screening

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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)

Surgery and Immediate Post-operative Care

Duration - Up to hospital discharge

Participants undergo right hemihepatectomy surgery, either laparoscopic or open, followed by immediate post-operative care.

1 hospitalization period including surgery and immediate recovery

Post-operative Follow-up

Duration - Up to 5 years

Participants are monitored after surgery to assess recovery, overall survival, and disease-free survival.

Regular follow-up visits over several years

Trial Site Locations

Total: 1 location

1

West China Hospital

Chengdu, Sichuan, China, 610041

Actively Recruiting

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Research Team

J

Jiwei Huang Professor

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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