A Novel Laparoscopic Hepatectomy Posture, Left Lateral Position Plus Jackknife Position

Sun Yat-sen University

Status: Completed

Conditions: Hepatocellular Carcinoma

Treatments: Procedure: Jackknife posture

Study type: Observational

Funder types: Other

Identifiers

NCT02809287

20160609

Details and patient eligibility

About

Since the first report of laparoscopic resection of a benign hepatic tumor by Professor H. Reith in 1991, the laparoscope has been widely used in liver disease. Based on its advantages in laparoscopic vision and amplification, laparoscopic hepatectomy (LH) has been well recognized globally. Generally speaking, for lesions located in the left, front or lower part of the liver, corresponding to Couinaud segments II, III, IVb, V and VI, an LH surgery is recommended; however, for lesions located in segments VII and VIII, the surgery is high technically difficult due to poor exposure. Therefore,the investigators employ the left lateral position plus jackknife position to better expose lesions in these segments, hoping to reduce surgical time and bleeding in LH.

Enrollment: 10 patients

Sex: All

Ages: 20 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients were diagnosed with hepatocellular carcinoma (HCC) based on the criteria established by the European Association for the Study of the Liver
2. Tumor located in segment VI, VII, or VIII.

Exclusion criteria

1. Major vessel or bile duct tumor invasion,
2. Recurrent HCC
3. Tumor close to secondary vessels and bile ducts
4. Patients with extrahepatic metastasis
5. Grade C liver function,
6. Significant surgical contraindications

Trial design

10 participants in 1 patient group

study group

Description:

patients with left lateral position plus jackknife posture when perform laparoscopic hepatectomy

Treatment:

Procedure: Jackknife posture