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Open Versus Laparoscopic Ablation of Liver Malignancies (OPTIMAL)

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Rigshospitalet

Status

Enrolling

Conditions

Liver Metastases
Hepatocellular Carcinoma
Cholangiocarcinoma

Treatments

Procedure: Laparoscopic ablation
Procedure: Open ablation

Study type

Interventional

Funder types

Other

Identifiers

NCT06304766
H-23015954

Details and patient eligibility

About

The purpose of this study is to compare laparoscopic ablation to open ablation of liver malignancies regarding complication rates and ablation response as well as quality of life following the surgery.

Full description

Liver malignancies is a major cause of cancer-related mortality and the incidence is increasing. Patients with liver malignancies are often left with limited surgical treatment options due to extensive tumor burden or comorbidities. Ablation is a less invasive treatment for these patients that can be performed percutaneously, by laparoscopy or open surgery. Ablation during open surgery has a high potential of complications. Laparoscopic ablation presumably has a lower complication rate than during open surgery, yet still offers some of the same advantages needed for tumors in locations not favorable for percutaneous ablation. This study aims to compare laparoscopic ablation with ablation during open surgery to investigate a treatment option with a supposed lower complication rate and equally treatment effectiveness after one month.

Enrollment

80 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • One or more tumors not amenable to percutaneous ablation, age ≥ 18, signed informed consent, diagnosis of primary liver cancer or liver metastases from any primary tumor, and tumor suitable for ablation as primary treatment.

Exclusion criteria

  • Ablation performed in conjunction with resection, patients who cannot cooperate with the study, and patients who do not understand or speak Danish.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

80 participants in 2 patient groups

Open ablation
Active Comparator group
Description:
Laparotomy performed for open ablation of the tumor
Treatment:
Procedure: Open ablation
Laparoscopic ablation
Experimental group
Description:
Ablation of the tumor performed by laparoscopic approach
Treatment:
Procedure: Laparoscopic ablation

Trial documents
1

Trial contacts and locations

1

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Central trial contact

Lucas Alexander Knøfler, MD

Data sourced from clinicaltrials.gov

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