DEBIFOIE: Study of Hemodynamic Conditions Measured During Hepatectomy
Study Details
Study Description
Brief Summary
Hepatocellular insufficiency is a dreaded complication after hepatectomy, since, if it is persistent, it leads to the death of the patient in the absence of liver transplantation.
The preoperative evaluation aims in particular to estimate the risk of postoperative hepatocellular insufficiency so as to minimize or contraindicate high-risk patients.
It has been shown that the flow of the portal vein is correlated with liver function, especially in the living donor and after portal embolization. More recently, the study of flow rates in the portal vein and the hepatic artery after transplantation has shown a correlation with the recovery of graft function.
The hypothesis is that portal and arterial flow after hepatectomy can predict postoperative hepatocellular function.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Measurements of flow rates in the portal vein and the hepatic artery by different transit times are available thanks to the Medistim VeriQTM system that the investigators already use routinely in the context of liver transplantation when performing hepatectomies.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Hepatectomy Patient undergoing laparotomy for liver resection. The aim is to measure the flow rates in the portal vein and the hepatic artery. |
Procedure: Liver debit measure
Mesure of liver debit during hepatectomy
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Outcome Measures
Primary Outcome Measures
- Liver vessel debit [Baseline]
Mesure of liver debit during hepatectomy
Eligibility Criteria
Criteria
Inclusion Criteria:
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patient 18 years or more
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Patient undergoing laparotomy for liver resection
Exclusion Criteria:
-
Patient under tutorship or curatorship
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Pregnant or lactating woman
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Difficulties in understanding French
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Patient operated by laparoscopy
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Patient having objected to the processing of his data
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Service de Chirurgie Digestive, Oncologique, Endocrinienne et Transplantation Hépatique, CHRU de TOURS | Tours | France | 37044 |
Sponsors and Collaborators
- University Hospital, Tours
Investigators
- Principal Investigator: Ephrem SALAME, MD-PhD, University Hospital, Tours
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RIPH3-RNI17/DEBIFOIE
- 2017-A01754-49
- 2017-61