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Trial registered on ANZCTR
Registration number
ACTRN12609000206224
Ethics application status
Approved
Date submitted
17/04/2009
Date registered
24/04/2009
Date last updated
24/04/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Prospective Randomized Controlled Trial to Compare Hemihepatic Vascular Inflow Occlusion, Portal Vein Inflow Occlusion and Pringle Maneuver in Partial Hepatectomy
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Scientific title
A Prospective Randomized Controlled Trial to Compare the operative blood loss, postoperative liver function changees of Hemihepatic Vascular Inflow Occlusion, Portal Vein Inflow Occlusion and Pringle Maneuver in Partial Hepatectomy
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Vascular control technique for partial hepatectomy
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Condition category
Condition code
Surgery
4919
4919
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Hemihepatic Vascular Inflow Occlusion group (In hemihepatic vascular inflow occlusion, the portal vein, hepatic artery, and bile duct were dissected in the hilum by lowering the liver plate. Either the right or left portal pedicle was isolated en bloc and was controlled with a tourniquet or Santinsky clamp. The estimated duration is around 30 minutes.)
Portal Vein Inflow Occlusion group (In portal vein inflow occlusion, the portal vein was isolated and occluded with a tourniquet. The estimated duration is around 30 minutes.)
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Intervention code [1]
4380
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Treatment: Surgery
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Comparator / control treatment
Pringel Maneuver group (In Pringle maneuver group, the entire hepaticoduodenal ligament was encircled and tightened with a rubber tourniquet. The estimated duration is around 30 minutes.)
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Control group
Active
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Outcomes
Primary outcome [1]
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Intraoperative blood loss (calculate the suction drain output and weight of soaked gauze)
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Assessment method [1]
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Timepoint [1]
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After operation (partial hepatectomy)
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Primary outcome [2]
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Post-operative liver function changes (check blood for liver function parameters)
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Assessment method [2]
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Timepoint [2]
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On operation day, post-operative day 1, 3, 7
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Secondary outcome [1]
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Operating time
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Assessment method [1]
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Timepoint [1]
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After operation (partial hepatectomy)
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Secondary outcome [2]
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Morbidty (clinical assessment +/- imaging and documentation e.g. post-operative bleeding, bile leak, intrabdominal collection) and mortality of surgery
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Assessment method [2]
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Timepoint [2]
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After patient discharge from hospital
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Eligibility
Key inclusion criteria
(1) Elective liver resection;
(2) No other concomitant major surgical procedures, such as bowel or bile duct resection;
(3) Compensated cirrhosis with Child-Pugh class A or B.
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Minimum age
16
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Contralateral hepatic resection was required;
2. Total or selective vascular inflow/outflow occlusion was required because of tumor extent
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
180
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
Hospital
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Name
The Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital
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Address
The Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, 225 Changhai Street, 200438, Shanghai, China
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Country
China
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
4335
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Institutional Review Board of the Eastern Hepatobiliary Hospital
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Ethics committee address [1]
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Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, 225 Changhai Street, 200438, Shanghai, China
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Ethics committee country [1]
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China
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Date submitted for ethics approval [1]
6848
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Approval date [1]
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03/06/2006
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Ethics approval number [1]
6848
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ZD2006002-P1
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Summary
Brief summary
The impact of blood loss during liver resection and the need for perioperative blood transfusions have been shown to negatively impact perioperative morbidity and mortality as well as long term outcomes. The objective of this study is To compare the perioperative outcomes of partial hepatectomy using hemihepatic vascular inflow occlusion, portal vein inflow occlusion. and Pringle maneuver.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Zhou Wei-ping
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Address
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The Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, 225 Changhai Street, 200438, Shanghai, China
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Country
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China
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Phone
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+86-21-25070792
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Lau Wan Yee
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Address
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Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR
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Country
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China
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Phone
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+852-2632 2626
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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