About this trial
The purpose of this prospective observational study is to evaluate the incidence of Post-Operative Bile Leakage (POBL) using the ABSOLOK™ Clip System during liver parenchymal resection by evaluating the intraoperative and short-term postoperative results. In addition, it will attempt to determine the factors that determine the surgeon's peripheral glissonian pedicle closure method and economic outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years;
Subject has given his informed consent and signed consent;
Patients undergoing open liver resection.
Disqualifiers
Surgery made in emergency;
Surgery by laparoscopy;
Need to perform a bilio-digestive anastomosis;
Preoperative jaundice (total bilirubin > 3 mg/mL).
Trial population
Patients undergoing laparotomic (open) liver resection or re-resection for any underlying disease. The list of underlying diseases is the following (but might not be limited to): * Colorectal liver metastases; * Liver metastases from other primary malignancy (Breast, Ovarian, Neuroendocrine Tumors, Adrenal, Non-neuroendocrine Tumors, Other); * Intrahepatic Cholangiocarcinoma; * Gallbladder Cancer; * Hepatocellular Carcinoma; * Benign Tumors (Hepatic Adenoma, Haemangioma, Focal nodular hyperplasia); * Intrahepatic Bile Duct dilation and/or intrahepatic lithiasis; * Hidatid Cyst.
Trial design
Case-only
Prospective
Treatments tested in this trial
ABSOLOK™ Clip System
DeviceUse of ABSOLOK™ Clip System during parenchymal transection for open liver resection
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Overall Post-Operative Bile Leakage (POBL) using ABSOLOK™ Clips during liver resection
Participants will be followed for the duration of hospital stay and Follow Up
Secondary outcomes
Duration of POBL (Post-operative bile leakage) and the timing of drainage removal
Participants will be followed for the duration of hospital stay and Follow Up
Additional maneuvers for treat biliary fistula
Participants will be followed for the duration of hospital stay and Follow Up
Lenght of post-operative stay
Participants will be followed for the duration of hospital stay
Rate of post-operative Morbidity
Participants will be followed for the duration of hospital stay and Follow Up
Sponsors and contacts
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Lead sponsor
Ethicon, Inc.
Collaborator