NCT04265157

Hepato-duodenal Ligament Occlusion and Classic Technique in Liver Transplant

Hepato-duodenal Ligament Occlusion Versus Classic Technique During Recipient Hepatectomy in Liver Transplantation

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 50 (estimated)
• Sponsor: Assiut University · Academic / Other
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

Liver transplantation was historically associated with massive blood loss. Many factors have contributed to the decline in bleeding and transfusion in the past two decades including refinement of surgical techniques, anesthetics management and the use of point of care guided goal-directed hemostatic therapies. Increasing awareness of the adverse associations of allogenic transfusion has driven the quest for transfusion-free transplantation. Pre-operative management of preoperative anemia and targeted correction of coagulopathy is done to decrease blood transfusion. Liver transplantation is associated with the potential for massive operative blood loss, which has been recognized as one of the main causes of morbidity and mortality after liver transplantation. Therefore, a fine surgical procedure to reduce intraoperative hemorrhage is necessary for favorable outcomes of liver transplantation.

Conditions

• Liver Transplant

Interventions

Type	Name	Description
PROCEDURE	Surgical technique surgical occlusion	Occlusion of hepatoduodenal ligament by clamp or occlusive bands

Timeline

• Start date: 2020-03-01
• Primary completion: 2022-03-01
• Completion: 2022-09-01
• First posted: 2020-02-11
• Last updated: 2020-02-11