Evaluation of Laparoscopic Non Anatomical Liver Resection in Hepatic Pathology

Study Overview
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Brief Summary
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Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen and pelvis without making large incisions in the skin.The use of laparoscopy in abdomenal surgeries increases for its great benefits over open surgery as: 1)faster recovery, 2)decrease blood loss, 3)shorter hospital stays, 4)decreased postoperative pain, 5)earlier return to work and resumption of normal daily activity as well as, 6)cosmetic benefits. few studies discuss the efficacy and safety of using Laparoscopy in liver non anatomical resection.

Detailed Description
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this study will include any male and female above 18 that presented with localized liver pathology (as benign hepatic tumours, resectable primary(HCC) or secondary malignancies, hydatid cyst any other hepatic cysts, haemangiomas,etc…...) and underwent laparoscopic non anatomical resection of liver in Assiut university hospitals. Investigators will record the time of operation, number of cases with intra operative mortality or complication and then follow up these patients during time of hospital stay for: 1) post operative pain 2) secondary bleeding and 3) wound infection. Then follow up these patients in out patient clinic visit for their: satisfaction cosmetic outcomes and rate of recurrence of the pathology.

Official Title
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Evaluation of Laparoscopic Non Anatomical Liver Resection in Hepatic Pathology

Conditions
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Laparoscopic Liver Resection

Intervention / Treatment
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* Procedure: Laparoscopic liver resection


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: any male or female above 18 that has one of the following pathologies and underwent non anatomical hepatic resection: hepatic benign tumours as adenoma resectable secondary malignancies (2) any type of hepatic cysts e.g., hydatid cyst HCC on top of liver cirrhosis. Exclusion Criteria: 1) any immunocompromised patient 2) Patient with contraindicdtions to use laparoscopy. 3) patient who are difficult to follow up.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group undergo laparoscopic liver resection<br>Any patient from 18 to 65 and has localized liver pathology and underwent laparoscopic non anatomical resection of this pathology | Procedure: Laparoscopic liver resection<br>* Using Laparoscopy in liver resection<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of intra operative mortality | Number of cases die intra operative | 2 years | 
| Length of operation | Time of operation | 2 years | 
| Post operative pain | Pain scale post operative | 2 years | 
| Incidence of intra operative complications | Type of complications and Its incidence | 2 years | 
| Length of hospital stay | Time spended by cases in hospital | 2 years | 
| Incidence of post operative complications | Type and incidence of post operative complications | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cosmetic outcome | Patient cosmetic sutisfacton | 2 years | 
| Incidence of recurrence of pathology | Number of cases with same pathology recurrence | 2 years |