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Hepatic and Systemic Hemodynamic Modeling During Liver Surgery

RecruitingNAAges 18 Years - anyAllAssistance Publique - Hôpitaux de Paris
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In plain words

What the trial is, and whether it could suit you

" Despite the medical and surgical progress of the last two decades, the selection of candidates for liver surgery remains based on old principles and insufficiently sensitive to fine-tune the gesture to patient-specific characteristics and make almost zero risks of postoperative liver failure (PLF) and death. It is therefore necessary to develop new tools that will make possible to predict the evolution of the postoperative portocaval gradient (difference of pressure between portal vein and vena cava), a well-known major risk factor for PLF. Hemodynamic modeling of the human liver during surgery will represent the purpose of this work in order to help the clinicians in their patient's selection and anticipation of postoperative risk. The aim is to develop and validate an hemodynamics mathematical model to predict the evolution of the portocaval gradient in three surgical situations of

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📋 Eligibility rules (as published)
Inclusion Criteria: * Liver pathology requiring minor or major hepatectomy by laparotomy, or transplantation with small livers (graft weight/patient weight ratio \< 0. 01) or partial livers (living donor recipient or auxiliary grafts) or portal embolization (all patients scheduled for major hepatectomy on cirrhosis, or expanded hepatectomy on non-cirrhotic liver if and only if the ratio of future remaining liver/body weight is \<0.5. * Membership in a social security plan * Written consent to participate in this research * Adult patients (age ≥18 years) Exclusion Criteria: * Pregnant or breastfeeding women * Patient under guardianship or curatorship * Refusal to participate in the study * Contraindication to performing of MRI. * Patient Under State medical aid
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What it tests

  • Partial hepatectomy (open approach)
  • liver transplantation
  • Portal vein embolization
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Where

1 site
Centre Hépato-Biliaire - Hôpital Paul Brousse
Villejuif, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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