Clinical trial · Interventional
Ambulatory Surgery After Hepatectomy: Monitoring by Domomedicine Connected Tools and a Dedicated Nurse.
Ambulatory Surgery After Hepatectomy: Piloteasibility Study With Securing of the Post-operative Monitoring by Domomedicine Connected Tools and a Dedicated Nurse.
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
There are public health expectations for the development of outpatient surgery and increased comfort and quality of care for the patient. In this study, we are interested in evaluating the feasibility of an outpatient hepatectomy with a a close and secure follow-up at home: through a connected platform and a follow-up by a nurse. The primary endpoint is the rate of re-hospitalization due to a postoperative complication before Day 30 and the rate of conversion to conventional hospitalization (= early failure of outpatient management). This single-center study will includes prospectively 20 patients requiring liver resection of up to 2 segments. The primary endpoint is the rate of re-hospitalization due to a postoperative complication before Day 30 and the rate of conversion to conventional hospitalization (= early failure of outpatient management).
Conditions
Conditions (2)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Hepatectomy | — | UNRESOLVED | — |
| Liver Tumor | Liver Neoplasm | ALIAS | 0.90 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Domomedicine and dedicated nursing care for a close and secure monitoring after an ambulatory hepatectomy | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Ambulatory follow-up (Domomedicine and dedicated nursing care) after a minor Hepatectomy
- description
- Actions added by the research : * Ambulatory minor Hepatectomy : * Return home on the day of the operation (no overnight stay in hospital instead of 4-5 nights in standard hospitalization including hospitalization the day before surgery) * Recording and transmission to the paramedical and medical team of clinical-biological data by connected tools (domomedecine) * Early care at home via the PRADO health insurance program by a nurse chosen by the patient or one designated by the program. * Satisfaction Questionnaires and MDASI * Pain, transit and diet questionnaire * Paramedical and technological visit on Day -3 Telephone call from the dedicated nurse on Day -1 Telephone interview of the nurse dedicated to Day 1
- interventionNames
- Other: Domomedicine and dedicated nursing care for a close and secure monitoring after an ambulatory hepatectomy
Primary outcomes (1)
- measure
- Rate of re-hospitalization due to a postoperative complication before Day 30 and the rate of conversion to conventional hospitalization (= early failure of outpatient management).
- timeFrame
- Day 30
- description
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 69 Years
Show eligibility criteria text
Inclusion criteria : - Male or female, 18 to 69 years old * Indication for a minor laparoscopic hepatectomy (benign or malignant liver tumor, requiring resection of 1 or 2 segments maximum) * Membership in a social security system or beneficiary * Having given free and informed consent) Exclusion criteria : - Patient living alone and without anyone at home during the first 7 days at home * Patient unable to be escorted home by a responsible adult upon discharge * Non-French speaking patient * Uncompliant patient * Patient not reachable by phone * Home and convalescence site more than an hour's drive from the Paul Brousse Hospital Hepatobiliary Center * Women who have started a pregnancy or are breastfeeding * Previous hepatic surgery or supra-mesocolic surgery (exception: cholecystectomy) * Previous history of supra-umbilical parietal surgery (hernia/ventricle) * Contraindication to laparoscopic approach * ASA score \> 2 * Cirrhosis (=F4 fibrosis suspected on Fibroscan or biopsy) * Coagulation disorder (platelets \<100 G/L, INR \>1.4), ongoing anticoagulant or antiaggregant treatment that cannot be suspended * Associated extrahepatic surgery (cholecystectomy allowed) or simultaneous radiofrequency destruction * Body mass index \> 35kg/m2 * Patient under guardianship, curatorship or safeguard of justice * Patient under AME (state medical aid)
References
Publications (0)
Data not yet available