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New Blood-Saving technique could transform liver surgery
NCT ID NCT07629648
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a controlled blood removal method during liver surgery to see if it lowers the need for blood transfusions. About 60 adults having liver resection for cancer will take part. The approach involves removing a small amount of blood before surgery and giving it back afterward, along with careful monitoring and standardized care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- hypovolemic phlebotomy (controlled blood removal and reinfusion)
- What this could lead to
- If successful, this could reduce the need for blood transfusions during liver surgery, leading to fewer complications and faster recovery.
- What could go wrong
- This is a small, early-stage quality improvement project with only 60 participants. The approach may not work for all patients or may carry risks like unstable blood pressure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adults aged ≥18 years undergoing elective hepatic resection at Kingston Health Sciences Centre.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Liver resection in this study is defined according to the PRICE-2 trial, involving 3 or more liver segments, such as right posterior sectionectomy (of segments VI and VII) as well as central resections involving segments IVb and V, along with expected blood loss of \>250 mL * in patients with known liver cirrhosis, resection of a full segment was included. Exclusion Criteria (defined according to the PRICE-2 trial): * current cardiac condition (e.g., MI within the last 6 months, hypertrophic cardiomyopathy, severe valvular disease, or other unstable coronary syndromes) * history of cerebrovascular disease (CVA within the past 6 months or severe carotid stenosis with more than 70% occlusion) * history of significant peripheral vascular disease (not yet revascularized with regular/ongoing claudication) * A current pregnancy * A documented, patient-declared refusal to undergo phlebotomy and transfusion * preoperative autologous blood donation * presence of active infection * preoperative hemoglobin \<100 g/L * GFR \<60 mL/min * platelets count \<100 × 109/L * Uncorrectable coagulopathies or other decompensated cardiac or respiratory conditions that would contraindicate acute volume depletion * undergoing emergency surgery * planned intraoperative use of cell salvage * inability to participate in follow up * in the case of repeat liver resections, previous participation in the trial
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Kingston Health Sciences Centre
Kingston, Ontario, K7L 2V7, Canada
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Other studies related to the condition(s) this trial covers.
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- Can removing the spleen help the liver fight cancer?