Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Laparoscopic partial removal of the spleen for hypersplenism in cirrhosis.

Official title: The Clinical Efficacy of Laparoscopic Partial Splenectomy for Hypersplenism in Liver Cirrhosis Patients

Run by Northern Jiangsu People's Hospital · NCT07205471 · Data updated 2026-11-12

This test tries whether removing part of the spleen by laparoscopy improves immune function and recovery in people with cirrhosis and hypersplenism.

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Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment30 (estimated)
SponsorNorthern Jiangsu People's Hospital
Academic / other
Locations1 site (Yangzhou, Jiangsu)
StatusRecruiting
StartedSeptember 24, 2025
Main results expectedSeptember 24, 2028
Study endsSeptember 24, 2028
Registry record updatedOctober 3, 2025
Trial IDNCT07205471 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with cirrhosis of any cause who have splenomegaly with secondary hypersplenism and gastroesophageal variceal bleeding, who meet surgical fitness criteria and give informed consent are ideal candidates.

Probably not a fit

Patients with Child-Pugh grade C liver disease, active malignancy, HIV infection, recent peptic ulcer or hemorrhagic stroke, uncontrolled hypertension, or pregnancy are excluded and unlikely to benefit from this procedure.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Eligible patients with cirrhosis and hypersplenism were enrolled and randomly assigned 1:1 to either laparoscopic total splenectomy or laparoscopic partial splenectomy, with all operations performed by the same surgical team. The partial splenectomy technique preserved the short gastric vessels and splenic suspensory ligament and followed the intraoperative demarcation line. Postoperative care and medications were standardized and patients were followed at 7 days, and 1, 3, 6, and 12 months with routine blood tests, liver function, coagulation, immune markers, and vascular hemodynamics of the portal vein, proper hepatic artery, and splenic vein. Indocyanine green clearance tests were performed at 3, 6, and 12 months to track liver function over time.

Why it matters

Potential benefit: If successful, partial splenectomy could preserve more splenic immune function and lead to fewer infections and better blood- and liver-related outcomes compared with total splenectomy.

How similar studies have gone: Prior surgical series and observational reports suggest partial splenectomy can better preserve immune function than total splenectomy, but randomized data are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* A clinical, radiological or histologic diagnosis of cirrhosis of any etiology
* Splenomegaly with secondary hypersplenism
* gastroesophageal variceal bleeding
* Informed consent to participate in the study

Exclusion Criteria:

* Hepatocellular carcinoma or any other malignancy,
* Child-Pugh grade C
* Recent peptic ulcer disease
* History of Hemorrhagic stroke
* Pregnancy.
* Uncontrolled Hypertension
* Human immunodeficiency virus (HIV) infection

Where it's running

  • Clinical Medical College of Yangzhou University
    Yangzhou, Jiangsu, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.