Hepatocellular carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) according to the clinical classification standard of Barcelona Clinic Liver (cancer), HCC patients who can not undergo surgical resection, liver transplantation or ablation; (2) PVTT was confirmed by imaging, and there was no history of the treatment of portal vein tumor thrombus at the same time; (3) Child-Pugh grade A or B; (4) without intrahepatic and extrahepatic metastasis; (5) normal coagulation function; (6) informed consent was obtained.
Exclusion criteria
Exclusion criteria: (1) the L branches of the left and right portal vein of the liver were completely occluded; (2) the tumor thrombus extends into the superior mesenteric vein or the splenic vein; (3) with TACE contraindications: tumor volume accounted for more than 70% of the liver; severe cardiovascular, pulmonary disease and severe renal insufficiency; liver function damage, such as severe jaundice, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) by more than 3 times higher than the normal value, difficult to control ascites, Child C grade; obvious disturbances of blood coagulation and bleeding tendency.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| prognosis; | — |
Secondary
| Measure | Time frame |
|---|---|
| Tumor thrombus size;tumor size;Recanalization of portal vein; | — |
Countries
China
Contacts
Department of General Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine