Hepatocellular carcinoma
Conditions
Interventions
Hepatic artery staining laparoscopic anatomical resection:Laparoscopic portal vein traditional anatomical resection
Laparoscopic portal vein traditional anatomical resection:Laparoscopic portal vein traditional anatomical resection
Sponsors
The First Affiliated Hospital of Army Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18-75 years; 2. General condition is good. The patient is ASA I-II grade, can tolerate pneumoperitoneum, and has no contraindications for laparoscopic surgery or DSA surgery; 3. Liver function is classified as Child-Pugh A or B, and the ICG retention rate 15 minutes before the operation (ICG-R15) is less than 10%, and the residual liver volume/standard liver volume is greater than 40%; 4. The maximum diameter of the tumor is <= 5 cm, and both are suitable for LPTAR and HASLAR; 5. The tumor meets the CNLC stage Ia; 6. The patient is not allergic to ICG and iodized oil.
Exclusion criteria
Exclusion criteria: 1. Non-anatomic liver resection (NAH); 2. Laparoscopic surgery without the use of ICG, including liver resection of other abdominal organs except for cholecystectomy, as well as preoperative anti-cancer treatments such as radiofrequency ablation, radiotherapy, and systemic chemotherapy other than TACE and DSA; 3. Postoperative pathology indicates metastatic liver cancer or primary liver cancer of other tissue types; 4. Previous or current coexistence of other malignant tumors in other parts; 5. Recurrent HCC requiring repeated liver resection; 6. Tumor rupture before the operation; 7. Conversion to open surgery; 8. Previous history of abdominal surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 3-year tumor-free survival rate after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival rate 3 years after surgery;Postoperative complications; | — |
Countries
China
Contacts
Public ContactZheng Shuguo, Liao Kexi
The First Affiliated Hospital of Army Medical University
Outcome results
None listed