Giant Cavernous Hemangiomas, Laparoscopic Hepatectomy, Liver, Radio-frequency Ablation
Conditions
Keywords
laparoscopic hepatectomy, radio-frequency ablation, giant cavernous hemangiomas, liver
Brief summary
In the past, the investigators often treated giant cavernous hemangiomas of the liver by hepatectomy.Recently RFA and laparoscopic hepatectomy are also available and could be applied to cure this disease.But we can't get a clear answer about their effectiveness and safety. Hence the investigators conduct this study to explore the effectiveness and efficiency of the these two methods and compare their short to mid-term outcomes.
Interventions
using RFA to treat cavernous hemangiomas
using hepatectomy to treat cavernous hemangiomas
Sponsors
Study design
Eligibility
Inclusion criteria
* giant cavernous hemangiomas with a diameter larger than or equal to 5 cm diagnosed by more than one imaging modalities * age between 18 years to 65 years * without gender restriction * PLT account more than 50 e9 * without abnormal of liver function test * with substantial evidence of growing size than before * symptom associated cavernous hemangiomas * with a strong desire of the patients for the treatment
Exclusion criteria
* pregnant women * abnormal of liver function or coagulation dysfunction and/or concurrent with sever cardiac or pulmonary disorders * patient with a poor condition that can't bear the approach of either RFA or laparoscopic hepatectomy * tumor size more than 20cm
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| disappearance rate of disease | 1 month | to determine the disappearance rate of disease by imaging modality using enhanced Ultrasound examine and/or enhanced CT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complication rate | 1 month | obvious complications including bleeding, bile leakage will be take into account.recover rate. symptom relief and satisfactory of the treatment |
| hospital stay and relating overall cost for treatment | 1 month | — |
Countries
China