Carcinoma, Hepatocellular
Conditions
Brief summary
The purpose of this prospective randomized study is to compare the efficacy and safety of radiofrequency ablation and hepatic resection for small hepatocellular carcinomas with very homogeneous underlying conditions.
Interventions
Anatomical surgical resection of the liver including the tumor
Percutaneous ablation using radiofrequency under the imaging guidance
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age between 20 and 70 years 2. Child-Pugh class A (score 5-6) 3. Single hepatocellular carcinoma 4. Maximal diameter of the tumor from 2 to 4 cm when measured on MRI or CT (The diameter on MRI was measured prior to that on CT) 5. No previous treatment 6. Platelet count \> 80,000/mm3
Exclusion criteria
1. HCC abutting main hepatic veins or the first branches of the main portal vein 2. HCC abutting vessels ≥ 0.5 cm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The patient survival | From the intervention up to 5 years or until the death of the participant whichever came first |
Secondary
| Measure | Time frame |
|---|---|
| The disease-free survival | From the intervention up to 5 years or until hepatocellular carcinoma recurrence whichever came first |