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Currently,the "ALPPS" (associating liver partition with portal vein ligation for staged hepatectomy) procedure which enables the rapid growth of the future liver remnant and extends surgical indication to patients with mid-advanced stage hepatocellular carcinoma becomes a research hot spot. However, the procedure has a high morbidity and mortality rate.Using radio-frequency ablation instead of in-situ split of liver to avoid forming a coagulation band in stage I will reduce the incidence of complications(bile leakage, abdominal infection,hemorrhage e.t.) The investigators named this technique as Radio-frequency Assisted Liver Partition with Portal vein ligation for staged hepatectomy (RALPPS).Investigators hypothesized that the RALPPS might result in lower morbidity and mortality rate than ALPPS in the treatment of hepatocellular carcinoma . This Prospective Randomized Controlled Trial is on the Safety and Efficacy of radio-frequency assisted liver partition with portal vein ligation for staged hepatectomy for hepatocellular carcinoma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ALPPS | Active Comparator | Using ALPPS for the the treatment of hepatocellular carcinoma. |
|
| RALPPS | Experimental | Using radiofrequency ablation instead of in-situ split of liver in ALPPS stage I(RALPPS).Habib 4X was used in RFA. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RALPPS | Procedure | Using radiofrequency ablation assisted ALPPS(RALPPS)instead of in-situ split of liver to form a coagulation band in stage I.Habib 4X was used in RFA. |
|
| Measure | Description | Time Frame |
|---|---|---|
| morbidity during perioperation | complications include bile leakage, abdominal infection, hemorrhage, PHLF e.t. | 2 years |
| mortality during perioperation | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jun Yan, Ph.D | Contact | +86-23-18502327600 | yanjun@sina.cn |
| Name | Affiliation | Role |
|---|---|---|
| Kuansheng Ma, Ph.D | Institute of hepatobiliary surgery,Southwest Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of hepatobiliary surgery,Southwest Hospital | Recruiting | Chongqing | Chongqing Municipality | 400038 | China |
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| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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| ALPPS | Procedure | Treat the hepatocellular carcinoma with ALPPS. |
|
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |