Liver Resection for Patients With Hepatocellular Carcinoma and Clinically Significant Portal Hypertension

Tang-Du Hospital

Status: Completed

Conditions: Hepatic Carcinoma

Treatments: Procedure: transarterial chemoembolisation

Study type: Observational

Funder types: Other

Identifiers

NCT06245798

Tangdu Hospital

Details and patient eligibility

About

Clinically significant portal hypertension limits the therapeutic options for hepatocellular carcinoma (HCC), which is closely associated with patient prognosis. HCC patients with CPSH are heterogeneous and treatment allocation remains controversial. The aim of this study was to compare the survival benefits of liver resection (LR) and transarterial chemoembolisation (TACE) in these populations.

Enrollment: 3,000 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• HCC patients treated conventional liver resection or transarterial chemoembolisation

Exclusion criteria

• (1) presence of types III/IV portal vein tumour thrombosis (PVTT), hepatic artery, biliary duct or inferior vena cava invasion; (2) presence of extrahepatic spread (EHS); (3) underwent previous treatments; (4) Eastern Cooperative Oncology Group Performance Status (ECOG-PS) >1; (5) diffuse tumor nodules; (6) combined with other tumours or severe cardiac, cerebral, and renal insufficiency; (7) non-Clinically significant portal hypertension（CSPH）, and (8) absence of baseline information

Trial design

3,000 participants in 2 patient groups

liver resection

transarterial chemoembolisation

Treatment:

Procedure: transarterial chemoembolisation