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NCT05492136Recruiting

Unravelling the Impact of Radiofrecuency in Liver Surgery: the Key to Decrease Local Recurrence?

Unravelling the Impact of Radiofrecuency in Liver Surgery: the Key to Decrease Local Recurrence? (Study LIVERaTION)

Source: ClinicalTrials.gov · Last updated 21 Jul 2026

Brief summary (registry, in English)

Radiofrequency devices have been increasingly employed in liver surgery in order to achieve proper hemostasis and this use has become more evident with the implementation of minimal invasive surgery. Due to its well-known efficacy for tumor ablation (i.e. hepatocarcinoma) it use has been extended in some cases to ablate the liver surface after resection in questionable resection. Till date, despite the majority of surgeons apply an additional coagulation in doubtful margins, there is not an evidence that this maneuver really decreases the local recurrence or increases the overall survival. On the contrary, some studies have suggested that non-anatomical resections in order to spare liver parenchyma could lead to major zones of liver ischemia in the remnant liver and thus favoring recurrence. However, major liver ischemia (defined as grade 2 o more) is unlikely to be provoked by 1 cm-depth additional coagulation of the margin. The investigators previously published in a retrospective study the concept of additional margin coagulation within liver resections and narrow margins and demonstrated that the study group had significantly less local recurrence compared to the controls. Therefore, in the present study the aim is to continue this evaluation through a multicenter randomized clinical trial.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
720 (estimated)
First submitted
3 Aug 2022
Start date
1 Nov 2023
Primary completion date
31 May 2028
Lead sponsor
Hospital del Mar
NCT number
NCT05492136

What you commit to

  • Study type: Interventional
  • Planned participants: 720
  • From 1 Nov 2023 to the primary completion date, 31 May 2028
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Previous or concurrent cancer that is distinct from one primary tumor of which the Liver metastasis comes from EXCEPT cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors (Ta, Tis \& T1).
  • Any cancer curatively treated \> 3 years prior to enrollment is permitted.

Other

  • ASA 4.
  • Non-resectable extrahepatic metastases.
  • Liver metastasis from other origin apart from colorectal.
  • Bening primary tumor of the liver.
  • Pregnant woman.
  • Participation in another clinical trial.

Who the study is looking for

  • Written informed consent granted prior to the initiation of the surgical procedure, given with the understanding that the patient has the right to withdraw from the study at any time, without prejudice.
  • 18 year of age or older.
  • WHO performance scale 0-2
  • Consecutive patients (both sexes equally distributed) suffering from CRLM confirmed either by abdominal CT, abdominal MRI or/and by histologic-cytological evaluation or patients suffering from HCC.
  • Any previous chemotherapy regime is permitted.
  • ASA score 1 to 3.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Hospital del Mar Research Institute
Coordinator of this site? Confirm its status
BarcelonaSpainRecruiting

Related publications

This page is information, not medical advice. Discuss any trial with your doctor.