With the regards to the recurrent HCC (Table 2), the median time from initial resection to first recurrence was longer in the repeated SR group, but the there was no statistically significant difference (26 vs. 14 months, p = 0.06). The clinical characteristics of patients and the recurrent tumor were not significantly different in the two groups including laboratory data, tumor size, tumor number, and tumor staging. In the repeated SR group, 41 (90.7%) patients underwent segmentectomy and four (9.3%) wedge resections. In the RFA group, most (81%) procedures were performed via a CT guided approach, and 46 (81%) patients received one session of RFA, whereas 11 (19%) needed two sessions of RFA for complete treatment of recurrent tumors.