Eligibility Criteria:
Inclusion Criteria:
* Alkaline phosphatase level \> 2.5 times the ULN
* Proteinuria defined as a urine protein-to-creatinine ratio \> 1.0 g/gCr or ≥ 2+ on urine dipstick
* Patients who received systemic therapy prior to hepatic resection
* Prior treatment with anti-CTLA-4, anti-PD-1, or anti-PD-L1 therapies
* Renal impairment with estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73m² (based on MDRD formula)
* Total cholesterol \> 350 mg/dL or triglycerides \> 500 mg/dL
* History of severe acute (within the past 4 weeks) or chronic hypersensitivity reactions requiring treatment to everolimus or drugs with a similar chemical structure
* Pregnant or breastfeeding women, women who are possibly pregnant, or women of childbearing potential who are unable to use highly effective contraception† during the study period and for 8 weeks after the last dose
* Any condition deemed by the investigator to render the patient unsuitable for participation in the clinical trial
* Highly effective contraception is defined as methods with a failure rate of less than 1% per year, including bilateral tubal occlusion, male sterilization, hormonal contraceptives that inhibit ovulation, hormone-releasing intrauterine devices (IUDs), and copper IUDs. Methods such as calendar-based methods, ovulation prediction, symptothermal methods, and post-ovulation methods are not considered adequate contraception.
Exclusion Criteria:
* Patients diagnosed with combined hepatocellular-cholangiocarcinoma (HCC-CCC)
* Presence of clinically significant ascites
* History of hepatic encephalopathy
* History of variceal bleeding within 6 months prior to hepatic resection
* Autoimmune diseases or immunodeficiency disorders
* Serious cardiovascular diseases, including acute myocardial infarction, acute coronary syndrome, stroke, or heart failure of New York Heart Association (NYHA) Class II or higher
* History of malignancies other than HCC within the past 5 years
* Patients with hereditary metabolic disorders such as galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption
* Patients currently taking medication for psychiatric disorders
* Absolute neutrophil count (ANC) \< 1500/μL or platelet count \< 75,000/μL
* AST, ALT, or total bilirubin levels \> 3 times the upper limit of normal (ULN)
* Alkaline phosphatase level \> 2.5 times the ULN
* Proteinuria defined as a urine protein-to-creatinine ratio \> 1.0 g/gCr or ≥ 2+ on urine dipstick
* Patients who received systemic therapy prior to hepatic resection
* Prior treatment with anti-CTLA-4, anti-PD-1, or anti-PD-L1 therapies
* Renal impairment with estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73m² (based on MDRD formula)
* Total cholesterol \> 350 mg/dL or triglycerides \> 500 mg/dL
* History of severe acute (within the past 4 weeks) or chronic hypersensitivity reactions requiring treatment to everolimus or drugs with a similar chemical structure
* Pregnant or breastfeeding women, women who are possibly pregnant, or women of childbearing potential who are unable to use highly effective contraception† during the study period and for 8 weeks after the last dose
* Any condition deemed by the investigator to render the patient unsuitable for participation in the clinical trial
* Highly effective contraception is defined as methods with a failure rate of less than 1% per year, including bilateral tubal occlusion, male sterilization, hormonal contraceptives that inhibit ovulation, hormone-releasing intrauterine devices (IUDs), and copper IUDs. Methods such as calendar-based methods, ovulation prediction, symptothermal methods, and post-ovulation methods are not considered adequate contraception.