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Liu Wu Cai
Hepatobiliary Surgery
About me
Deputy Chief Physician, has repeatedly visited provincial tertiary hospitals for further training in general surgery.
Proficient in diseases
Standardized treatment for gallstones, tumors, gastrointestinal tumors, as well as general surgery such as thyroid and breast surgery.
Voices
Why can't acute cholecystitis be operated on?
Patients with acute cholecystitis can undergo surgical treatment. Patients with acute cholecystitis often experience severe upper abdominal pain, nausea, and vomiting, and it can even affect gastrointestinal function, leading to secondary intestinal obstruction. Therefore, patients who repeatedly suffer from acute cholecystitis should undergo surgery as soon as possible, especially those with gallstones, which require serious attention. Only through surgery can a definitive cure be achieved. The surgical approach for acute cholecystitis mainly involves laparoscopic cholecystectomy. Only by removing the gallbladder can a definitive cure be achieved. Furthermore, patients with acute cholecystitis should also avoid spicy and irritating foods to reduce inflammation and facilitate recovery.
Do patients with gallbladder cancer need to have separate meals from their family members?
Patients with gallbladder cancer do not need to eat separately from their family. Although it is necessary for gallbladder cancer patients to avoid spicy and stimulating foods to reduce inflammatory irritation and better control the progression of the disease, this is especially true for symptomatic gallstone patients, who can control the disease progression through diet without special treatment, simply needing regular follow-up with ultrasonography to monitor changes in size. If significant symptoms occur, surgery is needed to achieve a cure, so treatment is relatively complex and focuses on usual dietary habits. Additionally, patients with gallbladder cancer should consume foods that are rich in protein to supplement the energy needed by the body.
How long does it take to recover after gallbladder inflammation surgery?
Patients who have undergone gallbladder surgery, which means after the gallbladder has been surgically removed, the recovery time largely depends on the method of surgery and the patient's condition. The surgical methods include open gallbladder removal and laparoscopic gallbladder removal. Clinically, laparoscopic gallbladder removal is preferred because it has the advantages of smaller incisions, less injury, and faster recovery; generally, complete recovery can be expected in about seven days. For open gallbladder removal, the recovery time is relatively longer, and it may take about half a month. Additionally, patients with malnutrition or hypoproteinemia may experience delayed wound healing, especially those with hypoproteinemia should be given attention, and consuming more high-protein foods can help promote recovery from the condition.
Which laboratory index is used to observe gallbladder cancer?
Patients with gallbladder cancer may exhibit significantly elevated tumor markers, particularly carcinoembryonic antigen, although this is not absolute. For gallbladder cancer, its diagnosis is mainly based on clinical symptoms, physical examination, and auxiliary examinations. Early-stage gallbladder cancer generally does not have specific manifestations, but in the late stage, there can be significant right abdominal pain, localized tenderness, and rebound pain. At this time, further examinations such as CT and MRI can provide a clear diagnosis. In the blood system, that is, in blood tests, a significant increase in carcinoembryonic antigen may occur. Patients with gallbladder cancer should undergo surgical treatment as soon as possible.
Is a hemangioma of the left liver serious?
If the severity of a liver hemangioma occurs, it is mainly related to the size of the tumor. For patients with small liver hemangiomas, there are generally no obvious symptoms, and most are discovered only during ultrasound examinations, not requiring special treatment. Therefore, the condition is relatively mild, and it is sufficient to periodically review the ultrasound to observe any changes in size. However, for patients with large liver hemangiomas, there is a possibility of rupture and bleeding, and even leading to hemorrhagic shock, making the condition serious. Early surgical treatment should be pursued to improve the prognosis of the patient. The surgical methods mainly include minimally invasive surgery, using interventional surgery to achieve embolization, thus treating the condition.
What foods should not be eaten with cholecystitis?
For patients with cholecystitis, the condition mainly arises from an inflammatory reaction in the gallbladder. Therefore, patients should avoid spicy and stimulating foods such as chili peppers, barbecue, and garlic, and hard-to-digest foods. A light diet composed mainly of fresh vegetables and fruits is recommended to better alleviate the condition. For patients with cholecystitis, there isn't much need to be cautious about diet, but they should also use antibiotics for anti-infection treatment. Once the inflammation is controlled, the condition can be alleviated. It is also important to promptly complete related examinations, rule out any surgical contraindications, and proceed with surgery as soon as possible for a definitive treatment. Laparoscopic cholecystectomy is commonly used clinically and can achieve therapeutic effects.
Is the recurrence rate of intrahepatic bile duct stones high?
Intrahepatic bile duct stones can potentially recur. Intrahepatic bile duct stones are often accompanied by acute cholangitis, resulting in significant right upper abdominal pain, and may also present with nausea, vomiting, abdominal distension, diarrhea, and other gastrointestinal symptoms. When symptoms occur, surgery can be performed to open the bile duct and remove the stones for a radical cure. However, there is also a possibility of recurrence in postoperative patients. The likelihood of recurrence cannot be definitively determined but should be assessed based on the condition of the illness. Therefore, patients who have undergone surgery should also have regular ultrasonographic follow-ups to dynamically observe changes in their condition and prevent the worsening of the disease.
Is a liver cyst hard to the touch?
Liver cysts are a common type of benign tumor in the liver, often undetectable through physical examination because most liver cysts are small in size and are usually found during ultrasonography. At this stage, no special treatment is necessary; it is advisable to regularly recheck with ultrasound to monitor any changes in size. However, for patients with large liver cysts, localized compression symptoms may occur, affecting liver function, and can be detected during physical examination. These cysts typically feel soft, not hard. Therefore, early surgical removal should be considered to improve patient outcomes.
Can you drink water with acute cholecystitis?
Whether patients with acute cholecystitis can drink water mainly depends on the course of the disease. In the early stages of acute cholecystitis, patients may experience digestive symptoms such as nausea, vomiting, and abdominal distension. At this time, they should not drink water; instead, they require fasting and gastrointestinal decompression to better control the condition, especially to prevent the occurrence of intestinal obstruction. After antibiotic treatment and control of the inflammation, once the gastrointestinal function is fully restored, patients can then drink water, but only in small amounts. For patients with acute cholecystitis, if symptoms do not improve after conservative treatment, it may even be necessary to surgically remove the gallbladder to achieve a definitive cure. The primary method is laparoscopic cholecystectomy, which can effectively treat the condition.
Will intrahepatic bile duct stones cause a bluish complexion?
Patients with intrahepatic bile duct stones, if experiencing an episode, may exhibit symptoms such as sharp pain in the upper right abdomen, often accompanied by nausea, vomiting, abdominal bloating, and diarrhea. These patients are prone to acute cholangitis. Additionally, this condition is a type of biliary colic, thus the pain is significant and may even manifest as a bluish complexion. Therefore, patients with prominent symptoms should undergo surgery as soon as possible. Surgery is the only definitive treatment. Although the use of antibiotics for infection control can alleviate the inflammation and improve the condition temporarily, recurrence is common.