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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
Where to massage for intrahepatic bile duct stones?
If intrahepatic bile duct stones are present without obvious symptoms, no special treatment is needed at this time. It is advisable to regularly re-examine with ultrasound and dynamically observe any changes in size. Of course, diet should avoid spicy and irritant foods, mainly light foods, and consume more fresh vegetables and fruits to reduce inflammatory stimulation and better control the progression of the disease. If there are significant symptoms, there will be obvious pain in the upper right abdomen, and possibly nausea, vomiting, and other gastrointestinal symptoms. Therefore, the treatment should involve early surgical intervention, as surgery is the only way to achieve a cure. The main surgical method is laparoscopic choledochotomy for stone removal.
Can people with gallbladder cancer eat sea cucumber?
Patients with gallbladder cancer can eat sea cucumber. For patients with gallbladder cancer, there may be a decrease in resistance, especially a tendency for weight loss, and even the development of cachexia and hypoalbuminemia. Therefore, patients should pay attention to their diet and supplement it with foods high in protein to meet the body's needs for albumin and improve the patient's resistance. Furthermore, the diet of patients with gallbladder cancer should also avoid spicy and irritating foods to reduce inflammatory irritation. They should eat more fresh vegetables and fruits to better control the progression of the disease. For gallbladder cancer, treatment should ideally involve early surgical removal to achieve better prognosis.
Is the incidence of intrahepatic bile duct stones high?
Intrahepatic bile duct stones have a relatively low incidence rate. They are a type of gallstone, and compared to gallbladder stones, their occurrence is less frequent. Patients with intrahepatic bile duct stones often experience concurrent cholangitis, leading to symptoms such as upper abdominal pain, significant nausea, and vomiting, along with other gastrointestinal symptoms. Therefore, for patients with intrahepatic bile duct stones, when significant symptoms occur, not only is the use of antibiotics necessary to treat the infection and control the inflammation, but surgery is also required to achieve therapeutic effects. The primary surgical method is choledochotomy for stone removal, which can lead to better treatment outcomes after the stones are extracted.
What should be noted about hemangiomas of the liver?
For patients with hepatic hemangioma, the precautions mainly include the following points: First, the severity of hepatic hemangioma is primarily related to its size. Therefore, patients with small hemangiomas usually do not show obvious symptoms and do not require special treatment. It is sufficient to regularly re-examine them with color ultrasound to dynamically observe changes in size. However, for patients with large hepatic hemangiomas, which often cause rupture and bleeding, attention should be paid. Interventional surgery can be used to achieve embolization, thus achieving the purpose of treatment. Second, patients with hepatic hemangioma should also avoid spicy and irritating foods, as well as foods that are difficult to digest, in order to lessen the burden on the liver and help control the progression of the disease.
What is a liver cyst and what should be paid attention to?
Liver cysts are a type of benign tumor, and most liver cysts are caused by congenital factors. Therefore, when liver cysts occur, they are usually small in size and generally do not show obvious symptoms. Patients do not feel any discomfort, and most are found during ultrasound examinations. At this point, no special treatment is required, just regular follow-up ultrasounds to dynamically observe any changes in size. For patients with larger liver cysts, there might be a sensation of pain in the liver area, and it could even affect liver function, leading to abnormal liver functions. Therefore, it is advisable to undergo surgery as early as possible. Only through surgical removal can a cure be achieved, which can significantly improve the quality of life of the patient.
Can liver calcifications be liver cancer?
Calcification in the liver is not liver cancer. For internal liver calcifications, it is described in ultrasonography and CT scans as a benign lesion, not as liver cancer. Liver cancer is a malignant tumor that can be life-threatening, thus it is considered a serious condition. When calcification is present, it is not indicative of liver cancer, but regular follow-up ultrasounds are still needed to monitor changes in size dynamically. If the calcification increases significantly in size over a short period and grows rapidly, malignant transformation should be suspected, and surgery should be conducted as soon as possible to improve the prognosis for the patient. Additionally, for liver cancer patients, it is advisable to avoid spicy and irritating foods to reduce inflammatory stimulation, which is more conducive to the recovery of the condition.
Diet after relief of acute cholecystitis
After the relief of acute cholecystitis, he still needs to pay attention to his diet: First, he should avoid spicy and irritating foods, such as chili peppers, barbecue, garlic, etc., avoid hard-to-digest foods, and avoid foods high in fat to reduce the burden on the gallbladder, such as fatty animal organs. Second, although the symptoms of acute cholecystitis have recovered, it is still necessary to maintain a light diet, eat more fresh vegetables and fruits, which are rich in vitamins and trace elements, to keep the bowels open and prevent other complications. Third, after the symptoms of acute cholecystitis have recovered, it is also appropriate to supplement some foods high in protein, which can enhance the patient's resistance and facilitate the recovery of the condition.
Can liver cysts heal on their own?
Generally speaking, liver cysts cannot heal themselves, as regardless of their size, liver cysts are mostly caused by congenital factors. Therefore, although they do not require special treatment, the body cannot cure them either. When liver cysts are present, first of all, the decision should be based on the cause and size of the cysts. For patients with small liver cysts, there are generally no obvious symptoms and no special treatment is needed. Regular follow-up with ultrasound should be done to monitor any changes in size. For patients with larger liver cysts, local compression symptoms may occur, and if liver function abnormalities appear, surgical removal is necessary to achieve treatment benefits and prevent worsening of the condition.
Can gallbladder cancer be detected by cancer embryonic antigen test?
The use of cancer embryo antigen in patients with gallbladder cancer has certain reference value, but it is not absolute. Patients with gallbladder cancer typically show a significant increase in embryonic antigen. Gallbladder cancer is difficult to diagnose early as it generally does not show specific symptoms. Some patients may experience mild discomfort in the upper right abdomen, but this is often overlooked or misdiagnosed as other diseases, such as chronic gastritis. Therefore, once diagnosed with gallbladder cancer, it is usually already at a middle to late stage. Although the cancer embryo antigen in tumor marker tests of gallbladder cancer patients can be elevated, this is not absolute. Therefore, when discomfort in the upper right abdomen occurs, further comprehensive examinations like color ultrasound, CT, and other related tests are necessary to differentiate it.
If a liver cyst is malignant, will it grow very quickly?
If a liver cyst worsens, it will noticeably increase in size in a short period, and the growth rate is too rapid, so it is important to pay attention. If malignant transformation occurs, surgery should be performed as soon as possible to improve the prognosis of the patient. For liver cysts that are relatively small, there generally won't be any noticeable discomfort, and no special treatment is needed. However, regular follow-up with ultrasound is necessary to dynamically observe changes in size. Early detection, diagnosis, and treatment of malignant transformation can be achieved, and early surgical removal can improve the patient's prognosis. Additionally, patients with liver cysts should also avoid spicy and irritating foods to reduce inflammatory stimulation.