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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
Do intrahepatic bile duct stones fear cold?
Patients with intrahepatic bile duct stones can possibly experience chills. This is because patients with intrahepatic bile duct stones often have concurrent cholangitis, which manifests as chills, high fever, prominent upper abdominal pain, and jaundice. In severe cases, it can even lead to acute suppurative cholangitis, septic shock, and death. Therefore, for patients with intrahepatic bile duct stones presenting with significant symptoms, early surgical treatment is advised. Surgery involves opening the bile duct to remove the stones, which can be curative. Post-surgery, it is still necessary to avoid spicy and irritating foods, such as peppers, barbecues, and garlic, and to mainly consume a bland diet with plenty of fresh vegetables and fruits to facilitate recovery. After recovery, patients generally do not experience significant discomfort.
How should gallstones be treated?
The treatment of gallstones primarily depends on whether symptoms are present. For patients with relatively small gallstones, they usually do not experience significant discomfort and do not require special treatment. Regular ultrasonic re-examinations to monitor changes in size are recommended. Daily dietary intake should avoid spicy and stimulating foods, and foods high in cholesterol. For patients with larger gallstones, recurrent right upper abdominal pain and biliary colic may occur, so early surgical intervention is advised. Only through surgical removal of the gallbladder can a complete cure be achieved, with laparoscopic cholecystectomy being the main method of surgery.
Will a liver hemangioma show blood flow signals on an ultrasound?
Patients with hepatic hemangiomas exhibit blood flow during ultrasound examinations. Hepatic hemangiomas are common benign tumors of the liver that usually don't show noticeable symptoms when they are small and don't require special treatment; routine follow-up with color Doppler ultrasound is sufficient. However, if a hepatic hemangioma is large, it could potentially rupture and bleed, making the condition severe. This could even lead to hemorrhagic shock and death. Therefore, patients with large hepatic hemangiomas should undergo surgery as soon as possible. Surgical intervention is necessary to cure the condition, with the primary method being interventional surgery, which can achieve the treatment objectives.
Do liver hemangiomas need to be treated?
Whether treatment is needed for liver hemangiomas mainly depends on the size and volume of the hemangioma and whether there are any symptoms. For patients with liver hemangiomas, those with relatively large volumes may experience liver bleeding or even affect liver function. In such cases, surgical treatment should be performed. The surgery can be done through interventional procedures to achieve ligation, which can cure the condition. Of course, for patients with smaller liver hemangiomas, there are generally no obvious symptoms, and most are only discovered during ultrasound examinations. There is no need to be overly worried or to undertake special treatments in such cases. Regular ultrasound check-ups to dynamically observe any changes in volume are sufficient. However, if the condition worsens, early treatment should be administered to improve the prognosis for the patient.
Symptoms of deteriorating hepatic hemangioma
When deterioration occurs in liver blood vessels, it primarily manifests as rupture and bleeding of hepatic hemangiomas, which can lead to hemorrhagic shock, and even cause death. Of course, in the early stages of the disease, patients may only experience discomfort and pain in the upper right abdomen. As the bleeding increases, the pain becomes significant, and clinical symptoms such as decreased blood pressure and increased heart rate may occur. Therefore, it is important to pay close attention to patients with large hepatic hemangiomas and perform surgery as early as possible for a definitive cure. Moreover, postoperative attention is still needed. Patients should avoid injuries, follow a light diet primarily, eat more fresh vegetables and fruits, and reduce the burden on the liver to better facilitate recovery from the condition.
Will liver hemangioma increase cancer embryonic antigen?
Generally speaking, hepatocellular adenomas do not exhibit elevated levels of carcinoembryonic antigen (CEA). Regarding hepatocellular adenomas, they are benign liver lesions and typically do not cause any noticeable symptoms in patients. They are most often discovered during ultrasound examinations. Patients with larger hepatocellular adenomas may experience pain in the liver area, and there is also a possibility of rupture and bleeding. Therefore, early surgical intervention is advisable, as surgery can yield excellent treatment outcomes. However, generally, patients with hepatocellular adenomas do not exhibit an increase in CEA. Elevated tumor markers and increased CEA are found in patients with malignant liver tumors.
Multiple intrahepatic bile duct stones
Multiple intrahepatic bile duct stones are a description used in imaging studies such as ultrasound and CT, meaning there are multiple stones within the intrahepatic bile ducts. Particularly in cases where there is recurrent upper right abdominal pain, the appearance of jaundice, chills, and high fever, it is important to pay attention and consider early surgical treatment. The main surgical approach is laparoscopic choledocholithotomy, which can completely treat the condition by removing the stones. Additionally, for patients with intrahepatic bile duct stones, it is also important to avoid spicy and irritating foods in their diet to reduce inflammatory irritation and better promote recovery from the condition. The diet should primarily consist of light meals, and eating fresh vegetables and fruits can better facilitate relief from the condition.
Does staying up late affect liver hemangioma?
Staying up late can affect patients with hepatic hemangiomas. Chronic sleep deprivation may impair liver function, potentially exacerbating hepatic hemangiomas significantly. Hepatic hemangiomas are a type of benign tumor, but they can rupture and bleed, causing liver hemorrhage and even leading to hemorrhagic shock. Therefore, patients with hepatic hemangiomas, especially those with larger tumors, should be actively treated, potentially through interventional surgery to achieve a cure. Additionally, for patients with smaller hepatic hemangiomas, conservative treatment may be appropriate for the time being. However, lifestyle and dietary habits need special attention, such as avoiding hard-to-digest and spicy foods.
Gallbladder stones minimally invasive surgery, how long before getting out of bed?
How soon a patient with gallbladder stones can get out of bed and move around after minimally invasive surgery mainly depends on their recovery post-operation. For patients with gallbladder stones, the primary surgical method chosen is laparoscopic cholecystectomy. Due to the small incisions, minimal damage, and faster recovery associated with laparoscopy, it is often the preferred choice in clinical settings. Generally, patients can start moving around about five days post-surgery. However, in cases where patients have other underlying conditions, such as malnutrition, hypoproteinemia, or heart failure, the healing time may be extended. In such cases, it could take about half a month before they can move around. Therefore, the specific time when a patient can get out of bed and move around should be analyzed based on individual medical conditions.
What should I do if a liver cyst fever does not go away?
If a patient with a liver cyst presents with a fever, it often indicates a concurrent liver abscess. For liver abscesses, treatment should involve the early selection of sensitive antibiotics to combat infection. Only when the inflammation is controlled can the condition be alleviated. Of course, if the condition is severe, especially when a significant abscess has formed, liver function abnormalities may also occur. In this case, puncture and drainage are necessary to better expel the pus and achieve superior therapeutic results. Additionally, the patient's diet should be light and consist of easily digestible foods to reduce the burden on the liver, facilitating recovery. Simultaneously, medications to reduce fever should also be considered.