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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
"Liver cyst and calcification in the liver" means what?
Liver cysts and liver calcifications are terms used to describe findings during ultrasound and CT scan imaging. Liver cysts are mostly congenital and usually do not present with symptoms, thus requiring no special treatment. Liver calcifications, observed as areas of relatively higher density during ultrasound and CT scans, also typically do not require immediate concern or intervention. However, regular follow-up ultrasounds to monitor any changes in size are recommended. If there is a significant increase in size over a short period, attention is needed and surgical removal may be necessary to achieve better outcomes. Additionally, it is advisable for patients to avoid spicy and irritating foods to reduce inflammation and lessen the burden on the liver, aiding in the recovery of the condition.
Is pain from a liver hemangioma normal?
If a patient with a liver hemangioma experiences pain, this is not within the normal range. When the liver hemangioma is small, patients generally do not experience significant discomfort and do not require special treatment. Regular follow-up with ultrasound to dynamically observe changes in size is sufficient. However, if a patient with a liver hemangioma experiences pain in the liver area, this should be taken seriously, as it may indicate rupture and bleeding of the hemangioma, especially when the hemangioma is large. Therefore, for patients with large hemangiomas, early interventional treatment should be administered, as only through interventional surgery can the therapeutic effect be achieved, preventing the worsening of the condition. Additionally, patients with liver hemangiomas should avoid hard-to-digest foods in their diet to reduce the burden on the liver and better manage the condition.
How to treat gallstones?
For the treatment of gallbladder stones, the approach mainly depends on whether there are symptoms or not. For patients with asymptomatic gallstones, which are relatively small in size, they are often found during ultrasonography and do not require special treatment. Regular follow-up ultrasonography is conducted to dynamically observe changes in size. Of course, diet should also avoid spicy and stimulating foods to reduce inflammatory stimulation and avoid foods high in cholesterol and fats, focusing on a light diet, which can alleviate symptom flare-ups and control the condition. For patients with larger gallstones who often experience discomfort and pain in the upper right abdomen, early surgical treatment should be pursued, as surgery is the only way to achieve a cure and can significantly improve the patient's quality of life.
Do I need to be hospitalized for interventional treatment of liver cysts?
Simple liver cysts do not require interventional treatment. However, if a patient with a liver cyst experiences rupture and bleeding, it is then necessary to undergo interventional surgery for hemostasis, and hospitalization is warranted. The intervention for the liver usually involves accessing the liver vessels through the peripheral blood vessels to perform ligation and achieve hemostasis. Generally speaking, patients with liver cysts should not be overly anxious, as it is a common benign tumor that typically does not present with notable symptoms. However, if the cysts become large, there is a possibility of rupture and bleeding, which may also affect liver function. Therefore, it is important to pay attention, and regular follow-up examinations with ultrasound are needed to monitor changes in the condition.
Is a two-centimeter liver cyst a problem?
If the liver cyst is two centimeters in size, the condition is relatively mild at this stage. When the volume of the liver cyst is small, it generally does not present noticeable symptoms, and most are discovered through ultrasound imaging. At this stage, no special treatment is needed; regular follow-up with ultrasound to dynamically observe any changes in size will suffice. Therefore, if the size is two centimeters, the condition is relatively mild, and there is no need to be overly anxious. Of course, if the liver cyst is larger, the patient may experience pain in the liver area, or even impairment of liver function, in which case surgery should be performed as soon as possible for better treatment outcomes.
Liver cysts worsening can lead to what disease?
If a liver cyst deteriorates, it may lead to two types of complications. On one hand, for patients with liver cysts, if the cyst significantly increases in size and becomes large, it can cause pain in the liver area and may also lead to abnormal liver function. Therefore, surgical removal should be considered at this time. On the other hand, liver cysts can potentially undergo malignant transformation and lead to liver cancer. Liver cancer is a highly malignant tumor, so early surgical removal is essential to improve the prognosis of the patient. If it reaches the late stage of liver cancer, the condition is severe and treatment can only be symptomatic, not curative.
Can a six-centimeter liver hemangioma be treated with minimally invasive surgery?
For patients with liver hemangiomas, if the size reaches six centimeters, it is relatively large at this point and there may be a risk of rupture and bleeding. Thus, it is advisable to opt for early surgical intervention. The primary method for this would be minimally invasive surgery, which is achieved through vascular interventional surgery. Post-surgery, it is still necessary to have regular follow-up examinations with color Doppler ultrasound to monitor changes in the condition. Generally, for patients with liver hemangiomas of a relatively small size, they usually do not experience significant discomfort and do not require special treatment. Regular follow-up with color Doppler ultrasound to observe any changes in size is sufficient. Of course, it is advisable to avoid spicy and irritating foods in the diet to reduce inflammatory stimulation and lessen the burden on the liver, thereby helping to control the condition.
Will the hepatic hemangioma grow back after it has been removed?
It is possible for liver hemangiomas to recur after they have been removed. Therefore, for the treatment of liver hemangiomas, minimally invasive surgery, namely interventional treatment, is mainly chosen in clinical practice, which can achieve better treatment effects. Patients with liver hemangiomas often have a benign tumor, generally without obvious discomfort, but there is a possibility of rupturing and bleeding, or even causing hemorrhagic shock. Therefore, for larger liver hemangiomas, surgical treatment should be administered as soon as possible. Interventional surgery can achieve very good treatment results, but there is still a possibility of recurrence after surgery, so regular follow-up with color Doppler ultrasound is necessary to dynamically observe changes in the condition.
Why is it not recommended to perform surgery on hepatic hemangiomas?
Patients with hepatic hemangioma generally do not exhibit obvious symptoms, and most cases are discovered during color Doppler ultrasound examinations. Hence, surgical treatment is not required at this time. It is possible to regularly re-examine the color Doppler ultrasound dynamics and monitor any changes in volume. However, for large hepatic hemangiomas, complications such as rupture, bleeding, and even life-threatening hemorrhagic shock may occur, leading to death. Therefore, early surgical treatment is advised for such cases. The primary method is minimally invasive surgery achieved through interventional procedures. Post-surgery, regular follow-up with color Doppler ultrasound is also necessary to dynamically observe any changes in the condition.
What foods can someone with gallbladder cancer eat?
Patients with gallbladder cancer should pay attention to the following points in their diet: 1. Patients with gallbladder cancer should avoid spicy and irritating foods, such as chili peppers, barbecue, and garlic. They should primarily consume a light diet, eat more fresh vegetables and fruits, as these are rich in vitamins and can promote gastrointestinal motility, maintain smooth bowel movements, and prevent intestinal obstruction. 2. The diet of gallbladder cancer patients should also include some foods high in protein, such as eggs, lean meat, and fish, because these foods can supplement the albumin needed by the human body, enhance the patient's resistance, and thus be beneficial for the recovery of the condition.