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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
How many days of hospitalization are required for minimally invasive liver cyst surgery?
For minimally invasive surgery of liver cysts, the duration of hospitalization primarily depends on the severity of the condition and the patient's postoperative recovery. In cases where the liver cyst is large, causing pain in the liver area and even affecting liver function tests, surgical removal is necessary to achieve therapeutic effects. Laparoscopic liver cyst excision is generally chosen because it offers advantages such as smaller incisions, less trauma, and quicker recovery. It is often the first choice clinically, and patients can usually be discharged about a week later. However, if the patient has more underlying diseases, the recovery time may be relatively prolonged.
Can liver intrahepatic bile duct stones be detected by ultrasound?
Patients with intrahepatic bile duct stones can be detected via ultrasound examination, where the stones are clearly visible, especially for those with larger stones. These patients may also experience recurrent right upper abdominal pain, nausea, and vomiting. For patients with intrahepatic bile duct stones who exhibit significant symptoms, it is advisable to undergo surgical treatment as soon as possible. Only by surgically opening the bile duct and removing the stones can a cure be achieved. However, if the stones are relatively small and asymptomatic, they might not be detected during an ultrasound examination, and no special treatment is required at that time. If small gallstones are observed, it is recommended to regularly recheck with an ultrasound to monitor changes in size.
Liver cysts can cause discomfort in which parts of the body?
Liver cysts generally do not cause discomfort because they are a common type of benign tumor and are mostly discovered during ultrasound screenings when patients do not exhibit any symptoms. However, if the cyst grows large, it may cause symptoms due to liver compression, potentially resulting in pain in the liver area and affecting liver function, which can manifest as jaundice. Additionally, some patients may experience localized pain, so if this symptom occurs, it is advisable to undergo surgical removal as soon as possible to achieve a better prognosis. Surgical removal of symptomatic liver cysts can improve the quality of life for patients.
How long does it take to recover from minimally invasive surgery for liver hemangioma?
Patients with liver hemangiomas can undergo minimally invasive surgery via peripheral vascular intervention. They generally recover within three to five days after the surgery. Therefore, for patients with larger liver hemangiomas, which could potentially rupture and bleed, surgical treatment is advisable to achieve complete cure. However, for smaller liver hemangiomas without obvious symptoms, no special treatment is needed. Regular follow-up with color ultrasound to monitor any changes in size is sufficient. If surgery is carried out, the recovery time is generally three to five days, so there is no need for excessive concern.
Symptoms of malignant liver hemangioma
Thank you. When deterioration occurs in patients with hepatic hemangiomas, the main complication is the rupture of the vascular tumor leading to hemorrhage. This can potentially cause hemorrhagic shock and result in death. Regarding hepatic hemangiomas, they are benign tumors. When they are small in size, they typically do not cause any noticeable discomfort and do not require special treatment; regular follow-up with ultrasound examination to monitor changes in the condition is sufficient. For larger hepatic hemangiomas, there is a potential risk of rupture and bleeding. Therefore, dietary considerations for patients with hepatic hemangiomas should include avoiding spicy and irritating foods, as well as hard-to-digest foods, to reduce the burden on the liver, which is conducive to recovery of the condition.
Two major causes of liver cyst formation
Regarding liver abscesses, there are two main factors contributing to their formation. One aspect is genetic factors; in patients with liver cysts, the condition is often caused by genetics, and the cysts are relatively small. Generally, there are no obvious symptoms, and most are discovered only through ultrasound. On the other hand, liver abscesses can also be caused by inflammation. Chronic inflammatory stimulation can lead to the formation of a liver abscess, which is mainly secondary at this point. Some patients may experience pain in the liver area, and when the cyst is too large, it may even lead to liver dysfunction. Therefore, surgery should be performed to remove the cyst to achieve effective treatment results.
What should I do if gallbladder cancer causes itchy skin?
Gallbladder cancer patients may experience skin itching, as they often develop secondary obstructive jaundice. This can lead to lighter stool color, darker urine color, yellowing of the skin and mucous membranes, and generalized itching. For treatment, surgery should be performed for better therapeutic outcomes. Although medications to reduce jaundice can be used for symptomatic treatment, surgery is generally advocated, especially for early-stage gallbladder cancer patients without significant metastasis, where early surgical removal can significantly improve prognosis. Additionally, since malignant tumors are a consumptive disease, it is advisable for patients to consume a diet high in protein, such as eggs, lean meat, and fish, to supplement the proteins needed by the body and enhance the patient's immunity.
Can gallbladder cancer be detected through blood tests?
Blood tests generally cannot detect gallbladder cancer because there are no specific markers in the blood tests for gallbladder cancer. Although some tumor markers may be significantly elevated, they are not specific. Therefore, diagnosis of gallbladder cancer can be refined through abdominal CT, color ultrasound, and if necessary, puncture tissue for pathological examination to confirm the nature. Once diagnosed with gallbladder cancer, surgery should be performed as soon as possible because gallbladder cancer is a highly malignant, rapidly developing, and poor prognosis malignancy. It is important to pay attention to it and handle it promptly to improve the prognosis and potentially extend the patient’s life.
Causes of gallstones
The main cause of gallstones is attributed to diet, with cholesterol stones being the most common type among patients. Therefore, individuals who consume foods high in fats and cholesterol, such as offal and fatty meats, are more prone to developing gallstones. Of course, the formation of gallstones is also closely related to genetic and environmental factors. Treatment of gallstones primarily depends on the presence or absence of symptoms. Patients with small gallstones usually do not exhibit noticeable symptoms and do not require special treatment, but should regularly undergo follow-up ultrasound examinations to monitor any changes. However, patients with symptomatic gallstones need to have their gallbladder surgically removed to achieve a cure.
Can gallstones within the liver that don't cause pain be ignored?
For patients with intrahepatic bile duct stones who do not experience any discomfort, abdominal pain, or jaundice, it is possible to temporarily observe without special treatment. However, special attention should be paid to the diet. It is advisable to avoid spicy and stimulating foods such as chili peppers, barbecue, and garlic, as these inflammatory irritants may cause local inflammation and even lead to acute cholecystitis and cholangitis. Additionally, the diet should also avoid foods high in cholesterol and fats, such as animal offal and fatty meats, as these foods can exacerbate symptoms. Therefore, although patients with intrahepatic bile duct stones may not exhibit any symptoms, it is still important to pay attention to daily life.