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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 to determine whether a liver cyst is benign or malignant
If confirmed to be a liver cyst, it is generally a benign tumor. When the liver cyst is small in size, there are usually no obvious symptoms, and most are discovered during an ultrasound examination. For larger liver cysts, the patient may experience local compression symptoms, liver pain, and it may also affect liver function. Therefore, for larger liver cysts, surgical removal should be carried out as soon as possible to improve the prognosis of the patient. Additionally, for patients with smaller liver cysts, regular ultrasound check-ups are also necessary to dynamically observe changes in size. If there is a significant increase in a short period of time and the growth rate is too rapid, surgical removal should be carried out as soon as possible to improve the patient’s prognosis.
Is jaundice a sign of advanced gallbladder cancer?
If a patient with gallbladder cancer exhibits jaundice, it does not necessarily mean the cancer is in its late stages. As the cancer grows, it may compress the bile duct, leading to obstructive jaundice. This can result in lighter-colored stools, darker urine, and yellowing of the skin and mucous membranes, and even cause itchy skin. Therefore, it is not necessarily indicative of advanced gallbladder cancer. Of course, if a patient with late-stage gallbladder cancer experiences liver metastasis, this might also manifest as yellowing of the skin and mucous membranes throughout the body. At this point, it is necessary to carry out thorough examinations, common tests including abdominal CT scans and ultrasounds, which can better assess the condition. If metastasis is present, even systemic chemotherapy might be required to achieve a better treatment outcome.
Is running effective for intrahepatic bile duct stones?
For patients with intrahepatic bile duct stones, frequent running has no effect on treatment. For patients with intrahepatic bile duct stones, since it often coincides with cholangitis, they may experience significant pain in the upper right abdomen, along with clinical symptoms such as nausea, vomiting, chills, high fever, and jaundice. Therefore, when symptoms occur in patients with intrahepatic bile duct stones, surgery is required to achieve treatment effects. The main surgical method is a choledochotomy for stone removal, which can cure the condition by removing the stones. Generally, treatment effects cannot be achieved through diet and exercise alone. Of course, avoiding spicy and irritating foods can reduce the likelihood of cholangitis and somewhat alleviate symptoms.
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.