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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
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.
"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.