Surgery is still the first choice for the treatment of liver cancer

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From the results of clinical observation and academic research, the treatment of liver cancer has been very clear, is a comprehensive surgic

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From the results of clinical observation and academic research, the treatment of liver cancer has been very clear, is a comprehensive surgical treatment system. In other words, for patients with surgical resection of liver cancer, surgery should be carried out at the same time, in accordance with the situation of patients with other appropriate adjuvant therapy, including intervention, radiotherapy and chemotherapy, etc.. Only those who are not suitable for surgery, or the opportunity to lose the opportunity to consider the intervention of patients, such as treatment, these are palliative. The so-called palliative is not thorough, just a short extension of life. Surgery is a radical treatment that is able to completely remove the tumor seen. The reason is that the current view, it is because the tumor is very cunning, very good at hiding, and easy to spring and health. At the same time, it is impossible for us to find very small tumors by modern medical technology. However, the existing methods are very powerful, small to 5 mm tumors can be found on the CT or MRI, it can be said that most of the results of the image is very accurate. This is why, as long as the imaging examination indicates that there is a chance of surgery, and the patient's body can withstand surgery, we should first consider surgical treatment. More important is the surgery is very safe, less than 5% mortality reported for the international, domestic well-known hospitals and doctors, the proportion of 1 per thousand even less, than the appendix is not much difference. So if you still have too much risk of surgery, after surgery, the idea of a big injury, it really will delay the disease. But also stressed that the tumors are more terrible, one is in front of that is hidden, after all, there will still be less than 5mm of the tumor will be missing; in addition, because the patients themselves with hepatitis B or C, this is death, so in a few years, the virus will lead to a new generation of tumor. So there is a possibility of recurrence of the tumor, but this is not the reason for the operation is meaningless. In the first case, a tumor less than 5mm long enough to harm or be able to find us, but in that year to calculate; for the second case, it mostly happened after surgery in two years or even longer, for example, is 5-10 years. And if you should choose to give up surgery surgery palliative treatment, the survival time of the patients are not more than 1 years, so whether the above two kinds of circumstances which, believe you can think that order of priority. This is why patients who have survived for more than 5 years or even ten years are generally operated on. Of course, everything is not absolute, after all, there are many problems of liver cancer no studies clearly, there are short-term a group of patients after surgery in recurrence, and survival time is not more than a year, with the tumor found relatively late, or surgical indications are not strictly relevant; and characteristics of liver cancer have not been fully grasp our about. So we need to do a lot of work, but the current progress is 10 years and 20 years ago cannot be mention in the same breath. Through active treatment, to strive for a longer survival time, you can wait until the opportunity to improve treatment methods. Here is an example. Recently, we removed a case of liver cancer. Tumor is very small, about 3cm, just one, belongs to the early. Surgery is the best option. However, the location of the tumor is not good, close to the liver of the two large vessels, one of which is one of the most extensive body of blood vessels, called the inferior vena cava. The operation is very difficult, one not careful will break bleeding or vascular air embolism death. Therefore, the patient in the initial period of time no doctor dared to give him surgery, only received interventional therapy. After two interventions, the tumor did not shrink or shrink. There seems to be no better way. For this patient, a liver transplant is safer than surgery (not much technical details), but the economy is the biggest problem. We received this patient, careful analysis, after the discussion that there is still a chance of resection, it is recommended that patients with surgery. Patients and their families before the treatment experience, risk of surgery is very worried, we can only from an objective point of view to explain the risk of surgery is high, but it is not controllable, but also the effect of surgery is worth the fight. A man of 39 years of age, if we continue to intervene or take medicine, we do not have the confidence that he can survive a year, this is a family tragedy. We need the joint efforts of doctors and patients and their families for such high-risk surgery. Finally reached an agreement - surgery! Results the operation was successful, we will be careful intraoperative tumor stripped from large vessels, and a small part of vascular stick is very tight, in order to prevent the postoperative residual tumor, this small vascular wall resection for repair of rupture. The operation was very small and the tumor was completely removed. I believe his life will be a good continuation. Here are a few related CT film, a friend can see.

 

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