Doctor's viewpoint: an effective way to improve the survival time of liver cancer

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Surgical treatment is the most effective method for the treatment of liver cancer. The 1-year survival rate was 80% and the survival rate wa

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Surgical treatment is the most effective method for the treatment of liver cancer. The 1-year survival rate was 80% and the survival rate was over five in the early stage of liver cancer resection. However, postoperative recurrence is very common, so the reduction of postoperative recurrence is the key to improve the survival rate of the operation

Early excision: early resection is undoubtedly improve the survival of the pivotal factors, because early HCC patients either physical or lesions are good, the sooner the better effect of resection in patients with hepatocellular carcinoma, early diagnosis and early treatment rate closely related to the improvement of postoperative survival.

Intraoperative prevention: intraoperative preventive measures are essential to prolong disease-free survival, and the most important point is to avoid squeezing the liver and tumor throughout the course of surgery. Increased intra tumor pressure is an important cause of liver cancer metastasis. Minimize intraoperative blood loss and hepatic portal occlusion time. The inability to achieve a sufficient margin of liver wound should be treated accordingly, such as injection of anhydrous alcohol, anhydrous alcohol or drug sponge embedding, liver section microwave curing, freezing etc.. Visible to the naked eye cancer embolus should be sucked in addition to intravascular chemotherapy drug perfusion. Intraoperative ultrasonography is also helpful for radical resection. Portal vein or hepatic artery infusion device (DDS) is also a good choice.

Postoperative comprehensive treatment: postoperative comprehensive treatment has been studied in the past, such as immunotherapy, DDS, chemotherapy and traditional Chinese medicine has played a different degree of efficacy.

Reoperation for recurrence: reoperation is an important method to extend the recurrence of hepatocellular carcinoma with tumor survival, re resection 5 years survival rate is more than 40% higher. Therefore, those who have recurrent liver cancer should actively promote the surgical resection.

 

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