Surgical resection is mainly suitable for patients with limited tumors, no more than half of the liver, no severe cirrhosis, good liver function compensation, no invasion of the first and second portal veins and inferior vena cava, and no serious damage to the heart, lung, and kidney function. It includes irregular liver resection for small liver cancer, regular liver resection for large liver cancer, re-resection of recurrent liver cancer, second-stage resection of unresectable liver cancer, liver subsegment resection, in vitro liver cancer resection, and autologous liver transplantation. Expert introduction: Surgical treatment is the first choice for the treatment of liver cancer. The effect of surgical treatment is relatively ideal. Under normal circumstances, the survival rate can reach more than 80%. If the postoperative care is proper, more significant results can be achieved. Nursing mainly refers to comprehensive treatment. The following is a specific introduction to the treatment of liver cancer: Methods for the treatment of primary liver cancer: 1. Surgical resection is mainly suitable for patients with limited tumors, no more than half of the liver, no severe cirrhosis, good liver function compensation, no invasion of the first and second portal veins and inferior vena cava, and no serious damage to the heart, lung, and kidney function. It includes irregular liver resection for small liver cancer, regular liver resection for large liver cancer, re-resection for recurrent liver cancer, second-stage resection for unresectable liver cancer, liver subsegment resection, ex vivo liver cancer resection and autologous liver transplantation. 2. Surgical treatment of primary liver cancer that cannot be surgically removed (1) Hepatic artery occlusion therapy: including hepatic artery ligation, complete hepatic artery blood supply occlusion, intermittent hepatic artery occlusion, intraoperative hepatic artery embolization, etc. (2) Interstitial therapy for liver cancer: Interstitial therapy refers to a treatment in which the therapeutic stimulus directly acts on the tumor while protecting the surrounding tissue from damage. It includes hyperthermia therapy (including physical techniques such as radio frequency, microwave, laser and ultrasound), cryotherapy, chemical agents (including alcohol) therapy, ionizing radiation, etc. Interstitial therapy is suitable for patients with scattered liver cancer nodules in the liver, no lesions outside the liver, and who cannot undergo surgical resection. 3. Rupture and bleeding of liver cancer: If the amount of bleeding is small, the vital signs are stable, and the surgical technical conditions are not available, the treatment of primary liver cancer can be non-surgical treatment, and the decision on surgery can be made after the site is determined; if the technical conditions are available, emergency liver lobectomy can be performed, otherwise hepatic artery ligation or packing can be performed to stop bleeding. 4. Chemotherapy: The treatment of primary liver cancer includes systemic chemotherapy and hepatic artery catheterization chemotherapy. 5. Liver transplantation: It has a good therapeutic effect on small liver cancer and fibrous lamellar liver cancer. 6. Others: The treatment of primary liver cancer also includes radiotherapy, immunotherapy, traditional Chinese medicine and Chinese medicine treatment. At present, the means of treating liver cancer are gradually improving, but patients should have a good treatment mentality when diagnosed with liver cancer, whether it is in the early or late stages. However, the treatment of liver cancer cannot be single. If it relies solely on surgery, the prognosis may not be ideal. |
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