What are the treatment methods for mid-term liver cancer? Preoperative preparations for liver resection in patients with liver cancer

Preoperative preparation for liver resection in patients with liver cancer

The key points of preoperative examination for liver cancer patients are:

(1) Detailed medical history and comprehensive physical examination to understand heart, lung, and kidney functions.

(2) Focus on checking liver function: ① When serum protein testing finds that total protein is lower than 60g/L, albumin is lower than 30g/L, or the white/globulin ratio is inverted, it indicates a poor surgical prognosis. ② Serum bilirubin may increase when liver cancer is combined with hepatocellular or obstructive jaundice, which should be listed as a surgical contraindication. ② If the prothrombin time is still 4 seconds higher than the normal control after more than one week of intramuscular injection of vitamin K, it not only reflects liver dysfunction, but also indicates that large-scale blood transfusion during surgery may cause bleeding tendency. ④ If serum transaminase continues to increase, the risk of liver resection is greater, and surgery should be performed only after liver protection treatment is fully strengthened.

(3) Preoperative treatment: ① Give a high-protein, high-carbohydrate, and high-vitamin diet, especially for patients with chronic and long-term wasting diseases, who need to strengthen dietary treatment. ② Give a large amount of vitamins B, C, and K before surgery. Patients with prolonged prothrombin time or bleeding tendency should be given a larger dose of vitamin K. ③ For patients with low serum protein, albumin or plasma transfusion can be given, and patients with anemia can receive small amounts of blood transfusions multiple times. ④ If there is inflammatory lesions, antibiotics should be given 1 to 2 days before surgery.

What are the treatments for mid-stage liver cancer?

Interventional therapy can be used to treat mid-stage liver cancer. This method is used more frequently and has better results. Patients can ask their doctors which surgery is suitable for them. So how many methods are there to treat mid-stage liver cancer? The details are as follows.

The treatment of mid-stage liver cancer can be done in the following ways:

Interventional treatment

Interventional therapy is a treatment for liver cancer. It is to inject chemotherapy drugs and embolic agents through the hepatic artery to cause localized necrosis of the tumor. Large tumors are extremely difficult to remove surgically. Through interventional therapy, many patients' large liver cancers are transformed into small liver cancers, and from unresectable to resectable, thus improving the surgical resection rate. There are also liver cancer patients who cannot tolerate surgery due to medical problems, and they also get good results through interventional therapy.

Liver transplantation

Liver transplantation is generally not used as a treatment for liver cancer. There are strict standards for liver transplantation to treat liver cancer: early liver cancer, or solitary tumors with a diameter less than 5cm, or fewer than 3 tumors with a maximum diameter less than 3cm, and no venous invasion. If these standards are exceeded, liver transplantation is not suitable. Otherwise, the effect is extremely poor.

The general condition is good, with a single lesion in the liver with a diameter of less than 5 cm or a large lesion and several small lesions confined to one lobe of the liver, and the total volume not exceeding 60% of the liver volume. There is no obvious cancer thrombus in imaging examinations; liver function is basically normal, and cirrhosis is not obvious; patients with liver cancer without distant metastasis can choose gamma knife treatment for liver cancer.

Chinese Medicine Treatment

Traditional Chinese medicine can improve the patient's immunity and reduce the side effects of chemotherapy and radiotherapy. This is the treatment method for liver cancer. After the above treatment, it is best to use traditional Chinese medicine to consolidate the treatment in time to prevent and control its recurrence or metastasis. Since the recurrence and metastasis rate of malignant tumors is very high, this is also a key factor in the difficulty of tumor treatment and is directly related to the prognosis. In addition, there are no side effects of using traditional Chinese medicine to treat liver cancer. According to the patient's current condition, the treatment is based on syndrome differentiation, oral Chinese patent medicine and Chinese herbal medicine, and overall conditioning of the whole body, the effect is very good.