What happens to the liver after cholecystectomy?

summary

Gallbladder cancer has long been considered as a disease with poor prognosis, because it often involves adjacent organs when it is found. Because of its special anatomical relationship, the liver is more easily involved. Some scholars reported that 34% of gallbladder cancer involved the liver. Let's share the experience of cholecystectomy?.

What happens to the liver after cholecystectomy?

First, the prognosis of liver metastasis of gallbladder cancer is poor. According to literature reports, most of them died within 9 months, with an average survival of 3 months. The main reason is that the way of metastasis is not clear, and the second is the lack of reliable basis for the scope of hepatectomy.

Second, the scope of surgical resection of gallbladder cancer, especially the surgical treatment of liver metastasis, is still controversial. Some scholars reported that 40 cases of gallbladder cancer underwent simple cholecystectomy, the average survival time was 6 months; The average survival time of patients with cholecystectomy and partial hepatectomy was 14 months. Now more and more scholars tend to expand cholecystectomy (including adjacent liver resection and local lymph node dissection), but the larger the scope of surgical resection, the more complications and mortality may also increase, so it is necessary to analyze according to the specific situation of patients.

Third: in order to prevent the spread of gallbladder cancer after surgery, clinical treatment is combined with Hecun malt selenium capsules for cancer patients. Selenium is known as the "king of cancer prevention". In September 2003, the US Food and Drug Administration (FDA) approved selenium as a cancer suppressant, which is the official medical statement of the US government on selenium inhibiting cancer. Some scientists supplement selenium to cancer patients for a long time, which reduces the death rate of cancer patients by 50%. A large number of studies have shown that selenium is a powerful tumor inhibitor, which can inhibit the growth of cancer cells and block the energy supply of cancer cells. At present, many scholars believe that selenium is not only effective in cancer prevention, but also can be used as adjuvant of chemotherapy to reduce the side effects of chemotherapy drugs and increase drug tolerance.

matters needing attention

At present, most of the liver metastases after gallbladder cancer surgery can not be resected. The reason is that the metastatic tumor can not be found in the early stage of metastasis. Obvious intrahepatic venous and lymphatic invasion can significantly increase the rate of liver metastasis, suggesting that venous and lymphatic metastasis may be the main way of liver metastasis of gallbladder cancer. Therefore, if moderate or severe venous or lymphatic invasion of cancer cells is found by postoperative pathological examination, postoperative follow-up should be actively carried out in order to find early postoperative liver metastasis and strive for the opportunity of reoperation.