The examination images showed that the patient's liver tumor was located close to the intestinal tract (as indicated by the arrow), so local treatment was not suitable. After communication with the doctor and the patient, laparoscopic liver tumor resection was finally performed.

(Provided by Hsinchu National Taiwan University Branch)

[Reporter Liao Xueru/Hsinchu Report] 59-year-old Mr. S is a hepatitis B carrier patient. He is fixed in the Gastroenterology Clinic of the Zhubei Branch of the Biomedical Hospital of the National Taiwan University Branch Hospital in Hsinchu. A 1.7 cm tumor, the doctor considered the location of the tumor close to the intestinal tract, so local treatment was not suitable. After explaining to the patient, the doctor performed laparoscopic liver tumor resection for treatment. The postoperative recovery was good, and he was discharged home on the third day.

Xiao Yixiang, a hepatobiliary, pancreatic, and gastrointestinal surgeon at National Taiwan University Branch in Hsinchu, said that the most common risk factors for liver cancer are viral hepatitis B and C infection, and the chance of getting liver cancer in early hepatitis B carriers is more than 100 times that of non-carriers. The combination of high incidence and indistinct symptoms has created many regrets.

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Fortunately, since the government fully implemented hepatitis B vaccination in infants and young children in 1984, the hepatitis B carrier rate of Chinese people has dropped significantly, and the incidence of liver cancer has also shown a downward trend in recent years. In addition, smoking, obesity, heavy drinking, chemical carcinogens, etc. are also risk factors for liver cancer, especially in recent years. If left unattended, it may develop into liver cirrhosis or even liver cancer in the future, which must not be ignored.

Ming-Chi Ho, director of the Department of Surgery at National Taiwan University Branch in Hsinchu, pointed out that there are currently many options for the treatment of liver cancer, including surgical resection, embolization of blood vessels, local treatment, chemotherapy and liver transplantation.

Surgical resection includes traditional surgery and minimally invasive surgery. Minimally invasive surgery is divided into laparoscopic surgery and Da Vinci robotic arm surgery. Minimally invasive surgery relies on endoscopic instruments to penetrate deep into the abdominal cavity, so the wound is small and the patient feels less pain. Wound-related side effects are rare, but still need to consider whether the tumor is resected cleanly or not, and the normal liver tissue sacrificed.

As for the Da Vinci robotic arm, due to the flexible rotation angle of the instrument, it will be easier than laparoscopic surgery for some tumors in difficult positions and angles.

He Mingzhi said that the choice of liver cancer treatment method needs to be evaluated by doctors in various aspects, and the teams of hepatology, imaging medicine and oncology should cooperate with each other to make the most suitable medical decision.

Xiao Yixiang reminded that the liver is the largest digestive organ in the human body. It is responsible for the metabolism and storage of nutrients, the decomposition and elimination of toxins, and the secretion of bile. It was already inoperable at the time of hospital visit, and liver cancer is a cancer with a high recurrence rate. Therefore, the public is reminded to quit smoking, alcohol, and reduce fatty liver to establish good living habits to reduce the risk of cancer.

In addition, high-risk groups such as hepatitis B and C carriers and liver cirrhosis should also be followed up regularly to achieve the purpose of early diagnosis and early treatment.

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  • the tumor

  • liver cancer

  • liver cirrhosis

  • Hepatitis B

  • fatty liver

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