What should I do during gallbladder cancer surgery?

How to make care after cholangiocarcinoma surgery, the following points can be used for your reference:

1) Dietary guidance: Choose foods that are easy to digest. In the near future after surgery, try to minimize the intake of fat and cholesterol, do not eat fatty meat, fried food, animal offal, etc., and use some olive oil to cook food if it is necessary due to taste.

2) Resume normal diet, it is advisable to maintain a low-fat, low-cholesterol, high-protein diet, avoid eating brain, liver, kidney, fish and fried food, and avoid eating fatty meat and alcohol, so as not to affect liver function or cause bile duct stones.

3) Pay attention to mental hygiene, always maintain emotional stability, optimism and open-mindedness, and avoid anger, anxiety, depression and other bad emotions, so as to prevent the regulatory function of the central nervous system and autonomic nerve from disordering, affecting the recovery of bile duct compensatory function.

4) Participate in physical exercise and light physical labor appropriately, avoid sitting and lying for a long time, and do too little activity, so as to facilitate the recovery of body function. For two or three months after surgery, activities such as walking can be done to promote the body's recovery.

5) Regularly review and follow the doctor's instructions to take medicine and go to the hospital for regular follow-up, and seek medical treatment in time if you are not suitable.

6) Insist on taking Chinese medicine to promote digestion, improve appetite and restore vitality. It can increase the patient's immunity, prevent postoperative complications, prevent cancer**, and prolong the life of cancer patients.

There is no evidence that diet and medication can prevent gallbladder cancer. An important means of preventing gallbladder cancer is gallbladder resection, but not all patients should undergo gallbladder resection, if the following risk factors are present, gallbladder removal is necessary, and the resected gallbladder specimen should be carefully pathologically examined to rule out gallbladder cancer: first, when the diameter of the stone is greater than three centimeters; secondly, cholecystitis with uneven calcification, punctate calcification, or fine calcification of the gallbladder wall, or ceramic-like gallbladder; The third is that gallbladder polyps are greater than 10 mm, or the diameter of gallbladder polyps is less than 10 mm, but patients with gallstones and cholecystitis, single or sessile polyps grow rapidly, and more than 3 mm every six months, gallbladder removal should also be performed; the fourth is cholecystadenomyosis combined with gallstones and cholecystitis; fifth, patients with abnormal pancreaticobiliary confluence and gallbladder mass; The sixth is gallstones combined with diabetes.

Of course, ultrasonography should be done every six to twelve months if: first, gallbladder polyps; the second is patients over the age of 50, especially women; the third is obesity; The fourth is patients with gallstone disease and a family history of gallbladder cancer.

How long can I live without surgery for advanced gallbladder cancer? It is a question that every gallbladder cancer patient and their family members will ask, and how long can you live to tell you carefully! How long can I live without surgery for advanced gallbladder cancer? Generally, it depends on whether gallbladder cancer is found in the early, middle or advanced stage, which is a big factor.

Disease introduction: Gallbladder cancer is a common tumor of the biliary system, which has a high degree of malignancy, is easy to metastasize early, is insensitive to chemotherapy drugs, and has a poor prognosis. Chronic atrophic cholecystitis, gallstones, gallbladder adenoma, and gallbladder adenomyosis are all risk factors for gallbladder cancer.

Clinical manifestations: more than 80% of patients with gallstones are overlooked because they often present with symptoms similar to those of gallstones and cholecystitis. In advanced stages, obstructive jaundice and even cholangitis can be caused by the invasion of bile ducts by cancerous tissues or the compression of bile ducts by metastatic and enlarged lymph nodes.

Diagnosis: The diagnosis of gallbladder cancer mainly relies on imaging examinations such as B-ultrasound, CT, and MRCP, and is generally confirmed by elevated serum tumor marker CA19-9. Enhanced CT is of great significance for determining the stage of gallbladder cancer and the resectability of surgery.

MRI is valuable in determining the extent to which tumors have invaded the bile ducts.

**: For gallbladder cancer, surgical resection is the preferred option, and gallbladder resection alone, gallbladder cancer criteria**, or gallbladder cancer enlargement are selected according to the TNM stage of the tumor. Extrahepatic bile duct resection should be performed when extrahepatic bile duct involvement is performed, and extended dissection should be performed when the lesion involves surrounding organs.

For patients with advanced gallbladder cancer who are unable to ** have biliary obstruction, metal stenting under ERCP or percutaneous transhepatic extrabiliary drainage can be performed. Chemoradiotherapy can be used as a postoperative adjuvant method. The current standard chemotherapy regimen is "gemcitabine plus cisplatin regimen".

**In terms of application, you can apply for free administration of the standard first-line regimen (gemcitabine + oxaliplatin) through AI help;

How long can I live without surgery for advanced gallbladder cancer? Generally, it depends on whether the gallbladder cancer is found in the early, intermediate, or advanced stages, and another key factor is the ** plan.

If you are diagnosed with gallbladder cancer, don't panic, stabilize your mentality, and understand how to choose the best plan at the first time? Maximize survival time and improve quality of life.

If the diagnosis is early, there is no doubt that surgery is possible. Some postoperative assistance can be provided based on the doctor's assessment**;

If obstructive jaundice is present, a physician should evaluate and consider drainage.

If multiple metastases are diagnosed and surgery is no longer possible, the current standard of care** is gemcitabine plus platinum-based chemotherapy, which prolongs survival by 9 to 11 months; In addition, it has been reported abroad that patients with anti-PD-1** advanced biliary tract cancer have continuous efficacy for 13 months, and the efficacy and safety may be better than chemotherapy.

In general, after surgery, it is general care and, **There is also some chemotherapy that is needed, and there are more things to pay attention to during chemotherapy, such as diet, such as life, and then some nursing.

Sorry for your brother's condition, and don't worry too much, gallbladder cancer surgery is generally safe, and you can communicate with your brother with a calm mind:

1. Psychological nursing. Patients generally have adverse psychological reactions such as fear, anxiety, and nervousness to the operation, especially worried about the possibility of accidents and other adverse reactions after the operation.

2. Preoperative examination. Before surgery, ultrasound examination or CT examination should be performed to check whether there are stones in the common bile duct and intrahepatic bile duct, acute inflammation of the biliary tract or suspected cancer, and LC should be avoided if so.

Umbilical care. Because LC surgery involves an umbilical puncture, umbilical care is essential. Postoperative incisional hernias mostly occur in the umbilical region.

At the same time, the cleanliness and hygiene of the umbilical cord should be strengthened before surgery, which can also prevent the occurrence of complications such as peritonitis caused by the contamination of the abdominal cavity by umbilical puncture during the operation.

Modern studies have shown that the use of traditional Chinese medicine in patients with malignant tumors of gallbladder cancer has two effects, one is to inhibit and kill cancer cells, and the other is to enhance the immunity of the host. Sanjiu Health, the largest health communication platform in China, recommends cancer patients to take ginsenoside rh2 products after surgery Jinxing Capsule (Rh2 life guard) to comprehensively regulate the body and prevent cancer cells**, I believe it will help your brother.

Hello, patients should pay attention in terms of diet, choose foods that are easy to digest. In the immediate future after surgery, it is necessary to minimize the intake of fat and cholesterol in the diet, mental hygiene, always maintain emotional stability, optimism and open-mindedness, avoid anger and anxiety, and exercise appropriately. Due to the large postoperative rate of cholangiocarcinoma, it is recommended that patients undergo follow-up consolidation** after surgery, and biological** is a better choice.