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VOL.10 NO.1 JANUARY 2005 Medical Bulletin Surgical Treatment for Hepatocellular Carcinoma Dr. Mania Ship MBBS(HK) FRS(Eng) DipAmerBdSurg FOAM(Surgery) Honorary Consultant, Hong Kong Sanatorium & Hospital
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How to fill out surgical treatment for hepatocellular:

01
Consultation: The first step in the process of undergoing surgical treatment for hepatocellular is to schedule a consultation with a hepatologist or a liver transplant surgeon. During this consultation, the medical professional will assess your medical history, perform a physical examination, and order additional tests such as blood work, imaging studies, and a biopsy to determine the extent and stage of the hepatocellular carcinoma (HCC).
02
Tumor staging: Based on the results of the tests, the HCC will be staged to determine the most appropriate surgical treatment option. Staging helps in identifying the size of the tumor, its location, and whether it has spread to nearby lymph nodes or other organs. The common staging systems used for HCC include the Barcelona Clinic Liver Cancer (BCLC) staging system and the TNM staging system.
03
Selection of surgical approach: Once the staging is complete, the medical team will determine whether surgical resection, liver transplantation, or minimally invasive procedures like radiofrequency ablation or transarterial chemoembolization is the best treatment option. The choice depends on factors such as tumor size, liver function, and overall health.
04
Pre-operative preparation: Prior to the surgical treatment, you may need to undergo certain preparatory procedures. This may include optimization of liver function through medications, managing any underlying medical conditions, quitting smoking, and making lifestyle modifications to ensure the best possible outcomes.
05
Surgery: Depending on the selected surgical approach, the procedure will be performed. Surgical resection involves removing the portion of the liver containing the tumor, while liver transplantation involves replacing the diseased liver with a healthy liver from a deceased or living donor. Minimally invasive procedures target and destroy the tumor using techniques like heat or chemicals.
06
Post-operative care: After the surgery, you will be closely monitored in the hospital's intensive care unit or a specialized liver unit. This may involve blood tests, imaging studies, and assessment of liver function. Medications will be prescribed to prevent infections, manage pain, and prevent rejection in case of liver transplantation.
07
Follow-up care: Regular follow-up visits will be scheduled to monitor recovery, assess the effectiveness of the surgical treatment, and detect any potential complications or recurrence of HCC. The medical team will guide you on post-operative lifestyle changes, such as maintaining a healthy diet, avoiding alcohol, and taking prescribed medications.

Who needs surgical treatment for hepatocellular?

01
Individuals diagnosed with hepatocellular carcinoma (HCC): Surgical treatment for hepatocellular is generally recommended for individuals diagnosed with HCC. The decision to opt for surgery depends on several factors, such as the size and location of the tumor, absence of significant liver disease or cirrhosis, and overall health.
02
Patients with localized HCC: Surgical treatment is typically suitable for patients whose hepatocellular carcinoma is localized, meaning it has not spread beyond the liver. In such cases, surgical resection or liver transplantation offers the potential for long-term survival and potential cure.
03
Patients with preserved liver function: Surgical treatment is more likely to be successful in individuals with well-preserved liver function. This is because the liver needs to have adequate functional capacity to regenerate and compensate for the portion that is removed or replaced during surgery.
04
Patients eligible for liver transplantation: Liver transplantation is a suitable surgical treatment option for hepatocellular carcinoma patients who meet the criteria for transplantation. This includes individuals with HCC within certain size and number limits, absence of vascular invasion or extrahepatic spread, and meeting specific tumor staging criteria.
It is important to note that the decision to pursue surgical treatment for hepatocellular should be made in consultation with a healthcare professional who specialized in hepatology or liver transplantation. Each case is unique, and the treatment plan will vary based on individual factors and surgical expertise.
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Surgical treatment for hepatocellular involves the removal of all or part of the liver affected by cancer.
Patients who undergo surgical treatment for hepatocellular are required to have their medical providers report the procedure.
The medical provider will complete the necessary forms and documentation for surgical treatment for hepatocellular.
The purpose of surgical treatment for hepatocellular is to remove cancerous tissue from the liver and potentially cure the disease.
Information such as the type of surgery performed, the extent of liver tissue removed, and any complications during the procedure must be reported.
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