Is surgery required for chronic hepatitis B?

Jan 24, 2025 Source: Cainiu Health
Dr. Gao Jun
Introduction
Whether surgery is needed for chronic hepatitis B depends on the severity of the condition. For mild and stable cases, surgery is not required, and medication such as entecavir may be used as directed by a physician. For severe cases accompanied by cirrhosis or liver failure, timely surgical intervention, such as liver transplantation, is necessary to maintain normal liver metabolism, promote the recovery of liver cells, and improve the overall physical condition.

Generally speaking, chronic hepatitis B refers to chronic type B hepatitis. Whether surgery is needed for chronic hepatitis B mainly depends on the severity of the condition. If the current condition is mild chronic hepatitis B and the liver has not developed cirrhosis or failure, surgical treatment is usually unnecessary. However, if the condition is severe chronic hepatitis B accompanied by liver cirrhosis and liver failure, timely surgical treatment becomes necessary. When experiencing discomfort symptoms, prompt medical attention is required. Detailed analysis is as follows:

If the chronic hepatitis B is only mild and the patient's condition is currently stable with slow progression and no impact on liver function, without cirrhosis or liver failure having developed, surgical treatment typically is not required. However, timely medication under medical guidance is necessary, such as the use of entecavir dispersible tablets, tenofovir disoproxil fumarate tablets, lamivudine tablets, etc.

If the condition is severe chronic hepatitis B, with an unstable and rapidly progressing illness that has caused damage to liver function, leading to cirrhosis or liver failure, and the liver function can no longer maintain bodily metabolism, drug treatment alone is usually insufficiently effective. Therefore, timely surgical treatment is necessary, such as liver transplantation under medical guidance, in which a healthy liver is transplanted into the affected area.

After diagnosis with chronic hepatitis B, timely selection of appropriate treatment methods based on individual conditions and disease progression is essential. Meanwhile, during treatment, maintaining good lifestyle and dietary habits is important to promote recovery.

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