Can patients with liver cirrhosis and liver cancer undergo surgery?

Sep 23, 2025 Source: Cainiu Health
Dr. Gao Jun
Introduction
In general, whether a patient with cirrhosis and liver cancer is eligible for surgery must be determined through a comprehensive evaluation based on the individual's specific medical condition. If any discomfort occurs, prompt medical consultation is recommended so that a specialist can perform a thorough assessment and develop a personalized treatment plan. An experienced medical team should be selected for evaluation and treatment to ensure an individualized approach. During treatment, it is essential to strictly follow the doctor's instructions.

Generally, whether a patient with cirrhosis can undergo surgery upon developing liver cancer must be determined through a comprehensive evaluation based on the individual's specific medical condition. If discomfort occurs, prompt medical consultation is recommended so that a professional physician can conduct a thorough examination and develop a personalized treatment plan. The detailed analysis is as follows:

If the cirrhotic patient’s liver function is still in the compensated stage, without severe complications, and if the liver tumor is small and has not metastasized, with normal functions of other major organs, surgical treatment may be considered after a comprehensive assessment by a multidisciplinary team. Surgery allows direct removal of the tumor lesion, creating favorable conditions for controlling disease progression. However, adequate preoperative preparation is essential, along with close monitoring of liver function changes.

If the patient has advanced cirrhosis with decompensated liver function, presenting complications such as ascites or hepatic encephalopathy, or if the liver tumor is large and has already spread to distant sites, or if there are severe diseases affecting other organs, the surgical risks significantly increase, and surgery is generally not recommended. In such cases, milder treatment approaches should be chosen, focusing primarily on alleviating suffering and prolonging survival.

During evaluation and treatment, it is crucial to seek an experienced medical team to establish an individualized treatment plan. Patients must strictly follow medical advice, undergo regular follow-up tests including liver function, tumor markers, and imaging studies, promptly adjust treatment strategies as needed, and emphasize nutritional support and daily care to avoid further burdening the liver.

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