Hepatobiliary, pancreatic and splenic surgery patients are generally more traumatic and have a longer recovery period, but the shortage of quality medical resources and the requirement to improve bed utilization efficiency have contributed to the shortening of patient hospitalization days year by year. Most patients have not yet recovered to the extent that they can eat and drink normally and take care of themselves, and some of them are still discharged with drains, which require a period of home recuperation and regular follow-up visits to the hospital and removal of drains. Some patients undergoing surgery such as pancreatic resection and total gastrectomy or larger combined organ resection may suffer from malnutrition for months or even years due to lack of digestive juices or inadequate digestive and absorption area caused by the removal of vital organs of the digestive system, which can seriously affect the quality of survival and even survival time. Careful patients and family members will take detailed notes and ask doctors and nurses about diet, life and exercise precautions after they go home. Some do not care, and it is already a hassle to ask the doctor about the problem when they find it after they go home from the hospital. The good thing is that with this helper, general questions can read this article to solve the doubts, and special problems can be solved by contacting the doctor on the website. 1.What about diet after discharge home? What can I eat after being discharged from the hospital after surgery? How to eat? After digestive system surgery, there are special requirements for recovery diet because the digestive organs are hit by surgical trauma, the secretion of digestive juices is reduced, and the digestive and absorption functions are decreased. Generally, the patency of the digestive tract has been restored in the hospital, and the transition from a liquid or semi-liquid diet such as thin rice and nutritional powder to a thin and soft diet such as soup and noodles is usually started. Since the frequency of peristaltic strength of the gastrointestinal tract is slightly weaker, and some surgery involves a reduction in gastric volume, it is important to have “small amounts and many meals”, eating only about 200 ml of food at each meal, and eating 5~6 meals per day, that is, once at an interval of 2~3 hours, and if there is obvious discomfort in the middle, the next meal should be suspended and continued after recovery. Continue. According to the adaptation situation, gradually increase the amount of meals per meal and reduce the number of meals. Generally, you can return to three meals per day about half a month after surgery. Due to the reduced secretion of digestive juices, the diet at the very beginning should be mainly vegetarian, avoiding food varieties that are difficult to digest (mainly meat and foods with high fat content, you can boil lean meat, fish, skinless chicken, etc. for soup), and increasing protein and lipid intake at this stage should rely mainly on nutritional powders (which should be whole nutrients containing various nutrients, while simple protein powders are not recommended). Half a month after surgery, start eating lean meat, eggs, etc. in small amounts, trying only one new ingredient at a time, and then trying the next one after getting used to it. Usually return to normal diet in about a month. Malnutrition is most likely to occur after pancreatic resection and total gastrectomy. Most of the pancreas is removed, pancreatic juice secretion naturally decreases, and the digestibility of protein and fat will be greatly affected. After surgery, the consumption of nutritional powder should be extended (1~3 months) and supplemented with compound pancreatic enzyme enteric soluble tablets or capsules to help digestion, and nutritional powder should be applied in sufficient amount to ensure nutritional supply. After total gastrectomy, there is no large storage space for food in the abdomen, and each meal may only be able to eat 100-200ml, while the simple consumption of nutritional powder should generally consume 1500-2000ml per day to meet the needs of the body, which means more than 10 meals of nutritional powder per day, which requires patience + careful care by family members, otherwise it is difficult to avoid nutritional deficiency in the short term for patients with total gastrectomy. 2.Do I need to take medication after being discharged from the hospital for hepatobiliary, pancreatic and spleen surgery? Liver surgery patients who have hepatitis B still need to take antiviral drugs after surgery to avoid hepatitis activity and damage to the liver. Anti-inflammatory and biliary tablets can be taken after biliary surgery to help restore coordination of the bile duct and improve the nature of the bile. Except for those with external bile drains that still have not clamped the ducts, that is to say, do not take anti-inflammatory cholagogues until the T-shaped ducts are not clamped to avoid excessive loss of body fluids. Recurrent pancreatic enzyme tablets should be taken after surgery of pancreatic resection nature to help digestion. After splenectomy platelets are elevated, anti-platelet drugs should be taken to avoid vascular embolism. 3.Do I have to go home from the hospital for a review after discharge? When will the review take place? What are the items to be reviewed? It is necessary to review the recovery of disease after discharge from hospital. One month post-operative review is mainly to check the recovery of surgical incision, surgery-related organ function and morphology. Generally, routine blood, liver function, blood sugar, stool routine, and abdominal ultrasound should be checked. Patients with hepatitis should also be checked for viral replication and timely management of active hepatitis. Patients with splenectomy should have their blood routine checked at least once a week after surgery to clarify the degree of platelet elevation and to do different levels of anti-platelet therapy in a timely manner. After routine one-month review of benign disease to confirm good recovery, you can enter the process of routine health checkup. After routine review of malignant diseases, you should also continue to follow up the tumor recurrence and metastasis, generally every 3 months, mainly imaging examinations and tumor marker tests. The frequency of review should be reduced after 2~3 years without signs of recurrence. 4.How do I take care of the drainage tube after I go home? When can I remove it? General abdominal drains can be removed during hospitalization, and the few drains that are placed due to organ leakage should be handled according to the organ drainage tube process. The drains that you take home with you when you are discharged from the hospital are usually intra-organ drains, T-tubes placed in the bile ducts to drain bile, and decompression tubes in the intestines to drain a mixture of bile, pancreatic and intestinal fluids. The first is the care of the drainage tube, which should be fixed firmly, but also to avoid external forces pulling the drainage tube, causing it to shift and fall off, and the drainage bag can be replaced once a week. Secondly, we should observe and record the 24-hour flow of drainage fluid, the nature of drainage fluid, and communicate with the doctor in a timely manner if abnormalities are found. Finally, the drainage tube in the organ can start to hang high to the chest until the shoulder 2 weeks after surgery, using pressure to reduce the outward drainage flow, gradually reduce to 100ml that can be completely clamped, if there is discomfort, still have to release, unobstructed drainage, restore normal and then clamped. If there is no special discomfort in 3~5 days of clamping, generally, T-tube needs to be examined by imaging 1 month after surgery, and it can be removed only if there is no abnormality, and the drainage in the intestine can be removed directly. 5.How to prevent recurrence after cancer surgery? This is a big question. Each kind of tumor has different clinical pattern. After getting the pathological diagnosis 3~5 days after surgery, the doctor will have to confide in you the degree of disease development and suggest a comprehensive treatment plan, which you can choose according to your condition. After liver cancer surgery, it is usually interventional examination and treatment, and targeted drug Sorafenib is recommended for high-risk patients, and intravenous chemotherapy is not effective for liver cancer. Bile duct cancer is also insensitive to chemotherapy, and local radiotherapy has limited effect. Pancreatic cancer has a high chance of recurrence after surgery, and chemotherapy and radiotherapy are feasible to reduce the chance of recurrence if the body can tolerate them, but so far their effects are not satisfactory. Immune enhancers and Chinese herbal medicine can be tried for all malignant tumors to improve the general condition, improve the quality of survival, or enhance the tolerance to chemoradiotherapy.