Liver resection

Liver Resection (Hepatectomy)

Liver resection is the surgical removal of a portion of the liver. It is also referred to as hepatectomy. Most liver resections are performed for tumors in the liver- either benign or malignant. Benign neoplasms which may need hepatectomy include hepatic adenoma, hemangioma and focal nodular hyperplasia. Common malignant neoplasms include hepatocellular carcinoma (HCC) or cholangio-carcinoma and secondary liver tumors arising from colorectal cancer or neuroendocrine tumors. Hepatectomy may also be the procedure of choice to treat intrahepatic gallstones or parasitic cysts of the liver. The type of liver resection and the amount of liver removed depend on the location and size of the tumor and the remaining liver tissue’s health.

Surgery and post-operative recovery

Liver resection is a major surgery, and it is done under general anaesthesia. The surgery usually takes 3-6 hours, depending on its complexity.

It can done either using open surgery technique or by laparoscopic surgery (Keyhole surgery). The surgeon will discuss the best possible option with the patient depending on various factors such as the general condition of the patient, type, location and size of the tumor and the health of the remaining liver.

Surgeons make an incision across the right upper abdomen in reverse L shape. Once the surgery is over, the patient will be awakened & shifted to ICU for observation. Our dedicated team of Liver intensivists, Surgeons and staff nurses will provide round the clock services in Liver ICU. Pain will be controlled by either postoperative intravenous patient-controlled analgesia pump or via catheter placed by the anesthesiologist at the end of the operation. After 2-3 days pain can be controlled with oral medications. You will be allowed oral feeds from the next day of surgery and slowly progressed to soft diet in 2-3 days. You will be mobilised to chair on the first postoperative day and made to walk from 2nd day onwards. Usually, by 3rd day, you will be shifted to the ward after removing all the lines and catheters. From the ward, you will be discharged on day 6-7. Follow up visits will be scheduled in liver OPD - 2 days from discharge.

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