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Liver Resection (Hepatectomy)

WHAT IS LIVER RESECTION?

Liver resection is a surgical procedure to remove all or a portion of the liver. It is also known as hepatectomy.   The procedure may be performed either through a traditional open procedure or using minimally invasive techniques.

WHY LIVER RESECTION PERFORMED?

Liver resection is performed to cure liver cancer. Liver resection is done to completely remove the tumor without leaving any tumor behind. Liver resection is done to the patients with one or two small tumors without liver cirrhosis (A cirrhotic liver cannot grow back). Liver is an organ which regenerates to its original size in a few weeks after the resection. 

Liver resection are performed for the treatment of hepatic neoplasms which are benign or malignant. The most common malignant cancers of the liver are metastases, those arising from colorectal cancer are among the most common, and the most amenable to surgical resection. The most common primary malignant tumour of the liver is hepatocellular carcinoma. Hepatectomy is also used to treat intrahepatic gallstones or parasitic cysts of the liver. 

WHAT ARE THE RISKS OF LIVER RESECTION? 

There are few risks involved in liver resection. Patients with liver cancer having other liver problems besides the cancer, in this case surgeons have to remove enough of the liver to try to remove all of the cancer, but also leave behind the liver to function and regenerate. Following are the risks and side effects of liver resection:

  • Bleeding: bleeding after liver resection is a major concern. Liver makes substances which help in blood clotting. 
  • Risk ofInfection 
  • Complications from anesthesia given during the liver resection.
  • Problem in blood clotting 
  • Pneumonia
  • Sometimes a new liver cancer can develop afterward because the remaining liver still has underlying disease.

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