Liver Resection surgery as the name suggests involves surgery of the liver either by conventional open surgery or minimal access surgery also called as laparoscopic surgery . The laparoscopic surgery is performed by placing the specialised instruments in the abdomain and performing surgery on the monitor under complete vision.
Liver surgeries are considered to be major surgeries and involves appropriate team work. With the advancements of techniques and improvisation of surgical skills the surgical results of major liver resections have become excellent with time.
The types of liver surgery performed either via open conventional surgery or laparoscopic surgery are Non- anatomical liver resections, Right hepatectomy, left hepatectomy, Right and left extended hepatectomy , segmentectomy, caudate lobectomy, cystectomy , marsuplization of the cyst and Drainage of cysts and liver abscess.
Indication of Liver surgery
- Primary liver cancers ( Hepatocellular cancers)
- Liver Metastasis ( spread of the cancer to the liver from other organs)
- Cancer of the gallbladder
- Hydatid cyst
- Large Hepatic adenoma or hemangioma
- Liver abscess surgery
- Donor and recipient liver transplantation surgery
- Focal Nodular hyperplasia
- Large simple cysts of the liver
- Caroli’s disease
Once you are planned for surgery the surgeon will explain all the details , it’s risk involved , informed consent and recovery protocols after the surgery they are planning to perform. Usually the length of the procedure will depend upon the extent of the surgery.
- Surgery is performed under General anaesthesia
- Particular position of the patients according to the area of the surgery is given to the patient (commonly done in supine position)
- Technically incision is given upon extent of surgery and preference of surgery
- In laparoscopic surgery, Small hole are made to enter the abdomain using video scope to assess the complete abdominal cavity and area of the disease.
- Mobilisation of the liver and diseased liver is done
- Surgery is performed using specialised instruments, energy sources , clips , staplers to separate the disease part from the healthy liver.
- The diseased part is removed and the abdominal is place in abdominal cavity.
Recovery after surgery
- The patient is kept in surgical intensive care unit for initial observation and management. Bleeding, infection and liver failure are major risks involve after these surgeries.
- Intensive chest physiotherapy is advised for enhanced recovery of the patients as breathing might be hampered because of long incisions and pain associated with them.
- Diet is usually started once your bowel function starts returning after surgery.
- Early mobilisation of the patient is recommended.
- Routine check up up of your blood will be performed to study your recovery, liver functioning and chances of infection.
- Diet is managed with the help of the dietician to enhance your recovery and protein supplements are added.
- The length of the stay after the surgery depends upon the extent of the surgery done.
Advantages of Laparoscopic liver surgery
- Big incision is avoided which is used in conventional surgery which causes significant discomfort and pain.
- Early recovery of liver functions
- Early healing of the wound
- Shorter stay of hospital
- Early mobilisation and early return to work
- Scar is minimal
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