Hepatectomy surgery also referred to as liver resection, is a surgery that aims at removing either a part or all of your liver. In case you have undergone Hepatectomy to remove just a part of your liver, then it can grow back to its initial size. However, if you have a total Hepatectomy, then you will require a liver transplant.
Generally, you will need to undergo a Hepatectomy surgery and know the Liver cancer Hepatectomy surgery in case you have liver disease. You can also undergo the surgery if you wish to donate a part of your liver for living donor liver transplantation. If you have a partial Hepatectomy, then you can have up to 2/3rd part of your liver removed provided the rest of your liver is healthy. This may help to treat liver cancers like metastatic colorectal cancer, cholangiocarcinoma or hepatocellular carcinoma.
There are different types of techniques through which you can perform Hepatectomy surgery. The particular type of technique used by your surgeon depends on how much liver needs to be removed from your body.
Before your surgery, you will be given general anaesthesia to put you to sleep and prevent any pain. Moreover, if you are having open surgery, then you might even have a transverse abdominis plane (TAP) nerve block to help you with pain management.
During the open surgery, your healthcare provider will aim at making a single large incision across your abdomen. This is done to get access to your abdominal cavity. On the other hand, if you are having laparoscopic surgery then your healthcare provider will aim at making several small incisions. These incisions are used to insert the camera referred to as a laparoscope, and other surgical instruments that will help to operate.
Then your surgeon may even use intraoperative ultrasound to identify the section of the liver that needs to be taken out. In case the section of the liver that needs to be removed is close to the gall bladder then your surgeon may even remove the gall bladder. Once the particular section or the entire liver is removed, your surgeon will dissect your liver tissue and isolate the bile ducts in blood vessels. He will control them with the help of staplers or metallic clips. Moreover, in case you are having robotic or laparoscopic surgery, then your surgeon will need to make an extra incision of two to five inches to take out the resected liver from the body.
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