Laparoscopic Liver Resection

Laparoscopic Liver Resection is a surgical procedure done for certain conditions that affects your Liver . In this procedure the affected part of liver is removed.


One of the few specialty centers in the country for Laparoscopic Liver Resection


2 hr : 00 min

1-2

10

Location of liver in body
  • Connector.

    Hepatocellular Carcinoma (HCC)

    Cancer arising in the liver cells

  • Connector.

    Liver Metastasis

    Cancer which originated in some other organ, eventually spreading into the liver.

  • Connector.

    Parasitic Cyst

    An infection in the liver caused by parasite [please elaborate]

Understanding Laparoscopic Liver Resection

Laparoscopic Liver Resection is done to remove the parts of the liver that have been affected in a negative way. The main use of this procedure is to remove tumor, cyst or abscess in a liver as painlessly possible.

When a portion of a liver is removed, the remaining liver can grow back (regenerate) to the original size within one to two weeks. Hepatic resection surgeries has brought about a revolutionary change in liver donors and recipients as it can grow back in size.

However livers that are cirrhotic or scarred liver cells, cannot grow back.

Liver resection

The advantage of laparoscopic liver resection is that there won’t be large, painful and uncomfortable incision. Therefore, quicker return to normalcy.

How is Laparoscopic Liver Resection Performed?

4 small incisions are made in the abdomen, through which the surgeon inserts a laparoscopic instruments to reach the patient’s liver.
The cysts or tumor is then visually located using the camera in the laparoscope, and said deformities are then cut out of the liver with care taken as to not cause any bleeding. An equipment called the harmonic scalpel is then used to cut and cauterize the blood vessels around the tumor.

An Argon Plasma Coagulation or ultrasonic coagulation is used to dissect the liver tissue and coagulate the cut end of the liver and an endoscopic stapler is used to staple the blood vessels close to prevent the patient from bleeding out.

The cut tissue of Liver is then removed from the abdomen by placing it in a bag within the abdomen and pulling it out through one of the port.

 

Incisions made in Laparoscopic liver resection
8 segments of the liver

Th Liver is generally divided into 8 segments.

The Right (5-8) and The Left (1-4).

  • For the Right Hepatectomy, segment’s  5 to 8 are removed.
  • For the left Hepatectomy, segment’s 1-4 are removed.
  • For an Extended Hepatectomy both the Right side, 4-8, segments and left side, 1-5, segments are removed.

Treatment window

The liver is an organ that regenerates. Cutting a part of the liver will not make any impact on the health, because it grows back in about two weeks. Beside, all care is taken to remove the minimum amount of tissue. But in cases like cancer it is best to remove the required amount, as it can be fatal if not done on time.

life after LAPAROSCOPIC LIVER RESECTION

  • A lot of rest
  • Do not drive
  • Avoid heavy weight lifting and vigorous exercises.
  • Avoid alcohol and eat healthy food.
  • Keep the wound neat and healthy.

Video: lap liver resection

Laparoscopic Liver Resection FAQ’s

No, don’t worry. Liver resection is a regularly done operation now all over the world. As long as you have the surgery in a place that has got a fair amount of experience in doing liver resections, you should not have any problems.

They should be able to remove the cancer along with one half of the liver. This is what is usually done in a liver resection. This can be done either open or laparoscopically. Small tumors can be shelled out or excised laparoscopically, and left and right liver resections can also be done laparoscopically.

It is a little expensive because of the number of hours of operating time, and the use of high-end medical devices to arrest bleeding inside the liver, and the use of staplers to go over the veins in order to prevent bleeding from the hepatic veins. Over all it is a very complex procedure and therefore necessarily is a little bit more expensive than most of the operations in the abdomen.

It is quite likely that you might require some chemotherapy after, but radiotherapy is usually not required for liver tumors.

If the tumor is small, and is confined to one area of the liver, removal of one half of the liver with the tumor should give you a realistic chance of good longevity. If the tumor is multi centric or multi lobar then the long-term chances are not so good. Also, one needs to makes sure that the tumor is confined to the liver and not gone off to the bones or the lungs, in which case your long-term survival will be affected.

Yes sometime teams believe in the blocking of the blood supply to the tumor by doing what it is called embolization to the liver after which the tumor blood supply will be much less. Subsequent surgery becomes much easier for these patients.

They are much more difficult than the open liver resections, but can be done in units that are experienced. We have a very large experience of laparoscopic liver resections at LIMA.

Ideally one should make sure that the tumor hasn’t spread to any other part by doing a pet CT scan. If the PET CT shows everything is clear, one could either remove the liver tumor first, and later do the colonic tumor, or vice versa depending upon the protocol of the unit. Both are possible. Removal of small liver metastasis or liver secondary’s in the liver is known as metastasectomy. This can elegantly be done laparoscopically.

Lap Liver resection specialists

Dr. J. S. Rajkumar

CHIEF SURGEON

M.S., F.I.C.S., Dip. N.B. (SURG.), F.R.C.S. (ENG.), F.R.C.S. (EDIN.), F.R.C.S. (GLASGOW), F.R.C.S. (IRELAND), F.I.M.S., F.A.I.S., F.R.M.S. (LONDON), F.A.E. (GASTRO), F.A.C.G. (USA), F.I.C.A. (USA), F.I.A.G.E.S., Dip M.I.S. (FR.)


Dr. Prabhakaran Raju

Consultant Surgical Gastroenterolgy M.B.B.S., M.S (GENERAL SURGERY), Mch(SGE)

Dr. C.M.K. Reddy

Consultant General & Vascular Surgeon – M.B.B.S., DSc., F.R.C.S. (GLAS), F.R.C.S., F.R.S.H (Eng), F.I.C.S, F.I.C.A (USA)