gujarat liver cancer clinic
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Surgical Resection (Open Surgery)

Our team of doctors may recommend traditional open liver surgery, depending on the size and location of the tumors. Resection of a large portion of the liver is possible because the remaining liver grows to compensate for the part that was removed. The best chance for successful treatment of liver cancer is with surgery. If all of the cancer can be removed, the possibility of successful treatment is higher. Surgery to remove part of the liver is called liver resection or partial hepatectomy. Surgeons make an incision across the right upper abdomen, below the ribcage to remove the tumor. This operation is only attempted if the person is healthy enough and all of the tumor can be removed while leaving enough healthy liver behind. Unfortunately, most liver cancers cannot be completely removed. Often the cancer has spread beyond the liver, has become very large, or is in too many different parts of the liver. More than 4 out of 5 people with liver cancer also have cirrhosis. If you have severe cirrhosis, removing even a small amount of liver tissue at the edges of your cancer might not leave enough liver behind to perform essential functions. People with cirrhosis are eligible for surgery only if the cancer is small and they still have a reasonable amount of liver function left. Doctors often assess this function by assigning a Child-Pugh score, which is a measure of cirrhosis based on certain lab tests and symptoms. Patients who fall into class A are most likely to have enough liver function to have surgery. Patients in class B are less likely to be able to have surgery. Surgery is not typically an option for patients in class C.

Possible risks and side effects:
Liver resection is a major, but a safe operation and should be done by skilled and experienced surgeons. Because people with liver cancer usually have damage to the other parts of their liver, surgeons have to remove enough of the liver to try to get all of the cancer, yet leave enough behind for the liver to function adequately. A lot of blood passes through the liver at any given time, and bleeding after surgery is a major concern. On top of this, the liver normally makes substances that help the blood clot. Damage to the liver (both before the surgery and during the surgery itself) can add to potential bleeding problems. Other possible problems are similar to those seen with other major surgeries and can include infections, complications from anesthesia, blood clots, and pneumonia. Another concern is that because the remaining liver still has the underlying disease that led to the cancer, sometimes a new liver cancer can develop afterward.

The hospital stay after major liver resection is from 5 to 15 days, depending both on status of the patient’s general health and the health of the remaining liver. The death rate from liver resection is from 1 to 5 % depending on patient, tumor, and operative factors. The patient will be unable to drive for two weeks and unable to lift for at least a month. A family member or friend will need to help the patient for the first few days after hospital discharge.
Surgical Resection (Open Surgery)
Surgical Resection (Laparoscopic Liver Surgery)
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