Hepatectomy

Hepatectomy is a surgical procedure that involves the removal of all or part of the liver. This operation is typically performed to treat liver diseases such as liver cancer or cirrhosis, or to remove a donated liver for transplantation.

Indications

Hepatectomy is most commonly performed to treat liver cancer, but it can also be used to treat other liver diseases such as cirrhosis, liver abscess, liver cysts, and liver trauma. In some cases, a hepatectomy may be performed to remove a portion of the liver for liver transplantation.

Procedure

During a hepatectomy, the surgeon makes an incision in the abdomen to access the liver. The blood vessels and bile ducts that connect to the liver are then clamped or tied off to prevent bleeding and bile leakage. The portion of the liver to be removed is then cut away and the remaining liver is stitched back together. The incision is then closed with stitches or staples.

Risks and Complications

As with any surgery, there are risks associated with hepatectomy. These can include infection, bleeding, blood clots, and reactions to anesthesia. Specific to hepatectomy, there is also the risk of liver failure if too much of the liver is removed, as well as the risk of bile leakage.

Recovery

Recovery from a hepatectomy can take several weeks. Patients are typically hospitalized for a few days to a week after the surgery, and full recovery can take up to three months. During this time, patients may need to follow a special diet and avoid heavy lifting and strenuous activity.

See Also

• Liver transplantation
• Liver cancer
• Cirrhosis
• Liver abscess
• Liver cysts
• Liver trauma