Total hepatectomy

Total Hepatectomy is a surgical procedure involving the complete removal of the liver. This procedure is typically performed as a last resort in cases where other treatments have failed or are not viable.

Indications

Total hepatectomy is usually indicated for patients with severe liver disease or liver cancer that cannot be managed with other treatments such as chemotherapy, radiation therapy, or partial hepatectomy. It may also be performed in preparation for a liver transplant.

Procedure

The procedure is performed under general anesthesia. The surgeon makes an incision in the abdomen to access the liver. The blood vessels and bile ducts connected to the liver are carefully dissected and clamped to prevent bleeding and bile leakage. The liver is then removed. If a liver transplant is planned, the new liver is then placed in the body and connected to the blood vessels and bile ducts.

Risks and Complications

As with any major surgery, total hepatectomy carries risks. These include infection, bleeding, blood clots, and reactions to anesthesia. Specific to the procedure, there is a risk of complications such as bile leakage, liver failure, and the need for liver transplantation.

Postoperative Care

After surgery, patients are closely monitored in the intensive care unit. Pain management, prevention of infection, and close monitoring of liver function are key aspects of postoperative care. Patients may also require nutritional support, as the liver plays a crucial role in digestion and metabolism.

See Also

• Liver disease
• Liver cancer
• Liver transplant
• Hepatectomy