Hepatectomy

What is Hepatectomy Surgery?

Hepatectomy surgery involves removing a segment, lobe, or the entire liver to eliminate tumours ordamaged tissue. Surgeons then carefully reconstruct blood flow and bile drainage, preserving asmuch healthy liver as possible to maintain vital functions.

A simple explanation for patients

Surgeons take out the damaged or cancerous part of your liver, carefully reconnecting the remainingsections so your liver can continue working and your body can digest food and filter blood properly.

Why is Hepatectomy Surgery Needed?

This surgery is recommended for liver tumours, including primary liver cancer or metastases, severeliver trauma, or benign but problematic liver conditions. Removing disease helps prevent progressionand improves survival chances.

Common Reasons and Key Conditions Treated

• Hepatocellular carcinoma (primary liver cancer)
• Liver metastases from colon or other cancers
• Liver trauma or severe injury requiring resection
• Benign tumours causing symptoms or growth
• Non-functioning liver segments threatening overall health

Why Choose Manipal Hospitals Global for Hepatectomy Surgery?

Manipal Hospitals Global combines experience with specialised hepatobiliary surgeons andcutting-edge technology to provide safe, effective liver resections with comprehensive patient care.

• Dedicated HPB surgeons: Experts trained in liver anatomy and advanced resections.
• Advanced operating facilities: Imaging guidance, laparoscopy, and robotic assistance available.
• NABH and JCI Accreditation: International standards of quality and safety.
• Multidisciplinary approach: Oncology, nutrition, anesthesiology, and critical care teams work together.
• International patient services: Seamless coordination from admission to follow-up.

Types of Hepatectomy

Hepatectomies vary from segmental resections removing small parts and lobectomies removing oneliver lobe to extended resections for extensive disease needing removal of multiple lobes.

• Segmentectomy: Removal of specific liver segments.
• Left or right hepatectomy: Removal of the entire left or right lobe.
• Extended hepatectomy: Removal of several lobes due to large or multiple tumours.
• Non-anatomical or wedge resection: Removing the tumour with a margin irrespective of anatomy.

Indications for Hepatectomy Procedure

Candidates usually have localised tumours or tissue damage suitable for surgical removal whilepreserving enough healthy liver for function.

• Tumours limited to certain liver portions.
• Good liver function with no cirrhosis or compensated disease.
• No distant cancer metastases.
• Favourable overall health status for anaesthesia.

Who Should Avoid or Delay Hepatectomy Surgery?

Patients with widespread cancer, severe cirrhosis, or major comorbidities may not qualify for surgeryor require alternative treatments.

• Advanced liver disease with poor function.
• Unresectable tumours involving major vessels.
• Metastases beyond the liver are limited to multiple sites.
• Inadequate future liver remnant volume.

Preparing for Hepatectomy Procedure Steps

• Comprehensive imaging: CT/MRI for liver mapping.
• Preoperative lab tests: Liver function, coagulation profile.
• Nutrition optimisation: Address malnutrition or vitamin deficiencies.
• Anaesthesia consultation: Evaluate fitness for general anaesthesia.
• Patient counselling: Explain procedure steps, risks, and expectations.
• International patient facilitation: Visa, accommodation, and travel planning support.

What Happens During the Hepatectomy Procedure Steps?

Under general anaesthesia, surgeons expose the liver, control blood flow to different areas, carefullydissect liver tissue, ligate blood vessels and bile ducts, and remove the targeted liver portion usingprecision surgical devices.

Step-by-Step Breakdown

• The first of the hepatectomy steps, the patient is placed supine with appropriate positioning.
• Laparotomy or laparoscopic ports are placed depending on the approach.
• Detailed liver inspection and ultrasound mapping.
• Dissection and control of the hepatic artery and portal vein branches for the target section.
• Parenchymal transection using advanced energy devices with hemostasis.
• Division of the biliary ducts and hepatic veins within the resected segment.
• Specimen removal followed by hemostasis checks and abdominal closure.

Recovery After Hepatectomy Surgery

Recovery requires an ICU stay for 2-3 days with close monitoring, followed by a stepwise diet, earlymobilisation, and liver function surveillance. Most patients stay in the hospital for at least one to twoweeks.

Risks & Hepatectomy Complications

Possible hepatectomy complications include bleeding, bile leak, liver failure, infection, andthrombosis. Expert surgical technique and attentive postoperative care minimise risks whilemanaging issues efficiently if they arise.

Benefits of Hepatectomy Procedure

Successful hepatectomy offers tumour removal or damaged tissue excision, better symptom control,improved survival, and restoration of liver function, enabling quality of life enhancement.

What is the Cost of Hepatectomy Surgery in Manipal Hospitals Global?

Prices are significantly lower than in Western nations, covering surgery, hospital stay, ICU,investigations, meds, and rehabilitation. Personalised cost packages provided after a thoroughmedical evaluation ensure financial clarity.

International Patient Support at Manipal Hospitals Global

Complete support includes visa assistance, airport transfer, accommodation, language help, nutritiontailored to preferences, and insurance coordination, ensuring a stress-free medical journey forvisitors from abroad.