A liver resection is the surgical removal of all or a portion of the liver. It is also referred to as a hepatectomy. The procedure may be performed through a traditional open procedure or using minimally invasive techniques. The liver is the largest organ in the body, located in the upper right portion of the abdomen. It is one of the vital organs which regulates various bodily functions and supports the normal functioning of other organs in the body, as well. Malignant tumour is the most common indication for a liver resection. It may also be employed for benign tumours of the liver such as cyst, adenoma, and hemangioma. Liver resection can also be performed as a part of live donor liver transplant in individuals who voluntarily donate a part of their liver to their relatives or in the case of a deceased donor liver transplantation. Minimally-invasive liver resection (MILR) is now considered as an established treatment option in adults with both benign and malignant liver disease. This advancement has been the result of increased surgical experience, high-quality imaging laparoscopes with better visualization of the operative field, and the availability of specialized laparoscopic instruments for transecting the liver tissue.
- Laparoscopic liver resection is usually performed with the patient under general anesthesia.
- Your surgeon will make 3 to 4 small keyhole incisions in the lower abdomen.
- A laparoscope, a thin instrument with a light and camera at the tip is inserted through one of these incisions.
- Carbon dioxide (CO2) gas is filled in the abdomen and expanded for easy access and better visibility.
- The images from the camera are displayed on a monitor to help the surgeon view the internal organs.
- Small surgical instruments are inserted through the other abdominal incisions.
- After carefully visualizing the affected area in the monitor, your surgeon will remove certain benign or malignant liver tumors accordingly.
- At the end of the procedure, the scope and the instruments are withdrawn, and the incisions are closed with a sterile dressing.
- The benefits of minimally invasive laparoscopic liver resection include small surgical cuts, minimal pain, shorter hospital stay, faster recovery, reduced scarring, minimal risk of infection, minimal blood loss, and minimal damage to surrounding tissues. You will probably be able to get back to most of your normal activities in a couple of weeks’ time. Follow-up appointments will be scheduled to monitor your overall progress.
- Ask your doctor to know more about minimally invasive laparoscopic liver resection procedure.