What is hepatectomy?
The term hepatectomy has two meanings. First, it concerns the complete removal of the liver, which is performed in preparation for liver transplantation to treat complete liver failure. The second meaning applies to the removal of part of the liver; This procedure is also called partial liver resection . Partial hepatectomy is usually performed as a treatment of benign or malignant liver tumors or gallstones located in the liver.
When cancer is placed in the liver and can be removed by surgery, it is known as located resectable liver cancer . In order for cancer to be considered located and resection, it must be located solely in the liver and cannot metastasize to other parts of the body. Surgery can be performed even if cancer is not resecible; In such cases, liver tumors are usually metastases from other places. They are and how large they are. Another problem is whether the liver still works on a normal or near. All these fakTory helps to determine how much liver will be removed during surgery.
In most cases, the aim is to remove the smallest tissue and at the same time ensure that all cancer is cut. Complete liver removal is performed only if there is no other option to remove cancer or if the function of the liver fails completely. In both cases, the donor body must be placed before the non -functional liver can be removed.
hepatectomy takes up to four hours and is performed with a patient lying up under the general anesthetic. The operation begins with cutting in the abdomen. Furthermore, the surgeon must cut off the connective tissue so that the liver can move freely and examine.
As soon as it was found, the surgeon may begin to remove the patient parts of the liver. This is difficult because several large blood vessels supply the liver oxygen; If one is torn, the main bleeding may occurand. To avoid these types of problems, large vessels are usually clamped before the surgeon begins to work near them. With safe vessels, the surgeon can continue to remove the sick cuts of the liver. After completing this phase of the procedure, the cut is closed.
Patients usually require hospital care for approximately two weeks; After liver transplantation, this can be extended to a month or more. Laparoscopic hepatectomy has become a popular method of performing this surgery due to its much faster recovery time. Laparoscopy involves inserting a small illuminated camera into the abdomen, allowing the surgeon to work without opening the entire abdomen. This type of surgery is less invasive and has a faster recovery time, as it can be carried out by a much smaller cut.hepatectomy have several related risks. The most problematic of these is post-surgical bleeding; If this happens, the patient must often be hurried back into surgery to be able to controlling with bleeding. One of the most common risks is lung complications, such as pleural effusion in which the liquid accumulates in the lungs. Such side effects are not dangerous if the patient does not have lung disease. If patients have a basic liver disorder, liver failure is endangered after surgery. Usually people who are at increased risk of serious complications will require a longer stay in the hospital after the end of heptectomy.