What is left hepatectomy?

Left hepatectomy is one of the most common types of hepatectomy. In order to perform the procedure, surgeons need to possess all the basic skills for accomplishing any liver resection.

What organ is removed in a hepatectomy?

Partial hepatectomy is surgery to remove part of the liver. Only people with good liver function who are healthy enough for surgery and who have a single tumor that has not grown into blood vessels can have this operation.

Can the left lobe of the liver be removed?

The liver is made up of two halves called the right lobe and the left lobe. If the entire right lobe is to be removed, that is called a right hepatectomy, and if the left lobe is to be removed that is a left hepatectomy. Or the surgeon may just cut away the tumour, taking with it some surrounding normal liver tissue.

What is the meaning of hepatectomy?

Listen to pronunciation. (HEH-puh-TEK-toh-mee) Surgery to remove all or part of the liver.

How is hepatectomy performed?

The surgery is performed using general anesthesia and minimally invasive (laparoscopic) techniques. During your procedure, your surgeon makes small incisions in your right abdomen. Through these cuts, your surgeon inserts long needle-like ports.

How long does hepatectomy surgery take?

After the patient is put to sleep with general anesthesia, anywhere from three to seven small incisions are made to remove the liver mass. Depending on the number and locations of the lesions, and how much liver needs to be removed, the procedure can take anywhere from one to seven hours.

Do you need chemo after liver resection?

Chemotherapy and radiation therapy may be needed after a liver resection. Sometimes chemotherapy may be given before surgery to shrink a tumor in the liver. If it becomes small enough, it can be removed with surgery.

How many liver segments can be removed?

For a tumor found in the outer portion of the liver, surgeons may remove one of the eight segments that comprise the liver. These segments are divided by branches of the portal vein, a major vessel that supplies blood to the liver from the intestinal tract and the spleen.

Why is hepatectomy done?

Hepatectomy is the surgical resection (removal of all or part) of the liver. While the term is often employed for the removal of the liver from a liver transplant donor, this article will focus on partial resections of hepatic tissue and hepatoportoenterostomy….

What is liver surgery called?

A liver resection is the surgical removal of all or a portion of the liver. It is also referred to as a hepatectomy, full or partial.

How safe is liver surgery?

Hepatectomy may also be the procedure of choice to treat intrahepatic gallstones or parasitic cysts of the liver. Liver surgery is safe when performed by experienced surgeons with appropriate technological and institutional support.

What kind of surgery is a segmental hepatectomy?

■ A segmental hepatectomy consists of surgical resection of one or more functional anatomic segments of the liver, as originally classified by Couinaud ( FIG 1 ). Nomenclature for liver resections was standardized in the Brisbane conference. 1

Where are the hepatic segments located in the liver?

Couinaud classification of hepatic segments. left hepatic vein located in the left intersegmental fissure, divides the left lobe into left medial and left lateral sections. A horizontal plane further divides the liver, known as the portal plane where the portal vein bifurcates and becomes horizontal, dividing each section (or sector)…

What are the steps in a left hepatectomy?

The principal steps in performing left hepatectomy are: 1 Hilar dissection of the left portal pedicle, either extrahepatic dissection or Glissonean pedicle transection, 2 Mobilization of the left liver, and 3 Liver transection along the middle hepatic vein. More

Can a hepatic remnant survive a segmental hepatectomy?

Segmental Hepatectomy. ■ In a normal, healthy liver, a future (postresection) hepatic remnant composed of at least two contiguous segments with adequate inflow and outflow and measuring 25% of the complete liver volume is sufficient functional liver to allow for full hepatic recovery. However, in a damaged or cirrhotic liver,…