The liver situated in the upper right part of the abdominal cavity, It is the largest organ of the body, weighing 1200 -1600 g. The liver has a wide variety of functions, and the main functions are removal of harmful substances from blood and to produce bile to assist in digestion of food.
When the liver has broken down harmful substances, its by-products are excreted into the bile or blood. Bile by-products enter the intestine and ultimately leave the body in the form of faeces. Blood by-products are filtered out by the kidneys, and leave the body in the form of urine.

Hepatic Surgery

The structure of liver is complex & highly vascular. It is affected by various viral and non viral diseases. Which includes various types of hepatitis, cirrhosis to complicated liver cancer. Interestingly the liver is not only affected by diseases of its own ailments but also must have to bear the effect of diseases of other organ(s) of the body. Such as metastasis tumor (cancer) are more common then the primary tumor of the liver. Disease are treated by various drugs and other agents. But a large section of diseases need surgery. Surgery in these organs are complex and complicated.
It includes risk of bleeding, bile like and some time liver failure. But liver havewonderful power of regeneration. Resected (removed) or damaged part of liver regenerate quickly, which is completed in six to eight weeks time. This is why various kinds of liver resections & transplantations are possible.








Liver resections

Liver Resection ( Removal) of diseased or damaged part of the liver. Liver Resection – Standard strategy for
malignant & benign hepatic lesions.
The spectrum is increasing to treat a large group
Addition of transection devices
Technical refinement in transection

Liver Surgery (Hepatic Surgery): Many conditions of liver need surgery.
Conditions are:

Hepatic Neoplasms: Malignent and Benign Tumours of liver.
Primary tumour –Hepatocellular Carcinoma,Cholangio cellelular carcinoma,Hepatoblastoma

Metastatic tumour:Metastatic colorectal cancer, Neuroendocrine tumour, Pancreatic Cancer, Breast cancer, Malignent Melanoa etc.

Benign tumours : Hepatic haemangioma, Focal Nodular Hyperplasia (FNH),Liver cell and Bile duct adenoma.

Hepatic cysts :Simple hepatic cyst,Hydatidcyst,choledochal cyst,caroli’sdisease,Polycystic liver disease.
Hepatic stones (Hepatolithiasis) : Stones in the liver with recurrent pyogenic cholantis

Hepatic abscess: Large,multiple burst abscess

Hepatic injury:Massive injury with complications

Hepatic Surgeries: Hepatic Resections: Right /Left Hepatectomy/Extended RT or Left Heptectomy / Left Lateral Segmentectomy
Bisegmentectomy/trisegmentectomy/ Mono segmentectomy/Enucleation

Transplantations: Primary tumour (s),Irreversible liver damage

Ablations: Tumours beyond the scope of resections or transplantation.


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