Resection of the liver (partial hepatectomy) - a surgical procedurethat involves the removal of the affected organ where the tumor is localized. The operation is usually performed fortreatment of liver cancer , And its main objective is complete elimination of malignant cells from the body.

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hepatectomyThe success of surgery depends on the following factors:

  • the tumor's location.
  • neoplasms amount.
  • The volume of the liver, which remains after surgery.

During the procedure, the surgeon may remove part of the body where the tumor, all share (hepatectomy), segments or even, in some cases, most of the liver. Resection of a significant amount of tissue is possible because the remaining liver regenerates quickly and in a short time is able to return to their previous size. But in carrying out such an operation highly qualified doctor, his professionalism and experience determine the outcome of a surgical procedure.

liver resection is performed for treating patients with primary and secondary cancers. Patients who have hepatocellular carcinoma, are candidates for this surgery was diagnosed if:

  • The liver localized malignancies (less than 2) of less than 5 cm in diameter.
  • Nearby blood vessels were not hit by cancer cells.

In order to determine whether efficient liver resection, the surgeon first considers several key factors:

  1. Stage of the disease. In the event that the patient has multiple lesions, large tumors located in several parts of the liver, their surgical removal is not possible.
  2. The extent of surgery in which the patient needs. A significant part of the body should be maintained in order to continue to function normally.
  3. The presence of tumors located around blood vessels in the liver. Such neoplasms may be inoperable, and for cancer treatment in this case is applied intraarterial chemotherapy or chemoembolization.
  4. Cirrhosis of the liver. In most cases for the treatment of patients suffering from this disease, partial gepaektomiya not available.

Resection of liver metastases

The presence of secondary focipathology in the liver, usually caused by the development of metastatic cancers in other organs and tissues (malignant tumors, localized in the stomach, as well as in the colon and rectum, lung, etc.). Depending on the stage of cancer, the location and number of metastases is determined by the life expectancy of the patient after the operation and effectiveness of further treatment of the complex.

For example, if the patient has colon cancer metastasized to the liver, and the tumors are too large and can not be removed without jeopardizing the life of the patient, physicians may assign chemotherapy or radiation therapy to reduce the tumor, followed by resection of the liver metastases. In some cases, the first thing performed surgical procedure and after that carried out the further treatment of cancer in other ways. Liver resection performed only when it is possible to remove part of the organ while maintaining the normal functioning of the rest of the liver, necessary to maintain the patient's life.

Liver resection surgery in Israel

The surgical procedure may be performed both open and laparoscopic method. It is performed under general anesthesia for 3-4 hours.

In the traditional surgery, the surgeon makes a median or oblique incision in the abdominal area and thereby gain access to the liver, allocates patient body portion resection to be undertaken. Doctor bandaging blood vessels transporting blood to the affected part of the body and removes the tumor along with the surrounding healthy tissues, which are sent for further histological examination. Next, you stop bleeding, handling and suturing wounds. If necessary during the procedure performed resection of nearby lymph nodes. Depending on the removed portion and volume of affected tissue in Israel clinics may apply various surgical techniques and methods.

When liver resection laparoscopic surgeon makes several small incisions in the upper abdomen, through which introduced a special thin device equipped with a video camera and light source, and surgical instruments. Also in the abdominal cavity runs carbon dioxide, which separates the wall and the internal organs to create normal working space, visibility and ease of surgical manipulation, and then removal of the affected portion is made liver.

Liver Resection: complications after surgery

This type of surgery is a significant and serious operation which should be performed by qualified and experienced surgeons. After the resection of the liver in the postoperative period, the patient may experience complications related to the violation of bleeding, infection, reaction to the anesthetic, the formation of blood clots, pneumonia and return of cancer, but the operation specialists of Israeli clinics significantly reduces the likelihood of their development and increases the effectiveness of subsequent treatment of the disease.

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