Liver Resection

Liver Resection: общие сведения

Liver resection in India, or hepatectomy, removes part of the liver for selected primary liver cancers, liver metastases and some benign or biliary conditions. The central planning question is whether the disease can be removed safely while leaving a future liver remnant with enough functional capacity for recovery.

Assessment is usually led by a hepatobiliary surgery team and includes multiphase contrast CT or MRI, liver-function and coagulation tests and review of tumour number, location and vascular or biliary relationships. For cancer, pathology and multidisciplinary oncology review are important, together with staging for disease outside the liver when relevant. Patients with cirrhosis, portal hypertension or previous chemotherapy may need additional assessment of liver reserve. Selected patients require liver volumetry or portal-vein embolisation before a major resection.

Operations range from wedge or segmental resection to sectionectomy and major hepatectomy and may be performed using open, laparoscopic or robotic techniques when appropriate. Risks include bleeding, bile leak, infection, venous thrombosis and post-hepatectomy liver failure, with risk strongly influenced by the amount and quality of liver remaining. Jaundice with fever, major bleeding, severe abdominal deterioration or sepsis requires urgent local assessment rather than routine travel planning.

Cost in India depends on the extent of liver resection, open versus minimally invasive approach, preoperative imaging and volumetry, anaesthesia, blood products, pathology, ICU or ward stay and whether interventional-radiology or oncology treatment is also required. Major hepatectomy or vascular or biliary reconstruction can materially increase the estimate.

India has tertiary centres with HPB surgeons, liver radiology, interventional radiology, oncology, pathology and intensive-care support for complex liver surgery. Medical Help India is a connection platform that can connect medically stable international patients with an appropriate healthcare partner to review imaging and pathology, assess resectability and liver reserve, compare surgical approaches and provide an individual treatment and cost estimate.

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