Hepatectomy is the surgical resection of the liver.
Located just below the diaphragm, in the upper right quadrant of the abdomen, the liver is a reddish brown organ with four lobes. It plays a major role in metabolism and performs various vital functions such as protein synthesis, detoxification, and production of bile, glycogen storage, and decomposition of red blood cells.
Serious clinical conditions involving the liver that require surgical intervention include hepatitis, fatty liver, cirrhosis and cancer.
Hepatectomy refers to the surgical resection of the liver. Patients suffering from hepatic neoplasms, intrahepatic gallstones, parasitic cysts. Partial hepatectomies are also performed for liver transplantation. Hepatectomy may be performed by two approaches:
- Open surgery
- Laparoscopic surgery
In the open procedure, a large surgical cut is made in the abdomen and the liver resection is performed. In the laparoscopic approach, the surgeon makes two-three tiny incisions in the abdomen and enters the laparoscope and instruments through these incisions and removes the affected portion of the liver by placing it inside a bag inside the body itself and removing it through one of the incisions.
Why Laparoscopic surgery over open surgery?
Laparoscopic surgery is less painful and has fewer complications as the abdominal muscles are not cut. The recovery is faster and the patients are mobile within a few hours after the surgery. The cosmetic results are excellent as compared to an open surgery.