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Liver Resection (Hepatectomy)

Anatomic or non-anatomic removal of liver segments for malignant or benign hepatic lesions.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Liver Resection (Hepatectomy)?

Liver resection removes diseased liver tissue while preserving adequate functional remnant (≥25–30% in healthy liver, ≥40% in cirrhotic or post-chemotherapy liver) to avoid post-hepatectomy liver failure.

Indications include hepatocellular carcinoma, colorectal liver metastases, intrahepatic cholangiocarcinoma, benign symptomatic lesions, and living-donor hepatectomy for transplantation.

Preoperative assessment includes volumetric CT/MRI, indocyanine green (ICG) retention test, Child-Pugh and MELD scores, and portal vein embolization in selected cases to induce hypertrophy.

Approaches include open, laparoscopic, or robotic techniques; parenchymal transection uses CUSA, bipolar devices, or vascular staplers with intermittent Pringle maneuver for bleeding control.

Symptoms

Conditions requiring liver resection:
Hepatocellular carcinoma meeting resection criteria
Colorectal liver metastases (synchronous or metachronous)
Intrahepatic cholangiocarcinoma
Giant hemangioma, focal nodular hyperplasia, or hepatic adenoma (symptomatic/large)
Hepatolithiasis or hydatid disease refractory to medical therapy

Risk Factors

Cirrhosis and portal hypertension (bleeding, liver failure)
Inadequate future liver remnant volume (<25–30%)
Preoperative chemotherapy-induced steatohepatitis (CASH)
Major vascular or biliary involvement (R0 feasibility)
Advanced age, cardiopulmonary comorbidity
Malnutrition and low serum albumin

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • New hepatic lesion on imaging — hepatobiliary surgeon referral
  • Known primary malignancy with suspected liver metastases
  • Rising tumor markers (AFP, CA 19-9, CEA) after initial treatment

Treatment Methods

01
Anatomic resection (segmentectomy, sectionectomy, hemihepatectomy) for HCC
02
Parenchymal-sparing resection for colorectal metastases
03
Preoperative portal vein embolization to induce remnant hypertrophy
04
Two-stage hepatectomy or ALPPS for bilateral disease with small remnant
05
Laparoscopic/robotic approach for peripheral lesions and minor resections
06
Postoperative ICU monitoring, DVT prophylaxis, nutrition support, and imaging surveillance

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.