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Right Hepatectomy

Major hepatobiliary surgical procedure in which the entire right lobe of the liver (segments V-VIII) is removed.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

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 Right Hepatectomy?

Right hepatectomy is a major hepatic resection in which segments V, VI, VII, and VIII (Couinaud classification) constituting the right lobe of the liver are removed en bloc. It involves approximately 60-65% of the liver volume and is performed in experienced hepatobiliary centers.

The procedure includes isolation of the right hepatic pedicle (right hepatic artery, right portal vein, right hepatic duct), control of the right hepatic vein, and parenchymal transection. Pringle maneuver, anatomical, or intermittent occlusion is used to reduce intraoperative bleeding.

Indications include hepatocellular carcinoma, colorectal metastasis, intrahepatic cholangiocarcinoma, hepatic adenoma, focal nodular hyperplasia, and hydatid cyst — benign or malignant large masses. Adequate liver reserve (future liver remnant >30%) and good functional status are required.

Symptoms

Resectable liver tumor located in the right lobe
Right lobe colorectal liver metastasis
Large hepatocellular carcinoma
Intrahepatic cholangiocarcinoma
Symptomatic benign tumor (adenoma, FNH, cyst)
Right lobe injury after liver trauma
Living donor liver donation

Risk Factors

Cirrhotic liver (Child-Pugh A preferred)
Right portal vein thrombosis
Tumor invasion of the right hepatic vein
Inadequate future liver remnant (<30%)
Hepatic dysfunction
Coagulopathy and thrombocytopenia
Advanced age and comorbidities

When to See a Doctor?

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

  • Detection of a large mass in the right lobe of the liver
  • Diagnosis of hepatocellular carcinoma
  • Metastasis after colorectal cancer treatment
  • Suspicion of intrahepatic biliary tumor
  • Resectable lesion on multi-modality imaging
  • Multidisciplinary tumor board decision

Treatment Methods

01
Preoperative CT volumetry and liver function tests
02
Portal vein embolization (PVE) for inadequate FLR
03
Open or laparoscopic right hepatectomy
04
Right pedicle isolation (artery, portal vein, hepatic duct)
05
Pringle maneuver for intraoperative bleeding control
06
Parenchymal transection (CUSA, harmonic, bipolar)
07
Postoperative intensive care and liver function follow-up

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.