Open liver resection is a surgical procedure in which a portion of the liver containing tumors or diseased tissue is removed through a large abdominal incision. It is commonly performed for patients with liver cancer, metastatic liver tumors, or benign liver conditions that require surgical intervention. Open liver resection is preferred when tumors are large, located in difficult areas, or when a significant portion of the liver needs to be removed.
This procedure is recommended for patients with:
Primary liver cancer (hepatocellular carcinoma – HCC).
Liver metastases from colorectal or other cancers.
Benign liver tumors causing symptoms or complications.
Liver cysts or abscesses requiring surgical removal.
Biliary tumors or intrahepatic cholangiocarcinoma.
Preoperative Evaluation – Imaging tests (CT, MRI, PET) and liver function tests assess the feasibility of surgery.
Anesthesia Administration – The patient is placed under general anesthesia.
Incision and Liver Exposure – A large incision is made in the abdomen to access the liver.
Tumor or Diseased Liver Removal – The affected liver section is carefully excised, preserving as much healthy liver tissue as possible.
Bleeding Control & Reconstruction – Blood vessels are managed to prevent excessive bleeding, and bile ducts may be reconstructed if needed.
Closure & Recovery – The incision is closed, and the patient is transferred to recovery for monitoring.
Effective removal of large or complex tumors.
Higher precision and visibility for surgeons compared to minimally invasive approaches.
Allows treatment of tumors in challenging locations.
Can be combined with other procedures, such as bile duct repair or vascular reconstruction.
Hospital stay of 7-10 days, depending on the complexity of the procedure.
Initial recovery period of 4-6 weeks with limited physical activity.
Regular follow-up imaging and blood tests to monitor liver function and detect recurrence.
Lifestyle modifications, including a balanced diet and avoiding alcohol, to support liver health.
Bleeding and infection due to the extensive nature of the surgery.
Liver failure if too much liver tissue is removed.
Bile leakage, requiring drainage or additional intervention.
Scar tissue formation, leading to adhesions and complications.
Open liver resection is a proven surgical approach for treating various liver diseases and cancers, particularly when tumors are large or complex. If you have a liver tumor or condition requiring surgery, consult your specialist to determine if open liver resection is the best option for you.