Repeat liver resection, also known as repeat hepatectomy, is a surgical procedure performed to remove recurrent liver tumors after an initial liver resection. It is primarily used for patients with recurrent liver cancer, metastatic liver disease, or benign liver tumors that have regrown. This approach offers an effective alternative to other treatments like ablation or systemic therapy.
This procedure is recommended for patients with:
Recurrent hepatocellular carcinoma (HCC) – Liver cancer that has returned after a previous surgery.
Liver metastases from colorectal or other cancers – When cancer has spread to the liver but is still resectable.
Regrowth of benign liver tumors causing symptoms or complications.
Good liver function and sufficient remaining liver volume to tolerate another surgery.
Preoperative Evaluation – Imaging scans (CT, MRI, PET) and liver function tests assess the feasibility of surgery.
Anesthesia Administration – The patient is placed under general anesthesia.
Surgical Approach – Depending on the location and number of tumors, the procedure may be performed:
Open Surgery – Used for complex cases or multiple tumors.
Laparoscopic or Robotic Surgery – Minimally invasive techniques for smaller, localized tumors.
Tumor Resection – The affected liver section is carefully removed while preserving as much healthy liver tissue as possible.
Closure & Recovery – The surgical area is closed, and post-surgery monitoring begins.
Potential for long-term survival in patients with recurrent liver cancer.
Preserves liver function by selectively removing affected areas.
Minimally invasive options (laparoscopic/robotic) reduce recovery time and post-operative discomfort.
Alternative to non-surgical treatments when tumors are resectable.
Hospital stay of 5-10 days depending on the complexity of the procedure.
Gradual return to normal activities within a few weeks.
Regular follow-up imaging and blood tests to monitor liver function and detect recurrence.
Lifestyle modifications such as a healthy diet, avoiding alcohol, and managing liver disease to reduce the risk of further recurrences.
Although effective, repeat liver resection carries some risks, including:
Bleeding and infection at the surgical site.
Liver failure if insufficient liver tissue remains after surgery.
Adhesions and scar tissue complications from the previous surgery.
Risk of further tumor recurrence requiring additional treatments.
Repeat liver resection is a lifesaving option for patients with recurrent liver tumors, offering a chance for long-term remission and improved quality of life. If you have a history of liver cancer or metastatic disease, consult your specialist to determine if repeat liver resection is the best treatment option for you.