Hepatectomy Surgery Cost in India
A hepatectomy, (also known as liver resection or liver removal, is a surgical procedure in which the complete or a portion of the liver is removed. Partial hepatectomy procedures are frequently used to eliminate abnormal liver growth. Hepatectomy involves placing the patient under general anesthesia, making an incision to access the liver (often below the ribs), and then removing the abnormal growths. Either open surgery or laparoscopic surgery can be used to carry out the procedure. In hepatectomy surgery in India, to determine if a patient is a candidate for a partial hepatectomy, the doctor takes into account a number of factors like the size and location of cancer, the extent of surgery, and the overall function of the patient’s liver.
In contrast to many other countries, like the USA, UK, France, and many other European countries, the cost of a hepatectomy surgery in India is very affordable.
What Is Hepatectomy Surgery?
A hepatectomy, also known as liver resection, is a surgical treatment to remove a portion of your liver. As long as the remaining portion of your liver is healthy, you can have up to two-thirds of your liver removed. If you have liver disease, a smaller portion may be removed. Your liver is regenerative if it is healthy and the remaining liver will grow to its previous size.
You might need to have your liver removed if you want to donate a portion of it for a living donor liver transplant or to treat liver disease.
The liver is a more significant organ in the upper abdomen, mostly to the right. It performs a number of crucial tasks, including bile secretion for digestion, toxin removal, and the production of clotting factors.
According to anatomy, the liver is divided into two lobes, the bigger right lobe, and the smaller left lobe. Additionally, it can be divided into segments, each of which has its own artery, vein, and bile duct. As a result, a segment can be safely removed without affecting the functionality of the other parts of the liver.
One may have partial or complete hepatectomy as liver surgery:
- Total or complete Hepatectomy: It involves removing the entire liver. Liver transplantation is next in the process.
- Partial Hepatectomy: Only a portion of the liver is removed during partial hepatectomy. Organs can regenerate, including the liver. Therefore, if a section of the liver is removed, the cells in the remaining portion grow to replace the cut portion. However, this is possible only if the remaining part of the liver is completely normal.
Know More – Liver Transplant Cost in India
How Hepatectomy Surgery is Performed?
Before the Surgery
The most effective course of treatment for your ailment will be decided by your healthcare professional. This might depend on:
- If you are in good enough health to have surgery.
- Whether the liver lesion you have is surgically treatable.
- Whether you have cancer in locations other than your liver.
Whether a partial hepatectomy or a liver transplant is required will also need to be determined by your healthcare professional. Possible factors include:
- Extensivity of the tumor.
- Liver condition.
- How much of a functional liver can be left after removal?
- If you’re a transplant candidate.
To screen you for these factors, your healthcare provider may want to run some tests, including:
- Imaging tests, like a CT scan or an MRI.
- Liver function tests (blood tests) to determine how well your liver works.
- Liver biopsy.
During the Procedure
- The surgery is carried out with the patient under general anesthesia. It is a time-consuming procedure that could take three to four hours. Both of the patient’s arms are extended out from the body as they lay down. The surgeon makes two incisions: one midline-extension incision up to the cartilage at the bottom middle of the rib cage and one across the upper abdomen.
- The size, nature, and location of the liver cancer, as well as whether or not liver function is still sufficient, will determine the extent and type of hepatectomy surgery. Based on this, the surgeon may decide to remove the tumor-affected region of the liver, which may include an entire lobe or even more of the liver.
- A partial hepatectomy surgery in India involves the surgeon leaving some healthy liver tissue in order to preserve the liver’s functioning.
- Organ transplantation in India may be possible for liver cancer treatment as well as liver failure in some patients. The transplant surgeon may execute a total hepatectomy surgery in India during this procedure, in which the entire patient’s liver is removed and replaced with a healthy liver from a deceased donor. If a suitable donor liver that matches the patient’s tissue and blood type is available, a liver transplant is typically advised if cancer has not spread outside the liver.
After the Procedure
- The majority of patients will recover in a post-anesthesia unit before transferring to an in-patient room. You might need to spend one or two days in intensive care after a complicated surgical procedure. You’ll have a number of tubes that drain fluids from your body, decompress your stomach, and provide you the nourishment. Your medical team will carefully watch your blood glucose levels, blood loss, and fluid/electrolyte balance while you are in intensive care. They’ll treat you for any abnormalities that occur.
- You will continue to heal in the hospital for up to a week after you have stabilized. Your healthcare professional will gradually have you start eating solid meals again, start moving around more, and have the tubes taken out. While you are recovering, you will be given painkillers. You’ll schedule a visit with your surgeon two weeks after being discharged to review the final pathology report and talk about how you’re doing.
What are the Risks and Benefits Associated with Hepatectomy Surgery?
As a cancer treatment in India, surgery has the best survival rate of all options. It can be curative if the surgery completely eliminates all of the cancer. If you undergo a laparoscopic, robotic, or open procedure, your survival rate will be the same.
Risks and Complications
Liver surgery is safe when performed by experienced surgeons with appropriate technological and institutional support. As with most major risks associated with surgical procedures, here are some of them:
- Bile leakage
- Pleural effusion
- Deep Vein Thrombosis
- Kidney Failure
- Liver Failure
Complications from liver resection surgery result in the death of 2% of patients. Cancer patients compare these risks to the dangers of the disease itself.
How Long Does It Take to Recover from Hepatectomy?
It takes four to eight weeks to recover at home from liver resection. You have to skip work during this period. While you’re healing, avoid attempting to move anything heavy or doing any hard activity. Before you can resume all of your regular activities, it can take 12 weeks.
Laparoscopic or robotic surgery typically results in a quicker recovery. It will take two to four weeks for you to heal at home, but it will be six to eight weeks before you can resume your regular activities.
Your recovery will go more quickly if you consume adequate protein and engage in some light activity each day, like walking. Attempt to walk for at least 30 minutes per day.
A hepatectomy involves extensive surgery on your liver, a necessary organ for life. It has a high risk of potential complications and calls for a high level of expertise. But when it works, liver resection can prolong your life or the life of someone to whom you donate your liver. Diseases like cancer can be pulled out by the root. Your liver might quickly grow back to its original size after surgery. Technology has advanced recently, which has enhanced results.
The Most Important Frequently Asked Questions
Q: How Long Does Hepatectomy Surgery Take?
A: Three to seven small incisions may be used to remove the liver tumor after the general anesthesia has put the patient to sleep. The operation can take anywhere from one to seven hours, depending on the quantity and locations of the lesions, as well as how much liver needs to be removed.
Q: How Long Does Partial Hepatectomy Take?
A: Once the diseased portion is removed from the rest of the liver, a small bag is inserted through the ports to remove it. The surgery can take anywhere between two and four hours.
Q: Does the Liver Grow Back After Partial Removal?
A: A liver resection occurs when a portion of the liver is removed during surgery. Up to two-thirds of the liver can be removed without harming the body. The liver can regenerate itself as well. The remaining portion of your liver will have regrown to about normal size three months after your operation.
Q: Can You Survive Without a Portion of Your Liver?
A: Although you can’t survive without a liver entirely, you can survive without all of it. A lot of people can still operate normally with only around half of their liver. Additionally, your liver might recover its original size in a couple of months.
Q: What Causes Tumors on the Liver?
A: Hepatocellular carcinoma, also known as primary liver cancer, most frequently develops in the livers of people who have had cirrhosis, hepatitis B or C, hemochromatosis (a hereditary condition characterized by an excess of iron in the liver), or who have consumed alcohol excessively.