OnCo
termsTerm

Hepatectomy (liver resection)

aka liver resection, partial hepatectomy, hemihepatectomy, hepatic resection, metastasectomy

Cutting out the part of the liver containing tumour. The liver regrows, so up to 70% can be removed if what remains is healthy.

Used for hepatocellular carcinoma in patients with preserved liver function (Child-Pugh A, no portal hypertension), for cholangiocarcinoma, and for colorectal liver metastases, where resection gives 5-year survival of 40-50% and is the only curative option. Portal vein embolisation or two-stage hepatectomy grows the future liver remnant before surgery; ablation handles small lesions. Anatomical segments (Couinaud) define the resection; a margin of even 1 mm is acceptable in metastases.

Category
Procedures

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