Liver Resection Surgery
Advanced Hepatic Surgery for Liver Tumors and Disease
What is Liver Resection?
Liver resection, also called hepatectomy, is a surgical procedure to remove a portion of the liver affected by tumors, cancer, or other diseases. The liver has a remarkable ability to regenerate, allowing the remaining healthy tissue to grow back to near-normal size within several months after surgery.
Dr. Mahmoud Abdelwahab performs both open and laparoscopic liver resections, utilizing advanced surgical techniques to minimize complications and promote faster recovery. The extent of resection depends on the size, location, and nature of the liver condition.
3-6 hours depending on complexity
5-7 days for monitoring and recovery
6-8 weeks for full recovery
When is Liver Resection Needed?
Primary liver cancer (hepatocellular carcinoma)
Metastatic liver tumors (colorectal cancer spread)
Benign liver tumors (hemangiomas, adenomas)
Liver cysts or abscesses
Bile duct cancer (cholangiocarcinoma)
Traumatic liver injury
Gallbladder cancer extending to liver
Living donor liver transplantation
Types of Liver Resection
Removal of one or more of the liver's eight anatomical segments. This allows for precise removal of diseased tissue while preserving maximum liver function.
Removal of an entire lobe of the liver (right or left). Right hepatectomy removes approximately 60-70% of the liver, while left hepatectomy removes about 30-40%.
Removal of one complete lobe plus part of the other lobe. This extensive resection is reserved for large or centrally located tumors.
Pre-Operative Evaluation
Comprehensive imaging including CT scan, MRI, and possibly PET scan to determine the exact location, size, and extent of the liver lesion. These studies help plan the surgical approach and ensure adequate remaining liver function.
Blood tests to assess liver function, including liver enzymes, bilirubin, albumin, and coagulation studies. The remaining liver must have sufficient function to support the body after resection.
Management of underlying conditions such as cirrhosis, hepatitis, or diabetes. Nutritional support may be provided to optimize healing. Smoking cessation and alcohol abstinence are essential.
Surgical Procedures & Explanations
Laparoscopic left lateral sectionectomy for large left lobe hemangioma
Laparoscopic Non-anatomical Resection of Hepatic Mass
Recovery Timeline
Hospital Stay (5-7 days)
Immediate post-operative monitoring in the intensive care unit for 1-2 days, followed by transfer to a regular room. Pain management, early mobilization, and monitoring of liver function are priorities. Drains may be placed to remove excess fluid.
First 2 Weeks
Rest at home with gradual increase in activity. Follow a nutritious diet to support liver regeneration. Avoid heavy lifting and strenuous activities. Attend follow-up appointments for wound care and blood tests.
Weeks 3-8
Progressive return to normal activities. The liver begins significant regeneration during this period. Most patients can return to work by 6-8 weeks, depending on the extent of surgery and nature of employment.
Long-Term Follow-Up
Regular imaging and blood tests to monitor for recurrence (if cancer) and assess liver regeneration. The liver typically regenerates to 85-90% of its original size within 3-6 months. Lifelong surveillance may be necessary depending on the underlying condition.
Expert Liver Surgeon
Schedule a consultation with Dr. Mahmoud Abdelwahab to discuss your liver condition and treatment options.