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(Resection, Hepatic; Liver Resection; Resection, Liver)
Reasons for Procedure
- Treat other tumors in the liver (including benign [non-cancerous] lesions)
- Treat cancer that has spread to the liver (most often seen in patients with colon cancer )
- Liver transplant donation
- Treat trauma to the liver
|Liver Cancer Due to Liver Disease (Cirrhosis)|
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- Excess bleeding
- Reaction to anesthesia
- Nausea and vomiting
- Low blood sugar
- Liver failure
What to Expect
Prior to Procedure
- Physical exam
- Blood tests
- Liver function tests
- You may be given chemotherapy to shrink liver tumors.
- You may meet with a doctor who specializes in liver surgery.
Your doctor may do tests to determine the exact location of the tumors:
- Abdominal ultrasound —a test that uses sound waves to make an image in the abdomen
- CT scan —a type of x-ray that uses a computer to make pictures of structures in the abdomen
- PET scan —a test that uses a small amount of radiation to locate areas in the body with abnormal metabolic activity, such as cancers
- MRI scan —a test that uses magnetic waves to make picture of structures in the abdomen
- Anti-inflammatory drugs
- Blood thinners
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- You will receive nutrition through an IV. It will be removed once you are eating and drinking.
- You may have drains from the incision site to help the wound heal properly. Drains are usually removed before you leave the hospital.
- You may have a small catheter put into your bladder to drain urine. It will be removed in a few days.
- You will be given medications to manage pain. These may be given through injections, your IV, or through a pump attached to a needle in your arm.
- You may be given medications to prevent nausea.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- Change your bandages as directed by your doctor.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Take pain medication as needed.
- You may begin to feel better in about six weeks.
Call Your Doctor
- Redness, swelling, increasing pain, excessive bleeding, warmth, drainage, or bulging at the incision site
- Yellow skin color
- Itchy skin
- Changes in mental status
- Persistent nausea and/or vomiting
- Severe abdominal pain and/or swelling
- Signs of infection, including fever and chills
- Cough, shortness of breath, or chest pain
- Pain and/or swelling in your feet, calves, or legs
- Feeling weak or lightheaded
American Cancer Society http://www.cancer.org
American Liver Foundation http://www.liverfoundation.org
Canadian Cancer Society http://www.cancer.ca
Canadian Liver Foundation http://www.liver.ca
Fernandez, FG, Drebin, JA, Linehan, DC, et al. Five-year survival after resection of hepatic metastases from colorectal cancer in patients screened by positron emission tomography with F-18 fluorodeoxyglucose (FDG-PET). Ann Surg. 2004;240:438.
Hartog A, Mills G. Anaesthesia for hepatic resection surgery. Contin Educ Anaesth Crit Care Pain. 2009;9(1):1-5.
Lai LW. Hepatic resection for colorectal liver metastases. Singapore Med J. 2007;48(7):635.
Treatment for secondary liver cancer. Macmillan Cancer Support website. Available at: http://www.macmillan.org.uk/Cancerinformation/Cancertypes/Liversecondary/Treatingsecondarylivercancer/Treatmentoverview.aspx. Updated January 1, 2013. Accessed February 26, 2014.
van den Broek MA, Damink SM, Dejong CH, et al. Liver failure after partial hepatic resection: definition, pathophysiology, risk factors, and treatment. Liver Int. 2008;28(6):767-780.
Zakaria S, Donohue JH, Que FG, et al. Hepatic resection for colorectal metastases: value for risk scoring systems? Ann Surg. 2007;246 (2):183-191.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Michael Woods, MD
- Review Date: 02/2014
- Update Date: 02/26/2014