The main types of tumors which require liver resection includes :
Hepatocellular carcinoma (HCC): This cancer arises from the liver cells. This cancer develops in setting of liver damage eg. cirrhosis of liver. Sometimes they begin as a single tumor; other times they start in multiple spots in the liver. Usually the treatment includes liver resection. When unresectable liver directed therapies can used.
Bile duct cancers (cholangiocarcinomas): 10 -20% of liver cancer arises from the bile duct, which are small tubes that carry bile within the liver to the small intestine. Intrahepatic cholangiocarcinoma are treated in the same way as HCC.
Angiosarcomas and hemangiosarcomas begin in blood vessels in the liver. These fast-growing liver cancers usually are not diagnosed until they are in advanced stages.
Liver Resection means removal of a portion of the liver. This is done mainly for malignant cancers of the liver. Majority of liver tumors are metastatic (developed in another organ, then migrated to the liver). The majority of liver metastases come from the colon. Successful resection of liver tumors in absence of metastasis confers a long term survival with 5-year survival as high as 70%.
All patients who presents to us are carefully evaluated for liver resection.. Oftentimes , complete removal of liver cancer often is not possible because the cancer is large or is present in both right and left side of the liver or has spread to other parts of the liver or the body. Also, the liver may be damaged because of other conditions like liver cirrhosis.. Surgeons try to remove as much of the tumor as possible while keeping enough of the liver to function.
In West Coast of Florida, we are the only institute to provide advanced technology of Yitrium, Radiofrequency Ablation and Trans Arterial ChemoEmbolization for unresectable liver cancers all under one roof. Through our multidisciplinary team, we evaulates your case including radiologic imaging and recommend the best treatment approach available to you.
Our Hepatobiliary surgeons will carfully evaluate your condition and offer you liver resection through key hole approach or even robotic if feasable.
At St. Joseph Liver Cancer center, we use the state of the art latest technology to perform liver resection using either minimally invasive (laparoscopic or robotic ) liver surgery or traditional (open) liver surgery.
Dr. Sukharamwala and Dr. Ecchevaria are among the very experienced in the United States at minimally invasive liver surgery. This confers several advantages in reducing the pain, scarring, hospital stay and recovery time.
You can expect to stay in the hospital for 5-7 days.
If you have a major liver resection, we would generally observe you in the ICU for overnight to make sure you are recovering well.
First day after surgery, we will transfer to our special surgical floor where all our Liver, Pancreas and Foregut surgery patients are admitted. This ensures that the nurse taking care of your recovery is knows well what to expect.
You will get aggressive breathing treatment, physical therapy. We may start you on Ice chips and gradually as you tolerate oral intake, we will start you on clear liquid diet. Your Diet will be advanced progressively to regular diet as you recuperate well and your bowel function return with passing flatulence and bowel movements.
Often times, your bowels may be slow to resume due to a condition called postoperative ileus. Post operative ileus is common condition after a major opearation where your bowel are slow to resume the function. As a result you may develop nausea, vomiting and may require insertion of Nasal-gastric ( nose to stomach ) tube.
A drain may be present in the abdomen which will be removed if your recovery is as expected.
At your discharge, you will be given a complete discharge instruction, pain medication prescription and contact information in case of any post operative issues.
We will see you back in our office for post operative check up in 5-7 days.
A few complication that are associated with this procedure include but not limited are
General Anesthesia complications.