Laparoscopic Liver Resection

What is laparoscopic liver resection?

Laparoscopic liver resection is a minimally invasive procedure to remove benign tumours and cysts in the liver, or cancerous liver tumours such as hepatocellular carcinoma.

In comparison to an open procedure, the laparoscopic method can efficiently and safely remove a liver mass using smaller incisions, allowing for quicker recovery and better cosmetic results for patients.

How it works

Laparoscopic liver resection uses a camera-like tool called a laparoscope. It allows a surgeon to view and guide instruments to remove the parts of the liver affected by medical conditions like benign and malignant liver tumours.

Why do you need laparoscopic liver resection?

The aim of a liver resection is to remove benign or cancerous masses found in the liver.

A laparoscopic approach to liver resection is sometimes preferred over an open one as it may be more cost-effective and has less downtime, resulting in faster recovery for the patient.

Liver resection scars

The benefits of laparoscopic liver resection also includes less scarring and pain as compared to an open surgery, as smaller incisions (usually around 4 – 6) will be made during the procedure.

Who should not undergo laparoscopic liver resection?

Laparoscopic liver resection is not suitable in patients who cannot tolerate the increased abdominal pressure needed during the laparoscopic surgery, or in situations where there is a higher chance of cancer being left behind.

In some cases, it may not be technically feasible or safe for the patient, and open surgery may be preferred.

What are the risks and complications of laparoscopic liver resection?

The risks of laparoscopic liver resection include:

• Some blood loss during the surgery, with low likelihood of blood replacement
• Bruising on the skin site where incisions are made
• Infection of the wound which can be managed by antibiotics post-surgery

How do you prepare for a laparoscopic liver resection?

Prior to the surgery (pre-operative period), an anesthesiologist will discuss with you on the following:

• Pain management during and after the procedure
• Mealtimes, including your fasting period, before the procedure

On the day of your procedure, you may be reminded to:

• Take a shower before the surgery
• Not shave hairs on your abdominal area
• Remove any nail polish
• Remove contact lenses
• Remove jewellery

What can you expect in a laparoscopic liver resection?

The procedure usually lasts 2 – 6 hours.

Before the procedure

You will be hooked to an intravenous line and your anesthesiologist will make you comfortable and let you sleep during the surgery.

During the procedure

The surgeon will use the laparoscope to remove the masses in your liver. The number of incisions ranges from 4 – 6, and the incision sizes 5mm – 12mm. One of the incisions will be enlarged to allow removal of the liver that has been cut out.

After the procedure

You will be taken to your recovery room and the medical team will ensure you are awake and comfortable. Some patients may have small surgical tubes attached to drain some fluids from the incision sites. The tubes will be removed by the medical team after a few days.

Care and recovery after a laparoscopic liver resection

Most patients can return home 2 – 7 days after the procedure, depending on the complexity of the surgery.

You will have a follow-up visit with your surgeon 10 – 14 days after your surgery. In addition, your healthcare team will also evaluate your nutritional status and give you advice on the level of physical activity you can do over the next few weeks.