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Introduction

A laparoscopic hepatectomy is a minimally invasive surgical procedure used to remove a part of the liver affected by disease. It is commonly recommended for patients with liver tumours, liver cysts, benign growths, or selected liver cancers. Compared to open liver surgery, laparoscopic hepatectomy offers smaller incisions, reduced pain, and faster recovery. Gleneagles Hospitals provides a perfect mix of experienced specialists and modern technology, making it a reliable and trusted choice for anyone seeking high-quality, patient-centred liver care in India.

What Is a Laparoscopic Hepatectomy?

Laparoscopic hepatectomy is the current standard of care for liver surgery. We replace large incisions with tiny keyhole ports, using high-definition cameras to navigate the liver with absolute precision. We remove the disease while protecting the healthy tissue, ensuring a faster, smarter recovery for every eligible patient.

Depending on the medical need, a surgeon might remove a small piece or a larger lobe. Because the liver has the unique ability to regenerate lost tissue, it can return to normal function after a successful procedure.

Types of Laparoscopic Hepatectomy

Laparoscopic liver surgery is divided into two main types based on how much tissue is removed. 

  • Minor Laparoscopic Hepatectomy 

This is a gentle approach for small spots, cysts, or minor tumours. It is very effective for surface-level issues. 

  • Major Laparoscopic Hepatectomy 

For larger areas, we perform more extensive procedures with the utmost care. These are handled by the most experienced liver specialists in our modern, high-tech facilities to keep you safe.

Right Candidate for a Laparoscopic Hepatectomy

Not all patients requiring liver surgery are suitable for a laparoscopic approach. Careful evaluation is essential to ensure safety and optimal outcomes.

Suitable Candidates Include:

  • Patients with benign liver tumours such as hemangiomas or adenomas
  • Patients with early-stage liver cancer or selected metastatic liver tumours
  • Patients with liver cysts or focal liver lesions
  • Patients with adequate liver function and sufficient remaining liver volume
  • Patients medically fit to undergo general anaesthesia

Candidates Who Are Not Suitable Include:

  • Patients with advanced liver cirrhosis or liver failure
  • Patients with very large or deeply located tumours involving major blood vessels
  • Patients with uncontrolled bleeding disorders
  • Patients with severe heart or lung disease
  • Patients not fit for prolonged surgery

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The Procedure of a Laparoscopic Hepatectomy

A laparoscopic hepatectomy is performed by a specialised multidisciplinary team that includes hepatobiliary surgeons, laparoscopic surgeons, anaesthetists, radiologists, and critical care specialists.

Preoperative Evaluation:

You must undergo a surgical assessment to confirm eligibility for laparoscopic hepatectomy. This mandatory evaluation consists of:

  • Medical history review and physical exam
  • Lab work for liver function and coagulation profiles
  • Liver imaging (Ultrasound, CT, or MRI)
  • Cardiovascular and respiratory clearance
  • Medication reconciliation

Surgeons will also assess your nutritional status. Surgery may be delayed if liver function optimisation or treatment for underlying medical conditions is necessary to minimise risk.

Preoperative Instructions:

To help you have a smooth experience, we recommend these simple steps:

  • Try to stop smoking early on to help your lungs
  • Avoid alcohol to give your liver a rest
  • Follow our guidance on which medications to pause
  • Stick to the easy diet we’ve planned for you
  • Keep your blood pressure and sugar levels steady

During the Procedure

Anaesthesia and Access:

To keep you safe and comfortable, you’ll be under general anaesthesia. Our surgeons then use tiny incisions to protect your body’s healthy tissue. 

The Procedure:

We use gas to help us see exactly what we are doing. We carefully remove only the diseased part of your liver using very gentle, precise tools. 

Completion:

Everything removed is placed in a bag and taken out safely. We then close your incisions to start your healing process.

After the Laparoscopic Hepatectomy

After your procedure, you will be gently moved to a cosy recovery area or the ICU, where our team will look after you. You will stay with us for a few days until you feel strong enough to head home. During your stay:

  • Pain is managed with medications
  • Liver function tests are monitored regularly
  • Imaging studies may be performed if required
  • You will be encouraged to start gentle movement early

You will be able to enjoy some light meals quite soon after your surgery. Bit by bit, you will feel like your old self again and get back to your favourite things. This modern surgery is much easier on your body, so you’ll feel better much faster. We will see you for regular check-ups to monitor your health.

Risks and Complications of a Laparoscopic Hepatectomy

While your specialist makes laparoscopic surgery very safe, we want you to be fully informed about the risks involved with any major surgery. 

Possible Risks Include:

  • Bleeding during or after surgery
  • Infection
  • Bile leakage
  • Injury to nearby organs
  • Blood clots
  • Liver dysfunction or failure (rare)

The surgical plan includes the possibility of converting to open surgery to prioritise patient welfare. 

Anaesthesia-Related Risks Include:

  • Nausea and vomiting
  • Breathing difficulties
  • Allergic reactions

Your medical team monitors you closely and takes every precaution to ensure a successful, safe recovery.

Why Choose Gleneagles Hospitals for Laparoscopic Hepatectomy?

Gleneagles Hospitals is the logical choice for advanced liver surgery in India. For laparoscopic hepatectomy, the facility offers the most efficient combination of experts and technology in one place. 

  • Multidisciplinary Liver Care 

We act quickly by bringing together a team of specialists to diagnose and plan your surgery. This fast-moving, collaborative approach ensures you get the treatment you need without delay. 

  • Experienced Surgical Team

Our surgeons have spent years helping people through complex liver surgeries. They bring both their expert skills and their compassionate care to every procedure, ensuring you feel safe and supported.

  • Advanced Infrastructure and Technology

The hospital is equipped with state-of-the-art Operation Theatres (OTs), advanced laparoscopic systems, and modern imaging technology. These facilities support minimally invasive procedures and improve surgical accuracy.

  • Comprehensive Postoperative Care 

After surgery, patients are supported by a wide range of professionals, including nutritionists and physiotherapists. This focused care helps people heal faster and return to their daily routines more comfortably.

Conclusion

Laparoscopic hepatectomy is a gentle, advanced way to treat liver issues with less discomfort. You can look forward to a shorter hospital stay and a much faster recovery than traditional surgery. To ensure your safety, we focus on expert care tailored to you. At Gleneagles Hospitals, our experienced team uses modern technology to support you every step of the way.

Frequently Asked Questions

What is the recovery time after a laparoscopic hepatectomy?

Recovery duration varies by the extent of resection. Light activity is possible in 2 weeks; full routine resumes in 4–6 weeks.

Is laparoscopic hepatectomy safe?

Absolutely! With the right expert team, it’s a very safe way to improve, often with a faster recovery than with older surgical methods.

Does the liver regrow?

Yes. The liver's remarkable cells multiply after surgery. The remaining section effectively replaces the function of the removed portion.

Will I need long-term medication after surgery?

Typically, no. Long-term medication is only prescribed if the underlying condition requires it. Most post-op medications are temporary.

How do I know if I am eligible for laparoscopic hepatectomy?

You will need an appointment with a liver expert. They will perform a thorough exam and use MRI or CT scans to see if your surgery can be done laparoscopically.

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