Liver
The liver is the largest gland in the human body and is located in the right upper abdomen. The liver has an essential role in: digesting nutrients, detoxification, production of blood proteins, immune response. Surgery on the liver is complex and requires an experienced team. Procedures are performed laparoscopically or by open surgery. The liver is the only organ in the human body which can grow back after a part has been removed. Dr Harald Puhalla performs liver surgery on the Gold Coast.
What diseases and tumours affect the liver?
A yellow discoloration of the liver resulting from fat deposits within the liver cells, commonly caused by heavy drinking, certain drugs, toxins and metabolic disorders.
Inflammation of the liver which can be caused by toxic substances (excessive alcohol consumption), hepatitis viruses (A, B and C), fatty liver or an autoimmune disease
A disease in which normal liver cells are damaged and replaced with abnormal cells.
The most common types of benign liver tumours include Haemangioma, focal nodular hyperplasia (FHN), hepatocellular adenoma and liver cysts.
Primary liver cancers, those originating in the liver, are frequently linked to cirrhosis. Cholangiocarcinoma is another primary liver cancer that begins in the bile ducts. However, most liver cancers are secondary, meaning they have spread from another primary cancer site. The most frequent cause of secondary liver cancer is colorectal cancer. Other cancers that commonly metastasize to the liver include breast, kidney, stomach, pancreas, connective tissue, melanoma, and lung cancer.
Treatment Options for Liver Tumours
- If liver tumours require treatment, the management options can be surgery, chemotherapy or a combination of both. Despite the fact that surgery provides the best long term survival for most cancerous liver tumours, some are too advanced and can only be treated with systemic chemotherapy.
If you would like to learn more please contact us.
Liver Resection
A liver resection is a surgical procedure that involves removing the cancerous or diseased portion of the liver. It is most commonly used to treat liver metastases, particularly from colorectal cancer, when the disease is confined to the liver.
Capacity to Regrow
The liver is unique among organs in that it can regenerate after partial removal.
Up to 70–80% of the liver can be safely resected in healthy individuals, as the remaining tissue can regrow and maintain liver function.
Implications on Regrow
In patients with conditions like cirrhosis or fibrosis, the liver’s regenerative and functional capacity is impaired.
As a result, more healthy liver tissue must be preserved to prevent post-operative liver failure.
Liver & Gallbladder
The gallbladder is attached to the middle of the liver and supports the bile flow.
It is common that for some liver surgeries the gallbladder needs to be removed as well.
Recovery, Aftercare & Follow Up
Initial Recovery
You will usually spend 1 or 2 nights in the ICU at the hospital, then be transferred to the normal ward. Dr Puhalla will visit you each day to check on your progress until you are discharged home. The length of hospital stay can vary depending on different factors, such as the extent of the resection, patient fitness, and keyhole surgery versus open surgery.
Pain Management
There is a variety of very effective pain relief after liver surgery. After surgery, the pain relief slowly reduced to a level with which you can be discharged home.
Hydration
Keep hydration up: aiming to drink 1.5 to 2L a day taking frequent small sips of water.
Wound Care
Keep incision sites clean and dry. An incision care guide will be provided to all patients Monitor for any signs of infections or unusual changes. Call the clinic for any concerns.
Increasing Exercise Gradually
While in hospital, the physiotherapy and the nursing team will help you to mobilise. After discharge, continue gentle walks and no heavy lifting ( max 5kg) for 4 weeks after laparoscopic / keyhole surgery and 6 weeks after open surgery. Any more intense exercise can be presumed after 8 weeks.
Post Operative Follow Up
You will see Dr Puhalla for a post-operative appointment 2 weeks after discharge. After surgery for cancerous liver tumours, further treatment might be necessary in the form of chemotherapy and/or radiation
Frequently Asked Questions
Haven’t answered all your inquiries? Below are some frequently asked questions that may provide you with the information you are looking for. If we haven’t answered your query or concerns please contact our friendly team at (07) 5667 9766 or via email at admin@weightlossoperation.com.au.
How long does a liver procedure take?
Depending on the amount and area of the liver to be removed, the operation can take from about 1 to 5 hours.
How long will I stay in hospital?
If larger sections of the liver are removed, hospital stay can be around 7 days; for minor resections, patients may go home after 2-3 days.
How long until I can drive after surgery?
Some patients may consider driving short distances within 2 weeks after surgery. If you have had major abdominal surgery, you may need to wait longer to be cleared to drive.
Are there any investigations to be completed prior to surgery?
Yes, next to a CT or MRI of the liver, a PET scan and blood tests are often required to plan treatment. A medical review of the patient’s fitness to undergo surgery safely is commonly done as well.
How much does the procedure cost?
To find out an estimation of cost, please call our clinic on (07) 5667 9766.
How can I reduce scarring after surgery?
Scar formation is a normal part of healing after surgery. To help reduce scar visibility you can apply Strataderm to the area daily. A moisturizing cream such as E lotion, Sorbolene or Bio Oil can be massaged into the scar areas 2 – 3 times daily. Only apply gels/creams once wounds are fully healed and closed, approximately 2 – 3 weeks after surgery.