Liver

What is Liver Surgery?

 

LiverLiver surgery refers to any surgical intervention on the liver which is located in the upper abdomen on the right side.

The Liver produces bile which mix with the food after eating and help digestion

 

The most important indication for liver surgery is cancer.

 

Liver cancer includes hepatocellular carcinomas (HCC) which originate in the setting of preexisting liver condition such as liver cirrhosis, or chronic viral hepatitis.

 

Liver may be involved also by cancer originating in other organs the most common being the colon (liver metastasis from colorectal cancer). Historically patient with liver metastasis were considered not surgical candidates, however with improvement of multimodal treatment protocol, things are different and patients with this disease may still be offered a chance of cure.

 

 

 

How Does it Work?

 

The treatment of liver tumors involves many disciplines such as medical oncology (for chemotherapy), radiation oncologist (for radiation), interventional radiology (for targeted liver therapy), surgery (for tumor removal or destruction).

 

All patients with liver tumor are discussed to our multidisciplinary tumor board (which involves all doctors above plus a pathologist, a radiologist to review imaging, cancer center coordinators) in order to define the best treatment, which sometime may involve chemotherapy and/or targeted liver therapy administered by the interventional radiologist as initial treatment, followed by surgery.

 

When surgery is indicated the surgical treatment plan is discussed with the patient in detail with emphasis on its indication, risks, and benefits in order to optimize the patient decision making process.

 

 

 

How is the procedure performed?

 

The surgical procedure is performed in the operating room. The surgical approach includes laparoscopy and standard open surgery.

 

The laparoscopic approach is performed by way of small surgical incisions used to introduce a vidocamera and working instruments. Laparoscopy speeds up the recovery time. During laparoscopy we perform intraoperative ultrasound in order to assess location of tumor, we destruct the tumor with high energy devices (microwave ablation), we surgically remove part of the liver involved by the tumor.

 

The standard open surgery is performed by way of a larger surgical incision in the abdomen. This is performed in case tumor located in areas of the liver which are difficult to access by laparoscopy. During open surgery we perform the same procedures as above.

 

The average hospital stay with no complications is about 3-7 days for laparoscopic approach, and 10 to 15 days for the open approach

 

What are the Key Benfits?

 

The benefit of combined treatment (medical, radiation, surgical oncology) is to attempt curing this disease. Combination treatment may offer better outcome than any single treatment.

 

Depending on the type of tumor the outcome can be excellent (especially for completed removed tumor and good response to chemotherapy).

 

 

What are the most common tumors that may benefit from this procedure?

 

Hepatocellular carcinoma, liver metastasis from colorectal cases, in selected cases single site metastasis from 

 

Which patients may benefit?

 

In order to minimize complications and optimize the outcome, patients are strictly selected.

Patients need to have a good performance status.

Patients should not have distant spread of the disease (stage IV).

 

What are the Risks?

 

Like any kind of surgery there is a risk of complications and their severity is proportional to the invasiveness of the surgery, the age of the patient, presence of pre-existing diseases, functionality of the patient before the surgery.


First Surgical Office Locations

Oakland Office
365 Hawthorne Ave, #101
Oakland, Ca 94609
Ph# 510-465-5523
Fax# 510-832-6061

Berkeley Office
2999 Regent St #700
Berkeley, Ca 94705
Ph# 510-486-0818
Fax# 510-486-0819

Hayward Office
27001 Calaroga Ave, #4
Hayward, Ca 94544
Ph# 510-732-5731
Fax# 510-732-5739

Chinatown Office
388 9th St #218B
Oakland, Ca 94607
Ph# 510-839-0298 
Fax# 510-839-4389

Bariatrics Office (Summit South)
3100 Summit St, #2600
Oakland, Ca 94609
Ph# 510-869-8972
Fax# 510-869-6989


Comprehensive Cancer Center
2001 Dwight Way
Berkeley, CA 94704
Ph# 510-204-1634
Fax# 510-204-5749