Mangalore, August 3: A team of doctors headed by Dr. Vijay Ramachandran, Surgical Gastroenterologist and Hepatopancreatobiliary Surgeon, have successfully performed an Extended Right Hepatectomy (Right Hepatic Trisectionectomy), one of the most technically challenging liver surgery for Liver tumours, at Yenepoya Specialty Hospital, here.
This procedure has been carried out for the first time in Mangalore.
A 42 year old lady, mother of two children, hailing from Kasargod, was diagnosed with metastatic tumour which involved the entire Right lobe of liver (Segments 5,6,7&8) and part of segment 4 of liver and had even infiltrated the diaphragm and abdominal wall. In most of the centres, this tumour would have been deemed unresectable. In a Major Surgical Procedure lasting 5 hours, the entire tumour was successfully resected along with the Right half of the diaphragm. The patient is doing well after the surgery.
Dr. Vijay explained that such complex and technically challenging liver surgeries are usually performed only in established Hepatobiliary centres in a few cities in India. The complexity is owing to the fact that the patient is left with only the small left lobe of the liver to perform the functions. Assessment of residual liver volume and function and preserving non diseased liver parenchyma becomes critical in such surgeries.
Dr. Vijay stated that such complex liver resections can be done successfully for advanced liver tumours with the potential for cure.