Liver resection


Surgery to remove tumours on the liver

Removal of liver tumours

Liver resection is a treatment for benign and malignant growths in the liver, carried out through open surgery and keyhole / robotic operations are sometimes possible.

Assuming at least 30% of healthy liver can be preserved at the time of surgery, then the removal of tumours is the best potential treatment option to extend life or reduce symptoms.

Liver metastasis (secondary cancer) is particularly common with colorectal cancer.

Need to know

  • What happens during surgery? icon plus

    Any potential patient requiring surgery is reviewed by a consultant in clinic, and then discussed in a multi-disciplinary meeting (MDT), where a group of relevant specialists confirm that the proposed treatment plan is appropriate.

    All liver surgery is performed under general anaesthetic, often in combination with a spinal epidural. All patients will meet the anesthetist prior to the procedure, as well as seeing the surgeon for final consent.

    Strategies for liver resection will depend on the site, number and size of tumours; and, for metastatic disease, the origin of the tumour. This will be planned pre-operatively by the surgical team and discussed with the patient in clinic.

    Open resection is the most frequent approach to complex operations . More minor resections can occasionally be performed with minimally invasive techniques including keyhole (laparoscopic) surgey or rarely robotic surgery.  Ultrasound-guided radio frequency ablation (RFA) can be considered either as an adjunct to resection, or occasionally without surgery for small central tumours. 

    The cut or cuts will be closed either with metal clips (removed after 10 days) or with dissolvable sutures.
  • How to prepare icon plus

    You'll need to attend a pre-op assessment where you'll be asked about your general health, previous operations, allergies and any medications you're on. You may have some blood tests as well as an ECG. If necessary, an anaesthetist may also see you. All food and clear fluids must not be taken for six hours and three hours, respectively, prior to the procedure. On the day itself, your consultant and anaesthetist will come to see you before your operation. This is to ensure you fully understand what will happen, and to address any further questions or concerns you may have. Once this is concluded, you will then be asked to sign a consent form.
  • After surgery icon plus

    As liver resection is a complex surgical procedure, you will need to spend one to two nights in intensive care. You can expect to be in hospital for around seven to 10 days, sometimes longer, for monitoring.

    Your pain will be controlled with patient-controlled analgesia whilst in ITU (intensive care). Some patients will have an epidural during their time in intensive care.

    Whilst on the ward, pain will be controlled with intravenous and oral analgesia.

    If your procedure was an open resection, you'll have a fairly large wound on the upper part of your abdomen. This will heal in one to two weeks. Full recovery however, may take eight to 10 weeks.

    The resected liver tissue will be sent for analysis, and your consultant will have follow-up appointments with you to discuss histology results and plan next steps (e.g. chemotherapy) may be advised.


Our liver consultants

We're proud to work with leading liver consultants who are experts in diagnosing and managing conditions of the liver and HPB system, and whose skills are matched by their integrity and compassion.

Our locations

From complex liver surgery to diagnostic tests and biopsy procedures, we provide exceptional hepatobiliary care across our network of hospitals, outpatient centres and specialist clinics.

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Our team can help with any enquiries or you can make an appointment with one of our experienced consultants.

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020 7079 4344
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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