Liver Surgery


Collection of pus in liver is quite common especially in those people who are alcoholic. This condition requires antibiotics and antiamoebic and repeated aspiration by pushing a needle into the liver under ultrasound guidance. Surgical intervention will be required in the case where some large abscesses are located in inaccessible areas of the liver, multiple abscesses and those threatening to rupture. Laparoscopy surgery which is minimal access surgery is enough for tackling most of the abscess. In this case, the recovery is very early. Patient sometimes also require opening of abdomen and draining the pus.


Simple cysts: In general terms, cyst of the liver is known as well encapsulated fluid collections. Congenital cysts are the most simple and their symptoms are the only source through which they get noticed. One of the most common symptoms of liver cyst is dull ache. They can usually be treated without surgery however; surgery becomes the only option in the form of deroofing of the cyst. An uncommon condition associated with polycystic kidney and sometimes pancreatic disease is polycystic liver disease. Laparoscopic puncture from time to time is required in the case of large symptomatic cysts.


Hydatid cyst is a common liver affliction in India. It is a parasitic disease caused by a certain tape worm that is carried by domestic dogs. As compared to simple cysts, these are active cysts that keep on growing with time. Laparoscopic or open methods are the treatment for majority of these cysts. The treatment for these cysts is either a marsupialisation or a cysto-pericystectomy. Spillage of cyst contents can be risky sometimes as it can cause anaphylactic reaction and occasionally dissemination of hydatid disease.


A dreaded condition, cancer of the liver can affect both young and old people. Primary cancers of the liver originate in the liver. A risk of germinating cancer in the cells is there due to the damage of a cirrhotic liver by viruses.
The other cause of cancer in liver can be from different digestive organs in the abdomen. Secondary cancer deposits from colon cancer are amenable to liver resection.


Laproscopy positively benefits the patients with liver injury. Through this, the extent of injury can be evaluated through which the decision of opening the abdomen for a definitive surgery can be taken.