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Hepatobiliary Surgery

Liver Resections

Precision oncological liver surgery for the treatment of metastases and primary liver tumors. Advanced techniques that maximize tumor resection while preserving liver function.

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What are oncological liver resections?

Liver resections consist of surgical removal of a portion of the liver containing a tumor. It is the treatment with the greatest curative potential for colorectal liver metastases and for primary liver tumors such as hepatocellular carcinoma.

The liver has a unique regeneration capacity, allowing removal of up to 70-80% of the organ in patients with preserved liver function. This property makes extensive resections with curative intent possible.

Types of liver resections

Different types of resection exist depending on tumor extent and location:

Wedge resection

Removal of a small portion of liver including the tumor with a margin of healthy tissue. Indicated for small, superficial lesions.

Segmentectomy

Resection of one or several liver segments following the vascular anatomy of the liver. Allows larger resections with less parenchymal loss.

Hepatectomy

Removal of a complete liver lobe (right or left). Necessary for large or central tumors.

Extended hepatectomy

Resection of more than 60% of the liver. May require preoperative preparation techniques to increase the volume of the liver remnant.

Advanced techniques in liver surgery

We use the most modern techniques to optimize outcomes:

Laparoscopic and robotic surgery

Minimally invasive approach for selected resections, with less postoperative pain and faster recovery.

Portal vein embolization

Preoperative technique to induce hypertrophy of the liver lobe that will remain after resection, making initially unresectable cases operable.

ALPPS

Two-stage procedure that accelerates liver regeneration, allowing extensive resections in patients with insufficient liver volume.

Intraoperative ultrasound

Real-time visualization of vascular anatomy and liver lesions during surgery to guide resection.

Indications for liver surgery

Liver resections are indicated in various pathologies:

Colorectal metastases

Main indication for oncological liver surgery. Resection can be curative in selected patients with 5-year survival rates exceeding 50%.

Hepatocellular carcinoma

Primary liver tumor. Resection is indicated in patients with preserved liver function and localized disease.

Cholangiocarcinoma

Intrahepatic bile duct tumor. Requires extensive resections including the affected bile duct.

Metastases from other origins

In selected cases, metastases from neuroendocrine tumors, breast, ovary, or others may benefit from liver surgery.

Our experience in liver surgery

At Quenet-Torrent Institute we have a team specialized in oncological hepatobiliary surgery. We perform the full spectrum of liver resections, from minimally invasive procedures to complex hepatectomies.

We work in close collaboration with interventional radiologists, medical oncologists, and hepatologists to offer a multidisciplinary approach that maximizes treatment options for each patient.

Related pathologies

Liver resections are applied in the treatment of various oncological pathologies.

Biliopancreatic tumors

Cholangiocarcinomas requiring liver resection.

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