Post-Surgery Concerns for Liver Cancer Patients: What to Expect

Postoperative Issues Related to Liver Cancer Surgery

Hello Doctor: I am a family member of a patient.
My father is a carrier of hepatitis B.
Although he usually pays attention to his diet, he was diagnosed with liver cancer at Tzu Chi Hospital in early July.
After a series of examinations, he underwent surgery at National Taiwan University Hospital at the end of September.
Initially, the doctors assessed that there were two tumors in the right liver: one near the hepatic portal vein and another located more towards the right side of the right liver.
Therefore, they decided to perform a right hepatectomy.
However, during the surgery, it was discovered that there was actually only the tumor near the hepatic portal vein.
I would like to ask the doctor a few questions: 1.
Are there many cases like my father's? Is it common to remove the entire right liver for just a tumor measuring over 2 centimeters? 2.
Although my father currently shows no signs of liver cirrhosis, he is a hepatitis B carrier and only has the left liver remaining.
I am concerned that due to this surgery, if any liver issues arise in the future, it may lead to liver failure more quickly (since there is not much liver left).
3.
I have heard that the liver has a strong regenerative capacity.
I would like to ask the doctor if, in my father's situation, the left liver can grow back to the original liver size?

Axiang, 20~29 year old female. Ask Date: 2006/10/31

Dr. He Zhenming reply Surgery

Due to the tumor's proximity to the anal veins, performing a right hepatectomy is a reasonable choice.
In patients without liver cirrhosis, right lobe hepatectomy has no adverse effects on the body.
Dr.
He Zhenming

Reply Date: 2006/10/31

More Info

Post-surgery concerns for liver cancer patients, especially those with a history of hepatitis B, are quite common and understandable. Your father's case, where he underwent a right hepatectomy due to a tumor near the hepatic hilum, raises several important questions regarding the implications of such a surgery, the liver's regenerative capabilities, and the potential for future complications.

1. Frequency of Similar Cases: It is not uncommon for patients with liver tumors to undergo extensive surgeries, such as a right hepatectomy, even when only one tumor is confirmed during surgery. The decision to remove a larger portion of the liver often hinges on the tumor's location, size, and the potential for malignancy. In cases where tumors are near critical vascular structures, surgeons may opt for a more aggressive approach to ensure complete removal and reduce the risk of recurrence. This is particularly true in patients with underlying liver conditions, such as hepatitis B, where the risk of liver cancer is elevated.

2. Concerns About Liver Function Post-Surgery: Your concern about your father's liver function post-surgery is valid. While he currently does not exhibit signs of cirrhosis, being a hepatitis B carrier means that he is at a higher risk for developing liver-related complications in the future. The remaining left lobe of the liver can compensate for the loss of the right lobe, but it is crucial to monitor liver function regularly. The risk of liver failure can increase if there are additional stressors, such as further liver disease progression or the development of new tumors. Regular follow-ups with a hepatologist or oncologist are essential to monitor liver function and overall health.

3. Liver Regeneration: The liver is indeed known for its remarkable regenerative capabilities. After a significant portion of the liver is removed, the remaining liver tissue can grow back to a near-normal size, typically within a few months. However, the extent of regeneration can depend on several factors, including the patient's overall health, nutritional status, and the presence of underlying liver disease. In your father's case, maintaining a healthy diet, avoiding alcohol, and adhering to any prescribed medications will be crucial in supporting liver regeneration.

In summary, while your father's situation is concerning, it is essential to remain optimistic about the liver's ability to regenerate and the potential for a good quality of life post-surgery. Regular medical follow-ups, a healthy lifestyle, and close monitoring of liver function will be key components in managing his health moving forward. Engaging with healthcare professionals who specialize in liver disease will provide the best guidance tailored to your father's specific needs.

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