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Intermediate Technical IVT

hepatectomy

Pronunciation: hep-uh-TEK-tuh-mee

Surgical removal of part or all of the liver, commonly performed for liver tumors or metastases.

Full Definition

Hepatectomy encompasses a range of surgical procedures involving the resection of liver tissue, from wedge resections of small tumors to major anatomical resections removing entire liver segments or lobes. In surgical oncology, hepatectomy is frequently performed for primary liver cancers (hepatocellular carcinoma, cholangiocarcinoma) and colorectal liver metastases. The procedure requires careful preoperative planning including assessment of future liver remnant volume and function. Types include minor resections (wedge, segmentectomy) and major resections (removal of three or more liver segments), with the latter carrying higher perioperative risks but potentially offering better oncological outcomes.

Usage

Usage note: Specify anatomical extent (e.g., right hepatectomy, left hepatectomy, segmentectomy) for clarity.

In Context

  • "The patient underwent right hepatectomy for colorectal liver metastases with clear resection margins achieved." — Operative report
  • "Preoperative volumetric analysis confirmed adequate future liver remnant prior to extended hepatectomy." — Preoperative assessment

Also known as

liver resection hepatic resection

Contrasted with

liver transplantation

Don't confuse with

hepatotomy hepatostomy

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