Hemihepatectomy (liver resection)

Hemihepatectomy is a surgical procedure involving removal of one lobe of the liver (right or left). It is performed in cases of malignant and benign tumors, traumatic injuries, cysts, and other severe liver diseases.

When is hemihepatectomy required?

• For liver tumors (hepatocellular carcinoma, cholangiocarcinoma, liver metastases).
• In cases of large cystic lesions that impair normal liver function.
• For echinococcosis and alveococcosis when parasitic disease involves a significant portion of the liver.
• In severe liver trauma with irreversible damage to one hepatic lobe.
• For localized benign tumors (hepatic adenoma, focal nodular hyperplasia).

Types of hemihepatectomy

• Right hemihepatectomy – removal of the right lobe of the liver.
• Left hemihepatectomy – removal of the left lobe of the liver.
• Extended hemihepatectomy – removal of one lobe together with adjacent liver segments.

How is the procedure performed?

1. Diagnosis and preparation – liver CT scan, MRI, hepatic angiography, and biochemical blood tests.
2. Anesthesia – the operation is performed under general anesthesia.
3. Removal of the liver lobe – the surgeon isolates hepatic vessels and resects the affected portion of the liver.
4. Hemostasis and reconstruction – control of bleeding and formation of the remaining liver tissue.
5. Postoperative recovery – the patient undergoes rehabilitation and receives supportive therapy.

Main advantages of modern hemihepatectomy in Belarus

• Possibility of complete tumor removal while preserving liver function.
• High regenerative capacity of the liver – the remaining tissue compensates for lost function.
• Use of laparoscopic and robot-assisted techniques, reducing surgical trauma.
• Minimization of bleeding risk through advanced coagulation and vascular reconstruction methods.
• High effectiveness in the treatment of primary and metastatic liver tumors.

The operation is performed in leading surgical and oncological centers in Belarus using modern technologies and minimally invasive techniques. Highly qualified surgeons ensure precise execution of the procedure, minimal complication risk, and effective patient recovery.