Liver Surgery
The liver is a large, vital organ located in the upper right part of the abdomen, just below the diaphragm and above the stomach. It performs many essential functions that are critical for survival.
🔬 Anatomy of the Liver
• Location: Right upper quadrant of the abdomen, partially protected by the rib cage.
• Weight: About 1.2 to 1.5 kg in adults.
• Shape: Wedge-shaped, reddish-brown.
• Lobes:
• Right lobe (larger)
• Left lobe
• Also includes the caudate and quadrate lobes (smaller areas).
Blood Supply
• Dual blood supply:
• Hepatic artery: brings oxygen-rich blood.
• Portal vein: brings nutrient-rich blood from the gastrointestinal tract.
• Blood leaves the liver via the hepatic veins into the inferior vena cava.
Microscopic structure
• Made of small units called lobules.
• Each lobule contains:
• Hepatocytes (liver cells)
• Bile canaliculi
• Sinusoids (blood-filled spaces)
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⚙️ Functions of the Liver
1. Metabolism:
• Carbohydrates: stores glucose as glycogen, regulates blood sugar.
• Proteins: converts ammonia to urea, synthesizes plasma proteins like albumin.
• Fats: produces cholesterol, breaks down fatty acids.
2. Detoxification:
• Removes toxins, drugs, and alcohol from the blood.
3. Bile production:
• Bile helps in digestion and absorption of fats.
• Stored in the gallbladder.
4. Storage:
• Stores vitamins (A, D, E, K, B12), minerals (iron, copper), and glycogen.
5. Immune function:
• Contains Kupffer cells, which are macrophages that destroy bacteria and old red blood cells.
6. Synthesis of clotting factors:
• Produces factors necessary for blood clotting (e.g. fibrinogen, prothrombin).
Here is a list of liver-related surgical diseases, focusing on conditions that may require surgical or interventional treatment.
🩺 Common Surgical Diseases of the Liver
1. Liver Tumors
• Hepatocellular carcinoma (HCC)
• Most common primary liver cancer.
• Often occurs in patients with cirrhosis or chronic hepatitis B/C.
• Surgical option: Liver resection or liver transplantation.
• Liver metastases
• Secondary tumors (from colon, breast, pancreas, etc.).
• Surgery may be done in selected cases (e.g., colorectal metastasis).
• Hemangioma (benign)
• Most common benign liver tumor.
• Surgery only if large or symptomatic.
• Hepatic adenoma
• Benign, often hormone-related.
• Surgical removal if >5 cm or risk of rupture/malignancy.
• Focal nodular hyperplasia (FNH)
• Benign, usually no surgery unless diagnostic uncertainty.
2. Liver Abscess
• Pyogenic abscess
• Bacterial infection, often from biliary or portal sources.
• Treatment: antibiotics + percutaneous drainage or surgery.
• Amoebic liver abscess
• Caused by Entamoeba histolytica.
• Usually treated medically, but surgery may be needed if ruptured or unresponsive.
3. Liver Cysts
• Simple hepatic cysts
• Usually asymptomatic.
• Large or symptomatic cysts may need surgical deroofing.
• Hydatid cyst (Echinococcosis)
• Caused by Echinococcus granulosus.
• May require PAIR (Puncture-Aspiration-Injection-Reaspiration) or surgical excision.
4. Trauma to the Liver
• Common due to blunt abdominal trauma.
• Graded I–VI based on severity.
• Treatment:
• Most managed non-operatively if stable.
• Surgery if bleeding is uncontrolled or patient is unstable.
5. Biliary Surgical Diseases (involving liver)
• Cholangiocarcinoma (cancer of bile ducts)
• May involve liver hilum (Klatskin tumor).
• Requires complex liver surgery or liver transplant in selected cases.
• Choledochal cyst
• Congenital cystic dilatation of bile ducts.
• Treated with surgical excision and hepaticojejunostomy.
Surgery:
As a liver surgeon, I perform various types of Liver surgeries except liver transplantation. The type of surgery performed depends on the underlying liver disease, the patient’s condition, and the hospital’s expertise and resources. However, the world-class AMZ hepatobiliary and pancreatic centre is renowned for performing a full range of advanced liver surgeries.
Common Types of Liver Surgery in AMZ Hepatobiliary and Pancreatic Centre:
1. Right Hepatectomy
2. Left Hepatectomy
3. Posterior Sectionectomy
4. Anterior Sectionectomy
5. Central Hepatectomy
6. Left Lateral Sectionectomy
7. Enucleation of Haemangioma
8. Non-Anatomical Resection
9. Liver Biopsy
10. Extended Cholecystectomy
11. Segmentectomy
12. Partial Hepatectomy
13. Extended Right Hepatectomy
14. Extended Left Hepatectomy
15: Drainage of liver abscess
16: Deroofing of Liver Cyst
17: Surgery for Liver trauma
18: Endocystectomy for Hydatid cyst
19 : Ablation Techniques (may be combined with surgery)
Indications for Ablation Techniques:
• Small hepatocellular carcinoma (HCC)
• Poor surgical candidates
Types of Ablation Techniques:
• Radiofrequency Ablation (RFA)
• Microwave Ablation (MWA)
These procedures can be performed percutaneously or during laparoscopic surgery at AMZ Hospital.
শেষে এটা যোগ হবে
🌟 Why Choose AMZ Hepatobiliary & Pancreatic Center for Liver Surgery?
At AMZ Hepatobiliary and Pancreatic Center, we are dedicated to providing world-class care for patients with complex liver, biliary, and pancreatic diseases. Our center stands out as one of the most advanced and trusted surgical units in Bangladesh.
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🏥 Expertise You Can Trust
• Led by experienced hepatobiliary and pancreatic surgeons with national and international training.
• Specialization in liver cancer, liver cysts, trauma surgery, and biliary reconstruction.
• Collaborative team approach involving gastroenterologists, radiologists, oncologists, and anesthesiologists.
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🔧 Advanced Surgical Techniques
• Expertise in both open and laparoscopic liver surgery.
• Safe and effective procedures for:
• Hepatocellular carcinoma (HCC)
• Liver metastases
• Hydatid cyst
• Liver abscesses
• Liver trauma
• Access to minimally invasive options that reduce pain, scarring, and recovery time.
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💻 State-of-the-Art Facilities
• Modern operating theatres with high-definition imaging and precision instruments.
• Comprehensive pre-operative assessment and post-operative monitoring.
• On-site ICU and advanced diagnostic support including CT, MRI, MRCP, and liver biopsy.
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🤝 Patient-Centered Care
• Personalized treatment plans tailored to each patient’s diagnosis and condition.
• Clear communication and compassionate support throughout your surgical journey.
• Convenient appointment booking, short waiting times, and efficient care pathways.
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📍 Accessible & Trusted
Located in the heart of Dhaka, AMZ Hospital is easily accessible and trusted by patients from across the country and beyond.
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✅ Our Promise
Choosing AMZ means putting your liver health in the hands of a team that values:
• Safety
• Experience
• Innovation
• Compassion
Your health, your trust — our responsibility.
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🔔 Need liver surgery or a specialist consultation?
Book an appointment today and take the first step toward expert care and recovery.
🏥 চেম্বার: Hepatobiliary and Pancreatic Centre
📍 ঠিকানা: 1. AMZ হাসপাতাল, চ-৮০/৩, স্বাধীনতা স্বরণী (প্রগতি স্বরণী), উত্তর বাড্ডা, ঢাকা।
🕒 চেম্বারের সময়:
শনিবার, রবিবার, মঙ্গলবার, বুধবার ও বৃহস্পতিবার
⏰ বিকেল ৩টা থেকে সন্ধ্যা ৭টা পর্যন্ত
📞 যোগাযোগ নম্বর:
01740501070, 01770707054, 01736573573
📲 WhatsApp: 01712345125
✅ অ্যাপয়েন্টমেন্ট নিতে আজই যোগাযোগ করুন।
সচেতন হোন, সুস্থ থাকুন।