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Surgical Experts Dedicated to Improving Lives

At Lenox Hill Surgeons, our dedicated team of nyc surgeons and medical professionals provide compassionate care with the highest ethical & professional standards. In our state of the art facility, we offer surgical services using only the most cutting edge and current procedures and treatments.We specialize in general surgery, including extensive experience in performing hernia repair surgery. Our expertise is in minimally invasive surgery and robotic surgery. Minimally invasive and robotic surgery often allow patients to experience easier recovery than traditional open surgery. They also allow for more precise and less traumatic surgery. When robotic and minimally invasive surgery is not an option, we are also skilled and experienced in traditional open surgical procedures.

All of our doctors are experienced and skilled surgeons having undergone extensive training in school, residency and fellowships. They all practice medicine with ethical behavior, compassion and superb bedside manner. In the operating room they all exhibit precise mechanical abilities, analytical thinking and the ability to visualize tissue in three dimensions. These innate and learned skills allow our surgeons to be some of the most dexterous and skilled professionals in all of New York City and the Country.

Category Archives: Liver Surgery

Liver Surgery – What to Expect

nyc-surgeon-for-liver-surgery-01The little is one of the most important organs in the body, responsible for filtering blood and detoxifying. However, under certain circumstances, the liver or some suction thereof must be removed from the body. But what exactly does the liver do? Why would the liver need to be removed? And what should you expect from liver surgery and recovery?

The Role of the Liver

The liver is located on the right side of the abdomen underneath the rib cage. The primary responsibility of the liver is blood filtration and chemical detoxification or absorption. Additional proteins and enzymes are also created in the liver. Drugs, including painkillers, some supplements, and alcohol are all processed by the liver. In addition, bile that is stored in the gallbladder is created by the liver. Bile is used in digestion and breaks down fats in order to allow them to be absorbed for use by the body.

When the Liver Must be Removed

There are many conditions that can seriously affect the effectiveness of the liver. Overexposure to chemicals or drugs can, over time, slow down and weaken the liver. Viral infections, such as hepatitis, can also seriously weaken the liver. One of the most common circumstances that require liver surgery is the presence of cancer. Anytime cancer is present within one section of the body, there is a threat of metastasis, or spreading of cancer. Gallstones can also lodge within the liver and cause obstruction, requiring surgical intervention. There are a few key considerations to be taken into account before liver surgery is suggested, though. Because the liver is so essential to many necessary functions, as much of the liver should stay in the body as possible. In addition, people with weakened immune systems may have difficulty recovering from surgery as demanding as liver surgery can be.

Surgery and Recovery

liver-surgery-info-procedure-recovery-02Before deciding that liver surgery is a necessity, a doctor will most likely want to perform a thorough medical examination and discuss your needs. For example, your doctor will likely want to know about your current medications, diet, and exercise regimen. Because of the critical nature of the liver, your doctor will want to be sure that this is the best course of action. Prior to the surgery, your surgeon will most likely advise you to avoid food and drink within the few hours before the surgery. During the surgery itself, we will make a small incision in the abdomen and remove as little of the liver as possible. One of the most important things to consider when selecting a surgeon is experience. We have first-hand experience with liver surgery and know exactly what to do.

After the surgery has been completed, it is usually expected that the doctor will want to keep close supervision on your recovery. The average and expected recovery time in-house is only around a week, but it will take a few weeks until you feel the same. Some things, such as strenuous physical exercise and heavy lifting, should be avoided to limit the risk of incision site agitation. Your surgeon will likely give you specific recommendations about your diet and intake. After losing a section of the liver, your tolerance of medications, alcohol, and other drugs will change. It will be important to discuss your needs with your doctor and communicate regularly.

Does your liver need to be removed? Talk to the best surgeons in NYC for a consultation today.

646-846-1136

For more information, visit our website: LenoxHillSurgeons.com

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References:

https://www.mskcc.org/cancer-care/patient-education/about-your-liver-surgery

https://www.cancer.org/cancer/liver-cancer/treating/surgery.html

https://surgery.ucsf.edu/conditions–procedures/liver-resection.aspx 

Liver Cancer Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis

nyc-top-surgeon-for-liver-cancer-01When an area of the human liver is surgically removed, it is known as the liver resection. The most typical reason for such operative procedures is to eliminate metastases of the liver, i.e., liver cancer. Metastases are essentially cancer-causing cells that have propagated from the liver to another area inside the body. Liver resection surgery is also recommended for benign liver problems.

Steps

A liver surgery could either be laparoscopic, also known as minimally invasive, or traditional/open. The two major types of surgery for treating early liver cancer are as follows.

  • Liver resection/lobectomy
    Removing the cancerous and also the surrounding tissues in one’s liver is called a resection. When a lobe of the patient’s liver is removed, it is known as lobectomy/hemi-hepatectomy.
  • Liver transplant
    It is performed in patients with HCC or hepatocellular liver cancer.

Benefits

resection-surgeon-for-liver-cancer-02Resection means the partial or total removal of a body organ. The human liver’s phenomenal regenerative ability permits it to continue working, even when some parts of this vital organ are removed. Liver resection provides the best opportunity for long-term survival or even cure for patients with liver cancer. Removing a malignant tumor from one’s liver is the surest way of:

  • Eradicating the cancer
  • Preventing its growth to other regions of the body
  • Curing cancer or extending one’s life expectancy

Side-Effects

  • Excessive bleeding is pretty much standard for up to forty-eight hours post-surgery
  • Acute (generally occurring in the first one to two weeks post-operation) or chronic (very rarely happening after a year post-surgery) rejection of the transplanted liver by the patient’s immune system
  • Infection
  • Sleep disturbances
  • Depression and anxiety

Precautions

Wound care:

  • The patient should religiously follow the instructions provided by the caregiver.

medical-info-liver-cancer-diagnosis-surgery-03Care provider should be contacted if the:

  • Patient has a fever
  • Wound is swollen, warm, and red
  • Region surrounding the wound is painful and does not subside with medication or rest
  • Stitches are found to be becoming loose
  • Patient is experiencing trouble breathing or chest pain and which is becoming worse over time
  • Patient is not able to ingest and is losing weight
  • Foul smelling leakage is oozing from the wound
  • Experiencing severe pain in the upper abdomen
  • Skin of the patient is turning yellow, or the eyes are becoming white
  • Wound is bleeding continuously and without any cessation
  • Patient is experiencing new and sudden pain in one’s chest, which intensifies at the time of coughing or taking deep breaths, and may also cough up blood
  • One has difficult breathing and suddenly feels lightheaded
  • One’s leg or arm feels painful, tender, and warm; and may even appear red and swollen

Prognosis

The (National Cancer Institute’s Surveillance, Epidemiology, and End Results) SEER database classifies cancer cases into the following summary stages:

  • Thirty-one in every hundred patients with localized liver cancer
  • Eleven in every hundred patients with regional liver cancer
  • Three in every hundred patients with distant liver cancer

Note: The figures mentioned above indicate to the five-year survival rate in all the three stages.

Conclusion

Surgical resection is usually recommended for patients diagnosed with major and minor liver tumors. Mortality and morbidity rates have increased for sure, after the recently growing trend of applying newer surgical procedures like laparoscopic liver resection using radio-frequency ablation to transect liver parenchyma.

Contact us today to schedule an appointment and get the required care as soon as possible.

References

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2828596/
  2. https://www.cancerresearchuk.org/about-cancer/liver-cancer/treatment/surgery/liver-transplant/problems-after-surgery
  3. https://www.drugs.com/cg/liver-resection-aftercare-instructions.html
  4. http://www.upmc.com/SERVICES/LIVER-CANCER/TREATMENTS/SURGICAL-RESECTION/Pages/default.aspx
  5. https://www.cancerresearchuk.org/about-cancer/liver-cancer/treatment/surgery/types-surgery

Possible Problems Stemming from Liver Surgery

Liver surgeryThe liver is a vital organ in the body and it performs a number of crucial functions. This organ is responsible for making, breaking, and storing substances. It helps with all sorts of bodily functions such as digestion, blood clotting, and the storage of fat and glucose. This is just part of the functions that this vital organ provides, which is why it is important to keep your liver in the best condition possible.

If you do have a medical problem that affects the liver, you may have to undergo liver surgery. The liver is an organ that we cannot live without so any conditions that have a major effect could result in the need for surgery. This can be major surgery and as with all major surgical procedures, it can come with risks. It is important to familiarize yourself with the possible risks so that you are fully prepared for your procedure.

Some of the main risks of liver surgery

Liver surgeryThere are a number of potential risks and side effects that can stem from having liver surgery. Some of the ones that you should bear in mind if you are having this type of surgery include:

  •  Severe bleeding: Because of the amount of blood in the liver, an operation could result in heavy bleeding when the organ is cut. However, expert surgeons have the techniques and skills to minimize on this risk.
  • Leakage of bile: Another risk during a liver operation is the possibility of bile leakage. The liver contains a number of bile ducts and the bile can leak from these once a cut has been made to the surface of the organ. This is a relatively rare occurrence and in most cases it sorts itself out without the need for additional treatment.
  • Liver failure: If you have a section of the liver removed because of conditions such as cancer, the amount of the organ that is left behind may not be sufficient for your body. This could then lead to liver failure. This is one of the most serious possible problems connected to this type of surgery.
  • Infections: As with many major surgical procedures, there is a risk of infection when you have liver surgery. This could include one of a range of infections or even multiple infections such as chest infections, abdominal infections, and infections of the wounds. In most cases, antibiotics are used to treat these.

Speak to the Best General Surgeon in NYC

Liver surgeryIf you would like to know more about the procedure and possible risks of liver surgery, get in touch with us today and speak to the best general surgeon in NYC.

 

 

Contact us at 646-846-1136 to schedule an appointment.

What to Expect After a Liver Resection

liver resectionA liver resection is a surgery to remove part of a patient’s liver. The liver is unique among all the interior organs in the human body in that it is capable of regenerating, meaning as much as 50 per cent of the liver can be removed during a resection; so long as the other half is healthy, the organ will regenerate over time.

Immediately After Surgery

liver resectionTo access the liver, doctors need to make an incision in the patient’s belly. When the right side of a liver is removed, the gallbladder needs to be removed to allow access.
It is normal for the patient’s belly to be tender and sore for a little while and painkillers might be prescribed. The pain usually subsides after a few weeks, but during that time patients may also experience nausea, irregular bowel movements, constipation, and diarrhea. A small percentage of patients experience a fever and feel persistently tired, weak, and ill.

It is also common for patients to experience numbness around the wound following liver surgery NYC, but this usually wears off over time, although there will always be some numbness where the incision was made and this is perfectly normal.

Recuperating at Home

liver resectionOnce you leave the hospital, it is important that you observe certain precautions. Make sure you get plenty of rest. It is during sleep and relaxation that your body does most of its repair work. You might find yourself becoming tired more easily for a little while and you should always rest when you feel tired; try to do some light exercise, such as going for a short walk, every day. Conversely, avoid strenuous exercise until your doctor clears you for it.

It is usually a good idea to wait until at least eight weeks, unless your doctor says otherwise, before doing any heavy lifting. You may find that coughing produces a sharp pain around the area of the incision. If so, try holding a pillow over your stomach when you cough to lessen the pain.

Complications

You should dial 911 if you have any of the following symptoms: losing consciousness, respiratory trouble, sudden chest pain and accompanying shortness of breath, or a severe pain in the belly. These could indicate internal problems and are potentially life-threatening.

For further information, drop into one of our liver surgery NYC clinics for a consultation with one of our doctors.

Contact us at 646-846-1136 to schedule an appointment.