General Surgery · HPB
Liver Resection
Liver Resection
OPERATION: Liver Resection — [Right Hepatectomy / Left Hepatectomy / Right Hemihepatectomy / Bisegmentectomy / Segmentectomy / Wedge Resection] — [Open / Laparoscopic] ANAESTHETIC: General anaesthesia with epidural / PCA ANTIBIOTICS: IV cephalosporin at induction POSITION: Supine. Urinary catheter. Nasogastric tube. Cell salvage in circuit. VTE prophylaxis. INDICATION: [Colorectal liver metastases / hepatocellular carcinoma / cholangiocarcinoma / other primary hepatic tumour / benign lesion]. Preoperative staging: CT three-phase / MRI liver [findings]. [PET-CT if colorectal metastases]. MDT discussed and resection agreed. [Future liver remnant volumetry performed — [volume] % estimated remnant]. [Portal vein embolisation performed [date] — restaged [volume] % remnant achieved]. PROCEDURE: WHO Checklist performed. Abdomen prepared and draped widely. INCISION: [Right subcostal / bilateral subcostal (Mercedes / rooftop) / J-incision / midline] incision. Self-retaining retractor system applied. EXPLORATION AND ASSESSMENT OF RESECTABILITY: