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Dr. Prasanna Kumar Reddy

How Hepatectomy is Saving Lives In India - 15th May 2019

Hepatectomy is a procedure that was created to manage benign or malignant lesions in the liver. Now, the majority of the surgeries are undertaken during liver transplant and to manage primary or secondary liver growths. 

Thanks to the improvement in the outcomes of hepatectomy over time due to the development of surgical techniques, GI Surgeons like Dr. Prasanna Kumar Reddy use it to treat myriad of liver diseases. 

For example, A 40-year-old woman presented Dr. Prasanna and his colleagues with recurrent pain in abdomen and fever with chills for the last two years. The doctors didn't find any history of jaundice. A haemogram was undertaken and it presented them the count for hemoglobin, leucocyte, and ESR in her blood.

Abdomen ultra showed left lobe atrophy. It also showed the dilatation of intrahepatic radicals, with a stone spotted in the proximal segment of the left hepatic duct. The common bile duct was also mildly dilated. CT findings were suggestive of oriental cholangiohepatitis, inflammation of liver and bile ducts, with narrowing of the left hepatic duct and dilatation of intrahepatic biliary radicals, intraductal cyst, and deterioration of the left lobe of the liver. A left hepatectomy was performed for the condition and for her the post-operative period remained uneventful. 

Dr. Prasanna Kumar Reddy also tackled another case where a 45-year-old woman presented herself with generalized weakness and low-grade intermittent fever. She was struggling with these conditions for the last two years. Her liver function tests were normal. Abdomen Ultrasound showed left liver lobe atrophy. MRCP showed intrahepatic stones,  an abnormal narrowing of the left bile duct and left lobe atrophy. Cholecystectomy and left hepatectomy were done, and the patient made an uneventful recovery.

To conclude, in India, liver resection still remains the ultimate surgical option for OCH as it removes the stones as well as the narrowing of the bile duct and the possibility of carcinoma. It takes better advantage of the segmental anatomy of the liver and improves control of bleeding. In addition, more of these procedures are now being performed in tertiary centers, that too, by specially trained hepatobiliary and upper GI surgeons like  Dr. Prasanna Kumar Reddy who have a higher level of expertise that leads to better outcomes.