UNDERSTANDING
Extended Hepatectomy
What is Extended Hepatectomy?
Extended hepatectomy is a specialized liver surgery where more than half of the liver is removed, usually including the entire right or left lobe along with part of the opposite lobe. It is recommended for large or complex liver tumors, cancers spreading across multiple segments, or diseases that cannot be treated with standard hepatectomy.
When is it Recommended?
- Large or complex tumors- When a tumor is so big or spread out that smaller surgeries cannot remove it fully.
- Multiple Tumors across Segments- Such as large adenomas or cystadenomas that cannot be managed otherwise.
- Cholangiocarcinoma (Bile Duct Cancer)- When bile duct cancers spread into adjoining parts of the liver and cannot be cleared otherwise.
- Recurrent Disease- For patients who have had prior surgery but developed new or recurring growths.
- Advanced Liver Cancer- In certain cases where the cancer involves both lobes of the liver and needs a more extensive operation.
Process of Extended Hepatectomy
Every patient undergoes detailed evaluation with scans and liver function tests before surgery.
During the procedure, the diseased part of the liver is removed with precision while preserving vital structures.
The remaining healthy liver gradually regenerates to take over its functions.
Post-surgery, our team provides close monitoring, pain management, and rehabilitation to support full recovery.
WHAT ARE
BENEFITS OF Extended Hepatectomy
Comprehensive Tumor Removal
This surgery clears large or multiple tumors that cannot be treated with smaller resections, giving the best chance for complete disease removal.
Improved Long-term survival
By removing more diseased tissue, the risk of recurrence is reduced, improving overall survival outcomes.
Restoration of Liver
Health
The surgery helps restore healthier liver function by removing damaged or obstructed areas.
Curative Potential in select cases
For carefully chosen patients, it can act as a curative treatment when no other option is effective.
Guided by advanced surgical techniques
Modern imaging and operative methods make this surgery safer with fewer complications.
enhanced quality of
life
Successful surgery relieves symptoms like pain, jaundice, or fatigue, helping patients return to a normal life.
Why Trust Us for Extended Hepatectomy
Combined expertise of two leading liver surgeons
Dr. Vikas Patel has been part of more than 600 liver transplants, while Dr. Dharmendra Dangi has been part of over 500 liver transplants and performed 500+ complex liver and HPB surgeries. Together, they bring unmatched skill to even the toughest cases.
Experience with high-risk and pediatric cases
From critically ill adults to children needing delicate surgery, our team has successfully managed some of the most challenging and rare liver conditions. Both doctors are trained to manage challenging cases, including liver failure in children, elderly patients, and blood group mismatches.
Proven results using advanced techniques
We use the latest surgical and medical methods including minimally invasive procedures to ensure safer operations, faster recovery, and long-term success. Dr. Dangi is one of the few surgeons in India performing midline donor hepatectomy, a safer way to remove part of the liver from a living donor.
Nationally recognized for excellence
Our surgeons are trusted across India for their leadership in liver surgery. Their work has been featured in medical journals, presented at national conferences, and acknowledged in health magazines such as Silicon India (Top 10 Liver Transplant Surgeons, 2025).
FAQ
Common Questions We Hear From Patients
Your concerns are valid. Here are expert answers to help you make confident decisions about your liver health.
It removes more liver segments than standard surgery, making it suitable for large or widespread disease.
Yes, though it is a major operation, in experienced hands with proper planning, it is performed safely with good outcomes.
About 25–30% of healthy liver is preserved, which is enough to support recovery and regeneration.
Yes, the liver has a natural ability to regenerate and gradually restore function.
Most patients take about 6–8 weeks for full recovery after discharge.
No lifelong medicines are required, but regular check-ups are important to track recovery.
For selected patients, yes — it can be curative if all diseased tissue is removed.
Take the First step to a
Advanced Surgery for Complex Liver Conditions
Extended hepatectomy is a life-saving procedure for patients with advanced or complex liver diseases. With the right planning and surgical expertise, it not only removes the problem but restores health and hope.
Talk to Ahmedabad’s Trusted Liver Experts
At our liver transplant and Hpb surgery care center, Dr. Vikas Patel and Dr. Dharmendra Dangi combine their expertise in liver and HPB surgery to deliver world-class care. Their teamwork, precision, and patient-first approach ensure safe outcomes even in the most complex cases.