Successful Laparoscopic Left Hepatectomy for Liver Cancer in a 66 Y.O. Woman with Hepatitis C History
PACE Hospitals’ expert Gastroenterology team successfully performed a Laparoscopic Left Hepatectomy on a 66-year-old female patient diagnosed with a space-occupying lesion in segment IV of the liver, confirmed as Hepatocellular Carcinoma (HCC). The procedure aimed to achieve complete surgical removal of the malignant tumour, prevent further progression or metastasis of the disease, and improve the patient's overall prognosis and quality of life.
PACE Hospitals is widely recognized as one of the Best Gastroenterology Hospital in Hyderabad, India. With a team of highly skilled and experienced medical & surgical gastroenterology doctors, hepatology doctors, PACE Hospitals offers comprehensive diagnostic and treatment services for a wide range of diseases and disorders related to the digestive system. The hospital is equipped with modern facilities and state-of-the-art technology, such as high-definition endoscopes and imaging systems, third space endoscopic suite, 3D HD laser and laparoscopic system, surgical robotic system, ensuring accurate diagnosis and effective treatment for patients.
☑️ Chief Complaints
A 66-year-old female patient with a body mass index (BMI) of 21.2 presented to the Gastroenterology Department at PACE Hospitals, Hitech City, Hyderabad, with an incidentally detected mass lesion in the liver. She was asymptomatic, reporting no abdominal pain, fever, jaundice, anorexia, or recent weight loss.
☑️ Past Medical History
The patient has a known history of Hepatitis C Virus (HCV) infection, for which she completed a 3-month course of antiviral therapy 17 years ago. She has been diagnosed with hypertension for the past 3 years and is on regular antihypertensive medication. Additionally, she has a 12-year history of hypothyroidism and is maintained on regular thyroid hormone replacement therapy.
☑️ On Examination
On examination, the patient’s vital signs were within normal limits. She was conscious, alert, and oriented to time, place, and person. General physical examination revealed no pallor, icterus, cyanosis, clubbing, lymphadenopathy, or pedal edema. The abdomen was soft and non-tender with no evidence of organomegaly or ascites. Cardiovascular, respiratory, and central nervous system examinations were unremarkable.
☑️ Diagnosis
Upon admission to PACE Hospitals, the patient was thoroughly evaluated by the Gastroenterology team, which included a detailed review of her medical history and a comprehensive clinical examination. Given her known history of hepatitis and an incidentally detected liver mass, a strong clinical suspicion of a hepatic lesion requiring further investigation was established.
The patient underwent multiple diagnostic tests to evaluate the liver lesion and overall health status. Liver function tests revealed elevated SGPT and SGOT levels, indicating liver injury, along with mildly increased alkaline phosphatase and slightly low serum albumin. Complete blood counts showed neutrophilic leukocytosis suggestive of inflammation or infection.
Histopathological examination of the resected liver tissue identified a cystic lesion within the left lobe consistent with Hepatocellular Carcinoma. Urine culture showed no bacterial growth, and chest X-rays revealed mild pleural effusion on the right side. Additionally, procalcitonin levels were mildly elevated, indicating a low likelihood of bacterial infection.
Based on the confirmed findings, the patient was advised to undergo Hepatocellular Carcinoma Treatment in Hyderabad, India, under the expert care of the Gastroenterology Department.
☑️ Surgical Procedure
Following the decision, the patient was scheduled to undergo a Laparoscopic Left Hepatectomy Procedure in Hyderabad at PACE Hospitals, under the expert care of the Gastroenterology Department.
The laparoscopic left hepatectomy was performed under general anesthesia as follows:
Abdominal Exploration and Initial Assessment: Upon laparoscopic entry into the abdominal cavity, the liver appeared grossly normal with no visible mass lesion, no omental or peritoneal deposits, and no evidence of free fluid. The falciform ligament was divided to facilitate access to the left hepatic lobe.
Hilar Dissection and Vascular Control: The liver was gently lifted to expose the hepatic hilum, where dissection was performed. The left hepatic artery and left portal vein were carefully identified, isolated, and ligated to control vascular inflow to the left liver lobe.
Parenchymal Transection: Parenchymal transection was initiated adjacent to the falciform ligament using Ligasure and bipolar cautery. This step allowed for the separation of the left hepatic lobe from the remaining liver tissue with controlled hemostasis.
Outflow Control and Specimen Retrieval: The left hepatic vein (LHV) was identified and divided using a vascular stapler (white load), while the middle hepatic vein (MHV) was preserved. During this stage, 1 unit of packed red blood cells (PRBC) was transfused intraoperatively to compensate for blood loss. The resected liver specimen was retrieved through a midline incision.
Hemostasis and Closure: A drain was placed at the transected surface of the liver to monitor postoperative bleeding or bile leakage. The procedure was completed uneventfully, and the abdomen was closed in layers.
☑️ Why Choose PaACE Hospitals
PACE Hospitals — Best Hospital in Hyderabad, Telangana, India, stands out as a premier center for advanced liver surgeries, including Laparoscopic Left Hepatectomy for liver cancer (Hepatocellular Carcinoma). Recently, the hospital successfully treated a 66-year-old female patient, achieving complete tumor removal and a smooth recovery. The hospital’s approach integrates:
✅ Advanced diagnostics for accurate liver lesion detection and comprehensive assessment
✅ World-class surgical expertise in minimally invasive, laparoscopic liver resection
✅ Comprehensive post-operative care and diligent follow-up for optimal recovery
✅ Holistic support—including emotional, nutritional, and patient education—for patients and their families
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