HPB Surgery

Liver Resection / Hepatectomy

Open, laparoscopic and robotic liver resections — from minor wedges to major hepatectomies — performed at BLK-Max Delhi.

Liver Resection (Hepatectomy)

The liver is the only solid organ that regenerates, which allows surgeons to safely remove up to 70% of it in a healthy individual. Dr. Abhishek Aggarwal performs liver resections for hepatocellular carcinoma, intrahepatic cholangiocarcinoma, colorectal liver metastases, benign tumours and living-donor hepatectomy evaluations.

Removes tumours while preserving healthy liver function
Laparoscopic and robotic approaches reduce recovery time
Intra-operative ultrasound guides precise resection
Enhanced recovery protocols minimise ICU stay

70%Safe Resection

5-7 DaysHospital Stay

RegeneratesLiver Recovery

Lap/RoboticMIS Options

Frequently Asked Questions

What is a hepatectomy?

Hepatectomy is surgical removal of part of the liver. ‘Major’ hepatectomy removes 3 or more Couinaud segments; ‘minor’ removes less.

How much liver can be safely removed?

In a healthy liver, up to 70% can be safely removed. In cirrhotic or diseased liver, only 30-40% may be safe. The future liver remnant must be adequate.

What is the future liver remnant (FLR)?

FLR is the volume of liver that will remain after resection. It must be at least 25-30% of standardised total liver volume (more in cirrhotic liver) to avoid post-operative liver failure.

What is portal vein embolisation?

If the FLR is inadequate, blocking the portal vein branch to the tumour side makes the other side grow over 4-6 weeks, allowing safer resection.

Can liver surgery be done laparoscopically?

Yes — laparoscopic and robotic liver resections are increasingly common, with proven benefits in blood loss, pain, hospital stay and cosmesis.

Does the liver grow back?

Yes — the liver regenerates to near-normal size within 6-12 weeks after resection, provided the remaining liver is healthy.

What are the risks of liver surgery?

Bleeding, bile leak, infection, liver failure and death. Risk is strongly correlated with surgeon experience and liver function.

How long is recovery?

Hospital stay is typically 5-8 days. Most patients return to normal activity in 4-6 weeks. Major resections may require longer.

Will I need blood transfusion?

Modern techniques (low CVP, vascular control, CUSA) allow most liver resections to be done with minimal or no blood transfusion.

What follow-up is needed after liver resection for cancer?

CT or MRI every 3-6 months for 2 years, then 6-monthly up to 5 years, along with tumour markers (AFP for HCC, CEA for colorectal metastases).

Dr. Abhishek Aggarwal — Senior Consultant GI & HPB Oncosurgeon, BLK-Max Delhi

Meet Dr. Abhishek Aggarwal

12+ Years Experience500+ Cancer SurgeriesBLK-Max Delhi

Dr. Abhishek Aggarwal is a highly skilled GI & HPB surgeon with over 10 years of experience in managing complex gastrointestinal and hepato-pancreato-biliary diseases, with a special focus on oncological surgery. He currently serves as Associate Director – GI Oncosurgery at BLK-Max Super Speciality Hospital, where he is actively involved in delivering advanced surgical care for GI and HPB malignancies.

He has trained and worked in reputed high-volume centres, gaining extensive expertise in complex oncological procedures and multidisciplinary cancer care. His clinical practice is firmly grounded in scientific, evidence-based medicine, ensuring that patients receive treatment aligned with the latest global standards and research.

OPD Timing: 09:00 AM – 05:00 PM

Contact Dr. Abhishek →