Left Trisegmentectomy Treatment in Turkey
About Left Trisegmentectomy
Key Highlights
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Curative intent surgery for cancers confined to the left liver.Preserves significant functional liver volume compared to a full left hepatectomy.Allows for precise removal of tumors while sparing healthy tissue.Can be performed using open, laparoscopic, or robotic-assisted techniques in expert hands.Offers a potential for long-term survival in eligible patients with liver tumors.
Who is this surgery for?
- Primary liver cancer (Hepatocellular Carcinoma - HCC) localized to segments II, III, and IV.
- Metastatic liver tumors (e.g., from colorectal cancer) confined to the left liver.
- Large benign liver tumors (e.g., hepatic adenoma, giant hemangioma) causing pain, obstruction, or risk of rupture.
- Symptomatic hepatolithiasis (liver stones) affecting the left hepatic duct system.
- Selected cases of intrahepatic cholangiocarcinoma limited to the left liver.
- Traumatic injury or infection isolated to the left liver segments.
How to prepare
- Comprehensive pre-operative imaging (CT scan, MRI, sometimes PET-CT) to map tumor location and liver anatomy.
- Assessment of liver function with blood tests (LFTs, INR) and volumetric CT/MRI to calculate future liver remnant (FLR).
- Cardiac and pulmonary evaluation to ensure fitness for major surgery.
- Nutritional optimization and management of any underlying liver disease (e.g., cirrhosis).
- Pre-operative portal vein embolization (PVE) may be planned to enlarge the future liver remnant if it is too small.
- Discontinuation of blood thinners and certain supplements as advised by the surgical team.
- Fasting for 6-8 hours before the procedure.
Risks & possible complications
- General surgical risks: Bleeding, infection, blood clots (DVT/PE), and anesthesia-related complications.
- Liver-specific risks: Post-hepatectomy liver failure (the most serious risk), bile leak, and biliary stricture.
- Fluid collections: Ascites or peri-hepatic abscess.
- Pleural effusion (fluid around the lung).
- Injury to adjacent structures (stomach, diaphragm, colon).
- Long-term risk of liver insufficiency if the remaining liver is compromised.
Recovery & hospital stay
- Initial 1-2 days in the Intensive Care Unit (ICU) or high-dependency unit for close monitoring of liver function and vitals.
- Pain is managed with epidural or patient-controlled analgesia (PCA), transitioning to oral medications.
- Early mobilization is encouraged to prevent complications like pneumonia and blood clots.
- Diet is gradually advanced from liquids to solids as bowel function returns.
- Drains placed during surgery are removed once output decreases.
- Regular blood tests to monitor liver enzymes and synthetic function.
- Follow-up imaging (ultrasound or CT) may be scheduled to check the surgical site.
- Full recovery of energy and return to normal activities takes several weeks to months, with heavy lifting restricted for 6-8 weeks.
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Typical hospital stay:
7-14 days
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Expected recovery time:
6-12 weeks
Frequently Asked Questions
If you are considering left trisegmentectomy in Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with surgical gastroenterology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform left trisegmentectomy. MediFyr helps you compare surgical gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for left trisegmentectomy compare across other countries where we have data.
Amit Roy, a 58-year-old former school...
Amit Roy, a 58-year-old former school teacher and avid gardener from Kolkata, had been experiencing persistent dull pain in his upper abdomen and unexplained weight loss for several months. Initially attributing it to stress, he eventually developed jaundice. A CT scan revealed a large, solitary tumor in the left lobe of his liver, confirmed as hepatocellular carcinoma. His surgical gastroenterologist, Dr. Sharma, explained that a Left Trisegmentectomy (removing the left lateral and medial sections, plus the central segment) offered the best chance for a cure, as the tumor's location made this extensive resection necessary while preserving enough healthy liver. Amit was terrified of the major surgery and the impact on his active life. The 8-hour procedure went smoothly. His recovery in the hospital was challenging, with pain and initial fatigue, but within 3 weeks, his remarkable liver regeneration was evident on scans. Six months post-op, with no evidence of disease, Amit is back to tending his garden, though at a slower pace. His emotional journey shifted from profound fear of cancer to immense gratitude for a second chance, now cherishing each day with his family.