SERVICES OFFERED
ENDOSCOPY
- Diagnostic & Therapeutic Upper GI Endoscopy
- Diagnostic & Therapeutic Colonoscopy
- Capsule Endoscopy
- ERCP & Cholangio-pancreatoscopy
- Endoscopic Ultrasound [EUS]
GI MOTILITY LAB
- 24 Hrs Esophageal pH-Impedance study
- Esophageal & Anorectal Manometry
BREATH TESTS
- Hydrogen Breath Test for small intestinal bacterial overgrowth
- Urea Breath Test for H. pylori infection
SURGERY
- Esophageal & Gastric Surgery
- Hepatectomy & Liver Surgery
- Pancreato – Billiary Surgery
- Colorectal Surgery
- Hernia Surgery – Laparoscopic & Open
- Minimally Invasive & Laparoscopia Surgery
- Gl Oncology Surgery
- Surgery for Piles, Fistula & Fissure
RADIOLOGY
- Digital X-Ray
- Ultrasound with Colour Doppler
- Liver Elastography [Fibroscan] for liver fibrosis and steatosis.
PATHOLOGY
CRITICAL CARE TAIL
- State of Art Intensive Care Unit & Expert Team for management of GI and hepato-pancreato-biliary diseases
ADVANCED SERVICES OFFERED
ERCP & CHOLANGIO-PANCREATOSCOPY
- Complex Pancreato-biliary Procedures
[Multiple biliary stent placement for hilar strictures;
mechanical lithotripsy for CBO stones] - Laser Lithotripsy Treatment for CBD / pancreatic stones
- CBD Stricture evaluation
- Ampullectomy
THIRD SPACE ENDOSCOPY
- Endoscopic Mucosal Resection [EMR] & Endoscopic Submucosal Dissection [ESD] for early gastrointestinal cancers
- Peroral Endoscopic Myotomy [POEM] for Zenker’s Diverticulum,
Achalasia Cardia, Gastroparesis, Hirschsprung’s disease - Submucuosal Tunneling & Endoscopic Resection [STER]
& Endoscopic Full-Thickness Resecton (EFTR] for subepithlial tumors
ANTIREFLUX TREATMENT [FOR GERD]
- Antireflux Mucosal Ablation [ARMA]
- Endoscopic Funcoplication
ENDOBARIATRICS [FOR WEIGHT LOSS]
- Gastric Balloon placement
- Endoscopic Sleeve Gastroplasty
ENDOSCOPIC ULTRASOUND [EUS]
- EUS & EUS – guided FNAC / Biopsy for diagnosis
- EUS – guided Pancreatic Cysto-gastrostomy / Choledocho-jejunostomy / Hepatico-gastrostomy
- EUS – guided Gastric Variceal Glue & Coil treatment
Liver surgery encompasses a range of surgical procedures performed on the liver to treat conditions including liver tumours, liver cysts, liver abscesses and other structural liver conditions that require surgical intervention. The liver is the largest solid organ in the body and performs hundreds of vital functions essential for overall health. Liver surgery is a highly specialised field that requires significant surgical expertise and advanced facilities to ensure safe and effective outcomes. At LGI Hospital, Nagpur, our experienced surgical gastroenterologists and hepatobiliary specialists provide comprehensive liver surgery with a focus on precision, patient safety and optimal long term outcomes.
What Is Liver Surgery?
Liver surgery refers to surgical procedures involving partial or complete removal of liver tissue, drainage of liver abscesses or cysts, or repair of liver injuries. The most common liver surgical procedure is a hepatic resection, which involves the removal of a portion of the liver affected by a tumour, cancer or other disease. The liver has a remarkable capacity for regeneration, meaning that in suitable cases, a significant portion of the liver can be removed and the remaining liver tissue can regenerate and restore normal function over time. A surgical gastroenterologist will conduct a thorough assessment to determine whether liver surgery is appropriate and which surgical approach is best suited to each individual patient.
Conditions Treated With Liver Surgery
Liver surgery is recommended for a range of conditions affecting the liver that cannot be adequately managed through non surgical means. Common conditions treated with liver surgery at LGI Hospital in Nagpur include:
- Liver cancer including hepatocellular carcinoma requiring surgical resection
- Liver metastases from colorectal or other primary cancers
- Benign liver tumours including hepatic adenomas and haemangiomas requiring removal
- Liver cysts causing symptoms or complications
- Liver abscesses requiring surgical drainage when other approaches are not suitable
- Hydatid cysts of the liver
- Bile duct conditions requiring surgical correction
- Liver trauma or injury requiring emergency surgical repair
- Selected cases of portal hypertension requiring surgical management
Common Symptoms That May Indicate a Liver Condition Requiring Surgery
Several symptoms may indicate a liver condition that requires surgical evaluation. These include:
- Persistent pain or discomfort in the upper right abdomen
- A palpable mass or swelling in the upper abdomen
- Unexplained weight loss and loss of appetite
- Persistent fatigue and weakness
- Yellowing of the skin and eyes indicating jaundice
- Fever and chills in cases of liver abscess
- Abdominal swelling due to fluid accumulation
- Abnormal liver function test results prompting further investigation
- Incidentally detected liver lesions on imaging requiring further evaluation
Any of these symptoms or findings should be evaluated by a hepatologist or surgical gastroenterologist for accurate diagnosis and appropriate management.
When Is Liver Surgery Recommended?
Liver surgery is recommended when the liver condition requires surgical intervention for effective treatment and cannot be adequately managed through non surgical approaches. A surgical gastroenterologist will conduct a comprehensive evaluation before recommending surgery. Common indications for liver surgery include:
- Confirmed liver cancer or tumour requiring surgical resection
- Liver metastases suitable for curative or palliative surgical resection
- Symptomatic benign liver tumours at risk of complications
- Large or infected liver cysts or abscesses not responding to other treatment
- Liver trauma requiring emergency surgical repair
- Bile duct conditions requiring surgical correction
- Selected cases of portal hypertension with surgical treatment options
Liver Surgery Options in Nagpur
The type of liver surgery recommended depends on the specific condition, its location within the liver, the size of the lesion and the patient's overall liver function and health. Common surgical approaches include:
Laparoscopic liver surgery is performed in suitable cases and offers the advantages of smaller incisions, reduced blood loss, less post operative pain and faster recovery compared to open hepatic surgery.
What Happens During Liver Surgery?
The specifics of liver surgery vary depending on the procedure and approach selected. The general surgical process involves the following steps:
- A thorough pre operative assessment including liver function tests, imaging, biopsy in selected cases and clinical evaluation
- Administration of general anaesthesia to ensure complete patient comfort throughout
- For laparoscopic surgery, small incisions are made and a laparoscope and instruments are inserted
- For open surgery, a larger incision is made in the upper abdomen to access the liver directly
- The affected portion of the liver or the lesion is carefully identified and removed or treated
- Bleeding is meticulously controlled throughout the procedure
- Drains may be placed near the liver to remove any fluid after surgery
- Incisions are closed and the patient is transferred to the recovery area
Liver surgery is a complex procedure and is performed by specialist surgical gastroenterologists with dedicated hepatobiliary expertise at LGI Hospital.
Recovery After Liver Surgery
Recovery after liver surgery is an important and carefully managed process given the vital role of the liver in overall health. General recovery guidelines include:
- A hospital stay of several days following surgery depending on the extent of the procedure
- Close monitoring of liver function and recovery in the post operative period
- Gradual reintroduction of fluids and foods as liver function stabilises
- Avoiding alcohol and any medications that may affect liver function during recovery
- Avoiding heavy lifting and strenuous physical activity for the recommended period
- Attending all scheduled follow up appointments for liver function monitoring and imaging
- Full recovery timelines vary significantly depending on the extent of liver resection and individual healing
The surgical team at LGI Hospital provides comprehensive and personalised post operative care and monitoring to support every patient through a safe and effective recovery following liver surgery.
Why Choose LGI Hospital for Liver Surgery in Nagpur?
- Specialised Hepatobiliary Surgical Expertise: LGI Hospital in Nagpur has a dedicated team of surgical gastroenterologists with focused expertise in hepatobiliary surgery, providing comprehensive evaluation and surgical management of a wide range of liver conditions.
- Advanced Surgical and Diagnostic Infrastructure: From pre operative liver function assessment and advanced imaging to laparoscopic and open liver surgery, LGI Hospital in Dhantoli, Nagpur is equipped with the facilities and expertise needed for safe and effective liver surgery.
- Integrated Medical and Surgical Liver Care: With both hepatology and surgical gastroenterology expertise under one roof, LGI Hospital provides a fully integrated approach to liver disease management, ensuring that patients receive coordinated care from diagnosis through to surgery and long term follow up.
- Patient Safety as the Highest Priority: Liver surgery requires meticulous surgical precision and careful post operative monitoring. The surgical team at LGI Hospital is committed to the highest standards of patient safety and clinical care at every stage of the liver surgery journey.
FAQ
Q1. Is liver surgery painful?
Liver surgery is performed under general anaesthesia and patients do not experience pain during the procedure. Post operative discomfort varies depending on the type and extent of surgery. Laparoscopic liver surgery is associated with significantly less post operative pain compared to open hepatic surgery. The surgical team at LGI Hospital provides appropriate pain management and comprehensive support throughout the recovery period.
Q2. How long does liver surgery take?
The duration of liver surgery depends on the type of procedure, the size and location of the lesion and whether a laparoscopic or open approach is used. Liver resection procedures can range from two to six hours or longer depending on complexity. The surgical team will provide a realistic estimate based on the individual pre operative assessment and findings.
Q3. What happens after liver surgery?
After liver surgery, patients are closely monitored in the recovery area and ward with particular attention to liver function, fluid balance and wound healing. Dietary intake is reintroduced gradually as liver function stabilises. The surgical team provides detailed post operative instructions and schedules regular follow up appointments to monitor liver recovery and ensure complete healing.
Q4. Recovery after liver surgery in Nagpur — what to expect?
Recovery after liver surgery varies depending on the extent of the procedure. Hospital stay is typically five to seven days or longer following major liver resection. Full recovery and return to normal activities may take six to twelve weeks depending on the extent of surgery and individual healing. The liver’s regenerative capacity supports recovery in most patients. The surgical team at LGI Hospital provides personalised and comprehensive recovery guidance and monitoring for every patient.
Q5. Which hospital is best for liver surgery in Nagpur?
LGI Hospital in Dhantoli, Nagpur is a dedicated single speciality gastroenterology and liver hospital with experienced surgical gastroenterologists and hepatobiliary specialists who perform a comprehensive range of liver surgery procedures including laparoscopic liver resection and complex open hepatic surgery. The hospital provides integrated medical and surgical liver care under one roof.