Liver Resection Surgery in Gurgaon

When a patient is told they need liver resection surgery, the first question is almost always the same: Who is the right liver surgeon for this?

Liver resection surgery, also called hepatectomy, is one of the most technically demanding operations in abdominal surgery. It requires a surgeon who regularly operates on the liver, understands its complex anatomy, and has the infrastructure to manage everything that occurs before, during, and after the procedure.

At LivCure, liver resection surgery in Gurgaon is led by Dr. Ankur Garg, one of India’s best liver transplant surgeons. With over 25 years of surgical experience and more than 4,500 liver transplants and major hepatobiliary procedures performed at Paras Health, Gurgaon, his team follows a structured, patient-first approach from the very first consultation through to full recovery.

If you or a family member has been advised to consider liver resection surgery, this page will walk you through everything you need to know.

What Is Liver Resection Surgery?

Liver resection is a surgical procedure in which a diseased or tumour-bearing portion of the liver is removed. The extent of removal depends on where the disease is located, its size, and the amount of healthy liver tissue remaining.

The procedure is also called hepatectomy. A partial hepatectomy removes one or more liver segments while preserving enough healthy tissue for the liver to continue functioning normally. A major hepatectomy removes three or more segments, including procedures such as a right or left hepatectomy, where an entire lobe is removed. In cases where only a small localised tumour needs to be addressed, a wedge resection or segmental resection is performed.

The liver has a remarkable ability to regenerate. A healthy liver can regrow to near-normal size after up to 70 per cent of it has been removed. This regenerative capacity is what makes liver resection a safe and effective treatment option for carefully selected patients.

Surgery can be performed through open surgery, laparoscopic surgery using small incisions and a camera, or, in select cases, robotic-assisted surgery. The approach depends on the disease’s size and location, the patient’s overall health, and the surgical team’s expertise.

Why Is Liver Resection Recommended?

Liver resection is most commonly recommended for liver cancer, both tumours that originate in the liver and those that have spread from elsewhere in the body. It is also used for certain benign conditions in which the lesion is large, symptomatic, or at risk of complications.

Conditions for which liver resection may be advised include:

• Hepatocellular Carcinoma (HCC): The most common form of primary liver cancer
• Colorectal Liver Metastases: Cancer that has spread from the colon or rectum to the liver
• Cholangiocarcinoma: Cancer of the bile ducts within the liver
• Large Benign Tumours: Such as hepatic adenoma or giant haemangioma
• Hydatid Cysts: Caused by a parasitic infection
• Gallbladder Cancer: Certain cases involving the liver
• Liver Injuries: Where damaged tissue requires surgical removal

The decision to proceed with resection depends on several factors. The tumour must be confined to the liver or at least predominantly affect it; the remaining liver must have sufficient function to sustain the patient after surgery; and the patient must be fit enough to undergo a major operation. These criteria are evaluated carefully during the pre-surgical workup.

Symptoms That May Lead to a Liver Resection Recommendation

Many liver tumours, particularly in their early stages, do not cause obvious symptoms. They are often discovered incidentally during an ultrasound or scan done for another reason. When symptoms do appear, they typically indicate that the disease has grown or is affecting liver function.

Symptoms that prompt further investigation include:

• A dull, persistent ache or heaviness in the upper right abdomen
• Unexplained weight loss over a few weeks or months
• Loss of appetite and feeling full quickly after eating
• Yellowing of the skin or whites of the eyes
• Swelling in the abdomen due to fluid accumulation
• Fatigue that does not improve with rest
• Nausea without an obvious cause

If you have been diagnosed with cirrhosis, chronic hepatitis B or C, or have a history of colorectal cancer, you are in a higher-risk group and should discuss regular liver surveillance with your doctor. Early detection significantly improves the chances of successful surgical treatment.

How Is Liver Resection Surgery Planned?

Thorough pre-surgical planning is what separates safe liver resection from complicated liver resection. At LivCure, every patient undergoes a structured evaluation before surgery is confirmed.

Step-by-step diagnostic workup:

Step 1: Blood Tests

• Liver function tests to assess baseline liver health
• Tumour markers: AFP for hepatocellular carcinoma, CEA and CA 19-9 for secondary liver tumours
• Full blood count, coagulation profile, and kidney function tests
• Hepatitis B and C screening

Step 2: Imaging

• Triple-phase contrast CT scan of the abdomen; the most important investigation for surgical planning
• MRI liver with hepatobiliary contrast for detailed characterisation of lesions
• PET-CT scan in cases where the spread beyond the liver needs to be ruled out
• Chest CT to assess for lung metastases in colorectal cancer cases

Step 3: Liver Volume Assessment

• CT volumetry to calculate the portion of the liver that will remain after surgery
• If the future liver remnant is less than 25 to 30 per cent of total liver volume, portal vein embolisation (PVE) is performed first to stimulate growth of the remaining liver before resection.
• This step is critical in avoiding post-operative liver failure

Step 4: Multidisciplinary Team Review

• Every liver resection case at LivCure is reviewed by a team including Dr. Ankur Garg, a hepatologist, oncologist, interventional radiologist, and anaesthesiologist
• This ensures the surgical plan is safe, complete, and in the patient’s best interest

Step 5: Pre-Operative Optimisation

• Nutritional assessment and protein supplementation
• Management of any underlying conditions, such as diabetes or hypertension
• Prehabilitation exercises to improve surgical fitness in selected patients

Liver Resection Procedure – What Happens During Surgery

Liver resection surgery (hepatectomy) is a carefully planned procedure performed by experienced hepatobiliary surgeons using advanced techniques to ensure safety and precision.

Before Surgery

Patients are admitted a day prior for routine tests and evaluation. The anaesthesia team reviews medical history and explains the procedure to ensure a smooth surgical process.

Surgical Approaches at LivCure

Open Liver Resection

• Single incision for full access to the liver
• Preferred for complex tumours and major vascular involvement
• Offers flexibility during high-risk procedures

Laparoscopic Liver Resection (Minimally Invasive)

• Small incisions with camera-guided instruments
• Less blood loss, faster recovery, shorter hospital stay
• Ideal for selected liver tumours

Robotic Liver Surgery

• High precision with 3D visualisation
• Suitable for complex, location-specific tumours
• Available at Paras Health, Gurgaon

During Surgery – Key Steps

• Intraoperative ultrasound to locate tumour and plan the resection
• Blood flow control (Pringle manoeuvre) to reduce bleeding
• Advanced devices used to safely divide liver tissue
• Complete tumour removal with clear margins
• Placement of drains to monitor post-operative recovery

This structured approach ensures safe liver surgery, minimal complications, and improved recovery outcomes.

Recovery After Liver Resection Surgery

Immediate Recovery (First 24–48 Hours)

• Monitoring in ICU/HDU (vitals, oxygen, urine output)
• Doppler ultrasound to assess liver blood flow
• IV fluids, pain control, and breathing exercises

Hospital Stay (Days 3–7)

• Regular liver function tests and blood monitoring
• Drain observation for bile leak
• Early mobilisation and physiotherapy
• Gradual diet progression from liquids to solids
• Discharge:
  • Laparoscopic: 4–5 days
  • Open surgery: 7–10 days

Recovery at Home (First Month)

• Avoid heavy activity for 4–6 weeks
• Follow a high-protein diet for liver healing
• Stay hydrated and avoid alcohol
• Watch for warning signs (fever, jaundice, severe pain, wound issues)

Return to Normal Life

• Laparoscopic: 3–4 weeks
• Open surgery: 6–8 weeks
• Full recovery: 2–3 months

Follow-Up Care

• Tests every 3 months (first 2 years)
• Then every 6 months
• Ongoing monitoring of liver function and recovery

Cost of Liver Resection Surgery in Gurgaon

The cost of liver resection surgery in Gurgaon ranges approximately from Rs. 3.5 lakh for minor laparoscopic resections to Rs. 12 to 14 lakh for complex extended hepatectomies. The cost varies based on the procedure’s complexity, surgical approach, length of hospital stay, ICU requirements, and postoperative care needs.

Approximate cost ranges:

Factors that affect the final cost:

• Number of days in the ICU versus the general ward
• Whether laparoscopic or open surgery is performed
• Need for blood transfusion or additional procedures
• Pre-surgical interventions such as portal vein embolisation
• Post-operative complications requiring an extended stay

Most health insurance policies in India cover liver resection surgery, particularly for malignant conditions. Patients are advised to confirm their coverage before admission. The LivCure team at Paras Health assists with insurance pre-authorisation.

Why Dr. Ankur Garg for Liver Resection Surgery in Gurgaon?

Choosing the right surgeon for liver resection is one of the most important decisions a patient makes. Research consistently shows that outcomes after complex liver surgery are significantly better at high-volume centres led by experienced HPB surgeons.

What sets Dr. Ankur Garg apart:

• 25+ years of dedicated HPB and liver transplant surgical experience
• 4,500+ liver transplants and major HPB procedures performed: among the highest volumes in Delhi NCR
• Full HPB surgical capability: liver resection, bile duct surgery, pancreatic surgery, and liver transplant under one team
• Minimally invasive expertise: laparoscopic and robotic-assisted liver resection available
• Transplant-level ICU at Paras Health, Gurgaon: equipped for the most complex post-surgical management
• Multidisciplinary tumour board: every case reviewed by liver surgeons, oncologists, hepatologists, and radiologists together
• Structured follow-up programme: patients do not disappear after surgery; LivCure tracks recovery at every stage

Patients travel to Dr. Ankur Garg from across Delhi NCR, including Gurgaon, Delhi, Noida, Faridabad, Rewari, and Rohtak, as well as from other states and internationally.

Liver Resection Surgery in India for International Patients

India offers some of the most competitive costs for liver resection surgery globally, without compromising on surgical quality or hospital infrastructure. Patients from the Middle East, South Asia, Africa, and Southeast Asia regularly travel to Gurgaon for HPB surgery at Paras Health under Dr. Ankur Garg.

What international patients receive at LivCure:

• Pre-arrival teleconsultation with Dr. Ankur Garg to review reports and confirm surgical plan
• Dedicated international patient coordinator for seamless hospital admission
• Visa assistance and travel support coordination
• Complete surgical care from pre-operative workup through to post-operative recovery
• Digital follow-up after return home with direct access to the LivCure team
• Liver resection surgery cost in India is typically 60 to 70 per cent lower than equivalent procedures in the UK, USA, or Singapore

Take the Next Step Towards Expert Liver Care

Liver resection surgery is a complex yet effective treatment when performed by experienced hepatobiliary specialists. Accurate diagnosis, advanced surgical planning, and structured follow-up are key to achieving successful outcomes.

If you or your loved one has been advised liver resection surgery in Gurgaon, getting a timely expert opinion is essential.

✔ Get your reports reviewed by a specialist
✔ Understand the best treatment approach
✔ Receive a personalised cost estimate

Book Your Consultation with Dr. Ankur Garg Today!

Early consultation can make a critical difference in treatment outcomes. Connect with LivCure today for advanced, safe, and personalised liver surgery care.