Hello,
Thank you for asking your query at DoctorSpring.
Consult reply by Dr.Vivek Verma MS MCh (Consultant Surgical Gastroenterologist). Consult reply drafted by Dr.Deepu Sebin as Dr.Verma chose not to directly deal with the reply due to possible medico legal issues.
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I am sorry to hear about the unfortunate incident. But I also hope that you will be relieved to know that this is not cancer. Well first of all I do not think that it was a typical abscess (with a typical presentation). Had it been your Doctors would have easily identified. I also see that the MDs did not rush through the procedure.(did lot of tests, waited) So with available information they chose to go with the best possible option - that is resection , to be on the safer side.
Now it is highly unlikely the entire left lobe is removed. And yes the right lobe will soon grow back and take care of liver function. It might not replace the left lobe, but it will grow well enough (anatomically and functionally). And under normal circumstance your life will not be affected. But God forbid if you happen to have a liver disease in future , you might be at higher risk for complication. So I would say you should not worry about this at all . Avoid alcohol. While taking any medications make sure that you discuss with your Doctor whether it is liver safe or not. Also make sure you have taken the Hepatitis B vaccine.
So bottom line is, with the limited information it seems your Surgeon acted on good faith. And you will and should live a normal life without worrying much about this. Do have periodic followups/
Hope this helps
Please feel free to ask followup questions.
Thank you
Patient replied :
After report of pathology 264 grams of liver was resected is this this total weight of left lobe of liver ? How much is the total weight of left lobe of liver in a adult .Pathology report didn't say left lobe was resected only ultra sound report said left lobe is resected which I got it done from another place .
The total weight of liver ranges from 1200-2000 grams in adults. So as you can assume there is no major resection. Left lobe of liver is less than 1/3. The right lobe (the major part) will grow and compensate for the the rest of the liver.
Dr. VR
Patient replied :
Mr verma I m very concerned as I had to go through such a operation for no reason I have too much of fatigue how long will it take for it to go away I have been in bed mostly .plus will I have a strong liver in future I'm someone who doesn't drink alcohol .will not having left lobe makes my liver weak ?also surgeon said only 15% of my liver was resected and I do have 85% of my liver .
Hello,
As I said under normal circumstances this 15% resection should not affect your life. The fatigue should resolve in 3-4 weeks. If not you will need repeat testing to rule out persisting infection.Also you will need to monitor the liver function based on the recommendation. You should be proactive and stay positive !
Hope this helps
Thank you