Liver Surgery

Liver Surgical Procedures Performed

At St. Joseph’s Medical Center, we strive to provide with a more favorable outcome through liver cancer surgery than anywhere else. As a result, Dr. Mark Fraiman has become a top-rated surgeon for liver cancer with a stellar success rate.

Liver resection surgery can be challenging because there are numerous blood vessels leading to and from the heart via this organ. Also, the liver can get injured easily, and it tends to bleed a lot. Because we perform hundreds of surgeries each year, we are familiar with the techniques that can minimize loss of blood and eliminate the need for transfusion while undergoing liver surgery to remove a tumor.

Surgery is usually the best type of treatment for early-stage liver cancer that isn’t found near major blood vessels. It is also good for when you don’t have any other medical conditions, such as liver cirrhosis. Depending on your specific condition, we may use other types of therapy — such as chemotherapy before surgery — to shrink the tumor first.

Because the liver can regenerate itself, we can remove up to 70 percent of it, and it will regrow on its own within a few weeks. At St. Joseph’s Medical Center, we use surgical approaches that leave behind a significant portion of healthy liver to reduce your risk of developing complications.

  • Open and laparoscopic liver resection (right and left hepatectomy)
  • Open and laparoscopic radiofrequency ablation of liver tumors
  • Laparoscopic hepatic cyst fenestration (unroofing)

Open and laparoscopic liver resection (Right and left Hepatectomy)

Liver resections are mostly performed using the open surgery method, where an incision is made in your abdomen. Other times, it is possible to remove malignant or benign liver tumors by laparoscopic surgery. However, this may not be possible if the size and number of tumors make the operation too complicated to perform safely.

This is a major operation, and you’ll be admitted to a high dependency unit for a day or two after surgery to facilitate malignant or benign liver tumor surgery recovery. This will allow us to monitor you closely after the operation. You will stay in the hospital for about five to seven days following a liver resection.

Open and laparoscopic radiofrequency ablation of liver tumors

Radiofrequency ablation is used to treat liver metastases if you have more than one tumor in the liver or if the position of the tumor makes it difficult to operate. RFA treatment works best when tumors are less than 3 centimeters in diameter, but it can still work for larger tumors.

Treatment is given under general anesthesia, and the surgeon uses specialized scanning equipment to pass high-frequency electrical currents to the tumor and destroy the cancer cells. It takes about 15-20 minutes to treat the tumors.

Laparoscopic hepatic cyst fenestration (Unroofing)

Patients with hepatic cysts may develop symptoms of increased liver volume. Laparoscopic hepatic cyst fenestration is a method used to reduce the size of the liver and relieve symptoms.

Contact Us for Help With Difficult Liver Cancer Cases

Our liver specialists are famous for operating on cancers that other hospitals won’t try. For instance, Dr. Fraiman is the only East Coast liver surgeon experienced in treating cholangiocarcinoma and among the few in the USA performing Whipple surgery. He’s also lauded as one of the best liver surgeons in Maryland, having received numerous awards and honors.

To get in touch with our liver specialists, please complete our contact form, and we will get back to you as soon as possible.

Leading liver surgeon in Baltimore, MD, Dr. Fraiman describes the anatomy of the liver and surgical procedures that can take place.