Liver Cancer Surgery in Ahmedabad — Expert Hepatic Resection at EPIC Multispecialty Hospital
Liver cancer — encompassing hepatocellular carcinoma (HCC), cholangiocarcinoma (bile duct cancer), and hepatic metastases from colorectal and other primaries — is one of the most technically challenging areas of cancer surgery. The liver is a highly vascular organ with complex segmental anatomy; its relationship to the hepatic veins, portal vein, and bile ducts means that surgical resection requires precise anatomical planning to achieve tumour clearance while preserving adequate liver function in the remnant. Inadequate planning leads to either positive margins (non-curative resection) or post-hepatectomy liver failure — the most feared complication of major hepatic resection.
At EPIC Multispecialty Hospital, Ahmedabad, liver cancer surgery is performed by hepato-pancreato-biliary (HPB) surgeons with subspecialty training in liver resection, using modern surgical techniques including anatomical segmentectomy and hepatectomy, laparoscopic hepatic resection for appropriate tumours, portal vein embolisation for planned major hepatectomy, and intraoperative ultrasound for tumour localisation. Every liver cancer case is reviewed at the HPB tumour board — with hepatology, medical oncology, interventional radiology, and transplant teams where relevant.
Patients with liver cancer from across Gujarat — from Vadodara, Surat, Rajkot, Gandhinagar, Anand, Nadiad, and Bharuch — and from Rajasthan and Madhya Pradesh seek liver cancer surgery at EPIC Multispecialty Hospital, Ahmedabad, where HPB surgical expertise and the full range of liver cancer treatment modalities are available in one integrated programme.
Liver Cancer Surgery at EPIC Multispecialty Hospital, Ahmedabad — Procedures and Multi-Disciplinary Management
- Hepatocellular carcinoma (HCC) — surgical resection: Surgical resection is the preferred curative treatment for HCC in patients with preserved liver function (Child-Pugh A, selected B), no clinically significant portal hypertension (HVPG below 10mmHg or platelet count above 100,000 with spleen under 12cm), and resectable tumour. Anatomical resection — removing the hepatic segment or lobe containing the tumour with its portal pedicle — has lower recurrence rates than non-anatomical resection for HCC. At EPIC Hospital Ahmedabad, HCC resection is planned with CT volumetry to ensure the future liver remnant (FLR) is adequate — above 25 to 30 percent for non-cirrhotic liver, above 40 percent for cirrhotic liver.
- Cholangiocarcinoma surgery: Hilar cholangiocarcinoma (Klatskin tumour — arising at the confluence of the hepatic ducts) is one of the most complex abdominal cancer operations — requiring portal vein assessment, hepatic artery anatomy characterisation, contralateral lobar hypertrophy assessment, and almost invariably a major hepatectomy combined with biliary reconstruction (hepaticojejunostomy). Pre-operative biliary drainage of the future liver remnant and portal vein embolisation of the liver to be resected are standard preparatory steps. Distal cholangiocarcinoma (common bile duct below the hepatic confluence) is managed by pancreaticoduodenectomy (Whipple procedure). Intrahepatic cholangiocarcinoma requires hepatic resection with adequate margins. Our HPB team at EPIC Multispecialty Hospital, Ahmedabad, manages all three cholangiocarcinoma subtypes.
- Colorectal liver metastases: Liver metastases from colorectal cancer — the most common indication for liver surgery globally — are resectable for cure in approximately 20 to 30 percent of patients who present with liver-only or liver-dominant disease. Resectability is defined not by the number of metastases but by the ability to achieve R0 resection while leaving an adequate FLR with preserved hepatic artery, portal vein, and bile duct supply and drainage. Sequential resection (primary tumour resection followed by liver resection at 4 to 8 weeks) or synchronous resection (both at the same operation for small synchronous liver metastases) is used depending on tumour burden and patient fitness. Neoadjuvant chemotherapy (FOLFOX, FOLFIRI with or without bevacizumab) before liver resection for initially unresectable metastases can convert 10 to 20 percent to resectability.
- Portal vein embolisation (PVE) and two-stage hepatectomy: When the planned hepatic resection would leave an inadequate FLR, portal vein embolisation of the future resected liver induces hypertrophy of the FLR over 4 to 6 weeks — safely expanding the FLR before major hepatectomy. Two-stage hepatectomy addresses bilobar colorectal liver metastases by resecting or ablating one lobe in stage 1, allowing contralateral hypertrophy, then completing the resection in stage 2. Both strategies require careful tumour board planning and are used at EPIC Hospital Ahmedabad to expand resectability for patients whose disease would otherwise be unresectable.
- Laparoscopic liver resection: Laparoscopic hepatic resection — for anterior liver segments and smaller, peripherally located tumours — offers equivalent oncological outcomes with reduced blood loss, shorter hospital stay, faster recovery, and lower post-operative morbidity compared to open resection for appropriate tumours. The liver’s complexity and vascularity make laparoscopic hepatic resection technically demanding — requiring surgeons with specific laparoscopic HPB experience. Laparoscopic liver resection is available at EPIC Multispecialty Hospital, Ahmedabad, for appropriate tumour location and patient anatomy.
- Non-surgical options — ablation, TACE, SIRT, and transplant: Not all liver tumours are resectable. Ablation — radiofrequency ablation (RFA) or microwave ablation (MWA) — achieves local tumour destruction for small HCC (below 3cm, away from major vessels) with cure rates comparable to resection in selected patients. TACE (transarterial chemoembolisation) is first-line for intermediate-stage HCC — delivering chemotherapy directly to the tumour via its hepatic artery supply. SIRT (selective internal radiation therapy — radioembolisation with yttrium-90) is an alternative locoregional approach. Liver transplantation for HCC within Milan criteria (single tumour below 5cm, or up to 3 tumours below 3cm each) provides both curative treatment and treatment of the underlying cirrhosis. Our HPB tumour board at EPIC Hospital Ahmedabad coordinates all modalities.
Liver Cancer Surgery in Ahmedabad — Why Adequate Liver Remnant Planning Changes Everything
The most dangerous complication of major hepatic resection is post-hepatectomy liver failure (PHLF) — the inability of the remaining liver to sustain normal hepatic function after loss of a large volume of functional liver parenchyma. PHLF carries mortality of 50 to 80 percent and is largely preventable with adequate pre-operative planning. The two key determinants are the volume of future liver remnant (FLR) — assessed by CT volumetry — and the quality of the remaining liver (fibrosis, cirrhosis, chemotherapy-induced injury). Surgeons who plan hepatic resection without CT volumetry assessment, or who proceed to major hepatectomy without portal vein embolisation when the FLR is inadequate, expose their patients to preventable mortality.
At EPIC Multispecialty Hospital, Ahmedabad, CT volumetry is standard for all planned major hepatic resections. FLR below 25 percent (non-cirrhotic) or below 40 percent (cirrhotic or chemotherapy-damaged liver) prompts portal vein embolisation before resection — with reassessment of FLR after 4 to 6 weeks of hypertrophy. This approach has been shown to reduce PHLF to under 5 percent at experienced HPB centres, compared to rates of 15 to 20 percent at centres without systematic FLR planning.
For patients in Ahmedabad and Gujarat who have been told their liver tumour is not resectable, the question is worth asking at a specialist HPB centre: not resectable where, and not resectable by whom? The definition of resectability has expanded significantly over the past decade — two-stage hepatectomy, portal vein embolisation, ALPPS (associating liver partition and portal vein ligation for staged hepatectomy), and combination with ablation have made resectable what was previously considered unresectable. At EPIC Multispecialty Hospital, Ahmedabad, patients with liver tumours told to be unresectable elsewhere receive a fresh multi-disciplinary assessment that applies current resectability criteria — and in a proportion of these patients, curative treatment is achievable.
Know Your Signs
Non-healing oral ulcers or white/red patches
Post-menopausal or abnormal uterine bleeding
Chronic cough, blood in sputum, or breathlessness
Unexpected lumps in the neck, breast, abdomen, or limbs
Sudden weight loss or loss of appetite
Persistent bone pain or swelling
Persistent hoarseness or difficulty swallowing
Change in bowel or bladder habits
Emergency Services
Our dedicated emergency team is available 24/7 to provide immediate medical care and support in critical situations.
Get In Touch
BOOK AN APPOINTMENT
Find Best Cancer Surgein in Ahmedabad
Highly Experienced Onco Surgeon Team
24×7 Critical Care & Oncology Support
Complete cancer care under one roof - screening, diagnosis, treatment, transplant & follow-up
World-class OT facilities with advanced technology like ICG-guided Sentinel Node Biopsy for accurate staging and Image-Guided Surgery for precise tumor removal, ensuring safer, more effective cancer treatment.
Detects lesions <1 cm and predicts malignancy probability—improving early diagnosis.
Qure.ai AI-powered cancer detection
Specialized procedures like CRS, HIPEC & PIPAC for advanced disease
40 bedded ICU & Critical Care Unit
Affordable treatment with high-quality outcomes
Our Team of Expert Onco Surgeons
DR. RIDHAM SHAH
M.S. (General Surgery) Dr. N.B. (Surgical Oncology)
DR. SHALIN SHAH
M.S. (General Surgery) Dr. N.B. (Surgical Oncology)
Talks By Our Onco Surgeons
Oral Cancer Surgery – Dr. Bhavin Vadodariya, Surgical Oncologist and Head and Neck Surgeon
Inspiring Healing: Expert Care by Dr. Rutul Patel & Dr. Jay Kumar Mehta!
Breast Cancer – Dr. Tarang Patel
Talks By Our Onco Surgeons
Breast Cancer – Dr. Tarang Patel
Inspiring Healing: Expert Care by Dr. Rutul Patel & Dr. Jay Kumar Mehta!
Oral Cancer Surgery – Dr. Bhavin Vadodariya, Surgical Oncologist and Head and Neck Surgeon
Frequently Asked Questions — Liver Cancer Surgery in Ahmedabad
What is hepatic resection and when is it used for liver cancer?
Hepatic resection removes part of the liver containing the tumour — from a single segment to 70 to 75 percent of total liver volume (major hepatectomy). It is the primary curative treatment for resectable HCC with preserved liver function, cholangiocarcinoma, and colorectal liver metastases. At EPIC Multispecialty Hospital, Ahmedabad, resectability is assessed by CT volumetry, liver function tests, and tumour board review.
What is the future liver remnant (FLR) and why does it matter?
The FLR is the liver volume remaining after the planned resection — assessed by CT volumetry. Adequate FLR is above 25 to 30 percent for normal liver, above 40 percent for cirrhotic or chemotherapy-damaged liver. Insufficient FLR risks post-hepatectomy liver failure — a life-threatening complication. When FLR is inadequate, portal vein embolisation induces FLR hypertrophy before surgery. .
What is portal vein embolisation and when is it needed?
Portal vein embolisation (PVE) blocks the portal blood supply to the liver lobe being resected — causing the contralateral (remnant) lobe to hypertrophy over 4 to 6 weeks. This safely increases FLR volume before major hepatectomy when CT volumetry shows inadequate planned remnant. PVE is performed by interventional radiology and is a standard pre-operative strategy at EPIC Hospital Ahmedabad for planned major hepatectomy with borderline FLR.
Can colorectal liver metastases be cured by surgery?
Yes — resection of colorectal liver metastases achieves 5-year survival rates of 35 to 50 percent in selected patients with liver-only or liver-dominant disease and adequate FLR. Resectability is determined by the ability to achieve R0 resection with adequate remnant, not by the number of metastases. Neoadjuvant chemotherapy can convert initially unresectable metastases to resectability in 10 to 20 percent of patients.
Is laparoscopic liver surgery available at EPIC Multispecialty Hospital Ahmedabad?
Yes. Laparoscopic hepatic resection is available at EPIC Hospital Ahmedabad for appropriate tumour location and patient anatomy — particularly anterior liver segments and smaller peripheral tumours. Laparoscopic liver surgery offers equivalent oncological outcomes with reduced blood loss and faster recovery compared to open resection for selected cases.
What non-surgical treatments are available for liver cancer at EPIC Hospital?
Non-surgical liver cancer treatments at EPIC Multispecialty Hospital, Ahmedabad, include radiofrequency ablation (RFA) and microwave ablation (MWA) for small HCC, TACE (transarterial chemoembolisation) for intermediate-stage HCC, systemic targeted therapy (sorafenib, lenvatinib for advanced HCC), and coordination for liver transplant assessment for HCC within Milan criteria.
Is EPIC Hospital Ahmedabad experienced in liver cancer surgery?
EPIC Multispecialty Hospital, Ahmedabad, has a dedicated HPB surgical programme performing anatomical hepatic resection, laparoscopic liver surgery, portal vein embolisation coordination, and multi-disciplinary liver tumour board review. Patients from across Gujarat and neighbouring states access liver cancer surgery at our centre.
What is the cost of liver cancer surgery in Ahmedabad at EPIC Hospital?
Liver cancer surgery costs at EPIC Multispecialty Hospital, Ahmedabad, vary based on the extent of resection — minor hepatectomy carries lower costs than major hepatectomy (hemi-hepatectomy, trisectionectomy) requiring ICU stay. Transparent all-inclusive package pricing is available. Insurance and PM-JAY cover hepatic resection for primary and secondary liver malignancies. Contact our patient services team for current pricing.
Liver Cancer Surgery in Ahmedabad — EPIC Multispecialty Hospital
Liver cancer surgery at EPIC Multispecialty Hospital, Ahmedabad, is planned with the systematic rigour that hepatic resection demands — CT volumetry, FLR assessment, portal vein embolisation where needed, and multi-disciplinary tumour board review — because the decision of whether and how to operate on the liver is one where planning and expertise determine the difference between cure and catastrophic complication.
Book a liver cancer surgery consultation online, call EPIC Multispecialty Hospital Ahmedabad today, WhatsApp your CT or MRI liver imaging for initial HPB team review, or visit us directly — and get liver cancer surgery planned to achieve what it is designed to achieve: complete tumour clearance with a safe liver remnant.