Liver Tumor & Cancer Surgery in Dhaka

Dr. Arefin surgically manages both benign and malignant liver tumours. Benign tumours include hepatic adenomas, focal nodular hyperplasia (FNH), and haemangiomas — removed when they cause symptoms, grow rapidly, or cannot be confidently distinguished from cancer.

Malignant tumours include hepatocellular carcinoma (HCC), the most common primary liver cancer, and metastases from colorectal, breast, and other cancers. For selected patients with limited metastases, liver resection can be curative.

The choice of surgery depends on tumour size, number, location, and the patient's liver function. Options include:

• Anatomical resection — removing the tumour along with its vascular territory for clear margins
• Non-anatomical (wedge) resection — removing just the tumour with a small margin, preserving more liver
• Two-stage hepatectomy — for extensive bilobar disease, removing tumours in stages with portal vein embolisation between stages
• Associating liver partition and portal vein ligation (ALPPS) — for rapid liver growth between stages in select cases

Dr. Arefin performs selected liver tumour resections laparoscopically when tumours are small and peripherally located. Laparoscopic liver resection offers faster recovery, less pain, and shorter hospital stays.

For large tumours, central lesions near major vessels, or cases requiring complex vascular reconstruction, open surgery remains the gold standard. Dr. Arefin uses intraoperative ultrasound, low central venous pressure, and precise vascular control to optimise outcomes.