What Does Life After Liver Resection Surgery Look Like
Youll be sore and tired for a while. You may also feel sick to your stomach at first. These symptoms should begin to ease in the first two weeks. In the meantime, take it easy.
Your healthcare provider will give you instructions about how to care for your incision as it heals. Theyll also tell you when its safe to bathe and have sex again. Youll need to avoid alcohol to protect your recovering liver.
Bile Acids And Xenobiotics
It has been a long standing observation from liver pathology that hepatic cholestasis is associated with proliferation of hepatocytes. A recent study provided evidence that bile acids increase in circulating blood after PHx and that depletion of bile acids leads to decreased regeneration . The elevation of bile acids in plasma occurs several hours after PHx, thus it is unlikely that they contribute to the immediate early changes after PHx described above. Nonetheless, the finding is very interesting. In the same study, mice with genetic deficiency of FXR, a transcription factor mediating nuclear events induced by bile acids, also have defective regeneration. There are several examples of xenobiotics ligating specific transcription factors or nuclear hormone receptors in hepatocytes and inducing liver enlargement. These include triiodothyronine , agonists of PPAR , estrogens , barbiturates , and others. Hepatic enlargement is mediated in part by hepatocyte proliferation and in part by hepatocyte enlargement. The signaling pathways by which these chemicals exert these effects, are not clear. These pathways have not been shown so far to be associated with signaling patterns seen during liver regeneration . FXR is the first nuclear hormone receptor to be associated with proliferative events leading to regeneration of the liver and it sets a paradigm for discovery of other such nuclear hormone receptors as potentially having similar effects.
How Do I Get Ready For A Liver Transplant
Your healthcare provider will explain the procedure to you. Ask him or her any questions you have about the surgery.
You may be asked to sign a consent form that gives permission to do the surgery. Read the form carefully and ask questions if anything is not clear.
For a planned living transplant, you should not eat for 8 hours before the surgery. This often means not having any food or drink after midnight. If your liver is from a donor who has just died, you should not eat or drink once you are told a liver is available.
You may be given medicine to help you relax before the surgery.
Your healthcare provider may have other instructions for you based on yourmedical condition.
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Reduce Or Cut Alcohol
Excessive alcohol drinking is the main cause of liver disease and a global health burden. Years of alcohol drinking can make the liver swollen and damaged, as can binge drinking over the long term .
If youre diagnosed with alcohol-related liver disease , you must stop drinking alcohol.
Reducing or avoiding excess alcohol is one of the best steps you can take for your liver even if you are healthy.
In people who drink moderate amounts of alcohol without addiction problems such as having an occasional glass of wine a couple of times per week drinking after meals is a way to slow alcohol absorption.
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Focus On A Healthy Diet
Another way you can help give your liver a rest is by eating a liver-friendly diet. This includes:
- getting sufficient fiber from sources like whole grains as well as fresh fruits and vegetables
- choosing lean protein sources, such as seafood, skinless poultry, or legumes, as opposed to fattier meats
- reducing your intake of foods or drinks that are high in sugars, salt, or unhealthy fats
- limiting your intake of processed foods and choosing whole foods instead
- avoiding raw or undercooked shellfish
- drinking plenty of water each day to stay hydrated
Certain types of liver conditions may require more specific dietary adjustments. Be sure to discuss what these may be with your doctor.
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Myth: I Dont Have Any Symptoms So Theres No Way I Could Have Cirrhosis
Fact: It is possible to have cirrhosis of the liver and not know it. Many patients who have cirrhosis still have enough liver function to support their bodys daily operations and have no symptoms. Fatigue is a common symptom of cirrhosis, but feeling tired can be caused by many things. Its only when liver dysfunction or failure sets in that you can experience symptoms such as yellowing of the skin or eyes, confusion, fluid buildup in your belly, leg swelling and bleeding.
Can You Donate Your Liver If You’re Still Alive
- Living Liver Donor
- 10 Things to Know About Living Liver Donation
To many people, the phrase “living liver donor” may sound frightening. But did you know living liver donation is safe? After donating part of your liver, your liver will regrow and work normally again within just a few months.
Most people who need a liver transplant spend months or years waiting for an organ donation from a deceased donor. Living liver donation is a better option for those with end-stage liver disease because it ensures these patients get a life-saving organ transplant when they need it.
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Foods That Help Liver Regeneration
Did you know there are foods that can help promote liver regeneration? Did you also know the liver is the only organ in the body which can regenerate? Its true. You may have heard that a starfish can grow back a missing limb, and lizards can grow back their tails similarly, if a part of the liver is damaged it can partake in liver regeneration.
In a study published in The Journal of Biological Chemistry researchers uncovered that liver regeneration functions much simpler than once believed. In the past it was shown that cells which are part of regeneration act as they would if they were in an embryo. In the fairly recent study scientists uncovered specific proteins that induce regeneration. They felt that by being able to stimulate such proteins they would be able to better help those with severe liver damage or those who have had portions of their liver removed.
After extensive testing, the scientists uncovered that previous theories of cells acting as they would in embryos was actually not true, but rather liver regeneration occurs due to an increase in cells which multiply through regular cell division. Therefore, researchers believe stimulating liver regeneration is possible by activating identified proteins.
Alcoholic Fatty Liver Disease
Drinking a large amount of alcohol, even for just a few days, can lead to a build-up of fats in the liver.
This is called alcoholic fatty liver disease, and is the first stage of ARLD.
Fatty liver disease rarely causes any symptoms, but it’s an important warning sign that you’re drinking at a harmful level.
Fatty liver disease is reversible. If you stop drinking alcohol for 2 weeks, your liver should return to normal.
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What Is The Difference Between Laparoscopic/robotic Vs Open Hepatectomy
In open abdominal surgery, one long incision called a laparotomy opens up your abdominal cavity. Surgeons are able to visualize your abdomen directly. Its best suited for more complex procedures.
In laparoscopic surgery, the entire operation takes place through small keyhole incisions while your surgeon looks at the images from the camera on a screen. They use specially designed, long instruments to complete your liver resection. They can also use robotic arms. Movement is somewhat restricted, so surgeons traditionally use a laparoscopic or robotic approach for less complex liver resections. But with the development of surgical techniques, more complex surgeries such as major liver resection or living donor liver resections are now possible through a laparoscopic or robotic approach.
What Are The Risks Or Complications Of Liver Resection Surgery
Complications may include:
- Infection. You can get an infection in your incision wound, your urinary tract or your lungs . Your provider treats such infections with antibiotics.
- Bleeding. Your liver has a lot of blood vessels, and its also responsible for making your blood clot stop bleeding. Liver surgery interferes with this process, so sometimes patients bleed too much. Some may need a blood transfusion after surgery.
- Bile leakage. Damage to any of the bile ducts in your liver during surgery can cause bile to leak, which may collect inside your abdomen. This may require placing an additional drain.
- Pleural effusion. After liver surgery, fluid can easily build up inside your chest cage. It can cause chest pain and shortness of breath. It may be treated with medication or may need to be drained.
- Ascites. Liver surgery can also cause a buildup of fluid in your abdominal cavity. It may be treated with medication or may need to be drained.
- Deep vein thrombosis. After any surgery, theres a risk of blood clots from being in bed for a long time. Pay attention to any spot on your arms or legs that seems swollen or sore.
- Kidney failure. Sometimes surgery can cause your kidneys to stop working. It is important to stay well hydrated.
- Liver failure. If the remaining liver doesnt have enough function left, you can go into liver failure. In this case, you may need an urgent liver transplant.
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See Your Doctor Regularly
Seeing your doctor on a regular basis is important for your overall health. Your doctor can help identify and treat any underlying health conditions early on, before they become more serious or complicated.
Also, if you notice any early signs of liver damage, be sure to make an appointment with your doctor or healthcare provider. They can help evaluate your condition and outline a treatment plan to ensure your liver gets the rest and treatment it needs.
What Happens During A Liver Transplant
Liver transplant surgery requires a hospital stay. Procedures may varydepending on your condition and your providers practices.
Generally, a liver transplant follows this process:
You will be asked to remove your clothing and given a gown to wear.
An IV line will be started in your arm or hand. Other tubes will be put in your neck and wrist. Or they may be put under your collarbone or in the area between your belly and your thigh .These are used to check your heart and blood pressure, and to get blood samples.
You will be placed on your back on the operating table.
If there is too much hair at the surgical site, it may be clipped off.
A catheter will be put into your bladder to drain urine.
After you are sedated, the anesthesiologist will insert a tube into your lungs. This is so that your breathing can be helped with a machine . The anesthesiologist will keep checking your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.
The skin over the surgical site will be cleaned with a sterile solution.
The doctor will make a cut just under the ribs on both sides of your belly. The incision will extend straight up for a short distance over the breast bone.
The doctor will carefully separate the diseased liver from the nearby organs and structures.
The attached arteries and veins will be clamped to stop blood flow into the diseased liver.
The diseased liver will be removed after it has been cut off from the blood vessels.
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Foods Useful For Liver Regeneration Process
Although the liver is able to regenerate itself, its important you keep it healthy and eat foods which can further help promote liver regeneration. The following foods can help boost liver health as well as function.
Garlic: Garlic has been shown to help reduce bad cholesterol which is associated with poor liver health eating garlic regularly can help promote good liver health. Enzymes in garlic also help the liver remove toxins, contributing to a healthier body overall.
Grapefruit: Grapefruit is packed with powerful antioxidants and fiber. Grapefruit can contribute to good cholesterol and boost the liver-cleansing process. One word of caution is that grapefruit can negatively interact with medications, so speak to a doctor before incorporating grapefruit into your diet.
Leafy green vegetables: Spinach, broccoli and kale are just some examples of leafy green vegetables. Leafy green vegetables all work to assist your liver in the cleansing process and help improve its function. Furthermore, they provide the body with chlorophyll which protects the body from toxins.
Avocados: Avocados pack nearly 20 essential nutrients and vitamins not only are they good for your body, but they feed your liver all the right stuff. Avocados can help neutralize free radicals as well as promote the production of glutathione which helps with toxin removal.
Hepatocytes And Biliary Epithelial Cells As Facultative Stem Cells For Each Other
Cells from the biliary compartment transform into oval cells and these become hepatocytes when proliferation of hepatocytes is inhibited during regeneration. Periportal hepatocytes can also convert to biliary cells when there is injury to biliary cells but their capacity for self-repair is inhibited. Hepatocytes and biliary cells are facultative stem cells for each other.
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A Liver Supported Diet
Diet is a major lifestyle choice that many wrestle with what is healthy, and whatâs not? Dumping processed foods full of artificial ingredients, preservatives, and sweeteners into your body poses an unhealthy burden on your liver. In order to help heal the liver, nutrient-rich foods should fill the diet of an individual.
Think of it this way. One of the main tasks of the liver is to âfilter outâ foreign, unusable, or re-configurable chemicals and molecules to either be discarded or repurposed for proper use. But it takes energy and resources to perform these tasks. So making food choices that do not include these types of substances helps the liver to prioritize its normal, healthy functions without being bombarded with the task of detoxification.
To help spur healthy cell division, consuming foods high in antioxidants and fiber has shown to directly increase the wellbeing of liver function. Starting with a plant-based or mostly plant-based diet that includes these types of foods are recommended:
How Serious Is A Liver Resection
Liver resection is considered a technically difficult surgery. One reason is that your liver has many vessels in it and may bleed a lot, so liver surgeons have to be trained in special techniques to not injure the vessels and to manage any bleeding. When your resection is smaller , its less risky and can be done through minimally-invasive surgery techniques, such as laparoscopy or robotic surgery. When you need a major resection , it becomes more dangerous and difficult. As a rule, you want to have your liver resection with experienced specialists because of the complexity of the operation.
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What Kind Of Scar Will I Have After A Hepatectomy
If you have laparoscopic surgery, youll have four to six small, half-inch scars, and one larger scar. If you have open surgery, you will have a long scar thats 6 to 12 inches. It may be a horizontal scar, or it might be shaped like an L. It may appear red and raised above your skin but usually, the color fades over time.
Why Is Knowledge About Liver Regeneration Useful
A lot of the knowledge produced by scientists can be used to solve specific problems in the short or long term. Because liver regeneration involves well-controlled growth, we can use our knowledge of liver regeneration to help us understand other types of growth, such the uncontrolled growth that occurs in cancer cells.
Doctors may be able to use knowledge about liver regeneration to help people who have diseases or liver injury that push the liver beyond its ability to regenerate. In extreme cases, these people may need a liver transplant. Complete livers or parts of a liver can be obtained from dead donors and transplanted into patients. But, now that you know about the regenerative ability of the liver, you can understand why it is also possible for a healthy, living person to donate a piece of his or her liver to someone who needs a transplant. The donors liver will grow back! Even though this type of transplant from a live donor is possible, there are not enough donors to handle the high number of people who need liver transplants. Right now, in the USA, almost 15,000 people need new livers .
- How the rat liver looks before A. and after B. being cleaned or having all the cells removed. Image of decellularized liver courtesy of Dr. Alejandro Soto-Gutierrez.
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How Can You Thoroughly Clean The Purchased Fruit And Vegetables In A Completely Natural Way
If you want to clean fruits and vegetables of all uncleanness, including pesticide residues, you can do it with baking soda. Remove the residues of soil, wax, dirt, and pesticides from the fruit and vegetable surface by soaking them in water with Sodium bicarbonate added for 10 minutes.
- Fill the sink with lukewarm water and add a tablespoon of baking soda.
- After soaking, wash fruits and vegetables under running water.
This method of cleaning is suitable for all types of fruit and vegetables, from apples, citrus fruits, grapes and berries to salads, broccoli and cauliflower, tomato, roots, string beans, and fresh herbs.