Liver tumor can be excised, how to do if the remaining liver is not enough

When the liver tumor can be removed, but the remaining liver is not enough, the following measures need to be taken to solve: 1. evaluate the function of the remaining liver: by imaging examination (e.g. liver CT or MRI) and liver function tests to assess the volume, structure and function of the remaining liver. This helps determine whether the remaining liver can withstand resection of the remaining tumor and liver function requirements after surgery. 2. Consider staged surgery with combined liver segmentation and portal vein ligation: For larger liver tumors or insufficient residual liver volume, the doctor may recommend staged surgery combining liver segmentation and portal vein ligation. This procedure first ligates the portal vein on the tumor side, causing partial liver ischemia and atrophy, and then performs tumor resection to increase the residual liver volume. For some liver tumors, portal vein embolization or chemoembolization can reduce the tumor burden and create conditions for subsequent surgery. Liver transplantation: In some cases, liver transplantation may be the only option if the remaining liver volume is seriously insufficient or there are other problems that cannot be solved. Liver transplantation can provide a healthy liver to replace a diseased one, but requires rigorous matching and postoperative immunosuppressive therapy.5. Multidisciplinary team collaboration: Managing liver tumors with insufficient residual liver volume requires the collaboration of a multidisciplinary team, including surgeons, oncologists, interventional radiologists, anesthesiologists, and other relevant professionals. They will jointly develop the most suitable treatment plan for the patient. 6. Postoperative monitoring and management: No matter which treatment method is adopted, the patient's liver function, tumor recurrence, and corresponding support treatment and rehabilitation need to be closely monitored after surgery. It should be noted that each patient's situation is unique, and the treatment plan should be individualized according to the specific situation of the patient. In this situation, patients and families should communicate fully with their doctors to understand the pros and cons of various treatment options and make decisions based on their recommendations. Early diagnosis and collaboration of multidisciplinary teams are essential to improve treatment outcomes and patient survival.