General Surgery · HPB
Right Hepatectomy
Right Hepatectomy
DATE AND TIME: [Date and time] URGENCY: Elective / Non-elective SURGEON: [Name] ASSISTANT: [Name / None] ANAESTHETIST: [Name] OPERATION: Right Hepatectomy (Open) — Formal Right Hepatic Lobectomy (Segments 5-8) ANAESTHETIC: General anaesthesia with epidural ANTIBIOTICS: IV cephalosporin at induction. VTE prophylaxis. Cell salvage in circuit. DVT PROPHYLAXIS: [Agent / mechanical / Not indicated] POSITION: Supine. Nasogastric tube and urinary catheter. Invasive monitoring (arterial line ± CVP). Type and crossmatch — 2 units. [Autologous blood donation if colorectal metastases — elective]. INDICATION: [Colorectal liver metastases / hepatocellular carcinoma / cholangiocarcinoma / benign lesion requiring formal hepatectomy]. Preoperative imaging: CT three-phase / MRI liver — hepatic anatomy, tumour location, segmental involvement, vascular and biliary anatomy confirmed. [FLR volumetry performed — adequate remnant confirmed]. No extrahepatic disease on staging. INCISION: [Describe incision] PROCEDURE: WHO Checklist performed. Long right subcostal incision extending across the left rectus with superior midline extension. Costal margin retractor system applied. INITIAL STEPS: