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Liver, Spleen and Pancreatic Surgery

Liver cysts and masses, haemangioma, hydatid cyst, splenic disease (laparoscopic splenectomy), pancreatitis and pancreatic surgery.

Reading time: 3 min General information content
In brief

Liver, spleen and pancreatic surgery covers the surgical treatment of liver cysts and masses, hydatid cyst, splenic disease and pancreatic pathology. Splenectomy can be performed laparoscopically in suitable patients. Most benign liver lesions are simply observed; surgery is considered where lesions cause symptoms or are growing.

Main Conditions Covered in This Area
  • Liver cysts
  • Liver haemangioma
  • Hydatid cyst
  • Liver abscess
  • Liver masses and metastases
  • Splenic disease and laparoscopic splenectomy
  • Acute and chronic pancreatitis
  • Pancreatic cysts and tumours
  • Adrenal gland surgery

The liver, spleen and pancreas are the solid organs of the abdomen. Surgery on these organs is among the technically demanding areas of general surgery and requires separate experience.

Liver Conditions

Liver cysts

Simple liver cysts are common, usually cause no symptoms and are observed. For cysts that grow or cause pain or pressure, laparoscopic removal of the cyst roof (deroofing) may be performed.

Liver haemangioma

The most common benign liver tumour, made up of a tangle of blood vessels. It is usually found incidentally and needs no treatment. Surgery is considered only for very large, symptomatic lesions or those at risk of bleeding.

Hydatid cyst

Caused by a parasite (Echinococcus) carried by dogs, this condition is still seen in Turkey. Cysts in the liver can grow and cause pressure, or rupture and lead to serious complications. Medication, percutaneous intervention and surgery are considered according to the stage of disease.

Liver abscess

May be bacterial or amoebic, presenting with fever, right upper abdominal pain and fatigue. Drainage may be needed in addition to antibiotic treatment.

Splenic Surgery

The spleen is an important part of the immune system and of blood cell breakdown. Splenectomy is considered for:

  • Blood disorders such as ITP (immune thrombocytopenic purpura)
  • Hereditary spherocytosis and similar haemolytic anaemias
  • Splenic cysts and tumours
  • Traumatic splenic injury
  • Marked splenic enlargement (splenomegaly)

In suitable patients laparoscopic splenectomy is preferred, giving less pain and faster recovery than open surgery. Certain vaccinations before surgery are important in reducing the risk of infection afterwards.

Pancreatic Conditions

Acute pancreatitis

Sudden inflammation of the pancreas, most commonly caused by gallstones or alcohol. It presents with severe abdominal pain radiating to the back, nausea and vomiting. Treatment is mainly supportive; where gallstones are the cause, removing the stone and the gallbladder is required.

Pancreatic cysts and tumours

With the spread of imaging, pancreatic cysts are detected more often. Some are observed while those with suspicious features are assessed for surgery. Pancreatic tumours require different surgical approaches according to location.

Adrenal Gland Surgery

Hormone-secreting or suspicious masses in the adrenal gland are removed by laparoscopic adrenalectomy in suitable cases.

Op. Dr. Ersan Semerci and Liver, Spleen and Pancreas

Laparoscopic Training in Solid Organ Surgery

Liver and splenic surgery are among Op. Dr. Ersan Semerci's registered services on the doctor platforms: "Surgical approach to splenic disease (by laparoscopic and open methods)" and "Splenectomy". Liver and gallbladder surgery appears as a separate specialty area on his Medical Park doctor profile.

  • Laparoscopic Solid Organ Surgery Course, Gazi University Department of General Surgery, Ankara (16-17 June 2011)
  • Laparoscopic splenectomy and laparoscopic adrenalectomy are among his registered services
  • Liver cysts and masses, haemangioma, hydatid cyst and liver abscesses are among his areas of interest

Consultations and operations are carried out at Medicalpark Mersin Hospital. Op. Dr. Ersan Semerci has practised in Mersin since 2010. Patients travelling from Mersin and neighbouring provinces can book via WhatsApp.

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Frequently Asked Questions
A haemangioma was found in my liver. Do I need surgery?

Most haemangiomas require no treatment and are monitored with periodic imaging. Surgery is considered only for very large lesions, those causing marked symptoms or those at risk of bleeding.

Will my immunity weaken if my spleen is removed?

After splenectomy the risk of infection with certain bacteria increases. For this reason pneumococcal, meningococcal and Haemophilus vaccines are given before surgery, and patients are advised to seek help early with febrile illness.

Is a pancreatic cyst cancer?

Most pancreatic cysts are benign, but some can be precursors to cancer. The distinction is made according to the type, size and imaging features of the cyst; suspicious cases are assessed for surgery.

Consultation and Appointments in Mersin

For symptoms within Liver, Spleen and Pancreas you can book an appointment at Medicalpark Mersin Hospital. Mezitli / Mersin, Turkey, weekdays 09:00-17:00.

WhatsApp: +90 542 236 05 33

Disclaimer. This page is provided for general information only. It does not constitute medical advice, diagnosis or a treatment recommendation, and it is not a substitute for examination, diagnosis and treatment by a physician. The content is not tailored to any individual and is not intended as advertising. Which method is suitable for you can only be determined after examination and the necessary investigations. Consult your own doctor about any decision concerning your health.

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