Anaesthesia management for hepatic adenoma excision surgery

• Author Details:   
• Maulika R Patel Patel ^*
• Ashish P Jain

---

This case report describes the comprehensive anaesthesia management of a 65-year-old male patient undergoing left-side hepatectomy for a hepatic adenoma. The patient presented with epigastric pain, and imaging revealed a significant liver mass. Thorough preoperative optimization, including cardiac and respiratory evaluations, was performed. Plan of anaesthesia was general anaesthesia with lower thoracic epidural anaesthesia. Intraoperatively, meticulous monitoring and haemostatic techniques were employed to manage expected heavy blood loss. Postoperative care included ICU monitoring, multimodal analgesia, and gradual recovery, leading to a successful discharge. This case highlights the importance of a multidisciplinary approach in managing hepatic adenomas, particularly in high-risk surgical settings. A review of the relevant literature is provided to contextualize the anaesthetic strategies employed.

Keywords: Hepatic adenoma, Thoracic epidural analgesia, Post-operative care, Multidisciplinary approach, Massive blood transfusion