After surgery, your pet is monitored in an intensive care unit and medication is administered to control pain. Fluids and antibiotics may be administered via an intravenous catheter for a few days after the procedure to maintain hydration and prevent infection. Daily blood tests may be performed to check for signs of internal organ dysfunction and internal bleeding. If needed, a blood or plasma transfusion may be given.
At home, pain medications and antibiotics may be required. If your pet does not eat a regular diet, a low fat home-cooked diet may be offered. An Elizabethan collar (i.e., a protective device worn around an animal’s neck) is kept on your pet when not under your direct supervision to prevent licking of the incision. Alternatively, a tee shirt can be put on your pet to protect the incision. Pet owners should schedule for a recheck evaluation with their pet’s veterinary surgeon about 10–14 days after surgery. At this time, if indicated by the biopsy report, an oncologist may initiate the first round of chemotherapy.
The outcome of surgical treatment of hepatocellular carcinomas is generally very favorable with survival times commonly exceeding 3.8 years and metastasis seen in less than 5% of pets. Removal of resectable biliary cystadenomas in cats has a good prognosis with long survival times. Surgical removal of bile duct carcinomas yields short survival times in both dogs and cats due to metastasis and regrowth of the tumor in the liver. Sarcomas and carcinoids have a poor prognosis, as the majority of these have metastasized at the time of diagnosis.
Dogs that have untreated primary liver tumors (specifically hepatocellular carcinoma) are 15 times more likely to die of tumor-related complications than dogs that have had their tumors removed. Liver tumors are fragile and may rupture at any time, thus may cause life-threatening internal bleeding. A tumor may compress the main bile duct that drains bile from the liver into the intestine, thereby causing jaundice. It may compress internal organs or the great vessels in the abdomen and cause a variety of signs such as vomiting and distention of the abdomen with fluid. Rarely, liver tumors produce insulin-like substances that cause the pet to have low blood sugar.
Ongoing bleeding after surgery, although seen in less than 2% of operated patients, can result in death of the pet in the postoperative period. Other complications may include:
- twisting of a liver lobe adjacent to the portion of liver that has been removed
- re-growth of the tumor in the liver
- spread of the tumor to other internal organs