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Case Studies

First Liver Resection for a Giant 15 x 15 cm Liver Cyst Performed in Bathinda

A 37-year-old patient with a giant 15 x 15 cm symptomatic liver cyst underwent Bathinda's first liver resection, performed by Dr. Raman Garg at Bombay Gastro & Cancer Institute, bringing advanced hepatobiliary surgery closer to patients in the region.

Dr. Raman Garg 14 July 2026

Dr. Raman Garg Performs Bathinda's First Liver Resection, Bringing Advanced Hepatobiliary Surgery Closer to Patients

Liver resection (hepatectomy) is one of the most technically demanding procedures in gastrointestinal surgery, requiring specialized expertise in hepatobiliary (HPB) surgery, meticulous vascular control, and preservation of healthy liver tissue. Until recently, patients from Bathinda and the surrounding Malwa region often had to travel to metropolitan cities for complex liver operations.

Dr. Raman Garg, Senior Surgical Gastroenterologist, Hepatobiliary (HPB) Surgeon, GI Cancer Surgeon, and Advanced Laparoscopic Surgeon, successfully performed the first liver resection in Bathinda, marking a significant milestone in the region's surgical healthcare.

Patient Presentation

A 37-year-old patient presented with:

  • Severe upper abdominal pain.
  • Progressive abdominal fullness.
  • Pressure symptoms due to a large abdominal mass.
  • Reduced quality of life because of the enlarging liver cyst.

Contrast-enhanced CT imaging revealed a giant symptomatic liver cyst measuring approximately 15 × 15 cm, occupying a substantial portion of the liver and compressing adjacent abdominal organs.

CT scan showing a giant liver cyst compressing adjacent abdominal organs

Considering the cyst's massive size and persistent symptoms, definitive surgical treatment was recommended.

Serial CT scan images demonstrating the giant liver cyst before surgery

Advanced Hepatobiliary Surgery by Dr. Raman Garg

Following comprehensive evaluation, Dr. Raman Garg performed a Liver Resection (Hepatectomy) to completely remove the giant liver cyst along with the involved segment of the liver.

The surgery required meticulous dissection, precise vascular control, and careful preservation of healthy liver tissue to maintain adequate postoperative liver function.

Resected giant liver cyst specimen after hepatectomy

Complete excision of the giant cyst relieved compression of surrounding organs and provided definitive treatment.

The operation was successfully performed by Dr. Raman Garg at Bombay Gastro & Cancer Institute, Bathinda, establishing a new benchmark for advanced hepatobiliary surgery in the region.

Excellent Postoperative Recovery

The patient had an uneventful postoperative recovery:

  • Early mobilization after surgery.
  • Gradual resumption of oral diet.
  • Stable postoperative liver function.
  • No major complications.
  • Discharged in satisfactory condition with complete relief of symptoms.

Why This Case Is a Landmark

Giant liver cysts measuring 15 cm or more are uncommon and can produce significant abdominal pain, fullness, early satiety, and compression of adjacent organs. While small asymptomatic cysts may simply be observed, large symptomatic cysts usually require definitive surgical treatment.

This case is especially significant because:

  • It represents the first successful liver resection performed in Bathinda.
  • A giant 15 × 15 cm liver cyst was completely excised with preservation of healthy liver tissue.
  • The patient achieved an excellent recovery without major complications.
  • Patients in Bathinda and the Malwa region can now access advanced hepatobiliary surgery closer to home instead of travelling to distant tertiary centres.

This landmark surgery reflects the growing availability of highly specialized gastrointestinal and liver surgery in the region and demonstrates that complex hepatobiliary procedures can be safely performed with excellent outcomes by experienced specialists.

Advanced Hepatobiliary Surgery by Dr. Raman Garg

Dr. Raman Garg is a leading Surgical Gastroenterologist, Hepatobiliary (HPB) Surgeon, GI Cancer Surgeon, Advanced Laparoscopic Surgeon, Hernia Surgeon, and Colorectal Surgeon based in Bathinda, Punjab. He has extensive expertise in liver resections (hepatectomy), hepatobiliary surgery, pancreatic surgery, and gastrointestinal cancer surgery, including the management of liver tumours, giant liver cysts, and hydatid disease.

Patients from Bathinda, Punjab, Haryana, Rajasthan, and neighbouring states seek treatment from Dr. Raman Garg for advanced liver and hepatobiliary surgical care.

Patient: 37-year-old
Diagnosis: Giant Symptomatic Liver Cyst (15 × 15 cm)
Procedure Performed: Liver Resection (Hepatectomy) — Bathinda's First Liver Resection
Operating Surgeon: Dr. Raman Garg, Surgical Gastroenterologist, Hepatobiliary (HPB) Surgeon, Bombay Gastro & Cancer Institute, Bathinda
Outcome: Uneventful recovery with complete resolution of symptoms.

About Dr. Raman Garg

Dr. Raman Garg is a Consultant Surgical Gastroenterologist, Advanced GI, Laparoscopic and HPB Surgeon at Bombay Gastro & Cancer Institute, Bathinda. He specializes in gastrointestinal cancer surgery, liver, pancreas and bile duct surgery, colorectal surgery, hernia surgery, upper GI surgery, emergency abdominal surgery, and advanced minimally invasive procedures.

Patient identity has been withheld to maintain confidentiality. This case is published solely for educational purposes and with due respect for patient privacy.

Dr Raman Garg
Dr. Raman Garg
Senior Surgical Gastroenterologist & Laparoscopic Surgeon
Bombay Gastro & Cancer Institute, Bathinda

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