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HPB Surgery (Hepato Pancreatico Biliary)

Hepato Pancreatico Biliary Surgery

Hepatobiliary and pancreatic diseases are some of the common disorders associated with the digestive system. The hepatobiliary and pancreatic system is the combination of liver, pancreas, gall bladder and bile duct. The liver in our body is a highly vascular organ and is directed to perform certain complex tasks such as metabolism, synthesis of glycogen and detoxification. Hence it becomes an important organ suppressing infections and infestations.

The pancreas is a gland in our that produces enzymes or digestive juices into the small intestine. Pancreas also produces a hormone called insulin which regulates the body’s glucose or sugar level. The gallbladder is like a small pouch located just under the liver and stores the bile juice produced by the liver. The most common problem with it is gallstones obstructing the bile ducts.

If these primary organs are affected by any means, then the total body functions get disturbed. The disorders of the hepatobiliary pancreatic system can be congenital or may be developed over time.

What is Hepato-Biliary-Pancreatic Surgery?

Some diseases associated with hepatobiliary system can be chronic and needed surgical correction for such conditions. HPB (Hepato-Biliary-Pancreatic) surgery is a specific surgery to treat benign and malignant conditions associated with these liver, pancreas and biliary tree. Surgery to treat chronic disorders in these organs is challenging and highly complicated which require highly skilled and expertise hepatobiliary surgeon.

The surgical techniques have improved a lot, as these hepato-biliary-pancreatic surgeries can be done using minimally invasive techniques. Some common surgical procedures include:

  • Liver transplant and liver resection
  • Liver tumour ablation
  • Removal of the lower stomach with the Whipple procedure
  • Anti-reflux surgery for the GI system problems
  • Bile duct resection and reconstruction
  • Surgery to remove partial or total elimination of the pancreas
  • Gallbladder removal called Cholecystectomy

Why Hepatobiliary & Pancreatic Surgery?

Hepatobiliary and pancreatic surgery help to treat cysts and other diseases related to Hepatobiliary & Pancreatic system which includes:

Liver diseases

  • Liver cancer which is also known as hepatocellular carcinoma. Liver cancer can be a result of excessive alcohol consumption, birth defects, hereditary, or chronic hepatitis infections.
  • Liver cirrhosis caused due to alcoholism and chronic viral hepatitis.
  • Viral hepatitis
  • Infectious liver diseases
  • Inflammatory conditions of the liver such as abscess, sarcoidosis etc.
  • End-stage liver disease also called a hepatorenal syndrome.
  • Formation of cysts in the liver
  • Vascular disorders
  • Metabolic diseases
  • Portal hypertension

These diseases can be treated under the medication and in some cases, liver transplantation or resection is necessary.

Biliary disease

  • Bile ducts cancer such as Cholangiocarcinoma
  • Bile duct injuries and blockage
  • Gallstones and Bile Duct Stones
  • Cholangitis
  • Cholecystitis

Pancreatic diseases

  • Pancreatic cancer which is mostly caused due to cigarette smoking
  • Pancreatitis or acute Pancreatitis also called inflammation of the pancreas caused due to
  • chronic alcoholism, excessive cigarette smoking, cystic fibrosis, or hereditary.
  • Alcohol-Related Pancreatitis
  • Chronic Pancreatitis

Gallstone Pancreatitis

We have a multidisciplinary team of professionals to provide a personalised treatment plan for every patient. Our team of specialists and clinicians include hepatobiliary surgeons, transplant surgeons, gastroenterologists, pancreatic surgeons, or hepatobiliary surgical oncologists and anaesthesiologists who specialised in treating various types of hepato-pancreato-biliary diseases.

There are various treatment options available for patients who are suffering from any liver, pancreatic, and gallbladder diseases. For instance, cancer can be treated using laparoscopic radiof requency ablation, or internal radiation therapy, chemotherapy. Cholecystectomy can be used to treat gallbladder or biliary tract disease. However, for in severe cases, such as liver cirrhosis and end-stage liver disease, patients may need to undergo liver transplantation.

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