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Second Opinion

Hepato-Pancreato-Biliary (HPB) surgery

The liver, pancreas, and biliary system have the common function of secreting digestive juices which travel from the liver through the biliary system and from the pancreas through pancreatic duct, to enter small intestine and mix with food. There are many other functions liver and pancreas perform apart from secretion of digestive juice.

Hepato-Pancreato-Biliary (HPB) surgery consists of the surgical treatment for benign and malignant diseases of the liver, pancreas, gallbladder, and bile ducts. These are among the most challenging and complex surgical procedures performed in Gastrointestinal Surgery and require a high degree of expertise and skill.

HPB (Hepato-Pancreatico-Biliary) surgery is a subspecialty of Gastrointestinal surgery specific to benign and malignant diseases of the liver, pancreas, and biliary tree.

HPB surgery unit needs a dedicated team of clinicians, state of art Operation theatre, excellent intensive care units, advanced endoscopy suits, high-end imaging services, along with dedicated staff for managing them.

Leaders in HPB Treatment
At Wockhardt Hospitals, we have one of the highest surgical volumes for hepato-pancreato-biliary surgery in the western suburb of Mumbai. Our center is only HPB unit after Andheri till Surat. Our experienced surgeons are leaders in pancreas and liver surgery. We offer second opinions for both liver and pancreatic cancer.

More Treatment Options
Our surgeons specialize in diagnosing and treating liver and pancreatic cancer through minimally invasive and robotic surgery. We are able to schedule patients within 24-48 hours after record review.

Advanced Cancer Treatment
We treat metastatic and advanced cancers that may not be able to be removed surgically (unresectable).

  • Bile duct cancer (Cholangiocarcinoma)
  • Gall bladder cancer
  • Liver Cancers and Benign tumours
  • Pancreatic cancer
  • Pancreatic cyst
  • Pancreatitis

Liver Resection (Hepatectomy):
Major and supra major liver resections are performed for various indications. Nowadays minimally accessible treatment has become the standard of care. The liver is a unique organ that has the capacity to regrow. Normally we need 20-25% of a healthy liver, so we can resect up to 75% of diseased liver. This remaining liver regrows to its original size in 8 -12 weeks.

The type of liver surgery offered is based on a variety of factors, such as the biology, size, and location of lesions in the liver and whether someone qualifies as a candidate for this procedure. These options will be discussed with you by your surgeon and all available information will be considered before making the most appropriate decision together.

A successful minimally invasive liver resection will typically leave a patient with smaller incisions, less surgical pain, a quicker recovery, and potential earlier adjuvant treatment, if needed.

 

Pancreatic Surgery (Pancreatectomy):
For pancreatic head cancer, we do Whipples surgery. Whipple’s surgery is major surgery due to its complex reconstruction. This surgery removes the pancreatic head with gall bladder, bile duct, part of the stomach, and part of the small intestine. Which need complex reconstruction. Nowadays this surgery is performed laparoscopically  ( In selected patients) which resulted in lower morbidity.

Pancreatic diseases which involve the body and tail have to undergo a surgery called Distal Pancreatectomy. This surgery is performed laparoscopically as a standard of care. Sometimes we also have to remove the spleen along with cancers.

 

Gall bladder and biliary tree surgery:
Most commonly done for the stone disease of the gall bladder, which has notable symptoms like recurrent pain and varied complications like acute cholecystitis (infection), Choledocholithiasis (stone in the bile duct), and acute pancreatitis, are rare cancers of the biliary tree.

Other common surgeries are CBD exploration for big stone, Cyst of a biliary tree requiring excision of the bile duct, repair of bile duct injury commonly after laparoscopic cholecystectomy, and narrowing of biliary-eneric anastomosis.

Gall bladder cancer is aggressive and needs liver resection along with gall bladder and lymph nodes. Bile duct cancer mostly needs either liver resection or pancreatic resection.

 

Pancreatic necrosectomy:
As sequele of acute necrotizing pancreatic, there is a large amount of necrotic tissue of the pancreas and peripancreatic area which in case of symptoms needs to be excised and the cavity to be joined to the stomach /intestine.

Nowadays all necrosectomies are done by laparoscopic and transgastric methods. With this risk of external pancreatic fistula and wound, morbidity is significantly less.