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Hepatobiliary surgery refers to the surgical procedure performed to treat and manage conditions associated with the liver, bile ducts, and gallbladder. At times, it also includes the pancreas and is referred to as hepatopancreatobiliary (HPB) surgery.
Hepatobiliary and pancreatic surgery is typically complex and demands a team of expert surgeons, especially those who have specialized expertise in the fields of hepatobiliary surgery and surgical oncology.
Hepatobiliary surgery is a special branch of gastrointestinal surgical oncology that treats various conditions that affect the hepatobiliary system.
Some common hepatobiliary diseases treated by hepatobiliary surgery are:
Liver cancer can be treated with hepatobiliary surgery, which may involve liver resection or transplantation in certain cases.
Hepatobiliary surgery is a common treatment approach for liver cirrhosis, wherein scarred tissue replaces healthy liver tissue. The surgery often involves resection or liver transplantation.
Liver failure is treated with liver resection or liver transplantation. Liver failure is either treated by removing the damaged liver tissue or replacing the failed liver with a healthy liver from a donor.
Liver cysts, which refer to fluid-filled sacs, are common and do not pose serious health risks. However, in some cases, they may need treatment through cyst fenestration, hepatic resection, and liver transplantation.
Surgery is often the first line of treatment for bile duct cancer. Bile duct resection, the Whipple procedure, and partial hepatectomy are different surgical approaches that can improve outcomes for bile duct cancer.
Bile duct blockages can be treated with interventional radiology procedures or surgical procedures. Commonly recommended procedures include choledocholithotomy (removal of stones), biliary bypass, stent placement, biliary drainage, and more.
Gallbladder cancer can also be treated by hepatobiliary surgery. The surgery involves the removal of the gallbladder (cholecystectomy) along with the surrounding tissue or nearby organs, depending on the stage.
Gallstones are treated with cholecystectomy, which is a type of hepatobiliary surgery. It involves the removal of the gallbladder when the solid particles in the gallbladder block the bile ducts and cause pain or infection.
Pancreatic cancer, one of the most aggressive forms of cancer, is treated with hepatobiliary surgery. Different surgical procedures recommended include the Whipple procedure, distal pancreatectomy, liver resection, and more.
Pancreatitis refers to the inflammation of the pancreas. It may require hepatobiliary surgery intervention when complications arise.
Pancreatic pseudocysts are fluid-filled sacs that form in the pancreas due to inflammation. The condition can be treated by surgical drainage or removal.
The hepatobiliary and pancreatic systems are crucial for digestion and metabolism.
The most common symptoms of conditions associated with the hepatobiliary and pancreatic systems include:
Diagnosis for hepatobiliary surgery involves several imaging and diagnostic techniques to assess the problems associated with the hepatobiliary system. At HCG, we have comprehensive cancer imaging services to support precise diagnostics for our patients.
Some common diagnostic tests for hepatobiliary surgery include:
Ultrasound is used to evaluate the liver, gallbladder, and bile ducts. It is a non-invasive imaging technique that diagnoses conditions like gallstones, liver tumors, or bile duct obstructions.
Biopsy helps diagnose various hepatobiliary diseases. It involves the collection of tissue samples from the suspected areas and their examination in the laboratory to look for the presence of cancer cells. This approach helps specialists arrive at a conclusive diagnosis.
It is a procedure that uses a thin, flexible tube to examine the pancreas and bile ducts. This procedure combines endoscopy and X-rays to detect obstructions, gallstones, or bile duct cancers.
Magnetic Resonance Imaging (MRI) is a diagnostic procedure that uses magnetic fields and radio waves to produce images of the body's soft tissues and organs.
These images are used to diagnose diseases of the liver, bile duct, gallbladder, and pancreas, and lesions of the liver.
A hepatobiliary scan using a computed tomography (CT) scan uses an X-ray tube to take 3D images from many different angles. These images detect injury and/or disease in the liver, bile duct, gallbladder, and pancreas.
Our hepatobiliary surgery program at HCG is empowered by modern cancer care technology facilities, a highly trained expert team, and expertise in new-age treatment approaches for hepatobiliary diseases.
Our multidisciplinary team of surgeons works together to develop the best treatment plan for each patient. At HCG, hepatobiliary surgeons are skilled and experienced in traditional open surgery techniques as well as minimally invasive techniques, like laparoscopic and robotic surgery.
Candidates for minimally invasive, robot-assisted procedures can benefit from HCG's leading expertise in this field with surgeries that result in smaller scars, faster recovery, reduced pain, and less need for pain medication.
