Liver, Biliary, and Pancreatic Surgery

Liver, Biliary, and Pancreatic Surgery (Hepatopancreato-biliary Science)

Liver, Biliary, and Pancreatic Surgery, also known as Hepatopancreato-biliary (HPB) Surgery, focuses on the diagnosis and treatment of diseases affecting the liver, bile ducts, and pancreas, including cancers, gallstones, cysts, and liver transplants. India has become a top destination for HPB surgery due to its skilled surgeons, advanced medical technology, and cost-effective treatments. With Medkins Healthcare, reaching top Hepatopancreato-biliary and Liver Transplant centre in India is simple, as their team guides you to the best specialists and hospitals and provides comprehensive support during your treatment.

Liver and Biliary Diseases

Liver Cancer (Hepatocellular Carcinoma): A malignant tumor originating in liver cells, often requiring partial liver resection or transplantation.
Liver Metastases: Cancer spread from other organs to the liver, treated surgically by removing part of the liver.
Cholangiocarcinoma (Bile Duct Cancer): A rare cancer affecting the bile ducts, often necessitating surgical removal of liver or bile duct sections.
Gallbladder Cancer: Malignancy in the gallbladder, typically treated with gallbladder removal (cholecystectomy).
Benign Liver Tumors (Adenomas, Hemangiomas): Non-cancerous tumors that may require removal if symptomatic or at risk of rupture.
Biliary Atresia: A congenital condition where bile ducts are blocked or absent, often needing surgical reconstruction or liver transplantation.
Cirrhosis: Advanced liver scarring, which may lead to complications like portal hypertension or liver failure, sometimes requiring surgery.
Primary Sclerosing Cholangitis (PSC): Chronic inflammation and scarring of bile ducts, often leading to liver transplantation in severe cases.
Choledocholithiasis: Gallstones in the bile duct, often requiring surgical removal if they cause blockages or infection.
Polycystic Liver Disease: A genetic disorder causing multiple liver cysts, which may need surgery if they cause discomfort.
Liver Abscess: Pus-filled cavities in the liver, often requiring drainage or surgery.

Pancreatic Diseases

Pancreatic Cancer (Pancreatic Adenocarcinoma): A malignant tumor often requiring complex surgeries such as the Whipple procedure.
Pancreatic Neuroendocrine Tumors (NETs): Rare tumors from hormone-producing cells, requiring surgical removal.
Chronic Pancreatitis: Long-term inflammation leading to complications like cysts or pain, which may necessitate surgery.
Acute Pancreatitis: Sudden inflammation, sometimes leading to complications like necrosis or pseudocysts, requiring surgical intervention.
Pancreatic Cysts: Fluid-filled sacs, potentially benign or precancerous, which may need surgical removal.
Pancreatic Pseudocysts: Collections of fluid and debris from pancreatitis, requiring drainage or removal if symptomatic.
Intraductal Papillary Mucinous Neoplasm (IPMN): Precancerous growths in the pancreatic ducts that may necessitate surgery.
Pancreatic Trauma: Injuries that may require surgical repair or partial resection.
Pancreatic Abscess: Pus collection due to pancreatitis, often needing surgical drainage.

Liver and Biliary Conditions

Gallstones (Cholelithiasis): Hardened deposits in the gallbladder, often treated with cholecystectomy.
Acute Cholecystitis: Inflammation of the gallbladder, typically requiring removal of the gallbladder.
Biliary Obstruction: Blockages caused by stones, tumors, or scarring, necessitating surgery to restore bile flow.
Portal Hypertension: Increased pressure in the portal vein, often leading to complications that may require surgical treatment.
Cystic Lesions of the Liver: Fluid-filled sacs that may need removal if symptomatic or at risk of becoming cancerous.
Biliary Strictures: Narrowing of bile ducts requiring surgical reconstruction or stenting.
Hydatid Disease (Echinococcosis): Parasitic infection causing liver cysts, requiring surgical removal.
Hemochromatosis: Iron overload in the liver, which may lead to complications needing surgical management.
Fatty Liver Disease (Non-Alcoholic Steatohepatitis – NASH): Fat accumulation in the liver, which can progress to cirrhosis, sometimes requiring surgery for complications.

Pancreatic Conditions

Pancreatic Insufficiency: Insufficient enzyme production, often due to chronic pancreatitis, leading to surgery for associated complications.
Bile Duct Obstruction (Due to Pancreatic Diseases): Blockages caused by tumors or inflammation, requiring surgery or endoscopic procedures.
Pancreatic Necrosis: Death of pancreatic tissue, which may necessitate surgical removal of dead tissue (necrosectomy).
Obstructive Jaundice (Due to Pancreatic Tumors): Bile duct obstruction by pancreatic tumors, requiring surgery or stenting.

Liver and Biliary Procedures and Surgeries

Liver Resection (Hepatectomy): Partial removal of the liver for treating cancers or benign tumors.
Liver Transplantation: Replacement of the diseased liver with a donor organ.
Cholecystectomy: Gallbladder removal, often performed laparoscopically.
Biliary Reconstruction: Repair or reconstruction of bile ducts due to injury, stricture, or congenital issues.
Radiofrequency Ablation (RFA): Minimally invasive destruction of liver tumors using heat.
Transarterial Chemoembolization (TACE): Delivering chemotherapy directly to liver tumors via blood vessels.
ERCP (Endoscopic Retrograde Cholangiopancreatography): Procedure to diagnose and treat bile or pancreatic duct problems.
Liver Biopsy: Tissue sampling for diagnosis of liver diseases.
Portal Vein Shunt Surgery (TIPS): Creating a connection between the portal and hepatic veins to reduce hypertension.

Pancreatic Procedures and Surgeries

Whipple Procedure (Pancreaticoduodenectomy): Removal of the pancreatic head, bile duct, gallbladder, and part of the duodenum, used for pancreatic and bile duct cancers.
Distal Pancreatectomy: Removal of the body and tail of the pancreas, often with the spleen.
Total Pancreatectomy: Complete removal of the pancreas for widespread disease, followed by insulin and enzyme replacement therapy.
Pancreatic Necrosectomy: Removal of dead pancreatic tissue in cases of severe necrosis.
Pseudocyst Drainage: Draining pseudocysts either surgically, percutaneously, or endoscopically.
Pancreaticojejunostomy: Creating a connection between the pancreas and the jejunum to improve drainage post-surgery.
Endoscopic Ultrasound (EUS)-Guided Drainage: Minimally invasive drainage of pancreatic cysts or pseudocysts.
Pancreatic Cyst Resection: Removal of pancreatic cysts to prevent cancer or alleviate symptoms.
Islet Cell Transplantation: Transplantation of insulin-producing cells after total pancreatectomy to manage diabetes.

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