Hepato-Pancreato-Biliary operations

Hepato-biliary surgeries
Hepato-biliary surgeries are technically complex because they are deep seated in the abdomen, have complex anatomical relations, and have highly vascularity. Only until 1950's, liver and pancreatic surgery was considered too risky, with bleeding being the most common problem. However, a lot of progress has been made in the last few decades.

Liver surgeries:

• Liver transplant
• Liver resections (HCC, CRM, hemangioma)
• Laparoscopic Liver cyst removal
• Robotic liver surgery

Gall bladder and bile duct surgeries:

• Laparoscopic cholecystectomy
• Surgery for bile duct stones
• Surgery for bile duct cancer
• Surgery for gall bladder cancer
• Reconstructive surgery for bile duct injury

Biliary atresia (non- development of bile ducts):

• Kasai portoenterostomy
• Biliary cyst (Choledochal cyst)

Pancreatic resection:

• Whipple’s pancreatico-duodenectomy
• Acute pancreatitis: necrosectomy
• Chronic pancreatitis:  Puestow’s lateral pancreatico-jejunostomy

Alternative methods of treatment of HPB diseases:

• Endoscopic retrograde cholangiopancreatogram (ERCP)
• Percutaneous trans-hepatic biliary drainage (PTBD)
• RFA
• TACE
• Y90