All You Need To Know About Hepato-Pancreato-Biliary Surgery

Hepato-pancreato-biliary surgery is a surgical specialty that deals with removing diseased, obstructing or malignant organs of the body. The procedure involves removing parts of the pancreas, liver and gallbladder to treat cancerous tumours, severe infections and other diseases. In this article, you’ll find all you need to know about Hepato-Pancreato-Biliary Surgery.

Let’s get started.

What is Hepato-Pancreato-Biliary Surgery?

Hepato-Pancreato-Biliary Surgery is a surgical treatment that focuses on the pancreas, gallbladder and liver surgery. The surgery can be used for treating cancer or other diseases of the organs. It may also involve removing parts of these organs because they are unhealthy due to disease, trauma or tumours. This type of surgery often requires extensive knowledge since it involves many complex procedures, and so it becomes quite challenging to find the right doctor for the operation. It would be best for you to get your treatment done at BLK Max Hospital. They have an expert team of surgeons who can help you with the treatment and recovery from your disease.

HPB Surgery Program Services

  1. Individualized treatment programmes are created for each patient
  2. For improved recovery, use evidence-based clinical approaches
  3. Trials with Genetic Counselors
  4. Pre- and post-surgery wellness programmes
  5. Treatment options for survivorship
  6. Multidisciplinary care is provided by:

MDCs (Multidisciplinary Clinics)

Surgery is sometimes just one aspect of a therapy regimen, particularly when it comes to treating cancer. Multidisciplinary clinics are mostly for patients who could require extra non-surgical care before or following the operation. Patients may visit surgical and non-surgical experts simultaneously in the same area throughout these clinic sessions. This enables you to have an integrated treatment plan. It is important for you to look for the best liver and biliary surgery hospital to get your treatment done.

Tumor Board Meetings

Other experts’ opinions are frequently sought while making surgical decisions. Tumor Board Conferences bring together all of the doctors engaged in a patient’s condition to go over the case in depth and formulate a thorough treatment strategy.

HPB Surgical Procedures

Surgical procedures involving the hepatic (liver), pancreatic, or biliary systems are as follows:

  • Bile duct resection

The biliary system, or the liver and gallbladder, is a group of organs that produce and store ​bile (yellowish-green fluid) to aid in digestion. Bile duct resection surgery involves removing part of the bile duct due to cancer (such as cholangiocarcinoma), stones obstructing it, or inflammation.

  • Complex gallbladder resection

This is the removal of the diseased gallbladder with a portion of the hepatic duct, cystic artery and lymph nodes. It involves removing part or entire liver lobe, which depends on how much damage has occurred to it because of inflammation in bile ducts caused by stones/inflammation within gallstones.

The surgeon will have to work around blood vessels that are large enough to take care of your body’s needs. The dissection starts from the porta hepatis region, where the cystic artery branches into the right and left hepatic arteries (the arterial supply for both sides).

  • Repairing the bile duct

Many patients with bile duct cancer have their defective bile duct surgically removed, and the remaining normal section of the bile duct reattached. For example, in a patient who has had their gallbladder removed (cholecystectomy) for gallstones that could not be broken down using extracorporeal shockwave lithotripsy (ESWL), this would include removing any stones found in the common hepatic artery during surgery and repairing both ends of the damaged part of the biliary system to prevent cholangitis from occurring again. Nanavati Hospital would be the perfect place for you to get your bile duct repaired in the best possible way.

  • Liver tumour ablation

Liver tumour ablation is a type of selective ablative procedure used to treat liver tumours or diseases that are otherwise difficult to treat with surgery. It can be combined with other therapies, such as radiofrequency ablation (RFA) or cryosurgery. The purpose of liver tumour ablation is to destroy the diseased tissue in the liver while preserving as much healthy liver parenchyma (i.e., functional cells) as possible so that it can continue to perform its normal functions, including detoxification and blood filtration. 

The goal may be palliation rather than a cure, depending on how advanced or aggressive the disease process has become.

  • Resection of the liver

This is the most common type of liver surgery. The surgeon removes a section or all (hepatectomy)of the diseased part. The liver has an amazing ability to regenerate. If only part of the liver is removed, it can grow back to its original size over time.

  • Resection of the pancreas

This surgery may be necessary if a tumor or cancer invades the head of your pancreas, which is located just behind the stomach and below the ribs near where they meet in front. It might also be done as part of another operation for pancreatic diseases such as chronic pancreatitis. 

In this case, you’ll have both surgeries at once because removing only part of your pancreas could make it harder to digest food properly and take away important digestive enzymes that help break down proteins from foods you eat.

The Bottom Line

Hepato-pancreato-biliary surgery, or HPB, is a general term for surgical procedures on the liver, pancreas and bile ducts. HPB surgeries are often complex, requiring multidisciplinary teams to perform them successfully.

By Adam

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