Hepatic, pancreatic and biliary surgery

SURGICAL PROCEDURES

  •  Cholecystectomy  

  • Common bile duct exploration 

  • Repair of biliary tract injuries

  • Biliodigestive derivation 

  • Liver resection

  • Hepatico-jejunostomy

  • Pancreaticoduodenectomy (Whipple procedure)

  • Cystogastroanastomosis

  • Cystoyeyunoanastomosis

  • Distal pancreatectomy

  • Lateral pancreaticojejunostomy (Puestow procedure)

DISEASES TREATED

Liver Disease 

  • Metastatic neoplasms (Colon cancer)

  • Liver abscess

  • Benign tumors and cyst of the liver

  • Polycystic liver disease

  • Malignant tumors of the liver (cancer)

Pancreas Disease

  • Pancreatic abscess

  • Infected pancreatic necrosis

  • Islet cell tumors

  • Malignant neoplasms (Pancreatic cancer)

  • Benign Tumors

  • Cystic Neoplasms

  • Chronic pancreatitis 

  • Pseudocysts

Gallbladder and Biliary Disease

  • Bile duct injuries and structures

  • Choledochal cysts

  • Cholangiocarcinoma

  • Cholangitis and cholestatic disease

  • Biliary cirrhosis

  • Malignant tumors of the bile duct

  • Gallbladder cancer

Liver 

Surgery of the liver may be required for several types of diseases. Most commonly, malignant tumors such as hepatocellular carcinoma (HCC), metastatic tumors, cholangiocarcinoma or other types of cancerous tumors require a hepatic resection (removal of a portion of the liver). Surgical resection of liver tumors is associated with the best chance for cure of malignant tumors. Benign tumors such as cysts, adenomas or hemangiomas may also require resection if they are causing symptoms.

Pancreas

Surgical diseases of the pancreas include benign and malignant tumors, cysts, pseudocyts and duct abnormalities. Most tumors are removed with resection (removal of a portion of the pancreas), including the Whipple procedure or distal pancreatectomy, depending on the location of the tumors. Surgical treatment of pseudocysts involves drainage of the cyst into the stomach or intestine. Occasionally, the pancreatic duct becomes injured due to chronic inflammation. Treatment may require resection of the pancreas or Puestow procedure.

Gallbladder and Bile Ducts

The bile duct system and gallbladder (collectively known as the biliary tree) are involved in the drainage and delivery of bile from the liver into the intestine. Bile production is one of the most vital functions of the liver and it is necessary for the appropriate absorption of nutrients from the intestine. The most common disorder of the biliary tree is gallstones (cholelithiasis). They are usually located in the gallbladder and, if symptomatic, can be removed with minimally invasive surgery. The biliary tree can be a site for growth of malignant tumors. In this case the removal of a portion of bile duct may be necessary and possibly a section of the liver. Certain diseases can also injure the bile ducts causing a narrowing or stricture. Treatment may require removal of a portion of the bile duct.