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Department of

Hepato Pancreato Biliary Services

1. Liver surgery

Major liver resections are undertaken routinely for primary cancers of the liver and the biliary tree. Laparoscopic Marsupialisation is commonly performed for hydatid cyst and large cysts of Polycystic liver disease.

2. Pancreas

The unit has carried out more than 50 major pancreatic resections with results being comparable with the best centres in the world. Surgical treatment is offered to patients with pancreatic cancers (Whipple’s pancreaticoduodenectomy/ Distal pancreatectomy + Spleenectomy), chronic pancreatitis (Roux En Y lateral pancreaticojejunostomy with head coring) and complications of pancreatitis (Laparoscopic and open cystogastrostomy for pseudocyst of pancreas) including psedoaneurysm.

3. Disorders of the biliary system

The treatment of gallstone disease and CBD stones is done in coordination with the Medical Gastroenterology Department so as to allow planning of combined and sequential treatment procedures that would help in reducing the hospital stay. Surgical management of complicated benign biliary disorders is done by Roux en Y hepatico-jejunostomy.

4.Bile duct and gall bladder cancer

Palliative and curative resections for biliary cancer and palliative drainage procedures are performed. Combined liver and bile duct resection for advanced Gall bladder and Bile duct cancers are being performed regularly with excellent results. Patients who have inoperable diseases are offered various palliative measures like stenting or bypass procedures.

Whipple’s Pancreaticoduodenectomy for Large Benign Tumor of Head of pancreas
Surgery for portal Hypertension (NCPF): Spleenectomy + Proximal Spleenorenal shunt (PSRS)
Left lobectomy (Seg II,III,IV)
Surgery for Chronic Pancreatitis : Lateral Pancreatico-jejunostomy + Distal pancreatico-spleenectomy