HPB Surgery

Hepato-Pancreato-Biliary (HPB) surgery specializes in treating complex diseases and disorders of the liver, pancreas, and biliary system (which includes the gallbladder and bile ducts). These organs play vital roles in digestion, metabolism, and hormone regulation. HPB surgery is often required to treat cancers, cysts, benign tumors, chronic infections, and inflammatory diseases affecting these organs. Our expert team employs the latest minimally invasive and robotic-assisted surgical techniques to deliver precise, effective, and patient-centered care.

Conditions Treated with HPB Surgery

1. Liver Disease and Cancer: HPB surgery addresses both primary liver cancers (such as hepatocellular carcinoma) and metastatic cancers that have spread to the liver. Other liver conditions treated include liver cysts, benign tumors, and cirrhosis-related complications.
2. Pancreatic Disorders: This includes pancreatic cancer, cysts, pancreatitis, and neuroendocrine tumors. Given the critical role of the pancreas in digestion and blood sugar regulation, these conditions often require highly specialized surgical care.
3. Gallbladder and Biliary Diseases: Gallbladder issues, such as gallstones and cholecystitis, along with bile duct cancers (cholangiocarcinoma), strictures, and congenital conditions, are effectively managed with HPB surgery.
4. Bile Duct Cancers and Disorders: Bile duct cancers and diseases require intricate procedures to remove blockages or tumors, often involving reconstruction of the bile duct to restore normal bile flow.

Types of HPB Surgeries We Offer

1. Liver Resection: In cases of liver cancer or metastases, a portion of the liver is surgically removed, often through minimally invasive or robotic techniques. Liver resections require precision to remove the tumor while preserving as much healthy tissue as possible.
2. Pancreaticoduodenectomy (Whipple Procedure): This complex surgery is performed primarily for pancreatic cancer and involves removing the head of the pancreas, part of the small intestine, gallbladder, and bile duct. Our team uses minimally invasive methods when appropriate, which can reduce recovery time.
3. Distal Pancreatectomy: For tumors located in the tail of the pancreas, a distal pancreatectomy removes the affected part of the pancreas, often including the spleen. This procedure is sometimes performed laparoscopically to enhance recovery.
4. Minimally Invasive Gallbladder Surgery: Cholecystectomy, or removal of the gallbladder, is commonly performed for gallstones and inflammation. We use laparoscopic and robotic techniques to make this a minimally invasive procedure, allowing for faster recovery.
5. Biliary Reconstruction: Biliary reconstruction is necessary for bile duct cancers, strictures, or injuries, restoring the normal flow of bile. Our team is skilled in advanced reconstructive techniques, ensuring effective results and improving quality of life.
6. Ablative Therapies: When appropriate, we offer ablative therapies like radiofrequency ablation (RFA) or microwave ablation (MWA) for liver tumors. These treatments use heat to destroy cancer cells and can be a less invasive option for certain patients.

Advanced HPB Surgical Techniques

1. Minimally Invasive and Robotic Surgery: Our HPB team utilizes the latest in minimally invasive and robotic-assisted technology. These advanced techniques reduce the size of incisions, minimizing post-surgical pain, blood loss, and recovery time while improving precision.
2. Liver and Pancreas Transplantation: For patients requiring a transplant due to advanced liver disease or certain pancreatic conditions, our facility offers access to leading transplant surgeons and a full continuum of care.
3. Pre-Surgical Planning and Imaging: We use state-of-the-art imaging, including MRI, CT, and PET scans, to meticulously plan each surgery. Advanced imaging allows us to map tumors, vascular structures, and key anatomy for the best possible outcomes.

Benefits of HPB Surgery

1. Targeted Cancer Treatment: HPB surgery offers the most effective approach to removing or reducing tumors in the liver, pancreas, or bile ducts, helping prevent cancer spread and improve survival rates.
2. Minimally Invasive Options: By using laparoscopic and robotic techniques, our HPB surgeons provide a minimally invasive approach, reducing recovery time, pain, and the risk of complications.
3. Improved Quality of Life: Successful HPB surgery can relieve symptoms, improve digestion, and increase overall quality of life, particularly in cases of chronic pain or cancer-related discomfort.
4. Comprehensive, Multidisciplinary Care: Our HPB team collaborates with oncologists, gastroenterologists, radiologists, and other specialists to ensure each patient receives a personalized and comprehensive treatment plan.

Multidisciplinary Team Approach

Our HPB team includes specialized surgeons, medical and radiation oncologists, gastroenterologists, radiologists, nutritionists, and supportive care professionals. This collaborative approach ensures that each patient receives holistic, well-coordinated care tailored to their unique needs, from diagnosis through treatment and recovery.

FAQs on HPB Surgery

1. Is HPB surgery safe?
   Yes, HPB surgery is safe and often essential for treating cancers and other conditions of the liver, pancreas, and bile ducts. Our team uses advanced techniques and minimally invasive approaches to reduce risks and improve outcomes.
2. What is the recovery time for HPB surgery?
   Recovery times vary depending on the type and extent of surgery, but minimally invasive approaches generally lead to quicker recovery. Most patients can expect to resume normal activities within a few weeks.
3. Are minimally invasive options available for HPB surgery?
   Absolutely. We use minimally invasive and robotic-assisted techniques whenever possible, which reduces recovery time, minimizes scarring, and can decrease pain.
4. Will I need follow-up care after HPB surgery?
   Yes, follow-up care is essential to monitor recovery and manage any long-term effects. Our team provides ongoing support, imaging, and consultations as needed to ensure the best possible outcomes.
5. Does insurance cover HPB surgery?
   Most insurance plans cover HPB surgery when it is medically necessary. Our team will work with you and your insurance provider to determine coverage and answer any questions you may have.