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Liver Gallbladder and Bile duct surgeries in Mukundapur

Liver Gallbladder and Bile Duct Surgeries

Liver Gallbladder and Bile duct surgeries in Mukundapur

Hepato-Pancreato-Biliary (HPB) Surgery addresses the surgical treatment of diseases affecting the liver, pancreas, gallbladder, and bile duct. These surgeries focus on treating a range of conditions, including liver cancer, bile duct cancer, gallbladder cancer, pancreatic cancer, Whipple’s resection, benign tumours, cysts, gallstones, and chronic pancreatitis. These surgeries are highly complex as they involve multi-organ complexities that play vital roles in the functioning of the body. HPB surgeries can be performed using advanced techniques like laparoscopy and robotics, which are increasingly used nowadays, as these minimally invasive techniques reduce recovery time, minimise complications, and improve patient outcomes.

Manipal Hospitals, Mukundapur, understands the intricate nature of these HPB Surgeries; thus, we emphasise a collaborative team approach and employ state-of-the-art diagnostic and surgical facilities to provide accurate diagnosis and personalised treatment. Our multidisciplinary team of surgeons, endoscopists, gastroenterologists, interventional radiologists, hepatologists, and oncologists works together to provide optimum treatment services for varied conditions in one place. Our Hepatobiliary Surgery Unit focuses on saving patient’s lives and providing the most effective organ transplant surgeries where transplants are necessary. Advanced imaging techniques and preoperative planning are essential for precise and effective treatment. We also offer postoperative care, including monitoring for complications, managing pain, and supporting the patient’s nutritional and functional recovery. HPB surgeries aim to significantly enhance the quality of life for patients with complex hepatobiliary and pancreatic conditions.

FAQ's

HPB Surgery collectively stands for surgeries focusing on the liver, pancreas, and biliary system. Many conditions can be treated through HPB Surgeries. The most common ones are:

  • Liver cancer
  • Liver tumour removal (colorectal cancer, neuroendocrine tumour of the gastrointestinal tract)
  • Benign and malignancies of the pancreas (pancreas tumours and pancreas cancer)
  • Pancreatic cysts
  • Pancreatitis
  • Gallstones
  • Bile duct obstruction
  • Liver infection
  • Gallbladder and bile duct tumours
  • Gallbladder and bile duct cancer

HPB Surgeries are complex and require the expertise of our specialised surgeons. These procedures can be done using minimally invasive (laparoscopic), open, and robotic methods. Various types of HPB Surgeries include:

  • Liver Resection (Hepatectomy)
  • Liver Transplant
  • Whipple Procedure (Pancreaticoduodenectomy)
  • Cholecystectomy
  • Distal Pancreatectomy
  • Bile Duct Resection
  • Total Pancreatectomy
  • Hepaticojejunostomy
  • Transjugular Intrahepatic Portosystemic Shunt
  • Pylorus-Preserving Pancreaticoduodenectomy
  • Laparoscopic Liver Surgery
  • Biliary Stent Placement
  • Radiofrequency Ablation
  • Portal Vein Embolization
  • Cystogastrostmy/Cystojejunostomy

Whipple Procedure, also known as Pancreaticoduodenctomy, is a complex intervention procedure used for treating pancreatic cancer, which is located in the head of the pancreas. This intricate surgery involves removing the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder, and a portion of the bile duct. The remaining parts of the digestive system are then reconnected to allow for normal digestion. The Whipple Procedure can be done using laparoscopy or robotic techniques, which offers faster recovery and fewer complications to the surrounding tissues.

As it involves various types of surgeries related to different organs, the diagnosis of each disease will be different. The following diagnostic tests will be used: 

  • Liver Disease: Liver function tests and ultrasound

  • Advanced Liver Disease: acoustic radiation force impulse imaging (ARFI)

  • Liver Cancer: CT scan, MRI, tumour markers

  • Pancreatic Disease: CT scan, endoscopic retrograde cholangiopancreatography (ERCP)

  • Pancreatic Cancer: CT scan, endoscopic retrograde cholangiopancreatography (ERCP), tumour markers, endoscopic ultrasound (EUS)

  • Bile Duct Obstruction: magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), and ultrasonography

  • Bile Duct Cancer: magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), CT scan

HPB Surgery is an umbrella term for various surgeries related to the liver, pancreas, bile duct, or gallbladder. Thus, the procedure varies depending on the surgery performed. For example, in the Whipple Procedure, intricate removal and reconstruction of organs is done to target pancreatic cancer, while for precise Liver Resection, minimally invasive liver surgery is done using smaller incisions and advanced technology. Therefore, the sequence of steps, the use of technology, and the overall surgical process will differ significantly based on the particular HPB surgery being performed. Your surgeon will guide you through the specifications of the procedure you are undergoing and address any concerns or questions you may have before embarking on the surgery.

Every surgery comes with some complications, but HPB surgeries are complex procedures, so there are more chances of complications, which depends on the type of surgery performed. The risks similar to those associated with other surgeries include blood clots, bleeding, infection, and complications associated with anaesthesia. Specific risks offered by HPB Surgeries include liver failure, pancreatic fistulas, haemorrhage, bile leaks, delayed gastric emptying, and the risk of damaging nearby organs and blood vessels.

The recovery period varies depending on the type and extent of surgery and your overall health. If the surgery is performed through minimally invasive procedures, it offers shorter recovery periods, and you can get back to your daily activities within a few weeks. Whereas, open surgeries will take several months for full recovery, depending on the complexity of the procedure. Follow all postoperative guidelines and attend regular follow-up appointments, as instructed by your doctor, for a faster recovery.

HPB Surgeries are often difficult, so it's always recommended to follow a diet low in fat and high in protein and fibre after the surgery. You should eat smaller, more frequent meals to aid digestion and avoid foods that can irritate the digestive system. Our team will provide personalised guidance and specific dietary recommendations based on the type of surgery and your individual needs.

The need for additional treatments such as Chemotherapy or Radiation Therapy will depend on the type and stage of your cancer. These treatments may be recommended to eliminate any remaining cancer cells and reduce the risk of recurrence. Our multidisciplinary team of specialists will decide your personalised treatment plan, best suiting your needs.

If you experience any signs of complications after the surgery, inform the doctor immediately. The symptoms of concern include:

  • Fever
  • Severe pain
  • Jaundice
  • Swelling or redness at the incision site
  • Persistent vomiting
  • Unusual changes in bowel or urinary habits
  • Signs of infection 

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