Hepatobiliary and Pancreatic Cancer Surgery

Cancers of the liver, gallbladder, and pancreas—collectively known as hepatobiliary and pancreatic (HPB) cancers—are among the most complex and challenging to treat. These cancers often require intricate surgeries, careful staging, and coordination across multiple specialties to achieve the best possible outcomes. Our center is equipped with the expertise, technology, and collaborative team needed to manage these demanding conditions with precision and compassion.

– Cancers Treated

We specialize in the surgical management of:

1. Primary liver cancer (e.g., hepatocellular carcinoma)

2. Metastatic liver tumors (especially colorectal metastases)

3. Gallbladder cancer

4. Cholangiocarcinoma (bile duct cancer)

5. Pancreatic cancer (including tumors of the head, body, or tail)

6. Ampullary and periampullary tumors

7. Cystic pancreatic neoplasms

Early symptoms may be vague—such as jaundice, weight loss, or abdominal pain—which often delays diagnosis. Thus, a high degree of suspicion and timely imaging is essential.

– Surgical Procedures Offered

1. We provide a full spectrum of complex HPB surgeries, including:
2. Hepatectomy: Removal of a portion of the liver for tumors or metastases. We perform both minor and major resections, with careful attention to preserving adequate liver function.
3. Cholecystectomy: Surgical removal of the gallbladder, often for cancer or suspicious polyps. In select cases, extended cholecystectomy and lymph node dissection are performed for gallbladder cancer.
4. Pancreatectomy:
   i) Whipple procedure (Pancreaticoduodenectomy): A complex operation for tumors in the head of the pancreas, distal bile duct, or ampulla.
   ii) Distal pancreatectomy: For tumors in the body or tail of the pancreas.
   iii) Total pancreatectomy: In selected cases, when disease involves the entire gland.

Each of these procedures requires careful patient selection, preoperative optimization, and intraoperative precision. Minimally invasive approaches are considered in selected cases to reduce recovery time and complications.

– Postoperative Care and Support

HPB surgeries require specialized postoperative care. Patients are closely monitored in high-dependency or ICU settings, with attention to:

1. Liver function and bile drainage

2. Blood sugar and enzyme management (especially after pancreatic surgery)

3. Early mobilization and infection prevention

4. Nutritional rehabilitation, including pancreatic enzyme supplements if needed

Long-term follow-up includes regular imaging, tumor marker assessments, and support for any metabolic or digestive complications.

Successful treatment of HPB cancers depends heavily on surgical expertise and multidisciplinary coordination. With a strong track record in performing complex hepatobiliary surgeries—including Whipple procedures, liver resections, and bile duct reconstructions—our team offers patients access to advanced care tailored to their unique condition.