Hepato Pancreatic Biliary Surgery


What Is HPB?

HPB Means Diseases Of The Liver (Hepato) Pancreas (P) And Biliary System (Gall Bladder And Bile Duct).

What is liver cancer?

Cancer Of The Liver Can Be Of Two Types: Primary And Secondary. Primary Cancers Are The Ones That Originate From The Liver And Secondary Cancers Are The Ones That Have Spread To The Liver.

What is the incidence of primary liver cancers?

They Are Generally Seen In Patients Suffering From Cirrhosis Of The Liver. Some Of The Risk Factors For Cirrhosis Are Alcohol, Hepatitis B, Hepatitis C, Diabetes And Fatty Liver.

Primary Liver Cancer Is The Fifth Most Common Cancer In The World And The Third Most Common Cause Of Cancer Mortality. Incidence Increases With Age. If Left Untreated, 5 Year Survival Rate Is Approximately 7%. Worldwide, Approximately 100/100,000 People Suffer From Some Form Of Liver Cancer; One Of The Commonest Regions Being India.

What is the incidence of secondary liver cancers?
Around 50% Of Patients With Intestinal Cancer Will Develop Cancer Spread To The Liver (An Annual Incidence Of 1 Lakh Patients India). Besides All Other Cancers Like Breast, Pancreas, Ovarian Can Also Spread To The Liver.
What is the incidence of pancreatic cancer?

The Life Time Risk Of Getting Pancreatic Cancer Is 1 In 71 (1.41%). Twenty Two People Die Every Day From Pancreatic Cancer. Only 10% Are Diagnosed In Time For Potentially Curative Surgery. Five Year Survival Following Surgical Removal Is 35 %. Without An Operation, The Five Year Survival Is 0%.

What are the risk factors for pancreatic cancer?

Elderly People (Age >60 Years), Chronic Pancreatitis, Obesity, Diabetes And Family History Of Pancreatic Cancer Are The Risk Factors Associated With Pancreatic Cancer.

What are the symptoms and signs of cancer of the liver and pancreas?

Most Patients Would Present With The Following:

How do you detect HPB cancers?

Majority Of The HPB Cancers Are Detected With The Help Of A CT Scan And Certain Blood Cancer Markers. In Addition, Some Of The Patients Will Need To Undergo Additional MRI Scan. Patients With Pancreatic Cancers May Need To Undergo An Endoscopic Ultrasound In Order To Stage The Disease And Undergo A Biopsy.

Why is it important to detect these cancers early?

If You Have Any Of The Above Symptoms And Have One Of The Risk Factors, It Is Essential To Get Investigated As Soon As Possible In Order To Detect It Early. As Mentioned Before, Only A Small Proportion Of Patients Are Deemed To Have A Cancer That Can Be Cured Completely By Surgical Resection. Generally, Only 30-40% Of Liver Cancers, And Only 10-15% Of Pancreatic Cancers Can Be Operated, Once Diagnosed.

Is Hepato Pancreatico Biliary Surgery The Only Curative Option?

Yes, The Majority Of Liver And Pancreatic Cancers Can Be Cured Only By An Operation. Is an open surgey the only option? No, At Our Hospital, We Have Surgeons Who Are Trained In Minimally Invasive (Laparoscopic And Robotic) Hepato Pancreatico Biliary Surgery (MIS). The Advantages Of MIS Are Smaller Incisions, Better Pain Relief And Early Recovery. However, The Team Will Discuss And Decide On The Best Possible Treatment For Every Individual Patient.

What Are The Other Treatment Options In Liver Cancer (If HPB Surgery Is Not Possible)?

There Are A Few Options Like Chemotherapy, Radiofrequency Ablation (RFA) (Burning Of Liver Tumours With Special Needles), Transarterial Chemo-Embolisation (TACE) (Special Technique To Give Directed Chemotherapy). Most Patients With Cirrhosis Of The Liver Will Need A Liver Transplant If The Cancer Is Restricted To The Liver.

What Are The Other Treatment Options In Pancreatic Cancer (If HPB Surgery Is Not Possible)?

It Is Common To Find Pancreatic Cancers That Are At An Advanced Stage And May Not Be Able To Undergo Any Form Of Hepato Pancreatico Biliary Surgery. The Only Other Alternative Options That Are Available Are Chemotherapy And Radiotherapy. Both Are Palliative In Intent And Cannot Cure The Disease.

What Do You Mean by Hepatobiliary and Pancreatic Surgery?

The liver, gall bladder, bile duct, and pancreas knows as the body’s hepatobiliary and pancreatic system. Different surgeries to treat cancers and other disorders in these organs is quite complicated as well as challenging. When it comes to choosing a hospital for hepatobiliary and pancreatic surgery, you need to choose the best one with a professional and highly experienced hepato pancreato biliary surgeon. For this, you can consult Dr Baipalli Ramesh, who has specialized in Bariatric Surgeries and advanced laparoscopic procedures.

Hepatobiliary and pancreatic surgery can be done utilizing minimally invasive methods.
Some of the standard procedures are:
  1. Anti-reflux surgery for your gastrointestinal system
  2. Removal of the lower stomach through the Whipple procedure
  3. Gall balder removal or cholecystectomy
  4. Partially or complete removal of the pancreas or pancreatectomy 
  5. Partial or complete removal of the liver, or liver resection and transplant
  6. Bile duct reconstruction and resection

Why does one need hepatobiliary and pancreatic surgery?

In general, hepatobiliary and pancreatic surgery is widely used to ideally treat cancers as well as different diseases of these organs. It can include removing primary and secondary tumours of the liver, gall bladder, bile duct, and pancreas.

Besides, Dr Baipalli Ramesh, a professional hepato pancreato biliary surgeon, can use this method to treat different benign diseases, such as bile duct injuries, blockage or strictures, cysts, portal hypertension, and more. There are some types of tumors that can affect the gall bladder, bile duct, and liver. In such a condition, you may need to undergo significant resections. For that, you might need complex reconstruction of the portal vein, hepatic artery, and bile duct.

Talking about these procedures, it can involve a multidisciplinary team to offer a professional and individualized treatment plan for every patient. The team may include a professional hepato pancreato biliary surgeon, a transplant surgeon, interventional radiologists, an anesthesiologist, medical oncologists, radiation oncologists, and gastroenterologists.

How does a surgeon detect the presence of HPB cancers?

Well, most types of HPB cancers are generally detected by conducting a CT Scan and with the help the blood cancer markers. Sometimes, you may need to go for an additional MRI scan if your hepato pancreato biliary surgeon suggests. It has also been seen that people suffering from pancreatic cancer may ask to undergo the endoscopic ultrasound so that their doctor can understand the stage of the condition.

Some symptoms and signs of pancreatic cancer

Pancreatic cancer, in some people, may not create early symptoms and signs. However, if you have the below-mentioned symptoms or signs, you should check with the doctor.

  • Weight loss, pain, and jaundice (the white area of the eyes and the skin will become yellow). 
  • Feeling tired after doing works for a few minutes. 
  • Light-coloured stools and dark urine. 
  • Loss of appetite.
  • Dark urine. 
  • Pain in the middle and upper abdomen as well as bac area.

The early detection of the symptoms and on-time treatments can help you to prevent such a condition. For the best treatment for your pancreatic cancer, you can consult Dr Baipalli Ramesh, Surgical Gastroenterologist. Book an appointment now.

Frequently Asked Questions Regarding Gall Stones/ Cholelithiasis,/Cholecystitis

*Treatment Of Gall Bladder Stones Is Surgery, Laparoscopy Cholecystectomy.
*How Long Gall Bladder Surgery It Take?

*Gallbladder Removal Without Surgery Is Not Possible.
*Gall Bladder Surgery Recovery Time?

* Gall Bladder Surgery Cost Varies From Rs 70,000 To 1 Lakh .
*Can Gall Stones Go Away Without Surgey?

*Gall Stone Foods To Avoid

*Complications Of Gall Stones Surgery

Some Times ,Infection, Cbd Injury. But Now A Days No Major Side Effects Or Complications Are Happening.

Why Should We Get Treated At Dr Baipalli Ramesh, GASTRO SURGEON?

At Our Center, We Have A Dedicated Unit Of HPB And Liver Transplant Surgery Which Can Take Care Of All HPB Cancers. We Have A Team Of Trained Surgeons, Therapeutic Endoscopist (For EUS And ERCP), Oncologists (For Chemotherapy), Radiotherapist And Interventional Radiologist (For RFA And TACE). All The Doctors’ Work As A Team And Every Patient Is Discussed At The Multidisciplinary Team Meeting, In Order To Provide The Best Possible Treatment To An Individual Patient. Meet Our Hepato Pancreatico Biliary Surgeon To Discuss Your Case, Book An Appointment Or Call +91-9701108209.