NON-TRANSPLANT HEPATOBILIARY SURGERY

At our centre, we have closely integrated the practice of hepatobiliary surgery with liver transplantation because the same team members--medical physicians with expertise in the care of liver diseases, surgeons with expertise operating on the liver and bile ducts, and nurse coordinators who guide you through the process--take care of both of these patient populations.

In addition, for some patients, liver transplantation can be an option when there are no other traditional surgical options left.

Following non transplant surgical diseases are managed at this centre:

Surgical Liver problems

• Liver CystsInfectious
  • Bacterial Abscesses
  • Amebic Cysts
  • Parasitic Cysts (Hydatid/Echinococcus)
• Congenital
  • Simple cysts
  • Polycystic Disease
• Malignant
  • Cystadenoma
  • Cystadenocarcinoma
• Solid Liver Masses
  • Unknown liver mass
  • Benign liver mass
    • Hemangioma
    • Adenoma/adenomatosis
    • Hemangioma
    • Focal Nodular Hyperplasia
    • Focal fatty change
    • Hamartoma
    • Other benign masses
• Liver cancers
  • Primary Liver cancers
    • Hepatocellular Cancer (liver cancer)
    • Cholangiocarcinoma (intra-hepatic)
    • Angiosarcoma
    • Other primary liver cancers
• Metastatic Cancers to the liver
  • Metastatic colon/rectal cancer
  • Metastatic breast cancer
  • Neuro-endocrine tumors
  • Renal Cell Cancer
  • Melanoma
  • Other metastatic Cancers

Surgical Gall bladder & Bile duct problems

• a. Benign Gall Bladder and Bile Duct Problems
  • Cholecystitis (acute or chronic)
  • Obstructing Gall stones or Common bile duct stones
  • Gall bladder polyps
  • Bile duct strictures
  • Bile duct surgical or endoscopic injuries (acute or chronic)
  • Choledochal Cysts (cysts of the bile duct)
  • Biliary Cystadenomas
  • b. Tumors of the Gall Bladder and Bile Duct
    • Gall Bladder Cancer
    • Cholangiocarcinoma (extra-hepatic, Klatskin's tumor)

  Other Liver Diseases

  • Nonrrhotic portal fibrosis(NCPF) with hypersplenism/pancytopenia
  • Extrahepatic Biliary Atresia
  • Primary Biliary Cirrhosis
  • Primary Sclerosing Cholangitis

  Common Diagnostic and Treatment Procedures Offered

  • ERCP
  • EUS - Endoscopic Ultrasound
  • PTC/Stenting/li>
  • Angiography
  • Trans-arterial Chemo embolization(TACE)
  • Radiofrequency ablation(RFA) of Liver tumors
  • Stereotactic Body Radiation Therapy (SBRT)/li>
  • Brachytherapy
  • Chemotherapy