HPB Surgery Procedure & Cost in Pune, India

Hepato-Pancreato-Biliary (HPB) Surgery: Purpose, Types, Procedure & Recovery

The liver and biliary tract were thought to be mystical organs with a complex anatomy, a vast array of functions, and remarkable regeneration potential for centuries.

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Treatment Overview

The liver and biliary tract were thought to be mystical organs with a complex anatomy, a vast array of functions, and remarkable regeneration potential for centuries. The treatment of hepatobiliary disease has undergone an enormous transformation in the last few decades. These advancements have largely been attributed to improved understanding of anatomy and physiology as well as a variety of newly developed diagnostic and therapeutic techniques. Surgery has played a key role in these developments. Such advances have led to the emergence of the specialty of hepato-pancreato-biliary surgery.

Hepato-pancreato-biliary (HPB) surgery encompasses general surgical management of diseases (both benign and malignant) of the liver, pancreas, gallbladder, and bile ducts . These are some of the most complicated and challenging surgeries , requiring a high level of competence and skill with a multi-disciplinary approach.

The understanding regarding entirely novel diagnostic and therapeutic approaches for the treatment of hepatic-pancreatic-biliary (HPB) disease is expanding at a fast pace. With the use of the latest techniques, hepatic-pancreatic-biliary (HPB) disorders can be diagnosed more accurately and treated with resection, ablation, or other appropriate measures more prudently.

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What is Hepato-Pancreato-Biliary HPB Surgery

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What is Hepato-Pancreato-Biliary (HPB) Surgery?

Hepato refers to the liver, pancreato to the pancreas, and the gallbladder and bile ducts are part of the biliary system. Hepato-pancreato-biliary (HPB) disease is a general term for conditions affecting the liver, pancreas, or biliary tract. The prognosis for these intricately interconnected systems can range from manageable to critical, based upon the nature and stage of the ailment. Hepato-pancreato-biliary (HPB) surgery is a subspecialty of general surgery that treats diseases of the liver, pancreas, and biliary tract that can be benign or malignant.

HPB surgery helps in treating numerous conditions that fall under the category of HPB surgery. One of the most complex surgical techniques used in general surgery is HPB surgery. These essential organs depend heavily on a sophisticated network of blood vessels, including veins, to continue optimum functioning. Because of its complexity, surgeons must possess an exceptional level of competence and expertise to perform this surgery. It calls for a thorough comprehension of the complex vascular networks that are present in the pancreas, liver, gallbladder, and bile ducts.

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Purpose of Hepato-Pancreato-Biliary (HPB) Surgery

Following are the diseases that can be treated with Hepato-Pancreato-Biliary (HPB) Surgery:

Diseases associated with liver:

  • Primary and metastatic liver cancer or tumors
  • Liver cysts
  • Liver abscess

Diseases associated with gallbladder

  • Gallbladder cancer
  • Choledochal cysts
  • Gallbladder polyps
Purpose of Hepato-Pancreato-Biliary HPB Surgery
Purpose of HPB Surgery

Diseases associated with bile duct

  • Bile duct stones
  • Biliary tract cancer (Cholangiocarcinoma)
  • Choledochal cysts

Diseases associated with Pancreas

  • Pancreatic cyst & cystic tumors
  • Acute or chronic pancreatitis
  • Pancreatic tumors

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Types of Hepato-Pancreato-Biliary (HPB) Surgery

The main method for possibly treating a variety of HPB conditions and providing patients with efficient treatment options is HPB surgery. While some procedures are complex and minimally invasive, others are more complicated. Every surgical procedure is unique and targets a particular aspect of conditions related to HPB. There are three main types of HPB surgery: laparoscopic, robotic, and open.

Open procedures

Like complicated gallbladder resections or major hepatic resections, are more complex surgeries. It involves wider incisions and complex therapeutic interventions.

Robotic surgery

Is an advanced medical technique that employs robotic systems to precisely and specifically execute surgical procedures. This technique is widely utilized in HPB procedures and has benefits like improved dexterity and less invasive incisions.

Laparoscopic surgery

Another minimally invasive procedure is laparoscopic surgery. This kind of surgery executes a variety of surgical procedures using small cuts and specialized instruments equipped with cameras. This method, which offers advantages like less postoperative pain and faster recovery, is widely utilized in HPB surgeries.

Types of Hepato-Pancreato-Biliary (HPB) Surgery

Pre-evaluation of Hepato-Pancreato-Biliary (HPB) Surgery

The pre-evaluation procedure for Hepato-Pancreato-Biliary (HPB) surgery may involve thorough evaluation of symptoms, medical history recording, and physical examination. Findings from these examinations, may call for the following investigations for reaching to a final diagnosis and chart-out the right treatment plan:

  • Blood tests for alpha-fetoprotein (AFP)
  • Computed tomography (CT) scan for liver tumor size and location
  • Magnetic resonance imaging (MRI) for better image of tumor
  • Angiogram for the examination of your liver’s blood vessels
  • Biopsy to confirm a liver cancer diagnosis
  • Endoscopic retrograde cholangiopancreatography (ERCP) to examine your bile ducts
  • Percutaneous transhepatic cholangiography (PTC) for people who can’t have an ERCP
Pre-evaluation of Hepato-Pancreato-Biliary (HPB) Surgery

Procedure of Hepato-Pancreato-Biliary (HPB) Surgery

Following are the Hepato-Pancreato-Biliary (HPB) surgical approaches:

For Liver

  • Liver resection: For benign liver growths and liver cancer, open, laparoscopic, and robotic surgical approach can be followed depending upon the conditions. Major resections are carried out by HPB surgeons for complicated metastatic tumors.
  • Radiofrequency ablation (RFA): RFA uses heat to destroy cancerous tissue, and it is a treatment option for small liver tumors.
Procedure of HPB Surgery For Liver
Procedure of HPB Surgery For Pancreas

For pancreas

  • Pancreatic resection: HPB Surgeons can perform a total pancreatectomy, which involves removing the entire pancreas, gallbladder, spleen, and part of the stomach and small intestine, or a distal pancreatectomy, which involves removing the pancreatic tail and possibly some of the pancreatic body or spleen.
  • Vascular resections: When pancreatic cancer invades large veins or arteries, surgeons may cut out or rebuild blood vessels. This extremely sophisticated method is not commonly performed.
  • Pancreatic necrosectomy: For acute pancreatitis, surgeons may choose to remove pancreatic necrosis, or dead pancreatic tissue.
  • Whipple procedure: This approach involves the removal of the pancreatic head, the first segment of the small intestine, a portion of the bile duct, and the gallbladder by skilled HPB surgeons. To maintain digestive function, surgeons join the small intestine to the pancreas and remaining bile duct.

For bile duct and gallbladder

  • Bile duct repair: Surgery can be performed to treat bile duct injuries, leakages, and blockages, which may happen due to other surgeries.
  • Laparoscopic cholecystectomy: It is minimally invasive gallbladder removal surgery for gallstones, pancreatitis, cancer, or cholecystitis.

Recovery After Hepato-Pancreato-Biliary (HPB) Surgery

Complications of Hepato-Pancreato-Biliary (HPB) Surgery

Following are the complications associated with this surgery:

  • Renal insufficiency
  • Prolonged biliary leaks
  • Postoperative pancreatitis
  • Liver failure
  • Impaired wound healing
  • Postoperative hemorrhage
Complications of HPB Surgery

Conclusion

There are numerous treatment options available to you if you or a loved one has been diagnosed with liver, pancreas, or biliary tract disease. Modern methods, such as Hepato-Pancreato-Biliary (HPB) Surgery, provide patients with new hopes and better quality of life. Most of the strategies in this surgery are patient-centered and aimed at promoting your recovery and long-term health. If you are suffering from diseases associated with liver, biliary ducts, and pancreas, reach out to the liver specialist doctor in Pune and discuss the need and outcome of this surgery.

Frequently Asked Questions

Q1: How long does it take to recover from hepato-pancreato-biliary surgery?

A: Because nerves were cut during the procedure, the skin surrounding the incision may remain numb and may improve with time. To fully recover, it might take you four to eight weeks.

Q2: What are the complications associated with HPB surgery?

A: Postoperative complications from hepatobiliary surgery include urinary tract infection, subphrenic infection, venous catheter-related infection, incisional infection, pulmonary atelectasis or infection, intraperitoneal hemorrhage, and gastrointestinal tract bleeding. These complications are also common to general abdominal surgery.

Q3: What is hepatobiliary surgery speciality?

A: Surgical subspecialty hepato-pancreato-biliary (HPB) surgery, also called hepatobiliary surgery, focuses on treating diseases of the liver, pancreas, bile duct, and gallbladder, including cancer.

Q4: What is major HPB surgery?

A: Major hepatic resection and pancreatic surgery are two procedures that are included in hepato-pancreatico-biliary (HPB) surgery; both are intricate and carry a high risk of complications.

Q5: What is the duration of liver surgery?

A: Three to seven small incisions are made to remove the liver mass after the patient is put to sleep with general anesthesia. The process can take one to seven hours, depending on the lesions as well as the volume of liver that needs to be removed.

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