Hepatic Pancreatic & Biliary (HPB) Surgery was a sub-specialty within the Department of General Surgery and functioned from General Surgery Unit IV from September 2003 till December 2011.  In December 2011 a separate Department of Hepatic Pancreatic & Biliary (HPB) Surgery was created within the Division of General Surgery.  There are only a handful of departments in teaching hospitals devoted exclusively to the treatment of patients with HPB diseases in India. 

 

We provide comprehensive service to patients with complicated diseases of liver, pancreas and biliary tract.  Our main strength is our human resource.  The department is equipped with state of the art operation rooms, surgical intensive care and high dependency units with ultra-modern monitoring facilities.   We are ably supported by a dedicated team of Gastroenterologists, Hepatologists, Interventional Radiologists, Anesthetists, Intensivists and Pathologists.  We regularly conduct multi-disciplinary patient care meetings.  Our rigorous quality control has ensured that our results are comparable to the best centers in the world.

 

We treat patients with the following conditions:

 

  • Liver
    • Hepatocellular carcinoma
    • Liver metastasis
    • Benign liver tumor
    • Liver trauma
    • Liver cysts including hydatid disease
    • Hepatolithiasis
    • Portal hypertension
    • End stage liver disease needing liver transplantation

  • Biliary tract
    • Gall stone
    • Gallbladder cancer
    • Post cholecystectomy bile duct injury
    • Biliary stricture (benign and malignant)
    • Bile duct cancer
    • Bile duct stone
    • Choledochal cyst

  • Pancreas
    • Severe acute pancreatitis
    • Chronic pancreatitis
    • Endocrine tumors of pancreas
    • Pancreatic cancer
    • Pancreatic trauma

 

 

Liver Transplantation

 

Our first liver transplant was done in 1999 and incidentally this patient is well as we type this.  Our program is a predominantly deceased donor program; we offer live donor liver transplantation only for children.  Approximately 1/7 of our transplants are free and a further 1/7 are heavily subsidized.  We also have the distinction of performing possibly the lowest cost transplants in the world.  This is in keeping with our institutional belief that cost should not preclude treatment. 

 

Equipment

 

We have state of the art equipment both for open as well as laparoscopic operations.  This includes intra-operative ultrasound (IOUS), Cavitron Ultrasonic Suction Aspirator (CUSA), flexible choledochoscope, rigid operating nephroscope, advanced laparoscopic equipment, Ligasure and Harmonic Scalpel.  We have bedside, multi-parameter monitors for our general ward patients, ensuring that our post-operative care is not compromised in any way, even for patients who do not need admission to intensive care.