Hepato-Pancreato-Biliary (HPB) surgery focuses on the body's most complex organs. Treating tumors and cysts in the Liver, Pancreas, and Biliary system requires extreme precision, as these organs are wrapped around the body's most vital blood vessels. We combine robotic technology with high-volume surgical expertise.
Most patients are confused about the "HPB" system. Think of it as a factory and plumbing system working together:
Filters blood and manufactures bile. It is the only organ that can regenerate.
Creates enzymes for digestion and insulin for sugar control. Sits deep behind the stomach.
Before we cut, we must see. We map the tumor with precision to ensure it is removable.
Not all gallbladder surgeries are simple stones. We specialize in difficult conditions that mimic cancer and actual malignancies.
The "Wolf in Sheep's Clothing."
This is a rare, benign condition where the gallbladder becomes rock-hard and excessively inflamed, mimicking cancer on scans. It sticks tightly to the liver and intestines.
The Surgery: It requires an expert "Difficult Cholecystectomy." We often use a frozen section (instant biopsy) during surgery to confirm it isn't cancer before carefully peeling it off vital structures.
Common in North India, often mistaken for simple stones. A simple removal is not enough and can be dangerous.
The Surgery: Radical Cholecystectomy
We perform a wide excision. This involves removing the gallbladder, a wedge of the liver (Segments 4b & 5) attached to it, and clearing all the lymph nodes around the portal vein to prevent recurrence.
Cancer can grow inside the bile pipes (ducts). The surgery depends on the location:
Used for Pancreatic Head Cancer. It is a 6-hour surgery involving the removal of the pancreatic head, duodenum, gallbladder, and bile duct.
3 Reconstructions: After removal, we must reconnect the system:
We use CUSA Technology (Ultrasonic Aspirator) to dissolve liver cells while preserving blood vessels, allowing for bloodless removal of tumors.
For distal pancreatectomy and liver cysts, we use the robot for 3D vision, tremor filtration, and tiny incisions.
We follow Enhanced Recovery After Surgery (ERAS) protocols. The goal is to get you home to your family, not keep you in the ICU.
You drink liquids 4 hours after surgery. Nutrition heals the gut.
You walk out of bed. Movement prevents pneumonia and clots.
Discharge is not the end of the journey. We monitor you for years to ensure the best quality of life.
Yes, mostly. Without a gallbladder, your body cannot store bile, so very fatty meals might cause loose stools initially. We recommend small, frequent meals for the first 4 weeks.
After Whipple surgery, your body may make fewer enzymes. We prescribe Creon capsules to be taken with meals to help you digest food and prevent weight loss.
We do not just perform surgery and say goodbye. Our protocol includes:
