Laparoscopic Hepato-biliary & Pancreatic Surgery

Hepato-biliary Surgery

The term “hepatobiliary surgery” refers to operations performed to address conditions affecting the liver, pancreas, gallbladder, and bile duct. Bile, a bodily fluid produced to aid in the breakdown of fats in consumed meals, is controlled and produced by the biliary system.

Surgery may be necessary to address a malfunction in a part of the biliary system that has developed as a result of illness or trauma. Hepatobiliary surgical procedures are intended to address biliary system disorders, which are usually brought on by cancer in one or more organs.

The biliary glands can be operated on using a variety of techniques, but there are three main types of surgery: 

  • Open 
  • Laparoscopic
  • Robotic

Hepatobiliary surgery is used to address a variety of conditions brought on by cancer. Tumours, both normal and malignant, can develop in the liver, pancreas, and bile ducts. When tumours in other areas of the body, like the colon, metastasize and disseminate, these organs may also develop cancer.

As a result, those with liver, pancreatic, or bile duct cancer will be the majority of prospects for hepatobiliary surgery. Hepatobiliary surgery may also be required in some cases of severe gallstones that cannot be released naturally.

Hepatobiliary procedures can also be used to address fatty liver disease or liver disorders brought on by protracted heavy alcohol use. Some illnesses, like hepatitis, can also make a patient require surgery.

The capacity of patients to survive cancer is significantly increased by hepatobiliary surgery. It also helps people with other bile duct, liver, and gallbladder problems. These kinds of operations can save lives.

Pancreatic Surgery

Located in the upper belly, behind your stomach, the pancreas is an important organ. It collaborates closely with the liver and bile channels. In particular, the pancreas secretes enzymes that aid in the digestion of lipids and proteins. Additionally, the pancreas secretes chemicals that aid in controlling your blood sugar.

Depending on your condition, your doctor may talk with you about the concerned pancreatic operations.

Surgery to remove tumours or treat conditions in the pancreas' midsection and tail

Distal pancreatectomy refers to the surgical procedure used to remove the pancreas' left half (body and tail). Your surgeon might also need to remove your spleen during this operation.

Surgery to remove the complete pancreas

It is referred to as a complete pancreatectomy. Without a pancreas, you can lead a reasonably normal existence, but you'll require lifelong insulin and enzyme replacement.

Surgery to treat tumours that are close to blood arteries

If their tumours affect nearby blood vessels, many patients are not deemed candidates for the Whipple procedure or other pancreatic surgeries. Only a small number of medical facilities will safely conduct these procedures on a select few patients. Additionally, blood vessel fragments are removed and rebuilt during the operations.

Laparoscopic Hepato-biliary & Pancreatic Surgery

Laparoscopic surgeries are minimally invasive and use catheters, which are wire-like tubes that are inserted into the body and enable the physician to conduct the procedure without the need for significant organ exposure through large incisions. As an example, a choledochal tumour can be treated laparoscopically. It is possible to extract it and restore bilioenteric flow laparoscopically. 

Simple liver cysts are a great candidate for laparoscopic procedure. Cysts are unroofed, and recurrence is rare. Laparoscopic surgery is another option for treating hydatid disease. At most, wedge resection and left lateral segmentectomy are the only laparoscopic procedures used in liver excision. In 90% of instances, laparoscopic staging for pancreatic cancer can show a respectable result. This staging may obviate unnecessary laparotomy.  Laparoscopic Whipple is a viable option, but laparoscopic distal pancreatectomy is a more practical option for pancreas resection. Islet cell tumors and cystic neoplasms with low-grade cancer may both require laparoscopic distal pancreatectomy. When internal drainage is indicated, pseudocysts can be treated laparoscopically.

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