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BLK AV

Hepato Pancreato Biliary Surgery

The Liver Transplant and Hepato-Pancreato Biliary Surgery Department is a state-of-the-art facility with the best equipment and the latest infrastructure. The facility boasts of the best and most well equipped Liver Transplant ICU in the country with a separate AHU for each bed, reducing the risk of infection to the minimum. The team comprises of Surgeons, Gastroenterologists, Intensivists, Anesthetists, Technicians, Counsellors and Specialised Nurses, who have years of experience in the management of Gastrointestinal, Hepatobiliary and Pancreatic diseases.

It is one of the few Centres in the country where deceased donor as well as living donor liver transplantation along with comprehensive treatment for Gastrointestinal, Hepatobiliary and Pancreatic diseases is being offered to patients under one roof. The transplant team is the one of the most experienced in the region and has received extensive training in the best centres across the world and has a vast experience in performing and managing liver transplants.

The Department of Liver Transplant and Hepato-Pancreato Biliary Surgery at BLK Superspeciality Hospital has taken the mantle of extending a helping hand to their fellow surgeons as well as the patients by establishing a "BILE DUCT HELPLINE", which helps in comprehensive counselling and management of this devastating adverse event. This helpline would provide support to all the patients who have a clinically established or suspicious diagnosis of a bile duct injury. The support would be in the form of

  • On phone advice
  • E-mail Support
  • Evaluation of the patient by a HPB surgeon in person
  • Shifting to a HPB unit
  • Recontructive surgery.

The unit has a passion for managing Acute and Chronic Pancreatitis and its complications. The unit also has a special intrest in Managing Gall Bladder Cancers and have International Recognition in this feild.
 

Services offered:

The Department offers specialized treatment of

I. Surgical Diseases of the Luminal Gastrointestinal System
II. Diseases of the Liver including Liver Transplant
III. Portal Hypertension
IV Pancreatic Disorders
V Diseases of Bile Duct and Gallbladder
VI Gastrointestinal Cancers
VII Morbid Obesity

I) Management of Luminal of Gastrointestinal System:

  1. Oesophagus
    a. Diverticua: Diverticulectomy
    b. Achalasia:Laparoscopic Hellers Cardiomyotomy, Oesophagectomy
    c. Peptic Strictures: Colley’s Gastroplasty
    d. GORD: Laparoscopic Fundoplication
    e. Corrosive Strictures: Oesophageal Replacement i.e Coloplasty/ Gastric Conduit, Feeding Jejunostomy
    f. Malignancy: Transhiatal and Transthoracic Radical oesophagectomy (Both Conventional & Thoracoscopic)
     
  2. Stomach
    a. Acid peptic disease: Perforation peritonitis, Laparoscopic Truncal Vagotomy and Gastrojejunostomy, Laparoscopic Highly Selective Vagotomy.
    b. Morbid Obesity: Sleeve Gastrectomy, Roux-En-Y Gastric Bypass
    c. Foreign Body Extraction: Laparoscopic Removal of Foreign body
    d. Malignancy: Staging laparoscopy, D2 Gastrectomy, Laparoscopic Distal Gastrectomy, Laparoscopic Gastro-jejunostomy, Laparoscopic Feeding Jejunostomy
     
  3. Small Bowel:
    a. Appendix: Laparoscopic Appendectomy
    b. Benign Diseases: Diagnostic Laparoscopy, Laparoscopic Resection and Anastamosis, Laparoscopic Internal Hernia repair/ Reduction of Intersection
    c. Malignancy: Laparoscopic Resection & Anastomosis.
     
  4. Large Bowel:
    a. Inflammatory Bowel Disease: Laparoscopic and Conventional Total Proctocolectomy with Illeo anal pouch anastamosis
    b. Acute Inflammatory Diseases: Colonic Perforation Repair, Colectomy, Sigmoid Volvolus: Sigmoid Colectomy
    c. Proctology: LIS for Acute Anal Fissure, Fistulectomy/ Seton Placement for Fistulla in Ano
    d. Haemmroids: Minimally Invasive Procedure for Prolapse and Haemmroids (MIPH)
    e. Rectal Prolapse: Laparoscopic Rectopexy, Laparoscopic Assisted Sigmoidectomy with Rectopexy
    f. Malignancy: Radical Colectomy Laparoscopic / Open, Laparoscopic LAR, Laparoscopic Abdomino-Perineal Resection.

II. Diseases of the Liver

  1. Liver Transplant
    a. Live Related Liver Transplantation: Replacement of a diseased liver due to chronic liver failure, acute liver failure or tumors within the liver. The diseased liver is replaced with a segment of liver from a healthy human donor (usually a relative or close friend).

    b. Deceased Donor Liver Transplantation: Replacement of a diseased liver due to chronic liver failure, acute liver failure or tumors within the liver. The diseased liver is replaced with a healthy liver from a "brain dead" human donor
     
  2. Liver Resections (Segmentectomy, Sectionectomy, Lobectomies and Extended Resections)

    a. Benign Diseases

    i. Hyadatid Disease
    ii. Hemangiomas
    iii. Reccurent Pyogenic Cholangitis
    iv. Bile Duct Injury

    b. Malignant Diseases

  3. i. Hepatocellular carcinoma
    ii. Metastatic colorectal cancer
    iii. Metastatic or Primary neuroendocrine tumors

  4. Management of Liver Trauma
  5. Percutaneous Procedures
    a. Pigtail Placements for Liver Abscess
    b. RFTA for Liver Tumours, Metastases
  6. Management of Hyadatid Disease: Cystopericystectomy, Laproscopic/ Open Drainage of Hyadatid Cyst

III. Portal Hypertension

  1. EHPVO/ NCPF: Proximal Splenorenal Shunt
  2. Refractory GI Bleed: Portocaval, Mesocaval Shunt, Oesophageal Devascularization Procedures.
  3. Budd Chiari: Meso Atrial, PSRS, Portocaval, Liver Transplant
  4. Portal Biliopathy: PSRS, Hepaticojejunostomy

IV. Diseases of Gall Bladder and Bile Duct

  1. Gallstone Disease: Laparoscopic cholecystectomy
  2. CBD Stone: Laparoscopic / Open CBD Exploration, Choledocodudenostomy
  3. Bile Duct Injuries and Strictures: Management of Acute Bile Duct Injuries, Repair of Biliary Strictures, Re do Repairs of Hepaticojejunostomy.
  4. Congenital Diseases
    a. Choledochal Cysts: Excision of Choledochal Cyst with Hepaticojejunostomy.
    b. Biliary Atresia: Kasais procedure, Liver Transplant.
  5. Gall Bladder Cancer: Radical Cholecystectomy including Multiorgan Resections and Extended Hepatectomy.
  6. Bile Duct cancer: Right hepatectomy with Caudate Lobe Resection, Left Hepatectomy, Whipples Procedure

V. Disorders of Pancreas

  1. Management of Acute Pancreatitis and Its Complications
    a. Pseudocyst Pancreas: Lap Cystogastrostomy, Cystojejunostomy
    b. Infected Pancreatic Necrosis: Lap Retroperitoneal Necrosectomy, Conventional Necrosectomy, Drainage of Pancreatic Abscess
  2. Management of Chronic Pancreatitis and Its Complications
    a. Chronic Idiopathic Calcific Pancreatitis: Parrington Roschelle Lateral Pancreatico Jejunostomy
    b. Chronic Alcoholic Pancreatitis: Fryes Procedure
    c. Distal Pancreatectomy/ Splenectomy
    d. Pain Relieving Procedures: Thoracoscopic Ganglionectomy, Celiac Plexus Block
  3. Pancreatic Trauma: Distal/ Central Pancreatectomy (Conventional / Lap), Whipples Procedure
  4. Pancreatic Tumours: Eunucleation of Cystic Lesions, Whipples Procedure, Distal Pancreatectomy, Celiac Plexus Block, Palliative Triple Bypass.

VI) Gastrointestinal Malignancies

  1. Diagnostic Procedures:
    a. Staging Laparoscopy
    b. Laparoscopic Biopsies from Lymph nodes
    c. Laparoscopic Ultrasound and Guided Biopsies
  2. Radical Organ Resections: Thoracoscopic and Conventional Oesophagectomy, Laparoscopic and conventional Gastrectomy and Segmental Colonic Resections, Lap Abdominoperineal Resections, Hepatectomy, Whipples Procedure, Extended Cholecystectomy, Bile Duct Excision, Extended Liver Resections
  3. Liver Transplant for HCC, Intrahepatic Cholangicarcinoma and Neuroendocrine tumours.
  4. De Bulking Surgeries:
    a. Sugar Bakers Procedure for Pseudomyxoma Peritonei
    b. Hepatectomy for Colorectal and Neuroendocrine Metastasis
    c. RFTA for Liver Mets / HCC
  5. Palliative Procedures: Laparoscopic / Open Gastro-jejunostomy, Celiac Plexus Block

VIII. Surgery for Morbid Obesity

  1. Restrictive Procedures: Lap Gastric Banding, Lap Sleeve Gastrectomy
  2. Malabsorptive Procedures: Roux En Y Gastric Bypass
     

 

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