Hepato pancreato biliary surgery


HPB Surgery is an emerging specialty in India. It is a subspecialty of surgery specific to benign and malignant diseases of the liver, pancreas, and biliary tree. HPB surgery is a complex high-end specialty that requires specialized training and/or experience. Portal triad clinic is a Centre for Liver and Pancreas Sciences (CLPS). CLPS has one of the best liver and pancreas specialists in India. The doctors here have vast experience in the field of HPB Surgery. We at CLPS offer world-class consultation and treatment for complex liver, pancreas, and biliary tract problems.

HPB Surgery is divided into three major branches:

Liver Surgery
Deals with benign and malignant diseases of the Liver.
Pancreas Surgery
Deals with benign and malignant conditions of Pancreas
Biliary Surgery
Deals with benign and malignant diseases of gall bladder and biliary tree.
CLPS has one of the best HPB surgical specialists in India. The most common problems dealt by HPB Surgeons are:

Liver cancer

Primary liver cancer (originating in the liver) can be

  • A. Hepatocellular carcinoma
  • B. Intrahepatic cholangiocarcinoma
  • C. Mixed hepato-cholangiolar carcinoma
  • D. Hepatoblastoma (in children)
  • E. Angiosarcoma

Benign liver lesions

Non-cancerous tumors in the liver are

  • Hepatic adenoma
  • Focal Nodular Hyperplasia (FNH)
  • Hemangioma
  • Liver abscess

Cystic conditions of the Liver

Cystic lesions of the liver are

  • A. Hydatid cyst of liver
  • B. Simple cyst/Polycystic liver disease.
  • C. Biliary Cystadenoma/Biliary Cystadenocarcinoma

Fatty liver/ NAFLD (Non-alcoholic fatty liver disease)

Liver Cirrhosis

Liver Cirrhosis may be due to:

  • Alcohol
  • NASH- Non-alcoholic steatohepatitis
  • Hepatitis B
  • Hepatitis C
  • Auto-immune hepatitis
  • Wilson’s disease
  • Cryptogenic
  • Veno-occlusive disease
  • Primary sclerosing cholangitis
  • Primary Biliary cirrhosis

Pancreatic cancer

Pancreatic cancer can affect the head, uncinated process, neck, body, or tail of the pancreas. Adenocarcinoma is the most common cancer of the pancreas.

Cystic neoplasms of the Pancreas

They are divided into:

  • Mucinous cystic neoplasm of the pancreas
  • Serous cystic neoplasm of the pancreas
  • Intra papillary mucinous neoplasm

Solitary pseudo-papillary tumor/ Frantz tumor

Acute pancreatitis

It is an acute inflammation of the pancreas. The most common causes are alcohol and gall stones.

Chronic pancreatitis

It is chronic(long-term) inflammation of the pancreas caused predominantly by alcohol. It can also be due to hereditary and genetic factors.

Gall stones

Gall stones are the most common biliary pathology. It is formed when the gall bladder ceases to function. It may present as

  • Acute cholecystitis
  • Chronic cholecystitis
  • Symptomatic Gall stone disease
  • Acute emphysematous cholecystitis
  • Acute gangrenous cholecystitis
  • Gall bladder rupture

Biliary duct stones

It can be primary(formed in the bile duct) or secondary (formed in the gall bladder and migrated). It may present with jaundice, fever with chills and rigors, and shock.

Bile duct injury

It is predominantly iatrogenic, secondary to operations of the gall bladder. It is a complex injury and needs expertise in managing such diseases.

Biliary strictures

It is a narrowing in the biliary tree and can be because of multiple factors.

Biliary tract cancers( hilar, mid and distal cholangiocarcinomas)

They predominantly present with jaundice. Sometimes may present with cholangitis. (infection in the biliary tree)

Biliary Cysts (Choledochal cyst)

Gall bladder cancer

One of the most common cancer in people from the Ganges river belt. Early diagnosis leads to a complete cure. The advanced disease usually has a poor prognosis. CLPS surgeons are one of the best gall bladder specialist surgeons in India.

Why choose Portal triad clinic?

We are one of the best Liver, biliary, and pancreas specialists in India. We have vast expertise in the field of HPB surgery. We are compassionate and focused to deliver the best treatment, top-notch innovations, and advancements to our patients at affordable cost. The patient first approach is our motto![elementor-template id=”392″]

Portal Triad

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