Conditions Managed by Hepatobiliary Surgery

Hepatobiliary surgery is an advanced specialty encompassing surgical treatment of both benign and malignant diseases of the liver, bile ducts, gallbladder, pancreas, and duodenum. The field includes complex liver and pancreatic operations, bile duct reconstruction, and advanced cancer surgery.

Liver Diseases

• Primary liver cancers: Malignancies originating in the liver, including hepatocellular carcinoma.
• Metastatic liver cancers: Cancer that has spread to the liver from other organs, especially the colon and stomach.
• Benign lesions of the liver:
  • Hemangioma
  • Adenoma
  • Focal nodular hyperplasia (FNH)
  • Cysts
• Hydatid cyst disease: Liver cysts caused by parasitic infection.
• Liver abscesses: Collections of pus resulting from bacterial or amoebic infection.

Gallbladder and Bile Duct Diseases

• Gallstones
• Bile duct stones (choledocholithiasis)
• Gallbladder cancer
• Bile duct cancer (cholangiocarcinoma)
• Bile duct cysts
• Bile duct strictures (benign or malignant)
• Bile leaks (after surgery or trauma)
• Complications of endoscopic procedures, such as duodenal perforation after ERCP

Pancreatic and Duodenal Diseases

• Pancreatic cancer
• Acute pancreatitis
• Pancreatic cysts and pseudocysts
• Duodenal tumors

A multidisciplinary approach is essential for diagnosing and treating these diseases. Surgery may be laparoscopic, robotic, or open. The goal is to prolong survival and improve quality of life.