Complex liver, pancreas and biliary surgery — honestly assessed, precisely done.
HPB surgery asks a hard question before any incision: will this operation genuinely help this person? Here, the answer comes from liver-volume science, proper staging and an honest operability assessment — including saying “surgery is not the right tool” when that’s true.
What is HPB cancer surgery?
It covers four organs in one region: the liver (primary tumours and metastases that have spread there), the gallbladder, the bile ducts, and the pancreas. They share anatomy so intricate — major vessels, the bile highway, deep concealment — that these operations belong with dedicated specialists.
The liver has a remarkable property: it regenerates. Modern surgery exploits this — measuring remnant volume beforehand, growing the liver deliberately with two-stage strategies when the planned removal leaves too little behind.
Jaundice deserves speed: yellow eyes, pale stools and dark urine need evaluation within days, not months. Most jaundice isn’t cancer — but when it is, early assessment keeps every option open.
Warning signs around the liver & pancreas
Any of these — especially jaundice with pain or weight loss — warrants same-week evaluation.
- ①Yellowing of eyes or skin (jaundice).
- ②Persistent itching without any rash.
- ③Pale, clay-coloured stools.
- ④Unusually dark urine.
- ⑤Pain in the upper-right abdomen.
- ⑥Sudden diabetes with weight loss — sometimes the pancreas speaks first.
- ⑦Fever occurring together with jaundice.
- ⑧Loss of appetite or unexplained weight loss alongside any of the above.
Conditions we treat
◆Primary Liver Cancer
Hepatocellular and cholangiocarcinoma assessed for segment-oriented resection.
◆Liver Metastases
Spread from bowel and other primaries — often still curable with the right plan.
◆Gallbladder Cancer
Radical cholecystectomy, including second-opinion review of “incidental” findings.
◆Bile Duct Tumours
Cholangiocarcinoma managed with duct resection and hepaticojejunostomy.
◆Pancreatic Cancer
Whipple procedure and distal resections with full lymph node clearance.
◆Small-Remnant Planning
ALPPS and portal vein embolisation strategies that make big resections safe.
Operations performed here
- ◆Segment-oriented liver resectionsRight and left hepatectomies built on precise vascular anatomy — preserving as much working liver as possible.
- ◆Whipple procedurePancreaticoduodenectomy for cancers of the pancreatic head — among surgery’s most demanding operations.
- ◆Distal pancreatectomy + splenectomyFor body and tail tumours, with full nodal clearance.
- ◆Radical cholecystectomyGallbladder cancer treated properly the first time — not discovered casually later.
- ◆Bile duct resection & hepaticojejunostomyRebuilding drainage when the duct itself must go.
- ◆ALPPS / PVE planningTwo-stage strategies that let the remaining liver grow to size before the second act.
From first visit to full recovery
Specialised imaging
Triple-phase CT and MRI read personally — vessels mapped millimetre by millimetre.
Operability assessment
Liver volume, fitness and disease biology weighed honestly against each other.
Preparation
Jaundice drained, future liver grown, nutrition optimised where needed.
Surgery
Resection performed with regeneration science guiding every cut.
Monitored recovery
Liver-specific protocols from ICU to ward; complications addressed early.
Surveillance
Scheduled reviews — the liver regenerates; vigilance continues.
Families usually ask…
It is major surgery, and pretending otherwise would be dishonest. But risk falls sharply with planning — measured remnant volumes, controlled inflow, and centres doing these operations regularly. The honest answer is always personal: your scans decide your numbers.
Yes — uniquely among organs, the liver regenerates. Up to 60–70% can be removed when the remainder is healthy, and it regrows over weeks. When the remainder starts too small, two-stage strategies grow it deliberately first.
The pancreas sits behind everything important, and its enzymes digest tissue when they leak. The Whipple procedure has genuine risks — but outcomes improve dramatically in dedicated hands with structured recovery protocols, which is exactly how it is handled here.
No — most jaundice comes from stones, hepatitis or medicines. But new painless jaundice always needs imaging promptly, because when cancer is the cause, early assessment preserves surgical options.
When disease involves critical vessels beyond reconstruction, when the remaining liver would be too small despite growth strategies, or when fitness makes recovery unlikely. In those cases you’ll hear it straight, along with what can genuinely help instead.