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Speciality Overview
The Department of HPB (Hepato-Pancreato-Biliary) and Liver Transplant Surgery at Sterling Hospitals is a specialized unit that focuses on the treatment of liver, pancreas, and biliary diseases. The department is staffed by a team of highly skilled and experienced surgeons who are trained in performing liver transplant surgeries, as well as other complex surgical procedures related to the liver, pancreas, and biliary system.
The department offers a wide range of services, including liver transplant surgery, pancreatic surgery, bile duct surgery, and other advanced laparoscopic surgeries. The surgeons at the department use the latest techniques and technologies to provide the best possible outcomes for their patients.
Conditions we treat:
- Hepatocellular carcinoma: Hepatocellular carcinoma is a type of liver cancer that starts in the liver cells. It is most commonly caused by chronic liver disease, such as hepatitis B or C, and can spread to other parts of the body. Treatment options may include surgery, chemotherapy, radiation therapy, and targeted therapy.
- Hilar cholangiocarcinoma: Hilar cholangiocarcinoma is a type of cancer that occurs in the bile ducts near the liver. It can cause blockages and lead to jaundice, abdominal pain, and weight loss. Treatment options may include surgery, radiation therapy, and chemotherapy.
- Liver metastases: Liver metastases refer to cancerous tumors that have spread to the liver from other parts of the body. Treatment options may include surgery, radiation therapy, and chemotherapy.
- Parenchyma preserving resections: Parenchyma preserving resections refer to surgical techniques that aim to preserve as much healthy liver tissue as possible during a liver resection. This can help to minimize the risk of post-operative complications and improve overall outcomes.
- Cystic lesions of liver: Cystic lesions of the liver refer to fluid-filled sacs that develop in the liver. They are usually benign, but in some cases, they may be cancerous. Treatment options may include surgery, drainage, or observation.
- Bile duct diseases: Bile duct diseases refer to conditions that affect the tubes that transport bile from the liver to the small intestine. This can cause a range of symptoms, including jaundice, abdominal pain, and digestive issues. Treatment options may include surgery, endoscopic procedures, and medical management.
- Choledochal cyst: Choledochal cysts are congenital abnormalities that affect the bile ducts. They can cause blockages and lead to jaundice, abdominal pain, and other symptoms. Treatment options may include surgery to remove the cyst and repair the bile ducts.
- Gallbladder cancer: Gallbladder cancer is a type of cancer that occurs in the gallbladder, a small organ located in the abdomen that stores bile produced by the liver. Treatment options may include surgery, radiation therapy, and chemotherapy.
- Gallstones and bile duct stones: Gallstones and bile duct stones are hardened deposits that form in the gallbladder or bile ducts. They can cause blockages and lead to a range of symptoms, including abdominal pain, jaundice, and fever. Treatment options may include surgery, endoscopic procedures, or medication management.
- Cholangiocarcinoma: Cholangiocarcinoma is a type of cancer that occurs in the bile ducts. It can cause blockages and lead to a range of symptoms, including jaundice, abdominal pain, and weight loss. Treatment options may include surgery, radiation therapy, and chemotherapy.
- Post-cholecystectomy biliary stricture: Post-cholecystectomy biliary stricture is a condition that can occur after gallbladder removal surgery. It involves the narrowing of the bile ducts and can cause blockages and lead to a range of symptoms, including jaundice and abdominal pain. Treatment options may include endoscopic procedures or surgical intervention.
- Pancreatic disorders: Pancreatic disorders refer to a range of conditions that affect the pancreas, including pancreatic cancer, acute and chronic pancreatitis, and cystic lesions of the pancreas. Treatment options may include surgery, chemotherapy, radiation therapy, and targeted therapy.
- Portal hypertension: Portal hypertension is a condition that occurs when there is increased pressure in the portal vein, which carries blood from the intestines and spleen to Sterling Hospital is one of the few centers in the western India that performs liver and pancreas operations with both the traditional open method and minimally invasive operations, including robotic and laparoscopic procedures. The department has become one of the high volume referral centers for complex resections for HPB malignancy.
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Liver Resection, also known as hepatectomy, is a surgical procedure that involves the removal of a portion of the liver affected by tumours, cysts, or other abnormalities. This procedure is performed to treat liver cancer, and benign liver tumours, or to remove metastatic tumours that have spread to the liver from other parts of the body.
When and why do people go for Liver Resection?
People undergo liver resection when they have tumours or lesions in the liver that cannot be effectively treated with other methods such as chemotherapy, radiation therapy, or ablation techniques. Liver resection may be recommended for individuals with primary liver cancer (hepatocellular carcinoma or cholangiocarcinoma), metastatic liver tumours from colorectal cancer or other primary cancers, or benign liver tumours such as haemangiomas or adenomas. The goal of liver resection is to remove the diseased portion of the liver while preserving enough healthy liver tissue to maintain proper liver function.
What makes Liver Resection different from other treatment options?
Liver resection offers a curative treatment option for certain liver conditions compared to other treatment options. While treatments such as chemotherapy, radiation therapy, or ablation techniques may help control symptoms or slow the progression of liver tumours, liver resection directly removes the diseased portion of the liver, offering the potential for long-term cure or remission. Additionally, liver resection may be preferred over liver transplantation in certain cases where the tumour burden is limited, or when transplantation is not feasible due to factors such as donor availability or patient eligibility.
How does life change after Liver Resection?
Life after liver resection can vary depending on the extent of the surgery, underlying liver condition, and individual response to treatment. Following the procedure, many patients experience relief from symptoms such as abdominal pain, jaundice, fatigue, or weight loss associated with liver tumours or dysfunction. With the diseased portion of the liver removed, individuals often find it easier to maintain normal liver function and may experience improvements in overall health and well-being. While recovery from liver resection may involve some temporary discomfort and adjustments to diet and activity levels, many patients ultimately enjoy a renewed sense of vitality and improved quality of life after liver resection. Regular follow-up care and monitoring are essential to detect any signs of recurrence and ensure long-term liver health.
Portal Vein Embolization (PVE) is a minimally invasive procedure used to redirect blood flow in the liver by blocking off a portion of the portal vein, which supplies blood to the liver. This technique encourages the growth of the future liver remnant (FLR), the portion of the liver that will remain after surgery, to increase in size and function.
When and why do people go for Portal Vein Embolization?
People undergo portal vein embolization when they require liver surgery, such as liver resection, but have insufficient healthy liver tissue to tolerate the procedure. PVE is typically performed for individuals with liver tumours, metastases, or other liver conditions that require surgical intervention but have a risk of postoperative liver failure due to inadequate liver function. The purpose of PVE is to stimulate the growth of the FLR, enabling it to take on the functions of the portion of the liver that will be removed during surgery.
What makes Portal Vein Embolization different from other treatment options?
Portal vein embolization offers a unique treatment approach compared to other options for individuals requiring liver surgery. While traditional treatments such as chemotherapy or radiation therapy may be used to shrink tumours or manage symptoms, PVE directly addresses the challenge of insufficient liver tissue for surgery by stimulating the growth of the FLR. This technique allows for safer and more successful liver surgery by increasing the volume and function of the liver remnant, reducing the risk of postoperative complications such as liver failure.
How does life change after Portal Vein Embolization?
Life after portal vein embolization can vary depending on the individual's overall health, the extent of liver disease, and the underlying condition being treated. Following the procedure, many patients experience improvements in liver function and an increase in the size of the FLR, enabling them to undergo liver surgery with a reduced risk of complications. With a larger and healthier liver remnant, individuals may find it easier to recover from surgery and may experience better outcomes in terms of liver function and overall health. While recovery from portal vein embolization may involve some temporary discomfort and adjustments to diet and activity levels, many patients ultimately enjoy a better quality of life and improved long-term outcomes after undergoing this procedure. Regular follow-up care and monitoring are essential to ensure the success of PVE and the safety of subsequent liver surgery.
Orthotopic Liver Transplantation (OLT) is a surgical procedure in which a diseased or failed liver is replaced with a healthy liver from a deceased or living donor. During the procedure, the recipient's diseased liver is removed and replaced with the donor liver, which is carefully implanted in the same anatomical location as the original liver.
When and why do people go for Orthotopic Liver Transplantation (OLT)?
People undergo orthotopic liver transplantation when they have end-stage liver disease or acute liver failure that cannot be effectively treated with other methods. Common reasons for OLT include liver cirrhosis, liver cancer, hepatitis, autoimmune liver diseases, and metabolic liver disorders. The goal of OLT is to restore liver function, improve quality of life, and prolong survival for individuals with severe liver disease that is not responsive to medical or surgical treatments.
What makes Orthotopic Liver Transplantation (OLT) different from other treatment options?
Orthotopic liver transplantation offers a definitive treatment option for end-stage liver disease compared to other treatment options. While treatments such as medication, lifestyle changes, or surgical procedures may help manage symptoms or slow the progression of liver disease, OLT provides a potential cure by replacing the diseased liver with a healthy donor liver. This surgical intervention addresses the underlying cause of liver failure and offers the best chance for long-term survival and improved quality of life for individuals with advanced liver disease.
How does life change after Orthotopic Liver Transplantation (OLT)?
Life after orthotopic liver transplantation can bring about significant improvements in health, well-being, and overall quality of life for individuals with end-stage liver disease. Following the procedure, many patients experience relief from symptoms such as fatigue, jaundice, abdominal pain, and fluid retention associated with liver failure. With a healthy donor liver, individuals often find it easier to maintain normal liver function, digest food, and absorb nutrients. While recovery from OLT may involve some temporary discomfort and adjustments to medications and lifestyle, many patients ultimately enjoy a renewed sense of vitality and improved long-term outcomes after transplantation. Regular follow-up care and monitoring are essential to ensure the success of OLT and maintain the health of the transplanted liver.
Living Donor Liver Transplantation (LDLT) is a surgical procedure in which a portion of a healthy liver from a living donor is transplanted into a recipient with end-stage liver disease or acute liver failure. The donated portion of the liver grows and regenerates in both the donor and recipient, allowing both individuals to have functional liver tissue.
When and why do people go for Living Donor Liver Transplantation (LDLT)?
People undergo living donor liver transplantation when they have end-stage liver disease or acute liver failure and do not have access to a deceased donor liver or cannot wait for a deceased donor organ due to the urgency of their condition. LDLT may be recommended for individuals with conditions such as liver cirrhosis, liver cancer, hepatitis, or metabolic liver disorders. The goal of LDLT is to provide a timely and life-saving treatment option for individuals with severe liver disease that is not responsive to medical or other surgical treatments.
What makes Living Donor Liver Transplantation (LDLT) different from other treatment options?
Living donor liver transplantation offers a unique treatment approach compared to other options for end-stage liver disease. While deceased donor liver transplantation remains the most common method of liver transplantation, LDLT provides an alternative for individuals with urgent medical needs or those who cannot wait for a deceased donor organ. LDLT allows for the transplantation of a healthy liver segment from a living donor, which may result in shorter wait times for transplantation and potentially better outcomes due to the reduced risk of organ rejection and improved compatibility between donor and recipient.
How does life change after Living Donor Liver Transplantation (LDLT)?
Life after living donor liver transplantation can bring about significant improvements in health, well-being, and overall quality of life for individuals with end-stage liver disease. Following the procedure, many recipients experience relief from symptoms such as fatigue, jaundice, abdominal pain, and fluid retention associated with liver failure. With a healthy donor liver segment, recipients often find it easier to maintain normal liver function, digest food, and absorb nutrients. While recovery from LDLT may involve some temporary discomfort and adjustments to medications and lifestyle, many recipients ultimately enjoy a renewed sense of vitality and improved long-term outcomes after transplantation. Regular follow-up care and monitoring are essential to ensure the success of LDLT and maintain the health of the transplanted liver.
Split Liver Transplantation is a surgical procedure in which a deceased donor's liver is divided into two segments, typically a larger segment for an adult recipient and a smaller segment for a pediatric recipient. This technique allows for the transplantation of a single donor liver to benefit two individuals in need of liver transplantation.
When and why do people go for Split Liver Transplantation?
People undergo split liver transplantation when there is a shortage of deceased donor organs and when there are both adult and pediatric patients on the transplant waiting list who could benefit from the same donor liver. This procedure is typically performed for individuals with end-stage liver disease or acute liver failure that cannot be effectively treated with other methods. Split liver transplantation offers a solution to maximize the use of scarce donor organs and provide life-saving treatment to multiple recipients.
What makes Split Liver Transplantation different from other treatment options?
Split liver transplantation offers a unique solution to address the shortage of deceased donor organs and provide timely treatment for individuals in need of liver transplantation. While other treatment options such as living donor liver transplantation or deceased donor whole liver transplantation are available, split liver transplantation allows for the transplantation of a single donor liver to benefit multiple recipients, optimizing the use of available donor organs and potentially reducing wait times for transplantation.
How does life change after Split Liver Transplantation?
Life after split liver transplantation can bring about significant improvements in health, well-being, and overall quality of life for individuals with end-stage liver disease. Following the procedure, recipients experience relief from symptoms such as fatigue, jaundice, abdominal pain, and fluid retention associated with liver failure. With a healthy donor liver segment, recipients often find it easier to maintain normal liver function, digest food, and absorb nutrients. While recovery from split liver transplantation may involve some temporary discomfort and adjustments to medications and lifestyle, many recipients ultimately enjoy a renewed sense of vitality and improved long-term outcomes after transplantation. Regular follow-up care and monitoring are essential to ensure the success of split liver transplantation and maintain the health of the transplanted liver segments.