The KTPH Hepatobiliary and Pancreatic Surgery Service specialises in the management of conditions affecting the liver, pancreas, gallbladder, and biliary system.

In the management of benign conditions, we strive to provide timely and safe care to our patients. Day-surgery and short-stay surgery can be offered for selected conditions, such as the laparoscopic management of gallstone diseases. We also incorporate minimally invasive techniques in a large proportion of our surgical work.

We endeavour to provide compassionate and progressive care to our cancer patients, who may present with a complex range of conditions. All complex cases are reviewed at a weekly multidisciplinary meeting for consensus, review of updated evidence, and audit. Extended or multi-visceral resections may be necessary in selected patients with more advanced disease states.

We are supported by a tightly-knit team of professionals from diverse fields such as Anaesthesiology, Intensive Care, Hepatology, Advanced Endoscopy, Radiology, Medical Oncology, and Radiation Oncology. Placing the patient at the centre of our efforts, each cancer patient's journey is aided by a dedicated team of Physiotherapists and Dieticians as part of our Enhanced Recovery After Surgery (ERAS) programme. Minimally invasive techniques may be employed for suitable patients after close review of each case. In suitable patients with hepatocellular carcinoma, referral for liver transplant may be considered on a case-by-case basis.

We treat:

Liver

Benign liver conditions eg. haemangioma, focal nodular hyperplasia (FNH), hepatic adenoma, liver cysts, recurrent pyogenic cholangitis (RPC), intrahepatic stones
Malignant liver conditions eg. hepatocellular carcinoma (HCC), cholangiocarcinoma or bile duct cancer
Secondary liver cancers such as cancer of the colon, lung or breast that have spread to the liver
Major and/or wedge liver resections (open or laparoscopic/keyhole surgery)
Management of malignant liver tumours by radiological techniques eg. imaging-guided microwave ablation, trans-arterial chemoembolisation
Ultrasound-guided procedures including drainage of liver abscesses and liver cysts

Pancreas

Pancreatitis or inflammation of the pancreas (from multiple causes)
Benign pancreatic growths and cysts
Malignant (cancerous) pancreas conditions including pancreatic adenocarcinoma and neuroendocrine tumours of the pancreas
Pancreaticoduodenectomy/ Whipple's procedure, to remove tumours of the head of the pancreas
Distal pancreatectomy, to remove tumours of the body or tail of the pancreas

Gallbladder

Gallstone and gallstone-related problems including inflammation and/or infection of the gallbladder (cholecystitis), biliary colic or symptomatic cholelithiasis, blockage of the common bile duct or pancreatic duct, and erosion of the gallstone into the nearby duct or structures (Mirizzi's Syndrome)
Malignant (cancerous) gallbladder tumors like gallbladder cancer
Gallbladder polyps
Laparoscopic/keyhole or open cholecystectomy (surgical removal of the gallbladder)
Ultrasound-guided procedures including drainage of gallbladder abscesses for patients unfit for surgery

Biliary Tract (Bile Duct)

Choledochal cyst or biliary tract cysts
Complicated bile duct stone disease (both inside and outside of the liver)
Malignant (cancerous) biliary tract problems such as cholangiocarcinoma or bile duct cancers
Resection/excision of the biliary tract (including choledochal or biliary cyst)
Common bile duct exploration for complicated stone disease (including stone removal using various methods)
Biliary reconstruction with Roux-en-Y hepaticojejunostomy or biliary bypass