Hepatopancreaticobiliary (HPB) surgery is surgery to your liver, pancreas, gallbladder or bile ducts. These procedures can effectively treat many types of biliary, pancreatic and liver diseases and conditions, including gallstones, cancer, pancreatitis, and injuries to the liver or pancreas.
Our expert HPB surgeons will assess what procedure is most suitable for you. We use the most advanced techniques to ensure your surgery is effective and enables you to get back to normal swiftly and with a better quality of life.
Why Choose Us for HPB Surgery?
HPB is a highly specialist area. We have world-leading experts in this field. You can expect:
- Advanced treatments: Our experienced consultants are at the forefront of developing new approaches to HPB surgery. We offer the most advanced treatment options and use the latest techniques to ensure the best outcomes for any HPB condition you’re facing.
- State-of-the-art facilities: Our hospital and outpatient centre are brand-new, equipped with the latest technology and designed for the best possible patient experience.
- Team-based approach: Our skilled consultants, surgeons and nurses work together as a team to deliver exceptional care. We collaborate with providers throughout Cleveland Clinic to ensure you get complete, expert care.
- Extensive experience: With experience in treating any HPB disease or condition, our surgeons are internationally renowned as leaders in their fields, with most coming from London’s top teaching hospitals.
HPB Surgery at Cleveland Clinic London
Common conditions we treat:
- Acute and chronic pancreatitis (where the pancreas becomes irritated and swollen) and associated complications.
- Ampullary cancer (a rare cancer that forms in an area of your digestive system called the ampulla of Vater) and duodenal cancers (cancer in the first section of the small intestine).
- Gallbladder and biliary diseases, including bile duct cancer.
- Bile duct cancer (cholangiocarcinoma).
- Biliary strictures, when the bile duct (the tube that takes bile from the liver to the small bowel) gets smaller or narrower.
- Gallstones, stone-like objects that develop in the gallbladder or bile ducts.
- Injuries to the liver, pancreas or bile duct.
- Intraductal papillary mucinous neoplasm (IPMN), a type of tumour that grows in the pancreatic ducts.
- Liver abscesses.
- Liver disease including liver cysts (including polycystic disease) and liver tumours (primary and secondary).
- Liver haemangioma, a non-cancerous tumour in the liver that is made up of clusters of blood-filled cavities.
- Pancreatic cancer and neuroendocrine tumours, rare tumours that affect the cells that release hormones into the bloodstream.
- Pancreatic cysts: growths in the pancreas that can be benign (pseudocysts) or malignant (cancerous).
- Pancreatic neuroendocrine tumours, a type of cancer that starts in the pancreas.
Treatments and surgeries:
After expert diagnosis and assessment of your condition, your HPB surgeon will explain what procedure they recommend for you. Procedures include:
- Complex HPB cancer surgery.
- Gallbladder removal (laparoscopic cholecystectomy): a surgical procedure where a laparoscope, a narrow tube with a camera, is inserted through a small incision and the gallbladder is then removed through another small incision.
- Management of complications due to chronic pancreatitis.
- Pancreatic necrosectomy, a procedure to treat pancreatic necrosis, a serious complication of acute pancreatitis.
- The Whipple procedure, for patients with pancreatic cancer or benign, non-cancerous conditions in the head of the pancreas. A complex operation involving the removal of the head of the pancreas, the first portion of the small intestine, part of the bile duct and the gall bladder.