Hepato-biliary surgery involves surgical procedures focused on the liver, bile ducts, and gallbladder. These surgeries are performed to address various conditions, including liver tumors, bile duct obstructions, gallbladder diseases such as gallstones or inflammation, and liver cysts.
Liver surgery may involve resection (removal) of a portion of the liver affected by tumors or other diseases. This can be done using open surgery or minimally invasive techniques such as laparoscopy. Liver transplantation, where a diseased liver is replaced with a healthy donor liver, is also a significant aspect of hepato-biliary surgery, often performed in cases of end-stage liver disease or liver cancer.
Biliary surgery focuses on the bile ducts, which are responsible for transporting bile from the liver to the intestines for digestion. Common procedures include the removal of gallstones and the repair of bile duct obstructions or injuries. Gallbladder surgery, such as cholecystectomy, is a common hepato-biliary procedure performed to address gallbladder-related conditions like gallstones or inflammation.
These surgeries require careful pre-operative assessment, including imaging studies and laboratory tests, to evaluate the extent of the disease and assess the patient's overall health and surgical risk. Post-operative care involves monitoring for complications such as bleeding, infection, or bile leakage and providing pain management and supportive care to aid recovery.
Advancements in surgical techniques, including minimally invasive approaches and robotic-assisted surgery, have improved outcomes and reduced recovery times for many hepato-biliary procedures. However, these surgeries can still be complex and may require specialized expertise from hepatobiliary surgeons or surgical teams with experience in managing liver and biliary diseases.
Overall, hepato-biliary surgery plays a crucial role in the management of various liver and biliary conditions, offering patients relief from symptoms, improved quality of life, and, in some cases, a chance for cure or prolonged survival, particularly in the context of liver transplantation for end-stage liver disease.