HPB Conditions We Treat at Our Delhi Centre
Our HPB surgery programme in Delhi covers the full range of conditions treated with advanced HPB surgery, affecting the
liver, pancreas and bile ducts, both benign and malignant:
- Liver tumours: Hepatocellular carcinoma (HCC), liver metastases
from colorectal or neuroendocrine cancer, and benign tumours including haemangioma
and focal nodular hyperplasia.
- Hepato pancreato biliary cancer: Cholangiocarcinoma (intrahepatic,
perihilar and distal), pancreatic ductal adenocarcinoma, ampullary cancer and
gallbladder carcinoma.
- Bile duct conditions: Bile duct injuries after cholecystectomy,
hilar strictures, choledochal cysts and primary sclerosing cholangitis.
- Pancreatic conditions: Chronic pancreatitis, pancreatic cysts and
pseudocysts, pancreatic fistulas and necrotising pancreatitis.
- Portal hypertension: Variceal bleeding, ascites and complications
of cirrhosis not responding to medical management.
- Complex and inoperable cases: Tumours involving major hepatic veins
or the portal vein, cases declined elsewhere, and patients seeking a second opinion
on operability.
Advanced HPB Surgical Procedures at Our Delhi Centre
The table below covers every advanced HPB procedure performed at our Delhi centre. Each
procedure has a dedicated page with full clinical detail.
| HPB Procedure |
Conditions Treated |
Key Benefit |
| Ante-situm and ex-situ liver resection |
Ultra-complex liver tumours involving major hepatic veins |
Curative resection for tumours otherwise considered inoperable |
| Robotic HPB surgery (Da Vinci Xi) |
Pancreatic, liver and bile duct tumours |
Precision resection, minimal blood loss and faster recovery |
| Robotic and laparoscopic Whipple (pancreaticoduodenectomy) |
Pancreatic head cancer, ampullary tumours and distal cholangiocarcinoma
|
Less post-operative pain and shorter hospital stay than open Whipple
|
| Cholangiocarcinoma surgery (hilar and intrahepatic) |
Bile duct cancer at the hilum or within the liver |
Potentially curative resection; transplant option for selected perihilar
cases |
| Bile duct injury repair and reconstruction |
Post-cholecystectomy injuries and biliary strictures |
Restoration of bile flow through hepaticojejunostomy and ICG-guided
repair |
| Portal hypertension surgery |
Variceal bleeding, ascites and cirrhosis complications |
Controls bleeding and reduces portal pressure |
| Chronic pancreatitis surgery (Frey procedure) |
Chronic pancreatitis with dilated ducts and pain |
Drains the duct, relieves pain and preserves digestive function |
| Minimal access liver surgery |
Liver tumours, cysts and living donor hepatectomy |
Smaller incisions, less pain and faster recovery |
Important: The right procedure for your condition is always determined
through a full clinical review, including imaging, biopsy results and discussion at our
weekly multidisciplinary tumour board. No procedure is recommended on the basis of a
single scan or referral letter alone.
Hepato Pancreato Biliary Cancer Surgery in Delhi
Hepato pancreato biliary cancer includes some of the most technically
demanding oncological surgeries in medicine. Cholangiocarcinoma, pancreatic cancer and
gallbladder cancer require a surgeon who has the technical skill to resect these tumours
and the oncological judgement to determine which patients benefit from surgery and which
need a different approach. Our Delhi HPB cancer programme is built around three
principles: accurate staging, multidisciplinary decision-making and margin-negative
resection where it is achievable.
| Cancer Type |
What Makes Surgical Resection Possible at Our Delhi Centre |
| Hepatocellular carcinoma (HCC, primary liver cancer) |
Resection or ablation for early and intermediate stage; liver transplant
evaluation for tumours within Milan criteria. Both resection and
transplant are performed under one roof. |
| Intrahepatic cholangiocarcinoma |
Extended right or left hepatectomy; ante-situm technique for tumours
involving major hepatic veins. |
| Perihilar (Klatskin) cholangiocarcinoma |
Hilar resection with biliary reconstruction and caudate lobe removal;
selected cases evaluated for liver transplant. |
| Distal cholangiocarcinoma and ampullary cancer |
Whipple procedure, performed through open, laparoscopic or robotic
surgery; portal vein reconstruction where needed. |
| Pancreatic ductal adenocarcinoma |
Robotic and open Whipple; distal pancreatectomy; borderline-resectable
cases reviewed at the weekly tumour board with oncology and radiology.
|
| Gallbladder carcinoma |
Extended cholecystectomy with liver bed resection and lymphadenectomy;
bile duct excision for proximal cases. |
| Hepatic metastases (secondary liver cancer) |
Liver resection for colorectal and neuroendocrine metastases; two-stage
hepatectomy and portal vein embolisation for cases requiring future
liver remnant augmentation. |
Second opinion for hepato pancreato biliary cancer: If you or a family
member have been told a tumour is inoperable, please contact our Delhi team before
accepting that conclusion. Advances in vascular reconstruction, portal vein embolisation
and ante-situm technique have made previously inoperable cases resectable in experienced
hands. A second opinion costs nothing and may change the treatment plan.
Hepato Pancreato Biliary Surgery Hope in India: Why Delhi Is a Leading Destination
For patients across India and internationally, the phrase hepato pancreato
biliary surgery hope in India reflects a real clinical reality: India, and
Delhi specifically, has developed a group of specialist HPB surgeons with the volume and
experience to tackle cases that cannot be handled safely at lower-volume centres. The
reasons patients travel to Delhi for HPB treatment include:
- High surgical volume. HPB outcomes are strongly linked to centre
volume. Surgeons performing a high number of Whipple procedures, bile duct
reconstructions and complex liver resections per year achieve consistently better
outcomes than low-volume centres.
- Advanced technology. Da Vinci Xi robotic surgery, ICG fluorescence
imaging, 3D liver and pancreas modelling and hybrid operating theatres are available
at leading Delhi HPB hospitals.
- Multidisciplinary tumour boards. Complex HPB cancers require
oncologists, radiologists, pathologists and surgeons reviewing each case together.
Our weekly tumour board at Fortis Hospital, Shalimar Bagh ensures every patient
receives a consensus plan.
- Integrated transplant and HPB care. For selected cholangiocarcinoma
and HCC patients, liver
transplant is part of the treatment plan. Our centre performs both HPB
surgery and transplant under the same surgical team.
- Competitive cost. Advanced HPB surgery cost in India is a fraction
of equivalent surgery in Western countries, with no compromise on standards at a
specialist centre.
Technology at Our Delhi HPB Surgery Centre
Da Vinci Xi Robotic System
Our Delhi centre uses the Da Vinci Xi robotic platform for robotic Whipple
procedures, robotic liver resection, cholangiocarcinoma surgery and living donor
hepatectomy. The system provides three-dimensional magnified visualisation, wristed
instrument movement and tremor filtration, making complex dissections near major vessels
safer than open or standard laparoscopic approaches.
ICG Fluorescence Imaging
ICG fluorescence is used during bile duct
reconstruction and liver resection to visualise bile ducts and verify biliary
integrity in real time, reducing the risk of missed bile leaks.
3D Liver and Pancreas Modelling
Pre-surgical 3D volumetric modelling from CT or MRI data allows precise planning of liver
segment removal, calculation of the future liver remnant volume and identification of
vascular or biliary anatomy variants before the patient enters the operating theatre.
Hybrid Operating Theatres
Our hybrid theatres combine high-resolution intraoperative CT and fluoroscopy with the
operating environment, enabling real-time imaging during complex HPB and vascular
procedures.
Best HPB and Liver Surgery Hospital in Delhi: How to Choose
Searching for the best hepato pancreato biliary surgeon near me or the
best HPB and liver surgery hospital in Delhi is the right first step,
because HPB outcomes depend heavily on centre and surgeon experience. Here is what to
look for:
- Specific HPB case volume. Ask how many Whipple procedures, bile
duct reconstructions and complex liver resections the surgeon performs per year.
General surgical volume is not a substitute.
- Robotic and laparoscopic HPB capability. Not all centres offering
robotic surgery do complex HPB cases. Ask specifically whether they perform robotic
Whipple and robotic liver resection routinely.
- Integrated multidisciplinary tumour board. HPB cancer surgery
should never be planned by one surgeon alone. A formal weekly tumour board including
oncology, radiology and pathology is essential.
- Combined HPB and transplant capability. For HCC and
cholangiocarcinoma, treatment may shift from resection to transplant or vice versa.
A centre doing both avoids dangerous gaps in care.
- Second opinion willingness. A trustworthy HPB centre will give a
genuine second opinion on operability and will not pressure you into immediate
surgery.
Dr.
Ashish George's HPB surgery programme at Fortis Hospital, Shalimar Bagh in Delhi
meets every standard above. With 500 or more complex HPB procedures performed, a weekly
multidisciplinary tumour board, Da Vinci Xi robotic surgery, ICG fluorescence imaging
and a combined HPB and liver transplant programme, our centre offers patients in Delhi
NCR and across India the depth of specialist experience that complex conditions demand.
For further guidance on choosing a specialist, see our blog on how to
find the best liver transplant surgeon in Delhi.
HPB Surgery Outcomes at Our Delhi Centre
Published outcomes for complex HPB surgery vary by procedure and patient selection. The
figures below reflect our programme and are consistent with published data from
high-volume international HPB centres:
- Resectable cholangiocarcinoma: Approximately 75 to 85 percent
five-year survival in margin-negative resections.
- Bile duct reconstruction: Approximately 90 percent long-term
success in restoring bile flow with hepaticojejunostomy.
- Robotic HPB surgery: Complication rates below five percent in
appropriately selected cases.
- Chronic pancreatitis surgery (Frey procedure): Approximately 85 to
90 percent of patients report significant pain relief in the first year.
Note: HPB outcomes vary based on the patient's condition, tumour stage,
vascular involvement and general health. These are indicative ranges consistent with
published high-volume HPB literature. Individual outcomes are discussed in detail during
your consultation.
Explore Every Advanced HPB Procedure in Detail
Each advanced HPB procedure performed at our Delhi centre has its own dedicated page with
full clinical detail, outcomes and what to expect:
