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Last Updated: Nov 06, 2019
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Everything About Hepatobiliary Surgery!

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Dr. Goutham KumarGeneral Surgeon • 19 Years Exp.MBBS, MS - General Surgery, Fellowship - American Society of Transplant surgeons
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The liver, pancreas, bile ducts, and gallbladder forms the Hepatobiliary system. The disease in the Hepatobiliary system is complicated and it requires years of expertise to effectively attend people with such cases.
Generally, surgeries in Hepatobiliary system are performed with less invasive methods. Hepatobiliary Surgery is done with highly skilled surgeons. The complications during the surgery can be life-threatening and hence should be performed by expert doctors.

Some of the standard procedures performed under Hepatobiliary Surgery are:
● Liver transplantation
● Gallbladder removal
● Anti-reflux surgery for the gastrointestinal system
● Bile duct surgery

Need for Hepatobiliary Surgery-
Hepatobiliary Surgery is performed when the patient is diagnosed with cancer or disease in Hepatobiliary system. It is also performed when benign diseases like bile duct resection or cysts removal are to be done. When some kind of tumor grows in gallbladder or liver, surgeons perform meticulous and skillful Hepatobiliary Surgery on the patient to remove the tumor from the Hepatobiliary system.

Liver Transplantation-
Liver transplantation is one of the standard procedures in Hepatobiliary Surgery. In this procedure, the dead or failed liver is transplanted with a new and healthy liver which is donated by the organ donor. The liver is the largest organ in the human body and performs many vital functions like the removal of bacteria and toxins from the blood, and processing nutrients.

Treatment-
Liver failure can happen in a week or gradually for a longer time. Many people face liver disease, and liver transplantation is a successful way to save the patient's life. However, there are only a few liver organ donors, and it is difficult for many people to find the donor for transplantation of a healthy liver.
Chronic liver failure can be treated with liver transplantation. Liver failure may be the cause of a variety of reasons. The most common reason for liver failure is scarring of the liver also called Cirrhosis. Cirrhosis can lead to liver failure and impairment of liver functions with the time.

The major causes of Cirrhosis are:

● HEP B and C
● Alcohol consumption
● Bile duct diseases
Genetic diseases

Cancers and Hepatobiliary Surgery-
A liver transplant can also save patients from dangerous Cancers that start from the Liver. The procedure is used to remove primary and secondary cancers tumors from the Hepatobiliary system. With the help of liver transplantation, surgeons may remove the ill liver and replace it with a healthy liver.

After Procedure-
There are some common complications associated with Hepatobiliary Surgery. However, these can be easily treated and can be cured in a few days after surgery. The procedure requires a team of dedicated doctors and surgeons for making the surgery successful. There should be enough medicines, doctors, and tools available that can treat the risks associated with the operation.

Some of the risks of Hepatobiliary Surgery and Liver transplantation are:
● Failure transplantation
● Clot in blood
● Seizure
Infection
● Bile duct complications
● Rejection of transplantation
In case of any of these complications, it is always advisable to consult a doctor as soon as possible.

Take Away-
Post-Hepatobiliary Surgery Care is essential for patients who just had liver transplanted. They need to be put in ICU for better care. The patients are kept under hospital care for at least ten days and then the doctors prescribe regular follow-ups and medication. The patient must follow all the instructions and medications prescribed by the doctor for better and optimum result.

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