Symptomatic gallstones, cholecystitis

Bile duct stones (selected surgical cases)

Biliary strictures (benign, selected)

Pancreatitis complications requiring surgery

Liver cysts/benign lesions needing surgery

Liver cancers and resectable liver tumours

Pancreatic cancer (resectable/borderline; selected)

Bile duct cancer

Gallbladder cancer

Diagnostics

Core diagnostics

Blood tests (liver/pancreas function) — Clarify organ function and readiness for treatment.

Ultrasound abdomen — First-line assessment for gallbladder and biliary disease.

CT/MRI abdomen (as advised) — Defines tumour location, spread and surgical planning.

Advanced diagnostics

MRCP/ERCP inputs (as part of pathway) — Clarifies bile duct anatomy and obstruction cause.

Tumour markers (as advised) — Support evaluation alongside imaging.

Endoscopic ultrasound/biopsy — Confirms diagnosis when needed.

Treatments & procedures

Non-surgical/supportive care

Medicines and symptom control — Supports comfort and stabilisation in selected cases.

Endoscopic procedures — Relieve obstruction or manage stones where appropriate.

Surgical care

Liver resections — Remove tumour/affected segment while preserving liver function.

Pancreatic resections — Treat selected pancreatic tumours with planned reconstruction.

Bile duct reconstruction — Restores bile flow in strictures/injuries/selected tumours.

Gallbladder removal — Treats symptomatic gallbladder disease when indicated.

Rehabilitation & follow-up support

Nutrition and diet progression — Supports recovery and strength.

Monitoring for jaundice/infection/pain — Helps identify issues early.

Surveillance planning (cancer) — Follow-up imaging and review schedules.

Technology & infrastructure

Advanced imaging access — Supports careful HPB planning and staging.

Multidisciplinary inputs — Links surgery, gastroenterology, oncology, anaesthesia and critical care as required.

Post-operative monitoring pathways — Support safer recovery and complication prevention.

Care experience at Narayana Health

Consultation & assessment — Symptom review and imaging-based evaluation.

Diagnosis & care plan — Stepwise plan, including suitability for surgery.

Treatment / procedure — Planned surgery with monitoring.

Recovery, rehab & follow-up — Diet progression, symptom review and surveillance when needed.

Why choose Narayana Health for HPB Surgery

Specialised planning for complex liver, pancreas and biliary conditions

Multidisciplinary decision-making for tumour and obstruction cases

Structured post-operative monitoring and recovery pathways

Follow-up planning including nutrition support and surveillance where needed

FAQs

When should I consult an HPB surgeon?

If you have recurrent gallbladder pain, persistent jaundice, a detected liver/pancreatic mass, or repeated pancreatitis needing surgical review.

Does jaundice always mean cancer?

No. Jaundice can occur due to stones, inflammation or benign narrowing; evaluation confirms the cause.

Is surgery always required for gallstones?

Not always. Surgery is advised when stones cause symptoms or complications.

What tests are commonly needed?

Blood tests plus ultrasound and CT/MRI are common; additional tests depend on findings.

How is cancer surgery suitability decided?

Based on imaging, stage, location, organ function and overall fitness.

Will I need diet changes after HPB surgery?

Often yes, temporarily. Nutrition guidance is part of recovery.

How long is recovery?

It varies by procedure. Your team will share stepwise milestones.

Can I take a second opinion?

Yes, especially for tumour resection decisions.

Hepato-pancreato-biliary Surgery