HEPATOBILIARY AND PANCREATIC SURGERY (HPB)

Expertise on Diagnostic Approach, Treatment, Follow-up, non-Surgical Management


Liver Diseases:
Liver cancer

 

  • Metastatic liver cancer (from: Colorectal Liver Metastases, NeuroEndocrine (NE) tumors, sarcomas, breast, GIST, melanoma, gynecological malignancies, etc.)
  • Primary liver cancer (HCC/hepatocellular carcinoma, cholangiocarcinoma, hepatoblastomas, etc.)

Benign liver tumors/lesions (adenomas, FNH, echinococus cysts, etc.)

Liver cysts (benign, neoplastic, etc.)

  • Fatty liver disease
  • Viral hepatitis: hepatitis B
  • Viral hepatitis: hepatitis C
  • Cirrhosis
  • Portal hypertension

Biliary Tract:
Benign

  • Stones in the Gall Bladder (Cholelithiasis)
  • Stones in the Bile Ducts (Choledoholethiases)
  • Mirrizzi Syndrome
  • Acute Cholecystitis
  • Cholangitis
  • Choledocholithiasis
  • Obstructive Jaundice (any type)
  • Biliary Injury (iatrogenic, traumatic, etc)
  • Biliary Stricture
  • Sphincter of Oddi dysfunction

Malignant (cancerous)

  • Tumors of the Bile Duct (e.g. cholangiocarcinoma)
  • Biliary Obstructions of cancerous etiology

Pancreatic Diseases:

  • Acute pancreatitis
  • Chronic pancreatitis
  • Pancreatic Cysts
  • Pancreatic Tumors 
  • IPMN
  • Pancreatic injuries 
  • Duodenal Adenomas
  • Duodenal Tumor
  • Duodenal stricture
  • Duodenal trauma/iatrogenic injury

Hepato-Pancreatico-Biliary (HPB) Surgery: Surgical Procedures

Pancreatic Surgery:


  • Pancreatico-duodenectomy (Whipples procedure, Pylorus Preserving Pancreto -Duodenectomy), with standard/or extended lymphadenectomy
  • Laparoscopic/open distal pancreatectomy
  • Total Pancreatectomy
  • Central Pancreatectomy
  • Spleen preserving pancreatectomy (Laparoscopic/Open)
  • Pancreatic Necrosectomy (for necrotizing pancreatitis)
  • Minimal invasive Pancreatic Necrosectomy
  • Chronic pancreatitis treatment (Beger procedure, Frey procedure)
  • Palliative surgery for unresectable pancreatic tumors
  • Nanonife ablation for locally advanced or/and borderline resectable tumors
  • Enuclation of pancreatic NeuroEndocrine tumors
  • Laparoscopic/Open pancreatic biopsy
  • Exploratory/Staging Laparoscopy (with/without peritoneal lavage/cytology)
  • Ampulectomy (Vater’s ampulla)
  • Pancreas Sparing Duodenectomy
  • Partial Duodenectomy
  • Duodenotomy and duodenal tumor resection

Liver Surgery:

  • Right/Left hepatectomy
  • Right/Left extended hepatectomy
  • Non-anatomical major hepatectomy
  • Synchronous hepatectomy (with other primary/organ resection)
  • Two stage hepatectomy
  • ALPPS hepatectomy
  • Laparoscopic/Open Liver US and Liver biopsy
  • Laparoscopic/open Major hepatectomy
  • Laparoscopic/open left lateral hepatectomy
  • Laparoscopic/open right posterior hepatectomy
  • Laparoscopic/open wedge liver resections
  • Laparoscopic/open RF Ablation
  • Laparoscopic/open Microwave Ablation
  • Nanoknife ablation for high risk, locally advanced or/and borderline resectable tumors
  • Derrofing or Pericystectomy of Echinochocus Cyst
  • Laparoscopic Deroofing of Liver Cyst
  • Palliative procedures for unresectable biliary tumors (biliary bypass, stent placement, etc)
  • Liver Trauma management 
  • Liver abscess drainage

Biliary Tract:

  • Biliary Injury Reconstruction (iatrogenic, post-traumatic, etc)
  • Reconstruction (re-do) of Biliary anastomoses 
  • Biliary Exploration (Laparoscopic/Open)
  • Inraoperative cholangiography (Laparoscopic/Open)
  • Mirizzi’s syndrome surgical treatment
  • Sump syndrome surgical treatment
  • Biliary by-pass (variation of hepaticojejunostomies for palliative or radical treatment)
  • Complex cholecystectomy (Laparoscopic/Open)


Doctor:
Athanasios Petrou MD, MSc (HPB), PhD