Complex Hepato-Pancreato-Biliary Surgery

HPB Surgery

Specialised surgery of the liver, bile ducts, and pancreas — from complex hepatic resections to Whipple's procedure and bile duct reconstruction.

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HPB Procedures Performed

Dr. Srinivas combines transplant-level vascular expertise with advanced HPB surgical skills — a rare combination that enables safer outcomes in complex cases.

Hepatic (Liver) Surgery

  • Right / Left Hepatectomy (major resection)
  • Extended Hepatectomy (≥5 segments)
  • Anatomical Segmentectomy
  • Non-anatomical wedge resection
  • Laparoscopic & Robotic Liver Resection
  • Hydatid cyst surgery
  • Liver abscess drainage / surgery

Pancreatic Surgery

  • Whipple's Procedure (Pancreaticoduodenectomy)
  • Distal Pancreatectomy ± Splenectomy
  • Total Pancreatectomy
  • Enucleation of pancreatic tumours
  • Robotic Whipple's (minimally invasive)
  • Surgery for Chronic Pancreatitis

Biliary Surgery

  • Choledochal Cyst Excision (Types I–V)
  • Hepaticojejunostomy (bile duct reconstruction)
  • Revision biliary surgery after failed prior repair
  • Bile duct stricture repair
  • Klatskin tumour (hilar cholangiocarcinoma) surgery
  • Cholecystectomy (open, laparoscopic)

Portal Hypertension Surgery

  • Splenectomy + Devascularisation (Hassab's)
  • Porto-Systemic Shunts
  • TIPS (in collaboration with IR)
  • Oesophageal transection for variceal bleed

Why Transplant-Level HPB Expertise Matters

HPB surgery involves the most complex anatomy in the abdomen — hepatic arteries, portal veins, bile ducts, and the pancreatic head all intersect in a densely vascular field.

Dr. Srinivas's training in liver transplantation — which requires precise vascular anastomosis under extreme time pressure — directly translates to superior handling of hepatic and biliary anatomy in HPB cases.

This is why patients referred for "inoperable" HPB tumours or failed prior biliary repairs can often be managed successfully by a specialist with transplant training.

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HPB anatomy — liver, bile ducts, pancreas

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