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Precision Surgery for Liver, Spleen & Pancreas

Multidisciplinary HPB experts with modern ICUs and ERCP/IR backup

Book HPB Consultation
1.2 L
Annual HPB Patients
Across liver, pancreas, and spleen conditions
90%
Minimally Invasive
Liver/spleen cases handled laparoscopically or robotically
<5%
Major Complications
Monitored via ICU protocols and ERAS care

When to Consult

  • Liver tumours, cysts, or hemangiomas detected on imaging
  • Chronic pancreatitis with pain, weight loss, or ductal obstruction
  • Jaundice, bile duct strictures, or pancreatic masses
  • Hypersplenism causing low blood counts
  • Trauma to abdomen resulting in organ injury
  • Referral for Whipple surgery or major hepatectomy

Understanding Liver, Spleen & Pancreatic Conditions in the Indian Context

Urban Hyderabad sees a surge in fatty liver disease, viral hepatitis, alcohol-related liver damage, and pancreatitis fuelled by stressful lifestyles. Advanced imaging now detects tumours and cysts earlier, enabling curative surgery. Yet HPB procedures demand specialised centres. Ajuda Hospitals houses a dedicated HPB program, uniting surgeons, gastroenterologists, interventional radiologists, and oncologists for seamless care.

Our bilingual care coordinators support families from HITEC City, Secunderabad, and districts like Nizamabad or Karimnagar—ensuring clarity around treatment, travel, and finances.

When to Consult Our HPB Surgeons

⚠️ Seek Immediate Care If You Notice:

  • ✓ Sudden severe abdominal pain radiating to the back (possible pancreatitis)
  • ✓ Jaundice, dark urine, or pale stools indicating bile duct obstruction
  • ✓ Abdominal swelling, ascites, or unexplained weight loss
  • ✓ Trauma with left upper abdominal pain and dizziness

Planned consultations help chart long-term management for chronic pancreatitis, benign liver tumours, or spleen disorders. Ajuda provides second opinions and teleconsults for patients referred from neighbouring districts.

Our Diagnostic Approach

Imaging & Staging

Triphasic CT or MRI maps tumour size, vascular involvement, and resectability. MRCP evaluates bile ducts; endoscopic ultrasound (EUS) guides biopsies for pancreatic lesions.

Laboratory & Functional Assessment

Liver function tests, coagulation profile, and tumour markers (AFP, CA 19-9) inform staging. Fibroscan and portal pressure measurements assess liver reserve.

Multidisciplinary Tumour Board

HPB surgeons, medical oncologists, gastroenterologists, IR specialists, and nutritionists craft a personalised plan balancing cure, quality of life, and financial considerations.

Prehabilitation & Optimisation

Dieticians, physiotherapists, and hepatologists build strength, manage diabetes, and improve nutrition before major surgery.

Treatment Pathways

Ajuda provides end-to-end HPB care:

  • Minimally Invasive Resections: Laparoscopic and robotic hepatectomy, splenectomy, and distal pancreatectomy for faster recovery.
  • Complex Open Surgeries: Whipple, total pancreatectomy, and major liver resections for advanced malignancies.
  • Interventional Therapies: Portal vein embolisation, TACE, and RFA reduce tumour load or prepare for surgery.
  • Biliary & Pancreatic Drainage: ERCP stenting or EUS-guided drainage relieve jaundice and pain before definitive surgery.
  • Critical Care: Dedicated HPB ICU with liver-friendly ventilation, haemodynamic monitoring, and infection control.
  • Rehabilitation & Follow-up: ERAS protocols, nutrition counselling, and tele follow-ups support long-term recovery across Telangana.

What to Expect: Your Care Journey

  1. Initial Consult & Workup: Imaging, labs, and tumour board evaluation occur within 48 hours.
  2. Pre-Op Conditioning: Nutrition, physiotherapy, and medical optimisation underway to improve outcomes.
  3. Surgery & ICU Care: Procedures performed by experienced HPB surgeons; ICU monitors vitals, labs, and drains closely.
  4. Ward Recovery: Early mobilisation, pain control, and diet progression prepare you for discharge.
  5. Long-Term Monitoring: Follow-up visits, imaging, tumour markers, and telemedicine support detect recurrence early.

Technology & Innovation

Ajuda leverages 3D imaging, ICG fluorescence, advanced energy devices (LigaSure, harmonic scalpel), and rapid lab diagnostics. An integrated EMR tracks vitals, labs, and imaging, allowing remote specialist review and early intervention.

Preventing Complications

Robust prehabilitation, meticulous surgical technique, and ICU monitoring minimise blood loss, infections, bile leaks, or pancreatic fistula. Vaccination protocols after splenectomy prevent infections. Lifestyle coaching post-surgery supports liver health and glycaemic control.

Why Ajuda for HPB Surgery?

🏥 Dedicated HPB Unit

Specialised theatres, ICU, and tumour board ensure cohesive care.

🛠️ Advanced Technology

ICG, robotics, and ERCP/IR integrate to tackle complex anatomy safely.

🤝 Family Support

Coordinators guide through insurance, travel, and bilingual counselling for families from across Telangana.

Take the First Step

For liver, spleen, or pancreatic concerns, trust Ajuda Hospitals to deliver comprehensive, compassionate HPB care. Call 9010550550 or message us on WhatsApp to plan your consultation and receive a personalised treatment roadmap.

Diagnosis Approach

1

Advanced Imaging

Triphasic CT, MRI/MRCP, and contrast ultrasound delineate lesions and vascular anatomy.

2

Laboratory & Tumour Markers

LFTs, CA 19-9, AFP, INR, CBC, and viral markers to assess function and cancer staging.

3

Multidisciplinary Tumour Board

HPB surgeons, gastroenterologists, oncologists, and interventional radiologists review complex cases.

4

Anaesthesia & Nutrition Optimisation

Prehabilitation with dieticians, hepatology, and endocrinology for high-risk patients.

Treatment Options

Laparoscopic/Robotic Hepatectomy

Segmental or lobar liver resections with fluorescence guidance and low central venous pressure anaesthesia.

Shorter stay and minimal blood loss
3-5 hour surgery

Whipple Procedure (Pancreaticoduodenectomy)

Resection for pancreatic head cancers with biliary and gastric reconstruction.

Improves survival with multidisciplinary oncology support
6-8 hour surgery

Distal Pancreatectomy & Spleen Preservation

Minimally invasive resection for body/tail lesions with splenic vessel preservation when feasible.

Maintains immune function and reduces infection risk
3-4 hour surgery

Splenectomy for Hypersplenism/Trauma

Laparoscopic or open removal with vaccination protocol and haematology liaison.

Normalises blood counts and reduces pain
2-3 hour procedure

Interventional & Endoscopic Collaboration

ERCP stenting, portal vein embolisation, and radiofrequency ablation integrated with surgery.

Optimises surgery readiness and reduces recurrence
Tailored to individual case

Post-Operative ICU & ERAS Rehabilitation

Dedicated HPB ICU, pain control, early nutrition, and physiotherapy with tele follow-ups.

Reduces complications and speeds recovery
7-14 day inpatient + structured outpatient program

Expected Outcomes

Treatment Timeline

Day 0

Surgery performed; ICU monitoring begins

Day 3

Transition to ward with early mobilisation and diet advancement

Week 2

Discharge with personalised diet and medication plan

Month 3

Return to routine activities; surveillance imaging scheduled

Success Metrics

  • Negative margins in cancer resections
  • Stable liver function post-op
  • Low infection and bile leak rates