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Hepatobiliary & Pancreatic Surgery guides
17 plain-English, evidence-linked guides in Hepatobiliary & Pancreatic Surgery, with clinical review status shown on each page.
Ablation of liver tumours (heat treatment) (Radiofrequency / microwave ablation of liver tumours)A scan-guided treatment that uses heat from a fine needle-like probe to destroy small liver tumours without removing them, used when surgery is not the best option.Bile duct reconstruction (Biliary reconstruction (often Roux-en-Y hepaticojejunostomy))An operation to rebuild or re-route a bile duct that has been damaged, narrowed or blocked, so that bile can drain from the liver into the bowel again.Bile duct stent (Biliary stent insertion (usually at ERCP))A small tube placed inside a blocked or narrowed bile duct, usually through a camera test (ERCP), so that bile can drain again.Bile duct stone removal (Endoscopic clearance of common bile duct stones (choledocholithiasis))Removing gallstones that have moved into and blocked the bile duct, usually with a camera test (ERCP) and sometimes with keyhole surgery.Distal pancreatectomyAn operation to remove the body and tail (the left part) of the pancreas, often together with the spleen, usually for a tumour or cyst in that part of the pancreas.Drainage of a pancreatic pseudocyst (Drainage of pancreatic pseudocyst)A procedure to drain a fluid collection (pseudocyst) that has formed near the pancreas after pancreatitis, usually done from inside the stomach using an endoscope and ultrasound.ERCP (bile duct endoscopy) (Endoscopic retrograde cholangiopancreatography)A camera test that looks at the bile and pancreatic ducts and can clear blockages, remove stones or place a stent at the same time.Laparoscopic (keyhole) liver surgery (Laparoscopic liver resection)Keyhole surgery to remove part of the liver through small cuts, used for some benign growths, liver cancers or cancer that has spread to the liver.Liver biopsy (Liver biopsy (percutaneous, transjugular or targeted))A test that takes a tiny sample of liver tissue with a needle so it can be examined under a microscope to diagnose liver problems or guide treatment.Liver cancer surgery (Surgery for liver cancer (resection or transplant))Surgery to treat cancer in the liver, usually by removing the affected part (resection) and, for some people, by liver transplant, as part of a wider cancer plan.Liver cyst surgery (Surgery for liver cysts (cyst deroofing/fenestration))Surgery to treat a fluid-filled sac (cyst) in the liver that is causing symptoms, usually by removing the top of the cyst so it can drain, rather than cutting out liver tissue.Liver resection (Hepatectomy (partial liver resection))An operation to remove part of the liver, most often to take out a tumour while leaving enough healthy liver to work and regrow.Liver tumour removal (Removal of a liver tumour (resection, with ablation as an alternative))Treatment to remove or destroy a growth in the liver, which may be non-cancerous or cancerous, usually by surgery to cut it out or, in some cases, by heat treatment.Pancreatic cancer surgery (Surgery for pancreatic cancer)An overview of the operations used to try to remove pancreatic cancer, who they may suit, and what they can and cannot achieve.Pancreatic cyst surgery (Surgery for pancreatic cystic lesions)An operation to remove a cyst (fluid-filled growth) on the pancreas, usually done when the cyst is causing symptoms or carries a risk of turning into cancer.Portal hypertension surgery (Surgical management of portal hypertension (portosystemic shunt surgery, devascularisation, splenectomy))An operation to lower dangerously high pressure in the veins around the liver, usually to stop or prevent serious bleeding from swollen veins (varices) when other treatments have not worked.Whipple's operation (Whipple's procedure (pancreaticoduodenectomy))A major operation to remove the head of the pancreas and nearby structures, most often to try to remove a cancer at the head of the pancreas or where the bile duct meets the bowel.
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