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Surgery & medical treatment for diseases of liver, gall bladder, pancreas & spleen. Laparoscopic cholecystectomy is the most commonly performed operation in our unit. Besides that CBD explorations, cystogastrostomy, cystojejunostomy, pancreatectomies, longitudinal pancreatojejunostomy, select liver resections and splenectomies are regularly performed.
Liver: Abscess [Amoebic/ pyogenic]: Percutaneous drainage, aspiration, pigtail catheter insertion, open surgical drainage with peritoneal toilet
Hydatid cyst of liver: Enucleations, percutaneous aspiration (PAIR), laparoscopic surgery for hydatid.
Liver tumors: Liver resections
Liver trauma: Conservative management, damage controll surgery with packing, open surgical heamostasis, Resection
Gall bladder & Common bile ducts:
Gall stones/ CBD stones/ acute cholecystitis/ chronic cholecystitis:Laparoscopic cholecystectomy, Laparoscopic partial cholecystectomy, open cholecystectomy, partial cholecystectomy, CBD explorations, Roux en Y- Hepaticojejunostomy
Biliary injuries [after open or laparoscopic surgery]: Roux en Y hepaticojejunostomy
Choledochal cyst: Cyst excision with Roux en Y hepaticojejunostomy
Cancer gallbladder: Radical cholecystectomy with segment 4b & 5 resection, palliative bypass, hepaticojejunostomy
Cholangiocarcinoma: Hilar cholangiocarcinoma- Excision with hepaticojejunostomy; Distal cholangiocarcinoma - Pancreatodudenectomy
Pancreas:
Acute pancreatitis: conservative management, necrosectomy, selective drain insertions
Pseudocyst pancreas: Cysto enterostomy, laparoscopic cystogastrostomy.
Chronic pancreatitis: Longitudinal pancreatojejunostomy
Periampullary cancers/ Cystic neoplasm of pancreas: Whipple’s pancreatodudenectomy, palliative triple bypass , distal pancreatectomy.
Cancer body of Pancreas: Distal Pancreatectomy with or without splenectomy.
Pancreatic injuries: Conservative management, open explorations with heamostasis, distal pancreatectomy, drains insertions.
Spleen:
Hemolytic anemia[heredity spherocytosis]: splenectomy
Thalassemia: Splenectomy
Idiopathic thrombocytopenic purpura:Splenectomy
Hyperspleenism: Spleenectomy
Spleenic injuries: splenorrhaphy, splenectomy.
Spleenic cysts: Marsupialization/ partial splenectomy
Spleenic tumors: Splenectomy
Whipple's Operation: Pancreatodudenectomy for Cancer Pancreas
Hepaticojujenostomy and Pancreatojujenostomy completed
Gastrojujenostomy in progress
Resected pancreatodudenectomy specimen
Radical Cholecystectomy for Carcinoma Gallbladder : Segment 4b & 5 liver resection done by kelly clysis.
Liver bed after resection
Excised Specimen
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