Hepatobiliary, Pancreatic & Liver Transplant Surgery

Procedures & Treatments

KIMSHEALTH Liver Transplant Program offers a comprehensive and multi-disciplinary approach to the treatment of irreversible liver disease, which has fostered excellent results in patient survival and quality of life. At KIMSHEALTH, you will have access to doctors who have vast experience in treating conditions relating to the hepatobiliary system, pancreas and other areas.

KIMSHEALTH has facilities for both deceased donor and live donor transplantation done by a multidisciplinary team.

KIMSHEALTH LIVER TRANSPLANT TEAM

• Transplant Surgery

• Hepatology

• Transplant Anesthesia

• Transplant Intensive Care

• Diagnostic and Interventional Radiology

• Gastroenterology

• Cardiology

• Pulmonary Medicine

• Nephrology

• Immunology

• Infectious Diseases

• Pathology & Transfusion Medicine

• Nuclear Medicine

• Social Work

• Specialized Nursing

• Transplant Coordination

• Nutrition

HEPATOBILIARY & PANCREATIC SURGERY

KIMSHEALTH offers world-class expertise for simple and complex diseases of Hepatobiliary and Pancreatic systems. Patients receive seamless multidisciplinary care from a team comprised of hepatobiliary and transplant surgeons, diagnostic radiologists, interventional radiologists, medical oncologists, hepatologists, gastroenterologists, anesthesiologists and intensive care physicians.

Hepatobiliary - Pancreatic & Liver Transplantation unit offers treatment for:

• Liver Transplantation – adult & paediatric, living & deceased donor, elective and emergency All kinds of liver resections (Open & Laparoscopic)

• Laparoscopic deroofing of symptomatic liver cysts Complex resections for Hilar Cholangiocarcinoma, including vascular resections

• Surgery for liver, biliary tract, pancreas and duodenal trauma

• Laparoscopic Cholecystectomy

• Choledochal cyst excision

• CCP- Frey’s Head Coring procedure, Duodenum Preserving Pancreatic head resections

• Pseudocyst – cystogastrostomy, cysto jejunostomy

• All kinds of Surgeries for hydatid cysts

• Bilio enteric drainage procedures

• Management of Post cholecystectomy bile duct injury, biliary sepsis, biliary stricture (all post cholecystectomy complications)

• All kinds of surgeries for liver stones (Hepatolithiasis)

• Extended cholecystectomy and segment 3/5 hepatico jejunostomy for GB cancer

• Pancreatico duodenectomy(Whipple’s Procedure), distal panctreatectomy, central pancreatectomy

• Enucleation and formal resections for Neuro endocrine tumors of pancreas Splenectomy, Splenorrhaphy

• Excision of complex retroperitoneal tumors

• Operations for resectable liver metastases

• Shunt surgery for extrahepatic portal vein obstruction(spleno renal shunt, rex shunt, etc)

DEPARTMENT OF HEPATOLOGY

The Division of Hepatology at KIMSHEALTH contribute a major role in providing world class care for patients with Complex Liver Diseases including liver emergencies.

The Radiodiagnosis department in KIMSHEALTH is equipped with Colour Doppler Ultrasonography, Radiography – Fluoroscopic facility (CR and DR), 64 slice CT scanner, Flat panel Cath Lab with DSA facility and 1.5 T MRI scanner. The department is fully versed in dedicated imaging and interventions for Liver Transplantation and other HPB services.

• Acute liver failure
• Chronic liver disease
• Cirrhosis
• Fatty liver disease
• Viral Hepatitis (Hepatitis B & C)
• Alcoholic liver disease
• Assessment of Jaundice
• Hereditary and Metabolic liver diseases
• Biliary stones and strictures
• Assessment for Liver transplantation, peri and post-transplant care
• Drug-induced liver injury

ULTRASOUND IMAGING

• High-end Ultrasound and Colour Doppler
• Dedicated Liver and Transplant Doppler
• Contrast Ultrasound for characterizing focal lesions in liver, spleen, pancreas and kidneys

CT IMAGING

• Multiphase Contrast studies for evaluation of Hepato-biliary and Pancreatic diseases with 64 slice CT Scanner
• CT Volumetry using Terarecon Workstation
• CT Angiography and Venography
• CT Enterography and CT Colography

PET SCAN & MR IMAGING

• Characterizing Hepato-biliary and Pancreatic Lesions, splenic, adrenal, peritoneal, retroperitoneal and GI masses
• Focal liver lesion characterization with dedicated protocols and Liver specific
• MR Contrast media
• MR assessment of liver fat, iron, copper etc
• MR Cholangiopancreatography (MRCP)
• MR Angiography, Enterography
• PACS integration of all modalities has been done

INTERVENTION

• CATH LAB
• Fluoroscopic procedures
• Percutaneous cholangiography
• External biliary drainage
• Ultrasound-guided procedures
• US Guided Biopsies of liver masses and other abdominal SOL
• Core biopsy for diffuse liver diseases
• CT guided procedures
• CT guided biopsy of hepatic, pancreatic and other masses
• Aspiration of Pancreatic and other fluid collections
• Placement of Percutaneous Drainage Catheters (PCD)
• CT guided cholecystostomy
• CT guided celiac plexus block
• CT guided Radiofrequency ablation of Liver, Kidney masses and metastases
• Percutaneous Ethanol ablation of hepatic tumor
• CATH LAB
  • Aortic and Visceral angiography, Superselective angiography for internal bleeding
  • Vascular interventional procedures – visceral artery embolization, aneurysm coiling, angioplasties Biliary stenting
  • Transjugular Liver Biopsies
  • Transarterial Chemoembolization (TACE) of hepatocellular carcinoma
  • Percutaneous Transhepatic biliary drainage (PTBD) & Combined internal-external drainage
  • Transjugular Intrahepatic Portosystemic Stent Shunt creation (TIPSS)
  • IVC lter placement, Hepatic venography or venogram, IVC and Hepatic vein stenting
  INPATIENT FACILITIES
  • Being a tertiary care Hospital, KIMSHEALTH provides the best inpatient and intensive care facilities which includes
  • Dedicated liver intensive care unit
  • Full-time intensivist coverage
  • 24 Hrs Blood Bank
  • Continuous venovenous haemofiltration
  • Therapeutic endoscopy
  • Colonoscopy
  • Therapeutic ERCP
  • Endoscopic drainage of cysts
  • Facility for all organ support
  • 24-hour Emergency services