Department Of
Liver Transplant and HPB Surgeries

The Department of Hepato-Pancreato-Biliary (HPB) and Liver Transplant Surgery at SPARSH Super Specialty Hospital offers expert diagnostic and therapeutic services for management of complex liver diseases and hepatopancreatobiliary disorders in both adults and children. Led by a team of exceptional doctors, the department provides evidence-based treatment with a multidisciplinary approach.

The Team:

Trained at some of the best hospitals in the world, the team comprises of experts in Hepatology, Hepatobiliary and pancreatic surgery, liver transplantation, pancreas and kidney transplantation, oncology, hepatobiliary radiology, transplant anesthesia, adult and paediatric intensive care and liver pathology. The team aims to provide comprehensive liver care services including management of liver cirrhosis, liver failure, cancers of the liver, various disorders of the gallbladder, bile duct and pancreas, liver transplant (live donor, cadaveric and split liver), kidney and pancreas transplant.

Advanced Care:

• Medical evaluation of patients with complex liver disease
• Management of patients with cirrhosis, end stage liver disease and liver failure
• Intensive care management of acute liver failure
• Multimodality treatment of patients with liver cancer (HCC)
• Liver transplantation (live donor, deceased donor, split liver)
• Paediatric liver transplantation
• Complex resection surgeries for liver, biliary tract and pancreatic tumors
• Complex Pancreatobiliary surgery for benign disorders
• Minimally Invasive Laparoscopic and Robotic Hepato-Pancreatobiliary Surgery
• Advanced Interventional Hepatobiliary Radiology
• Liver Pathology

State-of-the-Art Technology:

The department of Liver, pancreas and multi organ Transplant surgery at SPARSH Super Speciality Hospital offers a comprehensive range of state-of-the-art medical technology to facilitate accurate diagnosis and treatment of liver diseases. The technology support offered here for various endoscopic, minimally invasive and laparoscopic procedures are world-class. The Interventional Radiology wing offers high-precision diagnostic procedures and interventions, for both surgical and non-surgical cases. The centre also has dedicated liver surgery/ transplant suites manned by highly trained Intensivists and Critical Care experts, to ensure high quality care for patients.

• Dedicated Surgical Suites
• Dedicated Liver Transplant ICUs
• Highly advanced Infection Control: Air is HEPA Filtered to 0.3 micron
• Wide Bore Digital MRI and CT Scanner
• State-of-the-art CathLab

Adult Hepatology

Outpatient Services:-

• Consultation
• Liver Ultrasound
• Fibroscan
• Liver biopsy/FNAC
• Ascitic Tap
• Endoscopy
• Liver Transplant Assessment
• Pancreas Transplant assessment
• Kidney Transplant Assessment

Speciality Clinics:

• Viral Hepatitis
• Autoimmune Liver Disease
• Liver Transplant Assessment
• Liver Transplant
• Post Liver Transplant
• Complex Liver Disease
• Chronic Liver Disease
• Fatty Liver/NASH
• Alcoholic Liver Disease
• Alcohol de-addiction

Inpatient Services

• 24/7 Liver on call
• Endoscopy – band ligation, glue injection, sclerotherapy, ERCP
• Liver ICU manned by liver intensivists, trained nurses
• Liver Biopsy/FNAC
• Transjugular Liver Biopsy
• TIPS (transjugular intrahepatic shunt)
• BRTO, Shunt Occlusion
• TACE
• Ablation of Liver Tumors

Specialized Services:

• Multidisciplinary care for alcoholic liver disease
• Advanced therapeutic interventions for liver tumors
• Liver intensive care for Acute liver failure, Plasmapheresis
• Dedicated liver ward for Decompensated liver disease
• Pre and post liver transplant care

Transplant Hepatology:

• Pre liver transplant assessment
• Transplant counseling
• Nutrition optimisation
• Infection screening
• Preventive vaccinations – Hepatitis B/A
• Annual post transplant evaluation
• Live and deceased donor liver transplantation

Paediatric Hepatology:

• Assessment of neonatal jaundice
• Management of congenital liver diseases
• Biliary atresia management
• Paediatric liver transplant
• Live and deceased donor
• Paediatric haemato oncology

Hepatobiliary Endoscopy:

• Upper GI endoscopy
• Variceal ligation (banding)
• Glue injection
• Sclerotherapy
• Esophageal stents for bleeding
• ERCP
• For stones, strictures
• Metallic stenting

Hepatopancreaticobiliary and Multi Organ Transplant Surgery

Outpatient Services:-

• Consultation and management of hepatopancreaticobiliary diseases
• Day care surgery/procedures for
• Liver abscess drainage
• Pain relief from cancer
• Pain relief for chronic pancreatitis
• Gallbladder surgery

Specialty Clinics:

• Liver tumor
• Neuroendocrine tumors
• Biliary cancer
• Liver transplant
• Pancreas transplant
• Kidney transplant

Inpatient Services

• 24/7 emergency surgery services
• Multidisciplinary Liver trauma care
• Advanced critical care
• Dedicated organ transplant ICU
• Advanced liver, biliary and pancreatic surgery

Hepatopancreaticobiliary Surgery

Liver resection for:-

• Primary liver cancers (HCC)
• Cholangiocarcinomas
• Secondary liver tumors
• Gall bladder cancers
• Benign liver tumors – Adenoma

Biliary Surgery:

• Bile duct injury – biliary reconstruction
• Choledochal cyst
• Biliary strictures
• Palliative bypass
• Bile duct stones
• Bile duct cancers

Pancreatic Surgery:

• Whipple pancreaticoduodenectomy
• Distal pancreatectomy
• Surgeries for Chronic Pancreatitis

Laparoscopic HPB Surgery:

• Major hepatectomy (liver resection)
• Minor hepatectomy
• Bile duct exploration for stones
• Laparoscopy assisted tumor ablation/biopsy
• Pancreatectomy
• Surgery for chronic pancreatitis
• Minimally invasive pancreatic necrosectomy

Liver Trauma: 24/7 on call services for management of injuries of the liver, including advanced intensive care management, interventional radiological and surgical treatment.

Hepatobiliary Oncology:

Management of complex hilar carcinomas, metastatic liver tumors, primary liver cancers with multidisciplinary inputs for surgical and non-surgical management. Liver Transplantation :

• Live donor liver transplantation
• Deceased donor liver transplantation
• Split liver transplantation
• Combined dual organ transplantation
• Multi visceral transplantation

Paediatric HPB/ Liver Transplant:

• Liver transplant for Hepatoblastoma
• Liver resection for primary liver tumor
• Multidisciplinary treatment for Hepatoblastoma
• Biliary Atresia
• Biliary diversion for PFIC

Support Services

Hepatobiliary Radiology and Interventional Radiology:-

• Advanced 3D imaging
• Liver MRI
• Percutaneous transhepatic biliary drainage and stenting for biliary strictures
• Portal vein embolisation
• TACE – transarterial chemoembolization for liver tumors
• Ablation of liver cancers
• Intra operative doppler studies
• Trans jugular liver biopsy
• Hepatic venous pressure gradient measurements
• Transjugular intrahepatic portosystemic shunt (TIPS)

HPB and Transplant Pathology

Comprehensive pathological services including:-

• Immunohistochemistry
• Liver transplant pathology
• Molecular diagnosis and genetic mutation analysis

Transplant Rehabilitation:

• Physical therapy
• Occupational therapy
• Deaddiction and rehabilitation for patients with substance abuse
• Psychotherapy and behavioral therapy
• Counseling services
• Quality of life assessment pre and post transplant

Transplant Coordinator:

• Pretransplant clinic visits
• Registration for transplants
• Single point of contact
• Post transplant clinic visits