HEPATO PANCREATO BILIARY SURGERY

HPB Surgery is a peer-reviewed, open access journal that offers ready access to important developments in the field of HPB surgery and associated disciplines. Thus diabetes mellitus and hepatitis, for example, might belong more appropriately elsewhere, though not if the paper should concern pancreatic transplantation or virally-induced hepatoma.

We aim to publish fresh experimental and clinical work across the spectrum of HPB disease, while concentrating on those conditions for which ‘surgical’ treatment – not necessarily an actual operation – is a common option.

We invite contributions not just from surgeons but from all other specialists who play such a crucial role in the research and clinical aspects of these conditions. We aim to provide a forum for the exchange of ideas and knowledge between the different specialists in the field as well as between the developing and the developed worlds.

HPB Surgery currently has an acceptance rate of 43%. The average time between submission and final decision is 57 days and the average time between acceptance and publication is 15 days.

LIVER CLINIC

Leading Liver Disease

Our specialists are authorities in all forms of acute and chronic liver disease including viral hepatitis, cholestatic and autoimmune liver disease, fatty liver disease, cirrhosis, liver cancer and those necessitating liver transplantation.

We provide our patients:

• Experience and expertise.  We treat many patients every year. The Liver Center physicians are recognized experts in all types of liver disease.
• Comprehensive care with a team approach.   The Liver Center team works closely with other world-class specialists in imaging, pathology, surgery and oncology to provide our patients comprehensive care of their liver disease

Our clinics:

• Fatty Liver Disease Clinic
• Autoimmune and Cholestatic Liver Disease Clinic
• Hepatocellular Carcinoma Clinic
• Pre-liver Transplant Clinic
• Liver Tumor Clinic
• Genetic Metabolic Liver Disease Clinic
• Hepatitis C Clinic
• Hepatitis B Clinic

PANCREAS BILIARY CARE

Our leading-edge medical and surgical interventions provide patients with timely diagnosis and individualized, ongoing care for the entire spectrum of pancreatic and biliary diseases.
Each patient’s treatment is overseen by a personal care team of pancreatic and biliary specialists and includes:

• Surgeon
• Radiologists
• Oncologists
• Radiation oncologists
• Nurse practitioners and oncology nurses

The team works with both the patient and the referring physician to coordinate a care plan designed to offer the best outcomes

Advanced Imaging Approaches

Mass General is a leader in detecting early malignancies. Our diagnostic radiology team is composed of dedicated imaging specialists whose practice focuses specifically on GI scans.
They are also nationally recognized for expertise in using the most sophisticated imaging tests to detect, diagnose and biopsy lesions in the pancreatic-biliary system.

In addition to CT and MRI scanning, we also offer advanced endoscopic imaging techniques, including:

• Endoscopic cholangioscopy, used to detect and treat of stones, tumors and diseases of the bile duct
• Endoscopic pancreatoscopy, used to detect early malignancies in the pancreatic duct
• Endoscopic confocal microscopy
• High-frequency probe endosonography, used to examine of superficial malignancies
• Endoscopic-ultrasound-guided fine-needle aspiration of solid, cystic, and complex tumors of the pancreas and bile ducts
• Optical coherence tomography, used to detect benign and malignant diseases of the bile duct
• Linear endoscopic ultrasound, used to detect early malignancies of the pancreas

Mass General was one of the first U.S. hospitals to offer endoscopic retrograde cholangiopancreatography (ERCP), a minimally invasive procedure that combines X-ray and video endoscope technologies to diagnose and treat conditions of the bile ducts. We helped pioneered cholangioscopy, a new technique in ERCP, and have introduced other novel diagnostic and therapeutic approaches, some of which are available only at Mass General.

Other treatments include:

• ERCP guided stent placement, stone removal and incision of the pancreatic-biliary sphincters
• Endoscopic-guided drainage of pancreatic pseudocysts
• Endoscopic diagnosis and ablation of cystic neoplasms of the pancreas
• Endoscopic removal of polyps, ampullary tumors and early cancers
• Endoscopic ultrasound guided celiac neurolysis to help control pancreatic pain
• Radiofrequency ablation for liver tumors, a technique that heats and kills cancer cells, performed first at Mass General
• Intraoperative radiation therapy (IORT), which treats advanced pancreatic tumors by intensifying radiation and minimizing damage to healthy tissue

Surgical Options

For more than 50 years, Mass General has pioneered landmark pancreatic-biliary surgical procedures including:

• Sphincter of Oddi resection
• Pancreatic cyst resection
• Whipple resections

We offer leading-edge surgical procedures, such as:

• Pancreaticoduodenectomy (Whipple Procedure), a procedure used to treat cancerous tumors in the head of the pancreas. We perform some of the highest volumes of this procedure
  in western INDIA
• Distal pancreatectomy, removal of the left end of the pancreas, which in many cases can be done laparoscopically
• Middle pancreatectomy, selective removal of the mid-portion of the pancreas, preserving the head and tail of the pancreas
• Cyst-gastrostomy, surgical internal drainage of a pancreatic pseudocyst
• Pancreatic debridement or necrosectomy, to remove dead pancreatic tissue
• Choledochojejunostomy, bypass of an obstructed bile duct, also known as the Puestow procedure. In selected cases, the spleen, which is usually removed, can be preserved
• Pancreatico-jejunostomy, drainage of the pancreatic duct
• Laparoscopic cholecystectomy, removal of the gallbladder containing gallstones