The Department offers specialized treatment of

I. Surgical Diseases of the Luminal Gastrointestinal System
II. Diseases of the Liver including Liver Transplant
III. Portal Hypertension
IV Pancreatic Disorders
V Diseases of Bile Duct and Gallbladder

I) Management of Luminal of Gastrointestinal System:

1. Oesophagus
   a. Diverticua: Diverticulectomy
   b. Achalasia:Laparoscopic Hellers Cardiomyotomy, Oesophagectomy
   c. Peptic Strictures: Colley’s Gastroplasty
   d. GORD: Laparoscopic Fundoplication
   e. Corrosive Strictures: Oesophageal Replacement i.e Coloplasty/ Gastric Conduit, Feeding Jejunostomy
   f. Malignancy: Transhiatal and Transthoracic Radical oesophagectomy (Both Conventional & Thoracoscopic)
    
2. Stomach
   a. Acid peptic disease: Perforation peritonitis, Laparoscopic Truncal Vagotomy and Gastrojejunostomy, Laparoscopic Highly Selective Vagotomy.
   b. Foreign Body Extraction: Laparoscopic Removal of Foreign body
   c. Malignancy: Staging laparoscopy, D2 Gastrectomy, Laparoscopic Distal Gastrectomy, Laparoscopic Gastro-jejunostomy, Laparoscopic Feeding Jejunostomy
    
3. Small Bowel:
   a. Appendix: Laparoscopic Appendectomy
   b. Benign Diseases: Diagnostic Laparoscopy, Laparoscopic Resection and Anastamosis, Laparoscopic Internal Hernia repair/ Reduction of Intersection
   c. Malignancy: Laparoscopic Resection & Anastomosis.
    
4. Large Bowel:
   a. Inflammatory Bowel Disease: Laparoscopic and Conventional Total Proctocolectomy with Illeo anal pouch anastamosis
   b. Acute Inflammatory Diseases: Colonic Perforation Repair, Colectomy, Sigmoid Volvolus: Sigmoid Colectomy
   c. Proctology: LIS for Acute Anal Fissure, Fistulectomy/ Seton Placement for Fistulla in Ano
   d. Haemmroids: Minimally Invasive Procedure for Prolapse and Haemmroids (MIPH)
   e. Rectal Prolapse: Laparoscopic Rectopexy, Laparoscopic Assisted Sigmoidectomy with Rectopexy
   f. Malignancy: Radical Colectomy Laparoscopic / Open, Laparoscopic LAR, Laparoscopic Abdomino-Perineal Resection.

II. Diseases of the Liver

i. Hepatocellular carcinoma
ii. Metastatic colorectal cancer
iii. Metastatic or Primary neuroendocrine tumors

1. Liver Transplant
   a. Live Related Liver Transplantation: Replacement of a diseased liver due to chronic liver failure, acute liver failure or tumors within the liver. The diseased liver is replaced with a segment of liver from a healthy human donor (usually a relative or close friend).
   
   b. Deceased Donor Liver Transplantation: Replacement of a diseased liver due to chronic liver failure, acute liver failure or tumors within the liver. The diseased liver is replaced with a healthy liver from a "brain dead" human donor
    
2. Liver Resections (Segmentectomy, Sectionectomy, Lobectomies and Extended Resections)
   
   a. Benign Diseases

   i. Hyadatid Disease
   ii. Hemangiomas
   iii. Reccurent Pyogenic Cholangitis
   iv. Bile Duct Injury

   b. Malignant Diseases

3. Management of Liver Trauma
4. Percutaneous Procedures
   a. Pigtail Placements for Liver Abscess
   b. RFTA for Liver Tumours, Metastases
5. Management of Hyadatid Disease: Cystopericystectomy, Laproscopic/ Open Drainage of Hyadatid Cyst

III. Portal Hypertension

1. EHPVO/ NCPF: Proximal Splenorenal Shunt
2. Refractory GI Bleed: Portocaval, Mesocaval Shunt, Oesophageal Devascularization Procedures.
3. Budd Chiari: Meso Atrial, PSRS, Portocaval, Liver Transplant
4. Portal Biliopathy: PSRS, Hepaticojejunostomy

IV. Diseases of Gall Bladder and Bile Duct

1. Gallstone Disease: Laparoscopic cholecystectomy
2. CBD Stone: Laparoscopic / Open CBD Exploration, Choledocodudenostomy
3. Bile Duct Injuries and Strictures: Management of Acute Bile Duct Injuries, Repair of Biliary Strictures, Redo Repairs of Hepaticojejunostomy.
4. Congenital Diseases
   a. Choledochal Cysts: Excision of Choledochal Cyst with Hepaticojejunostomy.
   b. Biliary Atresia: Kasais procedure, Liver Transplant.
5. Gall Bladder Cancer: Radical Cholecystectomy including Multiorgan Resections and Extended Hepatectomy.
6. Bile Duct cancer: Right hepatectomy with Caudate Lobe Resection, Left Hepatectomy, Whipples Procedure

V. Disorders of Pancreas

1. Management of Acute Pancreatitis and Its Complications
   a. Pseudocyst Pancreas: Lap Cystogastrostomy, Cystojejunostomy
   b. Infected Pancreatic Necrosis: Lap Retroperitoneal Necrosectomy, Conventional Necrosectomy, Drainage of Pancreatic Abscess
2. Management of Chronic Pancreatitis and Its Complications
   a. Chronic Idiopathic Calcific Pancreatitis: Parrington Roschelle Lateral Pancreatico Jejunostomy
   b. Chronic Alcoholic Pancreatitis: Fryes Procedure
   c. Distal Pancreatectomy/ Splenectomy
   d. Pain Relieving Procedures: Thoracoscopic Ganglionectomy, Celiac Plexus Block
3. Pancreatic Trauma: Distal/ Central Pancreatectomy (Conventional / Lap), Whipples Procedure
4. Pancreatic Tumours: Eunucleation of Cystic Lesions, Whipples Procedure, Distal Pancreatectomy, Celiac Plexus Block, Palliative Triple Bypass.

VI) Gastrointestinal Malignancies

1. Diagnostic Procedures:
   a. Staging Laparoscopy
   b. Laparoscopic Biopsies from Lymph nodes
   c. Laparoscopic Ultrasound and Guided Biopsies
2. Radical Organ Resections: Thoracoscopic and Conventional Oesophagectomy, Laparoscopic and conventional Gastrectomy and Segmental Colonic Resections, Lap Abdominoperineal Resections, Hepatectomy, Whipples Procedure, Extended Cholecystectomy, Bile Duct Excision, Extended Liver Resections
3. Liver Transplant for HCC, Intrahepatic Cholangicarcinoma and Neuroendocrine tumours.
4. De Bulking Surgeries:
   a. Sugar Bakers Procedure for Pseudomyxoma Peritonei
   b. Hepatectomy for Colorectal and Neuroendocrine Metastasis
   c. RFTA for Liver Mets / HCC
5. Palliative Procedures: Laparoscopic / Open Gastro-jejunostomy, Celiac Plexus Block