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
- Diverticua: Diverticulectomy
- Achalasia:Laparoscopic Hellers Cardiomyotomy, Oesophagectomy
- Peptic Strictures: Colley’s Gastroplasty
- GORD: Laparoscopic Fundoplication
- Corrosive Strictures: Oesophageal Replacement i.e Coloplasty/ Gastric Conduit, Feeding Jejunostomy
- Malignancy: Transhiatal and Transthoracic Radical oesophagectomy (Both Conventional & Thoracoscopic)
2. Stomach
- Acid peptic disease: Perforation peritonitis, Laparoscopic Truncal Vagotomy and Gastrojejunostomy, Laparoscopic Highly Selective Vagotomy.
- Foreign Body Extraction: Laparoscopic Removal of Foreign body
- Malignancy: Staging laparoscopy, D2 Gastrectomy, Laparoscopic Distal Gastrectomy, Laparoscopic Gastro-jejunostomy, Laparoscopic Feeding Jejunostomy
3. Small Bowel:
- Appendix: Laparoscopic Appendectomy
- Benign Diseases: Diagnostic Laparoscopy, Laparoscopic Resection and Anastamosis, Laparoscopic Internal Hernia repair/ Reduction of Intersection
- Malignancy: Laparoscopic Resection & Anastomosis.
4. Large Bowel:
- Inflammatory Bowel Disease: Laparoscopic and Conventional Total Proctocolectomy with Illeo anal pouch anastamosis
- Acute Inflammatory Diseases: Colonic Perforation Repair, Colectomy, Sigmoid Volvolus: Sigmoid Colectomy
- Proctology: LIS for Acute Anal Fissure, Fistulectomy/ Seton Placement for Fistulla in Ano
- Haemmroids: Minimally Invasive Procedure for Prolapse and Haemmroids (MIPH)
- Rectal Prolapse: Laparoscopic Rectopexy, Laparoscopic Assisted Sigmoidectomy with Rectopexy
- 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
- 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
- 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
- Management of Liver Trauma
- Percutaneous Procedures
a. Pigtail Placements for Liver Abscess
b. RFTA for Liver Tumours, Metastases
- Management of Hyadatid Disease: Cystopericystectomy, Laproscopic/ Open Drainage of Hyadatid Cyst
III. Portal Hypertension
- EHPVO/ NCPF: Proximal Splenorenal Shunt
- Refractory GI Bleed: Portocaval, Mesocaval Shunt, Oesophageal Devascularization Procedures.
- Budd Chiari: Meso Atrial, PSRS, Portocaval, Liver Transplant
- Portal Biliopathy: PSRS, Hepaticojejunostomy
IV. Diseases of Gall Bladder and Bile Duct
- Gallstone Disease: Laparoscopic cholecystectomy
- CBD Stone: Laparoscopic / Open CBD Exploration, Choledocodudenostomy
- Bile Duct Injuries and Strictures: Management of Acute Bile Duct Injuries, Repair of Biliary Strictures, Redo Repairs of Hepaticojejunostomy.
- Congenital Diseases
a. Choledochal Cysts: Excision of Choledochal Cyst with Hepaticojejunostomy.
b. Biliary Atresia: Kasais procedure, Liver Transplant.
- Gall Bladder Cancer: Radical Cholecystectomy including Multiorgan Resections and Extended Hepatectomy.
- Bile Duct cancer: Right hepatectomy with Caudate Lobe Resection, Left Hepatectomy, Whipples Procedure
V. Disorders of Pancreas
- 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
- 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
- Pancreatic Trauma: Distal/ Central Pancreatectomy (Conventional / Lap), Whipples Procedure
- Pancreatic Tumours: Eunucleation of Cystic Lesions, Whipples Procedure, Distal Pancreatectomy, Celiac Plexus Block, Palliative Triple Bypass.
VI) Gastrointestinal Malignancies
- Diagnostic Procedures:
a. Staging Laparoscopy
b. Laparoscopic Biopsies from Lymph nodes
c. Laparoscopic Ultrasound and Guided Biopsies
- 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
- Liver Transplant for HCC, Intrahepatic Cholangicarcinoma and Neuroendocrine tumours.
- De Bulking Surgeries:
a. Sugar Bakers Procedure for Pseudomyxoma Peritonei
b. Hepatectomy for Colorectal and Neuroendocrine Metastasis
c. RFTA for Liver Mets / HCC
- Palliative Procedures: Laparoscopic / Open Gastro-jejunostomy, Celiac Plexus Block