HPB Surgery

Royal Free Hospital provides a comprehensive range of HPB surgeries and procedures. This includes investigative procedures, as well as surgery to treat a wide range of conditions – including pancreatitis, cancerous and benign liver tumours, gallstones, cysts and bile duct blockages.

Our expert consultants treat both NHS and private patients. Supported by our team of dedicated and highly-skilled nurses, we take pride in providing an excellent level of care for all patients, with a 24/7 consultant-led service.

What sort of conditions do HPB procedures treat?

HPB stands for hepato-biliary and involves disorders of the liver, pancreas, gall bladder, bile and bile ducts (biliary conditions). It may also sometimes involve the stomach, spleen and digestive tract.

Examples of HPB conditions include pancreatitis (inflammation of the pancreas which can be acute or chronic) and gallstones, as well as liver disease and cancer of the liver or pancreas. Benign tumours and cysts can develop in these organs which may require treatment. Examples include focal nodular hyperplasia (FNH) and biliary adenoma or biliary cystadenoma.

What HPB surgery and procedures can Royal Free Hospital provide?

Our specialist surgeons have a wealth of expertise in treating a number of disorders involving the liver, pancreas, gall bladder, bile ducts and stomach, alongside associated organs.

There are many different types of surgery within this field. Our highly specialised team has expertise across a broad range of procedures, including major and complex surgery.

We offer a number of minimally invasive laparoscopic (keyhole) procedures – which means there is generally less scarring and quicker recovery times – using the latest techniques, as well as open surgery.

The HPB procedures we provide include:

  • Whipple procedure (laparoscopic and open surgery)
  • Total pancreatectomy
  • Distal pancreatectomy (open and laparoscopic)
  • Hepaticojejunostomy
  • Nissen fundoplication
  • Liver resection (laparoscopic and open surgery)
  • Left lateral liver resection
  • Left extended liver resection
  • Right extended liver resection
  • Wedge liver resection
  • Gall bladder fossa resection
  • Common bile duct exploration
  • Laparoscopic fundoplication
  • Laparoscopic gastric bypass
  • Laparoscopic gastrojejunostomy
  • Laparoscopic Heller procedure
  • Laparoscopic hiatus hernia surgery
  • Laparoscopic cholecystectomy
  • Laparoscopic cholecystectomy and cholangiogram
  • Staging/diagnostic laparoscopy
  • Splenectomy (laparoscopic and open surgery)
  • Gastrectomy
  • Hernia repair (laparoscopic and open surgery)
  • Liver cysts (de-roofing)

If you need HPB surgery, whether the procedure can be performed with laparoscopic or open surgery may depend on a number of factors – including the exact nature of treatment required, as well as other factors such as your general health and age.

Our HPB specialists can advise on the most suitable course of treatment for you, and we will do our best to ensure all patients feel fully informed and well supported every step of the way.

Whatever treatment you require, our specialist consultants and nurses will work together to ensure your stay is as comfortable as possible, and that you have all the aftercare information and advice you need before you go home. When required, we will also arrange follow-ups, and our team is on hand 24/7 should you require any further advice.