When is Hepatobiliary (HPB) surgery needed?

Surgery may be needed on the gallbladder, liver, pancreas and bile ducts to remove tumours, cysts or polyps, or to repair blockages and obstructions. If a tumour proves, further malignant treatment may be needed from the expertise of an oncologist.

How is it done?

The surgery will differ depending on the condition that is being treated. Under anaesthesia, the surgery is done either through open surgery or laparoscopically.  Dr Muthambi may remove the obstructions, polyps, cysts or tumour and possibly reconstruct complex structures and arteries if damaged. Because of the nature of these surgeries, transplants or cancer treatment may be needed. Therefore Dr Muthambi works with a range of medical professionals in these fields to aid him in these surgeries.


What will happen after surgery?

After surgery, you will be given instructions on how to care for your wound. You will be given pain medication and antibiotics to prevent infection. Depending on the whether or not the tumour or growth was malignant or not, further treatment may be needed, and your hospital stay will be longer. You may feel pain, constipation, diarrhoea or gas after the surgery, all of which are normal symptoms. Recovery is generally quicker when the surgery is done laparoscopically or endoscopically. It is important to avoid any heavy lifting or strenuous activity during this time. It is essential to contact Dr Muthambi if you experience any of the following symptoms as emergency care may be needed:

  • High temperature or chills
  • Vomiting
  • Swelling around the incisions
  • Bleeding from the wound
  • Extreme pain

What are the risks of these surgeries?

  • Infection of the wound or internally
  • Damage of nearby pelvic organs
  • Damage to the nearby nerves
  • Bleeding