The Hepatobiliary, Pancreatic, and Liver Transplant Surgery Division at KIMSHEALTH, Trivandrum focuses on surgeries involving the liver, pancreas, and bile ducts, along with complicated abdominal cancer surgeries. Their team of skilled surgeons is known worldwide and performs many advanced procedures with great results.

At KIMSHEALTH, Trivandrum surgeons work together and seek to improve by reviewing their extensive surgical experience and outcomes. They participate in clinical trials to test new methods for treating liver, pancreas, and other abdominal conditions that need surgery.

Why Choose KIMSHEALTH, Trivandrum for Surgery?

• Integrated Care: KIMSHEALTH, Trivandrum focuses on teamwork to ensure precise diagnoses and prompt surgeries. Surgeons at KIMSHEALTH, Trivandrum work directly with other experts who assist in treating surgical patients.
• Personalised Treatment: This setup ensures you receive more than just one opinion. The team discusses your care, test results are processed, and appointment schedules are managed. Experts with specialised knowledge work together to help you. Their in-depth knowledge combined with KIMSHEALTH, Trivandrum large clinical workload, builds a vast understanding of rare conditions that many surgeons might encounter once in their lifetime.
• Modern Surgical Facilities: The operating rooms use advanced diagnostic and surgical tools and are built to handle complicated abdominal surgeries. Surgeons in the division of Hepatobiliary, Pancreatic, and Liver Transplant surgery focus on patient care, but their teams strengthen their efforts. Inside the operating room, groups of surgeons, surgical technicians, first assistants, nurses and anaesthetists use advanced surgical equipment to achieve great clinical results.

Treatments and Procedures Available

• Liver Transplants for adults and children using both living and deceased donors, in planned or emergency cases
• Management of acute liver failure
• Support for chronic liver conditions
• Treatment for cirrhosis
• Care for fatty liver issues
• Viral Hepatitis like Hepatitis B and C
• Help for alcohol-related liver disease
• Checking and diagnosing jaundice
• Addressing Hereditary and Metabolic liver problems
• Gallstones and bile duct blockages
• Evaluation to perform Liver transplants along with care during and after the procedure
• Liver damage caused by medications

Liver, Pancreas, and Bile Duct Surgery

• Performing all types of liver removals, both through Open and Laparoscopic methods
• Removing symptomatic liver cysts using Laparoscopic methods
• Handling complex surgeries to remove Hilar Cholangiocarcinoma, including the removal of affected blood vessels
• Treating injuries to the liver, bile ducts, pancreas and duodenum through surgery
• Laparoscopic Cholecystectomy
• Removing Choledochal cysts
• CCP – Frey’s Head Coring procedure, Duodenum Preserving Pancreatic head resections
• Procedures like cystogastrostomy and cystojejunostomy for treating pseudocysts
• Surgeries to treat hydatid cysts of all types
• Bilioenteric drainage techniques
• Handling Post-cholecystectomy complications like bile duct injury, biliary sepsis and biliary stricture
• Performing surgeries (Hepatolithiasis) to remove liver stones
• Extended cholecystectomy and segment 3/5 hepatico-jejunostomy in cases of gallbladder cancer
• Whipple’s surgery (also called pancreatico-duodenectomy), distal pancreatectomy and central pancreatectomy
• Removal of neuroendocrine tumours in the pancreas through enucleation or formal resection
• Procedures like Splenectomy or repairs such as Splenorrhaphy
• Surgery to remove complex tumours in the retroperitoneal area
• Operations to remove liver metastases that can be treated
• Shunt surgeries like spleno-renal or Rex shunts used to fix extrahepatic portal vein blockages

Ultrasound Imaging

• Advanced Ultrasound and Colour Doppler equipment
• Specialised Doppler imaging for Liver and Transplant cases
• Contrast-enhanced Ultrasound helps identify focal lesions in organs like the liver, spleen, pancreas, and kidneys.

CT Imaging

• Multiphase contrast scans help diagnose Hepato-biliary and Pancreatic conditions using a 64-slice CT Scanner.
• CT Volumetry is performed through the Terarecon Workstation.
• Detailed evaluations include CT Angiography and Venography.
• CT Enterography and CT Colography support specific digestive system assessments.

PET Scan & MR Imaging

Understanding lesions and abnormalities in the Hepato-biliary and Pancreatic systems, as well as in organs like the spleen, adrenal glands, peritoneum, retroperitoneum and gastrointestinal tract, is enhanced through these methods.

• Special liver-focused MR protocols and contrast agents aid in pinpointing liver lesions.
• 3 T MRI scans help measure liver fat, iron, copper, and more.
• MRI Cholangiopancreatography (MRCP) offers detailed imaging of the bile and pancreatic ducts.
• Advanced imaging methods such as MR Angiography and Enterography are used.
• All imaging modalities have been merged into a PACS system.

Interventions

a. Cath Lab & Procedures with Image Guidance:

• Doctors perform fluoroscopic techniques in this lab.
• Percutaneous cholangiography is carried out to study the bile ducts.
• External biliary drainage methods are available here.
• Ultrasound helps guide several procedures.
• Doctors use ultrasound for liver biopsies and other abdominal issues.
• Special core biopsies are done to analyse liver diseases affecting the entire liver.
• CT imaging is used to guide certain procedures.
• CT scans assist in biopsies of the liver, pancreas, and other related masses.
• Removal of pancreatic or other fluid build-ups using aspiration techniques.
• Insertion of percutaneous drainage tubes to control fluid accumulation.
• Performing CT-guided cholecystostomy for gallbladder treatment.
• Administering CT-guided celiac plexus nerve block for pain relief.
• Using CT-guided radiofrequency ablation to treat liver or kidney tumours and metastatic growths.
• Carrying out percutaneous ethanol injections to target liver tumours.

b. Vascular Procedures in the Cath Lab

• Conducting aortic and visceral imaging, including targeted imaging to locate internal bleeding.
• Executing vascular procedures like embolisation of visceral arteries, treating aneurysms with coiling and performing balloon angioplasty.
• Placing stents in the bile ducts to restore proper function.
• Completing transjugular biopsies for liver tissue sampling.
• Transarterial Chemoembolisation (TACE) used for treating hepatocellular carcinoma
• Percutaneous Transhepatic Biliary Drainage (PTBD) with a combined internal and external drainage option
• Creation of a Transjugular Intrahepatic Portosystemic Stent Shunt (TIPSS)
• Placement of IVC filters or procedures like hepatic venography, venogram and stenting of IVC or hepatic veins
• Rehabilitation of the intestines or intestinal transplantation
• Transplantation for multiple organs together (multivisceral transplantation)
• Pancreas transplantation or a combined pancreas and kidney transplant
• Liver transplantation procedures
• Kidney transplant
• HPB
• Laparoscopic and Open Procedures

1. Non-cancer surgeries: Liver, Pancreas, Gallbladder
2. Cancer-related surgeries: Liver, Pancreas, Gallbladder

• Upper GI: Laparoscopic or Open

1. Non-cancer surgeries: Oesophagus, Stomach
2. Cancer surgeries: Oesophagus, Stomach

• Bariatric procedures
• Colorectal Surgeries: Laparoscopic and Open

1. Non-cancer surgeries: Anorectal, colon, pelvic floor issues
2. Cancer surgeries: Colorectal tumours

• HIPEC
• Gastrointestinal Procedures
• Hepatobiliary Procedures
• Pancreatic Procedures - To treat benign issues or cancer
• Surgical conditions involving the Liver, Pancreas, Spleen, Biliary Tract, and Retroperitoneum

Facilities and Equipment Provided

The department offers advanced infrastructure diagnostic tools, therapeutic equipment and notable facilities like the KIMSHEALTH, Trivandrum Liver Transplant Team. We provide:

• Transplant Surgery
• Hepatology
• Transplant Anaesthesia
• Transplant Intensive Care
• Diagnostic and Interventional Radiology
• Gastroenterology
• Cardiology
• Pulmonary Medicine
• Nephrology
• Immunology
• Infectious Diseases
• Pathology and Transfusion Medicine
• Nuclear Medicine
• Social Work
• Specialised Nursing
• Transplant Coordination
• Nutrition

The Radiodiagnosis department at KIMSHEALTH, Trivandrum offers advanced technology, including:

• Colour Doppler Ultrasonography
• Radiography with Fluoroscopic (CR and DR) equipment
• CT scanner with 64 slices
• Cath Lab featuring flat panel technology and DSA system
• MRI scanner with 3 T
• This department has expertise in imaging and procedures tailored for liver transplants and HPB-related services.

Inpatient Facilities:

• Special unit for liver intensive care
• Round-the-clock intensivist support
• Blood bank available 24 hours
• Continuous venovenous haemofiltration provided
• Access to therapeutic endoscopy services
• Colonoscopy procedures offered
• Therapeutic ERCP available
• Drainage of cysts through endoscopy
• Organ support facilities available at all times
• Emergency services run 24 hours