Hepato-pancreato-biliary (HPB) surgery
Hepato-pancreato-biliary surgery or HPB surgery is surgery of the liver, pancreas and biliary system.
About HPB surgery
Our HPB surgery department provides multidisciplinary care in the diagnosis and management of benign and malignant diseases affecting the liver, pancreas, and biliary tract.
HPB surgery is normally carried out using ‘keyhole’ techniques (laparoscopic surgery); this is a less invasive type of surgery that reduces the risk of infection and provides a faster recovery time. HPB surgery often requires the close working of consultants with areas of expertise.
HPB refers to both benign and malignant conditions affecting the liver, pancreas, and biliary tract.
Cromwell Hospital specialises in comprehensive HPB surgery, led by expert HPB surgeons. We utilise the latest, evidence-based medical approaches and state-of-the-art technology to provide optimal outcomes for our patients.
Related conditions
Conditions of the liver, pancreas and biliary system that are treated by our HPB surgeons include:
- liver disease – liver cancer, cysts, lesions
- biliary disease – gallstones, gall bladder cancer, bile duct cancer (cholangiocarcinoma)
- pancreatic disease – pancreatic cancer, pancreatitis
- gastrointestinal stroma tumour (GIST)
Why choose us for HPB surgery in London?
Leading consultants
Our HPB surgery department is led by some of the UK's most in-demand HPB consultants, supported by a specialist care team.
Rapid access to care
We provide rapid access to consultations, diagnostic tests, and HPB surgery with little to no wait times.
Severe and complex case management
Our HPB consultants have the expertise to provide comprehensive care for patients with severe or complex conditions.
Convenient London location
Our HPB surgery department is located at our state-of-the-art private hospital in Kensington, London.
Professor Adam Frampton
/ Consultant General and Hepato-Pancreatico-Biliary Surgeon
General surgery, General, Hepatobiliary, Upper GI surgery
Clinical interests: Removal of skin ‘lumps and bumps’ (e.g. lipoma, sebaceous cysts, skin tags, abscess drainage); Gallstone disease (Open/laparoscopic cholecystectomy (gallbladder removal) with on-table cholangiography, Open/laparoscopic common bile duct (CBD) exploration and clearance, Completion cholecystectomy (previously abandoned elsewhere), Repair of bile duct injuries/biliary reconstruction); Groin and abdominal wall hernia repair (e.g. inguinal, femoral, umbilical, incisional, recurrent); Management of acute and chronic pancreatitis (multidisciplinary and multimodal approach); Pancreatic pathology (benign/malignant) e.g. Pancreatic cancer, Pancreatic cystic lesions (Open/laparoscopic distal pancreatectomy and splenectomy, Pancreaticoduodenectomy (Whipple's procedure/PPPD), Total pancreatectomy and splenectomy, Central pancreatectomy); Biliary and liver pathology (benign/malignant) (e.g. gallbladder polyps, hepatocellular carcinoma, colorectal liver metastases, biliary-tract cancers (gallbladder, ampullary, cholangiocarcinoma), liver cysts, liver adenoma, focal nodular hyperplasia), Open/laparoscopic liver resection (hepatectomy); Splenectomy for haematological malignancies; Excisional biopsy, including groin and axillary lymph nodes; Diagnostic laparoscopy to investigate abdominal symptoms; Duodenal pathology (e.g. gastrointestinal stromal tumours (GIST), duodenal adenoma/cancer); Management of neuroendocrine tumors (NET) such as small bowel/carcinoid and pancreatic, as well as metastatic disease to the liver; Robotic surgery; Multimodal treatment to increase the resectability of patients with advanced pancreatic cancer and colorectal liver metastases; Assessment of acute abdominal problems and emergency surgery (e.g. laparoscopic appendicectomy for appendicitis, abscess drainage, treatment of bowel obstruction/bowel perforation); Surgical oncology
Languages spoken: English
Clinical interests: Varicose veins, thyroid, laparoscopy, pancreatic transplant, kidney transplant - vascular access
Languages spoken: Arabic/English/French/German/Hebrew/Italian/Japanese/Russian
Clinical interests: Upper GI and laparoscopy, pancreatic surgery
Languages spoken: English/French/Italian/Portuguese/Spanish
Clinical interests: Liver surgery, including living donor transplantation, and complex hepatobiliary surgery.
Languages spoken: Arabic/English/Italian
Clinical interests: Leading the minimum invasive liver and pancreatic surgery in the UK and internationally, and open surgery for advanced pancreatic and liver cancers, having performed the largest number of laparoscopic and Robotic pancreatic and liver operation in the UK, including the 1st Robotic Whipple’s operation in the UK and Malaysia, and 1st synchronous liver resection. Described a number of new techniques for pancreatic and liver operations such as non-touch technique for pancreatic cancer surgery (JAMA Surg 14), pancreatic anastomosis following resection -LVPJ (Arch Surg 11) and LPG (HBNS 16), and rapid induction of liver regeneration prior to major liver resection -RALPPS (Ann Surg 15; Cancers 19).
Languages spoken: Chinese/English
Clinical interests: Complex hepatobilary and pancreatic surgery for liver and pancreatic cancers.
Languages spoken: English/Tamil
Clinical interests: Renal and pancreatic transplantation, and vascular access for haemodialysis.
Languages spoken: English
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Paying for your treatment
We welcome both self-paying and insured patients.
Self-pay patients
We offer several ways for patients to self-pay, including pay-as-you-go and self-pay packages.
Insured patients
At Cromwell Hospital, we accept private health insurance from most major providers, including AXA, Aviva, Bupa, and Vitality.
Our locations
Book an appointment today
Our telephone lines are open 8am to 8pm Monday to Friday and 8am to 2pm Saturdays.
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Please note - regrettably we are unable to answer specific medical questions or offer medical advice via email or telephone.