Hepatobiliary and Pancreatic Surgery

Whipple's Operation: Pancreatodudenectomy for Cancer Pancreas

Hepaticojujenostomy and Pancreatojujenostomy completed



Gastrojujenostomy in progress



Resected pancreatodudenectomy specimen






Radical Cholecystectomy for Carcinoma Gallbladder


Segment 4b & 5 liver resection done by kelly clysis.




Liver bed after resection
Radical cholecystectomy for cancer gallbladder




Excised Specimen



Cut open Gall bladder filled with stones







Mucinous Cystadenocarcinoma of pancreas in a 25 year old female: Patient presented with lump in left hypochondrium. CT Scan revealed a huge pancreatic tumor with solid and cystic components abutting superior mesenteric artery, abdominal aorta, inferior mesenenteric vein, kidney and splenic hilum.


Tumor exposed in lesser sac between stomach and transverse colon



Transverse colon and spleenic flexure separated from the tumor



Inferior mesenteric vein ligated



Distal pancreas transected




Body of pancreas separated from splenic vessels



Body of pancreas transected proximally



Excised spacimen of mucinous cystadenocarcinoma of pancreas



Cut section



Histopathology revealed well differentiated cystadenocarcinoma of pancreas




Choledochal cyst : Type IV A, with intrahepatic gallbladder in a 11 years male child.


Cyst excision with Lilly technique was done. Mucosa of the remnant cyst wall was fulgurated by bipolar cautery. Reconstruction was done by Roux-en-Y hepaticojejunostomy.






























Closed drain insertion for recurrent Liver abscess in a HIV positive patient.