Hepato-Pancreato-Biliary Surgery

The Hepato-pancreato-biliary (HPB) service at Changi General Hospital offers specialised care for a wide spectrum of benign and malignant conditions affecting the liver, pancreas, gallbladder, bile ducts and spleen. Our team of clinicians collaborate closely with specialists of other disciplines such as Medical Oncology as well as the Department of Gastroenterology & Hepatology and Department of Radiology to provide treatment for our patients. This multidisciplinary approach through our Digestive Diseases Centre (DDC) allows for a tailored management for our patients with a wide range of complex HPB conditions.

Our clinicians are trained to perform complex surgeries with the latest surgical techniques including conventional laparoscopic and robotic assisted laparoscopic surgery and 3D laparoscopy.

Aside from clinical work, they also participate actively in local and international conferences to share their surgical experience and knowledge in the field of advanced HPB and minimally invasive surgery.

Clinical Services

We offer a consultant led clinical consultation and evaluation of patients with HPB conditions and the following services:

Endoscopy (diagnostic and therapeutic)

• Oesophagogastroduodenoscopy
• Colonoscopy
• Endoscopic retrograde cholangiopancreatography

Surgery (Robot-assisted, laparoscopic or open technique)

• Cholecystectomy, intra-operative cholangiogram and bile duct exploration which entails removal of the gallbladder and bile duct stones, which may be done as a single-stage surgical procedure
• Same-admission surgery for acute gallbladder conditions
• Radical gallbladder surgery for cancers
• Bile duct surgery and reconstruction for benign and malignant conditions
• Liver conditions, benign and malignant
• Liver abscess drainage procedures
• Pancreatic surgery for benign and malignant conditions [Whipple’s procedure, distal pancreatectomy (spleen-preserving or with splenectomy), radical antegrade modular pancreatosplenectomy etc.]
• Removal of spleen for benign and malignant conditions
• Laparoscopic (3D) or robotic-assisted surgery for suitable cases

Locoregional Therapy for Liver tumours

• Thermal ablation (radiofrequency ablation or microwave ablation) for liver tumours
• Trans-arterial chemoembolization of liver tumours
• Portal vein embolization for pre-operative preparation for liver surgery

Percutaneous biopsy or drainage

• Biopsy of liver lesions
• Drainage of liver abscess or peri-pancreatic collections
• Percutaneous transhepatic biliary drainage procedures

Multi-disciplinary and integrated care with other specialty clinicians in the Digestive Disease Centre (DDC) and National Cancer Centre Singapore (NCCS)

On-site consultation with Medical Oncologists from NCCS (National Cancer Centre Singapore)