Hepatobiliary surgical care in San Antonio, Texas

Hepato-pancreato-biliary (HPB) surgery, more commonly known as hepatobiliary surgery, is a procedure focused on treating cancer and diseases of the liver, pancreas, bile duct and gallbladder. It involves the removal of primary and metastatic tumors in these organs. It is also used to treat benign diseases such as cysts, lesions, bile duct injuries, gallstones and portal hypertension.

To learn more about our hepatobiliary surgery services, please call our hepatobiliary center at (210) 575-1020 or fax referrals to (210) 510-7001.

Methodist Healthcare uses hepatobiliary surgery to treat a variety of conditions, including:

  • Hepatocellular carcinoma
  • Metastatic liver cancers (colorectal, neuroendocrine)
  • Intrahepatic cholangiocarcinoma
  • Liver cysts and polycystic disease
  • Hemangiomas
  • Focal nodular hyperplasia
  • Hepatic adenoma
  • Pancreatic cancer
  • Pancreatic neoplasms
  • Chronic pancreatitis
  • Pancreatic cysts and pseudocysts
  • Bile duct cancers
  • Bile duct injury
  • Gallbladder cancers

What causes hepatobiliary disease?

Depending on the type of disease involved, the need to have hepatobiliary surgery will vary. Diseases of the liver and biliary system can be caused by:

  • Viral, bacterial and parasitic infections
  • Neoplasia
  • Toxic chemicals
  • Alcohol consumption
  • Poor nutrition
  • Metabolic disorders
  • Cardiac failure

How to diagnose hepatobiliary disease

Tumors in the liver are typically diagnosed with computed tomography (CT) scans or magnetic resonance imaging (MRI) scans of the abdomen or blood work. Although these tests could be enough to determine the type of liver tumor, patients could also require a biopsy to confirm the diagnosis.

Pancreas, bile duct and gallbladder tumors also require CT and MRI scans to make the initial diagnosis. Sometimes, an endoscopy is needed to pinpoint the exact problem.

To be scheduled for hepatobiliary surgery, patients need a physician referral or outreach from Methodist Healthcare's hepatobiliary cancer coordinator.

Hepatobiliary disease treatment options

Most patients with hepatobiliary disease require multidisciplinary specialty care for successful treatment, with emphasis on aggressive surgical care. Highly-specialized surgical options, such as those offered at Methodist Hospital Specialty and Transplant, can offer a potential cure.

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