HPB

The Hepatobiliary and Pancreatic (HPB) Unit is located at the Royal Infirmary Edinburgh. It has provided a tertiary referral service for the management of complex HPB disease since 1988. Management of patients with Hepatobiliary and Pancreatic Malignancy is co-ordinated through the weekly multi-disciplinary meeting. This has regular involvement from nine consultant surgeons, three oncologists, four radiologists, one hepatologists and two pathologists.

Approximately 120 liver resections per year are undertaken for primary and secondary tumours of the liver and proximal bile ducts. Major pancreatic resections and pancreatico-duodenectomy (approximately 60 per year) are undertaken for pancreatic cancer and distal cholangiocarcinoma. The unit is a tertiary referral centre for the management of bile duct injuries, HPB trauma and patients with severe acute pancreatitis.

A full range of endoscopic and interventional radiological procedures are available for the assessment and treatment of all pancreatico-biliary conditions including endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic cholangiography (PTC), endoscopic ultrasound (EUS), spyglass, chemoembolisation, portal vein embolisation and laparoscopy; staging of hepatobiliary and pancreatic malignancy, de-roofing of liver cysts, pancreatic and hepatic resections, minimally invasive pancreatic necrosectomy, common bile duct exploration.