Hepato-Biliary-Pancreatic Surgery

Hepato-Biliary-Pancreatic (HBP) Surgery is dedicated to the treatment of diseases affecting the liver, gallbladder, bile ducts and pancreas. At the HPA Health Group, this area has become a centre of high specialisation, combining the expertise of surgical teams with advanced technology in a fully multidisciplinary approach.

The liver, a vital organ with multiple metabolic functions has unique anatomical and vascular characteristics that make its surgery particularly challenging. For this reason, each intervention is carefully planned, using advanced imaging, detailed volumetric analysis and rigorous assessment of the functional capacity of the remaining liver tissue.

At the HPA Health Group, this preparation is reinforced by multidisciplinary meetings involving Hepatology, Imaging, Oncology and Anaesthesiology, allowing the team to establish strategies tailored to the complexity of each case. Despite the high technical demands associated with hepatic resections, the liver’s remarkable capacity for regeneration, combined with current advances in HBP surgery and Oncology, enables many patients to receive safe, effective and state-of-the-art treatment.

The Group has also strengthened its investment in minimally invasive techniques, with an increasing number of hepatectomies performed laparoscopically. This approach results in faster recovery, less post-operative pain and improved aesthetic and functional outcomes.

These interventions also extend to gallbladder and biliary tract diseases. The HPA Health Group performs procedures for gallstone disease, polyps, strictures, gallbladder cancer and biliary obstructions, which may lead to jaundice or infection.

Regarding the pancreas a highly delicate organ closely related to vital vascular structures the full spectrum of pancreatic surgery is now performed laparoscopically, from distal pancreatectomies to pancreaticoduodenectomy (Whipple procedure).

Successful treatment also depends on accurate diagnosis and timely decision-making. For this reason, the HPA Health Group incorporates Imaging teams responsible for ultrasound-guided biopsies, CT-based staging, vascular and ductal assessment, surgical planning and complementary minimally invasive procedures.

Multidisciplinary collaboration is one of the pillars of the HPA Health Group. All complex cases are discussed collectively, involving specialists in General Surgery, Gastroenterology, Oncology, Imaging, Anaesthesiology, Hepatology, Nutrition, Intensive Care and specialised Nursing. In malignant tumours, this collaboration extends to the Day Hospital, ensuring rapid, coordinated and efficient access to chemotherapy, radiotherapy and complementary treatments.