Liver and pancreatic surgery encompasses a spectrum of interventions from the assessment and monitoring of incidentally detected lesions to major resections for primary and secondary malignancy, and every point on that spectrum requires specialist hepatobiliary surgical input to determine the appropriate management plan. For liver lesions, the management decision is guided by the nature of the lesion: simple cysts and haemangiomas are generally monitored conservatively, while hepatocellular adenoma, hepatocellular carcinoma, and colorectal cancer liver metastases require specialist hepatobiliary assessment for resection candidacy. Liver resection for hepatocellular carcinoma in selected patients and for resectable colorectal liver metastases can be performed with curative intent, making timely hepatobiliary surgical referral an important part of comprehensive cancer care. Dr. Lokesh H M, MCh Surgical Gastroenterology with Fellowship in Pancreato-Biliary Surgery from SGPGIMS Lucknow, Senior Consultant Surgical Gastroenterologist at Narayana Multispeciality Hospital, Mysuru, evaluates and manages the full range of pancreatic conditions including acute pancreatitis (from mild self-limiting illness to severe necrotising pancreatitis requiring minimally invasive necrosectomy), chronic pancreatitis with biliary or duodenal complications requiring surgical drainage or bypass, incidentally detected pancreatic cysts requiring characterisation and risk stratification, and pancreatic cancer requiring urgent surgical staging and resection assessment. The pancreas is among the most technically demanding organs to operate on, and the MCh Surgical Gastroenterology degree combined with dedicated pancreato-biliary fellowship training reflects the specialist surgical formation that complex pancreatic surgery requires.
Related reading:
Gallbladder, Liver, and Pancreas Surgery: When You Need a Hepatobiliary Specialist
Advanced Laparoscopic Gastrointestinal Surgery: A Complete Guide to Minimally Invasive GI Surgery
Written by Dr. Lokesh H M, MBBS, MS General Surgery, MCh Surgical Gastroenterology, Fellowship in Pancreato-Biliary Surgery (SGPGIMS, Lucknow), FMAS (Fellowship in Minimal Access Surgery), Senior Consultant Surgical Gastroenterologist, Narayana Multispeciality Hospital, Mysuru (Monday to Saturday, 9:30 AM to 4:30 PM) and RK Speciality Clinic, Vijayanagar 2nd Stage, Mysuru (Monday to Saturday, 7:00 PM to 8:30 PM). 23+ years. 10,000+ patients. Phone: +91 89719 08095.
