1. Introduction & Overview
Treatment for liver, gallbladder, and pancreatic cancers requires advanced expertise and precision-based surgical planning.
Dr. Parveen Mendiratta provides advanced surgical care for:
- Gallbladder Cancer: Radical cholecystectomy combined with local liver wedge resections and systematic nodal clearances.
- Bile Duct Tumors: Resection of extrahepatic bile duct malignancies (cholangiocarcinoma) with biliary reconstructions.
- Liver Tumors: Complex liver resections, including segmentectomy, hepatectomy, and metastatectomy.
- Pancreas Cancer: High-precision Whipple procedure (pancreaticoduodenectomy) for head-of-pancreas tumors, distal and central pancreatectomy, along with splenectomy and reconstruction.
Every treatment plan is tailored according to disease stage and patient health condition.
2. Key Warning Symptoms
Common symptoms associated with hepatobiliary diseases include:
- Progressive, painless jaundice (yellowing of eyes and skin) associated with dark urine.
- Deep abdominal pain radiating directly towards the middle back area.
- Significant appetite loss, constant nausea, and pale, chalky bowel movements.
3. Diagnostics & Staging
High-precision diagnostic imaging is vital prior to surgical scheduling:
- Triple-Phase CT Scans: Focused scans to evaluate pancreatic and liver margins relative to adjacent blood vessels.
- MRCP / Endoscopic Ultrasound (EUS): High-definition visualization of bile duct pathways.
- CA 19-9 Biomarkers: Blood serum assays to monitor hepatobiliary oncology staging.
4. Complex Surgical Capabilities
Dr. Parveen Mendiratta regularly executes complex hepatobiliary procedures:
- Gallbladder & Bile Duct Clearances: Radical cholecystectomy combined with local liver wedge resections, extrahepatic bile duct resections (cholangiocarcinoma), and systematic nodal clearances.
- Complex Liver Resections: Precise anatomical hepatectomy, segmentectomy, and metastatectomy of primary liver tumors or metastatic lesions using intraoperative ultrasound guidance.
- Pancreatic Cancer Surgeries: Radical Whipple Procedure (pancreaticoduodenectomy), distal and central pancreatectomy, along with splenectomy and complex digestive/vascular reconstructions.
5. Clinical Post-Surgical Recovery
Hepatobiliary surgical recovery requires structured monitoring. Most Whipple patients recover in the ICU for 24-48 hours under close vital monitoring, transitioning to liquid diets and active mobilization by day 3 or 4, with average hospital discharge occurring within 8 to 12 days.