Sakra Institute of Surgical Gastroenterology and HPB Surgery

Overview
The surgical division of the Sakra Institute of Digestive & HPB (Hepato-pancreato-biliary) Sciences has the following 
key areas of focus. They are:

1. Minimally Invasive Organ Preserving Surgery
At Sakra Hospital, majority of gastrointestinal surgical procedures can now be performed by a minimal invasive approach (laparoscopic surgery) with small incisions, quick, painless recovery and early return to work. All intestinal surgeries (esophagus or food pipe, large intestine), a majority of biliary surgery (gallbladder surgery, surgery of the bile duct) and selected pancreatic surgery are performed by the laparoscopic approach.  The next natural step in advanced laparoscopic surgery is to combine the minimally invasive approach with organ preservation to enhance outcomes. At Sakra, with scrupulous planning and expertise we strive to safeguard the complete organ and accomplish the objective of treating the disease. Organ preserving approaches are an advantage in the surgery of the liver, pancreas where removal of the critical part of the organ leads to a long term functional disability.

2. Pancreas Care Program
The Pancreas Care Program at the Institute of Digestive & HPB (Hepato-pancreato-biliary) Sciences, at Sakra World Hospital is a comprehensive program for management of pancreatic diseases with a multidisciplinary team.Pancreatic disorders present unique challenge to the physicians in terms of diagnosis, selecting the most appropriate treatment option and execute the same with the skill and precisionusing skilled personel and technology.

3. Bariatric Surgery
There are many types of weight-loss surgery, known collectively as Bariatric Surgery. Gastric bypass and other weight-loss surgeries make changes to your digestive system which would help you to lose weight by limiting you from the intake of food.

4. Gastrointestinal Oncology Program
The Gastrointestinal Oncology Programundertakes the care of all GI malignancies, including pancreas, liver, biliary tract,and the complete gastrointestinal tract including that of esophagus, stomach, colon and rectum .A multidisciplinary tumor board reviews the cases and management strategy for the patient is charted. The teams comprises of physicians and surgeons with international experience and renowned nationally  for their expertise in dealing with these cancers.  All diagnostic facilities with expertise in surgical treatment and /or endoscopic palliation is available in the program. The team has considerable expertise in procedures such as hepatectomy, Whipple's Procedure, total mesorectal excision and laparoscopiconcology procedures.

5. Biliary Surgery
Injuries of biliary tract after cholecystectomy (gallbladder surgery) are serious problems which require expertise and understanding in successful management. The surgical team has national and international recognition in the treatment and management of bile duct injury following cholecystectomy. The center is a referral center for management of this complex problems.
Our expertise is also in the treatment of choledochal cyst (congenital dilatation of the bile passage) in all age groups, apart from other diseases like gallbladder cancer and bile duct obstruction.

6. Liver Surgery
The team has a large experience of performing liver surgery for liver cancers, cancers of the bile duct and for other liver tumors. The center has a skilled team of surgeons, complimented by intraoperative tools (intraoperative ultrasound, USA and Waterjet dissectors, Bipolar radiofrequency dissecting device etc) to perform a safe and blood less liver surgery. A well trained anesthesia team and a well-equipped ICU for postoperative care thus ensures that all major and complex liver surgery is performed safely and successfully.

Services

• Surgery of the Liver
• Major liver resections including laparoscopic liver resections
• Surgical treatment for liver tumors, cystic lesions of the liver
• Surgery for portal hypertension
• Surgery of the Biliary tract
• Laparoscopic surgery for gallstones, common bile duct stones, choledochal cyst
• Repair of bile duct injuries (after cholecystectomy) and bile duct strictures
• Surgical treatment for bile duct cancers
• Surgery of the Pancreas
• Surgery for chronic pancreatitis
• Laparoscopic Pancreatic resections for pancreas tumors
• Surgical treatment for cancers of the pancreas
• Surgery for acute pancreatitis – video assisted necrosectomy

Surgery of the Digestive Tract
1. Upper Gastrointestinal Tract

• Esophageal surgery – for strictures of the esophagus, cancers
• Laparoscopic and throacoscopic surgery for benign esophageal diseases
• Laparoscopic and open surgery for
• Gastric cancers
• Small Intestine diseases
• Colon and rectum
• Laparoscopic surgery for colon and rectal cancers
• Surgical treatment for Ulcerative colitis and Crohn’s disease
• Surgical treatment of Benign anorectal problems – incontinence,hemorrhoids and fistula

2. Management of Neuroendocrine tumors of the pancreas and gastrointestinal tract
3. Surgical treatment for all Gastrointestinal and HPB (Hepato-pancreato-biliary) cancers
4. Surgery for Morbid Obesity