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Hepatobiliary and Pancreatic Surgery

肝膽專科醫生與病人討論肝臟及膽道疾病治療方案

New Medical Center provides specialist assessment for conditions affecting the liver, gallbladder, bile ducts and pancreas. A hepatobiliary surgeon manages diseases within this closely connected system, while a pancreatic surgeon focuses on conditions that may require pancreatic surgery. At TNMC in Tsim Sha Tsui, patients may seek consultation for symptoms, abnormal blood tests, findings on ultrasound, CT or MRI, a diagnosed hepatobiliary or pancreatic condition, or a surgical second opinion.

    • Laparoscopic cholecystectomy(微創膽囊手術)
    • Hepatectomy(肝臟腫瘤或病變切除)
    • Pancreatic surgery(處理良性或惡性胰臟疾病)


When should you see a hepatobiliary and pancreatic specialist?

Hepatobiliary and pancreatic diseases sometimes present with obvious symptoms, while others are asymptomatic. Common symptoms include right abdominal pain, upper abdominal pain, jaundice, and fever, often related to bile duct/pancreatic duct obstruction caused by gallstones or tumors. It's also important to note that some liver diseases can be asymptomatic; therefore, high-risk individuals are advised to have regular checkups.

How to choose a hepatobiliary and pancreatic specialist?

When you are looking for a "hepatobiliary specialist" or a "pancreatic specialist in Hong Kong," we suggest you use these 5 questions to screen and prepare: What is your most certain diagnosis at present? (Gallstones? Liver cysts? Pancreatic cysts? Tumor suspected?)

  1. What is your most certain diagnosis at present? (Gallstones? Liver cysts? Pancreatic cysts? Tumor under investigation?)
  2. Did you bring complete medical records? (Ultrasound/CT/MRI reports and imaging discs, blood reports)
  3. Is a multidisciplinary consultation necessary? (e.g., surgery + interventional radiology + oncology + hepatology)
  4. Is your primary concern "rapid treatment" or "least risk"? (Different options require different trade-offs)
  5. Do you belong to a high-risk group? (Chronic hepatitis B/C, long-term alcohol abuse, fatty liver combined with metabolic diseases, etc.)
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Hepatobiliary Surgery and pancreatic Service

The Hepatobiliary and pancreatic Surgery Service provides clinical assessment and management of conditions affecting the liver, gallbladder, bile ducts, and pancreas. Patients may attend for evaluation of symptoms, investigation findings, or follow‑up of hepatobiliary and pancreatic conditions.

Liver‑Related Symptoms

Assessment may be provided for symptoms or findings involving the liver, including:
  • Abnormal liver function test results
  • Jaundice
  • Upper abdominal discomfort or pain
  • Liver masses or cysts identified on imaging

Gallbladder‑Related Symptoms

Patients may seek assessment for gallbladder‑related symptoms such as:

  • Upper abdominal pain, particularly after meals
  • Gallstones or mass identified on imaging
  • Gallbladder inflammation or infection
  • Recurring gallbladder-related symptoms

Bile Duct‑Related Symptoms

Assessment may be provided for symptoms or findings involving the bile ducts, including:
  • Jaundice related to bile duct obstruction
  • Dilated bile ducts identified on imaging
  • Bile duct stones or strictures
  • Suspected inflammatory or obstructive bile duct conditions

Hepatobiliary and Pancreatic Tumours

Assessment may be provided for benign or malignant conditions involving the hepatobiliary and pancreatic system, including:

  • Liver tumours
  • Gallbladder tumours
  • Bile duct tumours
  • Pancreatic tumours

Where clinically appropriate, surgical options may be considered as part of multidisciplinary management following evaluation.

Pancreatic‑Related Symptoms

Patients may attend for evaluation of symptoms or findings involving the pancreas, including:
  • Pancreatic masses or cysts identified on imaging
  • Upper abdominal or back pain related to pancreatic conditions
  • Abnormal pancreatic findings requiring further assessment

Hepatobiliary Infections

The service may assess conditions such as:
  • Cholangitis
  • Cholecystitis
  • Hepatic abscesses

Hepatobiliary Surgical Assessment

Where clinically appropriate, surgical assessment may be considered for:
  • Structural abnormalities of the liver, gallbladder, bile ducts, or pancreas
  • Obstructive conditions affecting bile flow
  • Tumour‑related hepatobiliary or pancreatic conditions
  • Persistent or recurrent symptoms not responsive to initial management

Frequently Asked Questions

What is hepatobiliary surgery?

Hepatobiliary and pancreatic surgery is a specialized surgical specialty that treats diseases of the liver, gallbladder, bile ducts, and pancreas. It primarily handles cases requiring surgery or advanced treatment, such as tumors, gallstones, and severe inflammation.

 

What conditions does a hepatobiliary surgeon treat?

A hepatobiliary surgeon may assess gallstones, cholecystitis, bile duct stones or strictures, cholangitis, liver cysts or tumours, gallbladder and bile duct cancer, pancreatic cysts, pancreatitis and pancreatic tumours. Not every condition requires an operation; endoscopy, image-guided treatment, medicine or surveillance may be more appropriate.

 

What does a pancreatic surgeon do?

A pancreatic surgeon evaluates pancreatic diseases that may require an operation, including selected cysts, benign or malignant tumours and complications of pancreatitis. The surgeon reviews imaging, anatomy, tumour extent, overall health and other treatment options, usually within a multidisciplinary pathway.

 

Does every pancreatic cyst need surgery?

No. Many pancreatic cysts can be monitored. Surgery may be considered when the cyst type, symptoms, growth, duct changes, nodules, test results or other high-risk features create sufficient concern. Surveillance and treatment should be individualised rather than based on size alone.

 

Does every pancreatic cyst need surgery?

No. Many pancreatic cysts can be monitored. Surgery may be considered when the cyst type, symptoms, growth, duct changes, nodules, test results or other high-risk features create sufficient concern. Surveillance and treatment should be individualised rather than based on size alone.

 

How should I choose a hepatobiliary surgeon in Hong Kong?

Check the doctor's specialist registration and relevant experience, particularly with the diagnosis and proposed operation. Also consider access to radiology, pathology, oncology, anaesthesia, intensive care and postoperative support. Confirm where tests and surgery occur and how the team manages urgent concerns and complications.

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