Clinical Surgery

Services

A full range of hepatobiliary, pancreatic, endoscopic, radiological and surgical interventions are available.

Management of patients with Hepatobiliary and Pancreatic Malignancy is co-ordinated through the weekly multi-disciplinary meeting. This has regular involvement from the:

  • nine consultant surgeons
  • three oncologists
  • four radiologists
  • one hepatologists
  • two pathologists

Royal Infirmary of Edinburgh Clinic

A joint surgical/medical/oncology clinic is held at the Royal Infirmary of Edinburgh on a weekly basis on Tuesday afternoons.

Approximately 120 liver resections per year are undertaken for primary and secondary tumours of the liver and proximal bile ducts.

Major pancreatic resections and pancreatico-duodenectomy (approximately 60 per year) are undertaken for pancreatic cancer and distal cholangiocarcinoma.

We also act a tertiary referral centre for the management of bile duct injuries, HPB trauma and patients with severe acute pancreatitis.

Procedures

A full range of endoscopic and interventional radiological procedures are available for the assessment and treatment of all pancreatico-biliary conditions.

These procedures include:

  • endoscopic retrograde cholangiopancreatography (ERCP)
  • percutaneous transhepatic cholangiography (PTC)
  • endoscopic ultrasound (EUS)
  • spyglass
  • chemoembolisation
  • portal vein embolisation

Laparoscopy

Our advanced laparoscopic procedures include:

  • staging of hepatobiliary and pancreatic malignancy
  • de-roofing of liver cysts
  • pancreatic and hepatic resections
  • minimally invasive pancreatic necrosectomy

Laparoscopic cholecystectomy and laparoscopic exploration of the common bile duct are also performed.