Liver, Pancreatic & Bile Duct Surgery

Expertise in complex hepatobiliary procedures

Surgery of the Liver, Bile Duct and Pancreas

If you need surgery for a liver, bile duct, gallbladder or pancreatic condition, expect expert care at Lahey Clinic.

You will receive excellent care from our highly experienced hepatobiliary surgeons. The liver care team has performed more than 5,000 complex liver, pancreas and bile duct procedures. Most of the surgeries we perform treat cancer.

Procedures We Offer

The liver care surgeons at Lahey provide a full range of surgery. We treat liver cancer and many liver, bile duct, gallbladder and pancreas conditions.

We offer the following minimally invasive or open non-transplant procedures:

  • Bile duct repair and reconstruction
  • Bile duct resection
  • Ex-vivo liver resection
  • Hernia repair
  • Inferior vena cava resection
  • Liver cyst fenestration
  • Liver resection after portal vein embolization
  • Liver resection for tumors
  • Pancreatic resection for tumors
  • Peritoneal dialysis catheter insertion
  • Portal vein or hepatic artery resection and reconstruction during liver resection for bile duct cancer
  • Portal vein or superior mesenteric vein resection and reconstruction during pancreatic resection for cancer
  • Removal of gallbladder
  • Surgical shunts

Whenever possible, your surgeon uses minimally invasive techniques, such as robotic surgery. When you get care that uses minimally invasive techniques, you can expect:

  • Faster recovery.
  • Less pain.
  • More precise surgery.
  • A reduced risk for complications.

More About Liver, Pancreatic & Bile Duct Surgery

Robotic Hepatobiliary Surgery

Lahey started its robotic hepatobiliary surgery program in 2017 to provide better care. When you need complex liver, bile duct or pancreas surgery, a minimally invasive approach is helpful.

With robotic surgery, your doctor can provide more precise care for liver cancer and many other hepatobiliary conditions.

When you get robotic surgery, you enjoy many benefits. These include:

  • A faster recovery.
  • Smaller incisions.
  • Less pain after your procedure.
  • Less scarring.

If you have cancer, you may need chemotherapy or radiation after surgery. A faster recovery lets you start your next phase of treatment sooner.

Robotic Procedures We Perform

Robotic technology lets your Lahey surgeon perform surgeries in hard-to-reach parts of the body. These areas include the:

  • Liver hilum, where the liver vessels course.
  • Back of the liver, which is attached to the vena cava (the largest vein in the body).
  • Pelvis, which can be narrow.
  • Pancreas, which is closely associated with large veins and arteries.

Some of the procedures our surgeons perform using robotic techniques include:

  • Biliary reconstruction.
  • Cholecystectomy.
  • Choledochal cyst resection.
  • Distal pancreatectomy.
  • Hernia repair.
  • Liver cyst fenestration.
  • Liver resection (major and minor).
  • Living donor hepatectomy.
  • Lymph node removal.
  • Pancreatic tumor enucleation.
  • Splenectomy.
  • Whipple procedure (pancreatoduodenectomy).
Liver Transplant & Donation

If you need a liver transplant, Lahey provides the most comprehensive care in the region.

Our surgeons are highly skilled in using robotic systems to perform transplants. We’ve been offering robotic liver transplants since 2017, and our transplant program is the largest in the area.

If you want to be a living liver donor, you can also access robotic care. You receive the same expert care as any other hepatobiliary patient.

Specialized Whipple Procedures

If you need a Whipple procedure, you get excellent care from Lahey’s experts. The minimally invasive approach improves upon the traditional open surgery.

Also called a pancreatoduodenectomy, this surgery removes part of the pancreas, small intestine and stomach, some lymph nodes and the gallbladder.

With the open method, your doctor:

  • Makes a large incision in the abdomen.
  • Removes the organs through the large incision.
  • Connects the remaining organs.
  • Closes the incision.

During a minimally invasive Whipple procedure your surgeon:

  • Makes small incisions in the abdomen.
  • Inserts a camera and small robotic instruments into the incisions.
  • Uses the robotic tools to remove organs.
  • Reconnects the remaining organs with the robotic instruments.

The Whipple procedure is a complex surgery. When your doctor uses a minimally invasive approach you recover faster, experience less pain and have less scarring.

What to Expect

As you prepare for a hepatobiliary surgery, your care team provides counseling and education.

Your care team will follow the Enhanced Recovery After Surgery (ERAS) protocol. This method involves:

  • Preoperative preparation.
  • Fluid management during your procedure.
  • Pain and nausea management after surgery.

The ERAS protocol gives you better outcomes. You talk with your doctor about steps to take before and after your procedure. These include ways to reduce pain, improve recovery and eat well after surgery.

The ERAS protocol:

  • Improves your stress response to major surgery.
  • Enables your body to adapt to changes associated with surgery.
  • Helps you return to normal function faster.

Additional Services

Your surgical team coordinates your care with other specialty providers throughout our medical center. This ensures you receive comprehensive, streamlined care.

Division of Transplant & Hepatobiliary Diseases

Experts in our Division of Transplant and Hepatobiliary Diseases specialize in the care of people with kidney, liver, bile duct and gallbladder disorders, and they also offer extensive research, education and training opportunities.