Hepatopancreaticobiliary (HPB) surgery is surgery on your liver, pancreas, gallbladder, or bile ducts. These procedures can effectively treat many types of biliary, pancreatic, and liver diseases and conditions, including gallstones, cancer, pancreatitis, and injuries to the liver or pancreas. hepatopancreatobiliary (HPB) surgery has unequivocally become a specialty. A number of trends have colluded to establish the necessity of the HPB surgical specialist. First, major hepatic and pancreatic operations have become safer and more accepted by the general medical community. Historically, hepatic resection was associated with massive blood loss and high mortality. Similarly, pancreatoduodenectomy was associated with extremely high rates of perioperative mortality to the point where the value of performing the operation at all was questioned openly in medical journals. Now, thanks to individual surgical experience and high-volume hospitals, these operations are performed routinely with acceptable rates of morbidity and mortality.
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