Hepatobiliary Problems and Surgery Options

Hepatobiliary surgery is a set of procedures that treat the organs throughout the biliary system, including the liver, pancreas, gallbladder, and bile duct. This system works to regulate and produce bile, or the fluids the body produces to digest fats in the foods we’ve eaten. For surgical treatment for common and rare disorders of the biliary system, our surgeons at Nurick Surgical Institute can provide unique treatments and resources and can perform hepatobiliary surgery for various conditions and illnesses.

When the biliary system experiences some form of billiary disorder, disease, or injury, surgery can be used to correct those problems and treat disorders of the bile system. Hepatobiliary surgeries are designed to treat cancers of one or more organs of the bile system, both benign and malignant. These organs can also become cancerous when tumors present in other organs, such as the colon, begin to metastasize and spread to other areas of the body, including the biliary system.

Because of this, most cancer patients can be candidates for hepatobiliary surgery, specifically for cancers in the liver, pancreas, and bile ducts, but other diseases can also count towards this type of treatment. Some people who experience severe gallstones that cannot be passed normally can also qualify for this form of surgery, alongside those who have liver disorders such as fatty liver disease from prolonged alcohol usage.

Due to the variety of conditions that this type of surgery can treat, there is a spectrum of procedures that are used to treat specific conditions. However, there are three major forms of hepatobiliary surgery that are most often performed:

  • Open Surgery: Open surgical methods include large incisions that allow our surgeons to directly visualize the area being performed and use traditional instruments to perform the procedure directly inside the abdomen area.
  • Laparoscopic Surgery: Laparoscopic surgeries use minimally invasive methods to use smaller incision marks, catheters, and other medical techniques to perform the procedure without the need for larger incisions often associated with open surgery.
  • Robotic Surgery: Similarly, robotic surgery works within the minimally invasive methods used by laparoscopic surgery but instead works through the use of robotic arms to provide greater dexterity and can help perform more complex procedures that traditional laparoscopic surgeries cannot perform.

Hepatobiliary surgery works to greatly improve the lives of people with diseases and disorders of the liver, gallbladder, and bile ducts, relieving symptoms and can be life-saving for those with certain types of cancer. When you visit our practice, the specific details of your surgery preparation, process, and recovery time will depend on your condition for surgery candidacy. Our doctors will provide you with all the information and instructions for your treatment.

Why Choose Us at Nurick Surgical Institute

At Nurick Surgical Institute, our focus is to provide you with the expertise needed to tackle complex conditions with surgical methods. Our surgeons have the experience and technical skills to provide the most effective surgical techniques within our community. To learn more about our field, our surgical methods, and the conditions we can treat, contact our members at the Nurick Surgical Institute to learn more.





Follicular Nodular Hyperplasia


Biliary Cystadenoma

Nodular Regenerative Hyperplasia


Endothelioid Hemangioendothelioma

Bile Duct Hemartoma

Hepatocellular carcinoma

Intrahepatic Cholangiocarcinoma

Colorectal metastasis




  1. Radiofrequency Ablation
  2. Microwave Ablation

Liver directed therapy

  1. Transarterial Chemoemobilization
  2. Y90


Systemic Chemotherapy

Gallbladder & Biliary Tree


  1. Acute pancreatitis
  2. Chronic pancreatitis

Pancreatic Necrosis

Pancreatic Pseudocyst

Pancreatic Serous Cystoadenoma

Pancreatic Fistula

Intraductal papillary mucinous neoplasm

  1. Side branch
  2. Main duct

Mucinous cystic neoplasm

Periampullary cancer

  1. Ampullary
  2. Bile Duct
  3. Pancreatic

Neuroendocrine tumor

  1. Insulinoma
  2. Glucagonoma
  3. VIPoma
  4. Somatostinoma
  5. Non-Functional



Surgical Resection

Endoscopic Therapy 

Percutaneous Therapy




Common Bile Duct Stones


Post Cholecystectomy Complications

Bile Duct Cysts

Primary Schlerosing Cholangitis

Gallbladder Cancer


Surgical Resection

Endoscopic Therapy 

Percutaneous Therapy

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