Conditions & Treatments

Gallstones

Gallstones are usually formed of cholesterol or bile acid. They form most often within the gall bladder but can also pass into the bile duct, where they can cause a number of problems including jaundice (yellowing of the skin and eyes), cholangitis (infection in the bile duct and liver) and pancreatitis (inflammation of the pancreas gland. Patients with gallstones will most often complain of pain under the ribs on the right hand side, which can be made worse on eating fatty foods. Once symptomatic gallstones have been diagnosed, an operation to remove the stones and the gall bladder is normally recommended to prevent the more serious complications. The operation is performed keyhole (either traditional keyhole or robotically).

Very occasionally, patients who have had their gall bladder removed can form new stones in the bile duct. Usually these can be removed with an endoscopic procedure but when surgery is required we can offer percutaneous laser lithotripsy or surgical bile duct stone clearance.

Liver tumours

Liver tumours can be either benign or malignant. Benign tumours are most often identified during investigations for some other reason, such as abnormal blood tests or abdominal pain. Small benign tumours do not usually need an operation, although occasionally surgery is recommended for large tumours to prevent risks such as bleeding, or for smaller tumours where the diagnosis is not clear.

Malignant tumours are most often secondary tumours which have spread from a cancer elsewhere in the body and so are normally found when you have a surveillance scan under the care of your oncologist or bowel surgeon. Primary tumours of the liver are rare and often there may be an underlying cause such as liver disease or some forms of autoimmune disease.

Surgical treatment of primary or secondary tumours aims to remove all the tumour. Sometimes chemotherapy will be required in order to treat any tiny (microscopic) areas of disease before they have a chance to grow. By having your surgery minimally invasively you will be able to return to normal life much quicker and, if further treatment is required, you are likely to get to it quicker than with an open operation.

Bile duct and pancreatic tumours

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Hernias

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Lipomas and other lumps

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