Hepatobiliary surgery is a highly specialized medical field that focuses on the diagnosis, treatment, and management of various medical conditions affecting the liver, pancreas, and bile ducts. In-depth knowledge of these conditions and the surgical procedures involved in treating them is essential to ensure optimal patient outcomes. In this section, we will delve into the prevalent diseases and surgical procedures related to HPB surgery, including their underlying causes, symptoms, and treatment options. Whether you are a healthcare provider, a patient, or a caregiver, this comprehensive information can equip you with the necessary insights to make informed decisions about your healthcare choices.
A team of experts including a hepatobiliary surgeon, a diagnostic radiologist, an interventional radiologist, an oncologist, a pathologist, and a gastroenterologist collaborate to determine the best course of treatment for each patient.
Intraoperative ultrasound is applied by every member of the surgical team to ensure accurate visualization of the relationship between the tumour and the vascular structures in the liver, as well as to plan the type of resection.
To perform any surgical treatment, such as liver transplantation or resection, a thorough knowledge of the liver's anatomy is necessary. The preoperative CT scan provides fundamental information on the liver's structure and the location of any tumours.
Surgical removal is the only treatment that still has the potential to cure primary and metastatic liver cancers. Advanced liver cancers that affect both lobes can now be treated with a two-stage procedure.
In addition to standard percutaneous biopsies of tumours guided by ultrasound or CT scan, our programme includes percutaneous biliary drainage as a definitive therapy for malignant obstruction or as a preoperative intervention to drain bile and help the patient recover before surgery.
At our centre, we offer diagnostic and interventional endoscopic ultrasound, a minimally invasive endoscopic procedure that allows for a comprehensive assessment of all gastrointestinal system changes and biopsies of liver, pancreas, and lymph node tumour abnormalities.
Systemic therapy is essential for advanced primary liver cancer, characterized by extrahepatic metastases or microscopic invasion of blood vessels, as it can improve quality of life and extend survival time.
Our team of surgeons specialises in a wide range of resection procedures on the liver and pancreas, including complex operations with excellent results that are comparable to those achieved by reference centres around the world.
Our centre is involved in both basic and clinical research, in which our team actively participates, alongside renowned scientific and clinical institutions, both nationally and internationally.
We are fully committed to standing by your side in the battle against the most common diseases affecting the liver, pancreas, and bile ducts.
Our comprehensive range of surgical procedures for HPB (hepato-pancreato-biliary) diseases is aimed at providing effective treatment options for our patients.
Our team of highly skilled surgical experts works in close collaboration with eminent specialists from various medical fields to provide advanced diagnostics and the latest surgical treatments for liver, bile duct, and pancreas diseases. Our goal is to enhance disease outcomes and improve the quality of life of our patients. We adopt a multidisciplinary approach to healthcare, striving for personalized medicine that tailors treatment plans to each patient’s unique needs and circumstances, ensuring that they receive the most optimal care at the right time.
Head of the HPB surgery department
In early 2021, I received a diagnosis of a malignant neuroendocrine tumor of the pancreas with metastases to the liver at KC Banjaluka. However, thanks to the skillful operation performed by Dr. Dugalić and his team of surgeons, I am now on the road to recovery. We extend our heartfelt gratitude to them and wish them all the best in their future endeavors. With appreciation, Ljilja!
Unlike other doctors who turned me away, citing an inability to help, Professor Vladimir Dugalić accepted my case as a patient. Thanks to his expert care, I have made a full recovery. I will always be grateful for his assistance.
My operation was a complete success! I was fortunate enough to be under the care of Professor Dugalić and his skilled team, who saved my life. My loved ones have praised me for being lucky to receive such quality care, but in my eyes, they were truly exceptional and unattainable. I am grateful for their bravery and expertise.
At the Centre for Liver and Pancreatic Surgery, we prioritize your health and safety above all else. With our wealth of experience, we are fully equipped to provide you with top-notch medical care in a safe and secure environment, ensuring your peace of mind.
