This study reviews our developing experience in managing HPB cases through years. It is VERY common to make 500k in general surgery. Oct 3, 2023 · The Division of Hepatobiliary and Pancreas Surgery at Mayo Clinic's campus in Rochester, Minnesota, offers special expertise in hepatobiliary and pancreatic surgery along with complex abdominal surgical oncology. Comes down to reimbursement. 35 million. Panel 1. UHN Liver and Pancreas Surgeons. Is it safe to say that CT surgery is currently the most competitive surgical sub? 27% match rate to I6 this year (45% for senior MDs) and fellowship match out of GS this year was 59% Lower than peds surgery @ 64%. Indeed, in the current state of the art, HPB operations are now common-place for a wide array of disease processes, with the expectation of successful outcomes for most patients. It has risen in importance in the last few years to represent the major HPB journal in which the latest advances in our specialty are published. In terms of competitiveness, in very general terms, I would think it's SSO > HPB > transplant. You need to understand the complications of a whipples at least and the importance of subtle changes that need urgent investigations and treatment (often IR post op) to “nip things in the bud”’and stop them from being catastrophic. You enjoy immediate impact of your work One of the great things about surgery is that you take action and it has a near immediate effect. The HPB team works together to provide the best possible care for patients 24 hours a day, every day. Kids will always need an appendix taking out. AnGabhaDubh. 3) What's my favourite operation? Hard to beat a good laparotomy and band adhesion release. All countries, all branches, and all professions. They both have tertiary centres. Assoc Prof Vijayaragavan Muralidharan (Murali) P: 03 9808 3344. Important to note that not all surgeons do lap choles, and for even slightly complex ones, you really want a dedicated EGS / UGI / HPB surgeon doing them. And that’s the best reason. related to liver, pancreas and bile duct. 9 For example, the median number of pancreatoduodenectomies performed by graduating chief residents in the United States in 2014 was 3. As the operations on these organs are complex and requires special expertise, the specialty of HPB surgery has branched out from general surgery. Regardless, they do some incredible work there. Apart from advances in surgical technique, these perioperative measures have resulted in substantial reductions in morbidity and mortality. As we know, HPB surgery has steep learning curve requiring in-depth practice. I have partners that work themselves to death and others that have a very balanced life and both of them make plenty of money. mimodiem. These are among the most challenging and complex surgical procedures performed in General Surgery and require a high degree of expertise and Dec 6, 2021 · “If a patient comes in as unresectable, we have a group of surgeons, medical and radiation oncologists, radiologists, pathologists and genetic counselors to evaluate [the case] from different angles,” says surgical oncologist Jin He, Director of the HPB Surgery Program and the Paul K. With a number of books already in these specialties, the inaugural edition of “Review of Hepato-Pancreato-Biliary and Transplant Surgery: Practical Management of Dilemmas”, needs to take a fresh approach. Interesting rebound in interest from early 2000s. Most surgery is day case. Consulting rooms: Knox Private Hospital Consulting Suites, 262 Mountain Hwy Wantirna VIC 3152. Hepato-pancreato-biliary (HPB) surgery consists of the general surgical treatment for benign and malignant diseases of the liver, pancreas, gallbladder, and bile ducts. They all run 24/7 supra-regional HPB services. Appendicitis cured. Liver. Explore hepato-pancreato-biliary (HPB) surgery services in London at Cromwell Hospital. Stomach. The Section of Hepatopancreatobiliary (HPB) Surgery is dedicated to patient care, education, and research of all conditions of the liver, biliary system, and pancreas. I’m actually quite envious that they are so passionate about doing their job. Euclid Ave. Hepato-Pancreato-Biliary Surgeries: Surgical videos involving the liver, bile ducts, gallbladder, and pancreas. Two surgeries in one day is legitimate torture. Trauma surgery. as the Lead HPB Surgeon recruited to develop and The HPB Unit is passionate and heavily involved in training of postgraduate students in the Masters of Surgery and sub-specialty training for future HPB surgeon. There’s also gmc training survey data for every programme so you can literally see which hospitals people in your chosen programme ranged the highest for your region for example: May 13, 2022 · The Swiss HPB centre had 24 regular beds including a 4-bed unit dedicated to intermediate care. He is trained in HPB Surgery and Liver Transplant at King’s College Hospital, London and has also This channel is about Hepatobiliary and Pancreatic Surgery. Our HPB surgeons work as a care team with other specialized physicians on a personalized plan for every patient to ensure the best outcome. HPB Surgery specializes in the treatment of diseases that affect the liver, pancreas and the biliary system. We perform around 1,000 major HPB surgeries per year and 10 to 12 cancer surgeries per week. UPMC Digestive Health Care. Median MGMA is ~440k, with the mean at 480k. First as a surgical fellow, where he specialized in surgery of the liver, pancreas, bile ducts and liver (HPB surgery), as well as in transplant surgery of the liver and kidneys. Ontario. S from Nilratan Sircar Medical College, Kolkata. com. Dr Ghatak is an HPB and GI Onco-Surgeon practising in Kolkata since 2008. Piedmont Physicians Surgical Oncology and HPB Surgery Atlanta. Always. Colorectal and UGI would allow you to market yourself as an endoscopist to the trust as well. HPB as a specialty area of surgery in its own right, bringing it out of the dark ages and into the mainstream of practice. Home; Advisors. Mr Luke Bradshaw. Enter a short custom combo of your choice, and click ‘generate’ to start. Alternatively, fill out our appointment request form and we'll be in touch shortly. Our experience is backed by a high volume of success across all HPB procedures. Apr 1, 2022 · Abstract. 1016/j. King’s HPB unit is the biggest one of its kind in Europe. A subreddit for those in the field of military medicine. That’s exactly it. As a high-volume program, caring for more than 3,000 patients each year, we're one of the few programs in the nation to offer innovative ablative From 2007 to 2013, I was the Medical Director of HPB Programs at the Virginia Piper Cancer in Minneapolis, MN. Considering HPB surgery but every HPB attending I have come into contact with is miserable either in their personal life or career wise they are burnt out and overworked. HPB is now well established as an international forum for clinical, scientific and educational communication with an impact factor of 3. gosinking. DISCUSSION. 047. Outside those hours, you can leave a message or talk with another MSK provider. It is a video atlas which helps General and Gastrointestinal Surgery residents master the art of HPB Centres. RULE 5: THIS SUB IS FOR AND BY TRANS PEOPLE. Louis, MO 63110 (314) 747-0410. Ortho, obgyn, plastics, neurosurg, ENT, urology, ophto are split off from gen surg and are significantly trained directly in their main specialty starting from their 1st year. This transition-to-practice program provides the most robust HPB operative experience available in North America and emphasizes preoperative, operative and postoperative care—for a broad range of patients with benign and malignant HPB disorders. We offer a full range of hepatobiliary, pancreatic, endoscopic, radiological and surgical interventions. Gen surg is usually done before. The Hepatobiliary and Pancreatic ( HPB) Unit has provided a tertiary referral service for the management of complex HPB disease since 1988. Quick, instant relief and you can literally see the bowel go back to normal. Pier Cristoforo Giulianotti (Chicago IL - USA) Session 4: Session 4: General topics in robotic HPB surgery. We specialise in the Whipple procedure for pancreatic cancer and complex liver resections for metastatic tumours. Surgeon gets $2k. ** Hepatopancreatobiliary Surgery. Choose : • Numbers and letters. Reply. 1. 015. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. And the way the ABSITE is scored is using percentiles, which means directly comparing you to your peers in a way where a few questions right The HPB surgeon on call oversees all patients coming to the hospital for liver and pancreas surgery. B. Atrium Health's HPB surgery program is known for using the most advanced surgical techniques and technologies to treat benign and malignant diseases of the liver, pancreas and biliary system. Thanks! Pediatric surgery is one of the most undersaturated fields here in the Philippines i remember one of our lectures discussing there are only about 40 of them in here. If you’re not sure how to reach your healthcare provider, call 212-639-2000. HPB Surgery & Pancreas Surgery Dr Sachin Daga is the best liver transplant Surgeon in India . The nice thing about general surgery is that it’s always in demand. Last Updated. They can be half dead, bleeding out the eyes, no shower in a week, and still be like “oooohhhh I want to do that case!”. Apr 11, 2019 · As a concept, dual SSO/AHPBA grads usually do a mix of HPB and surg onc, ASTS/AHPBA grads do a mix of HPB and transplant, and straight AHPBA grads do a mix of HPB and gen surg. He did his post graduation from PGIMER, Chandigarh and then his MCh in GI Surgery from AIIMS. . doi: 10. hpb. Campus Box 8109, 660 S. Reply reply What to Expect with HPB Surgery. In twelve issues over the year, the journal Apr 26, 2023 · Seven “core” indicators were agreed for hepatectomy, pancreatectomy, and complex biliary surgery (availability of specific services on site, a specialised surgical team with at least two certified HPB surgeons, a satisfactory institutional case volume, synoptic pathology reporting, undertaking of unplanned reintervention procedures within 90 days, the incidence of post-procedure bile leak Oct 2, 2022 · Societies like the AHPBA have played – and must play in the future – a critical role in bringing disciplines together, advancing standardization, developing and disseminating standards of excellence, fostering mentorship and collaboration in HPB surgery, and providing guidance to general surgery residency programs. In 2013, I joined the Kaiser Sunnyside Medical Center, Portland, OR. Dr. London Appointments +44 20 3423 7500. If you go to WM or Wessex, you’ll get trained well too. 23, 24 In a previous study, we prospectively measured 6MWD before surgery in a total of 81 patients undergoing major HPB surgeries, such as pancreaticoduodenectomy, major hepatectomy with Aug 2, 2022 · Indian Journal of Surgery - Although laparoscopic cholecystectomy is firmly established as a standard of care for benign gallbladder diseases, the uptake of minimally invasive surgery (MIS) in HPB oncology has been limited due to its steep long learning curve and potentially serious complications like hemorrhage, CO 2 embolism, challenging anastomosis, and concerns regarding resection margins. Meanwhile, urologist clips 10 vas deferens for $200 each, makes the same amount in 2 hrs. Surg onc = interesting cases, good patient population, money not too good. 09:30 - 10:30 | Robotic technology for HPB surgeons. Breast will be more relaxed. I had a arthroscopy on my right knee in August, removing some of my torn meniscus caused by having a discoid meniscus. cardiac/thoracic surgery and vascular surgery. **DO NOT POST OTHERWISE. It serves as the tertiary referral centre for HPB diseases in the Thames Valley Cancer Network and Swindon, a population of 2. •. Monday, December 3, 2018. You can live a happy balanced life as a general surgeon. Endourology and Andrology perhaps might be more chill, but the former is mainly endoscopic/percutaneous surgery while the latter is more medical/minor procedures (the point being, either won't provide you with If this dye is introduced into clinical practice, it could significantly enhance cancer patients' quality of life as It allows surgeons to precisely remove cancerous cells while sparing healthy tissue. Our Hepato-Pancreato-Biliary (HPB) surgical program is internationally recognized. , are there ones who do liver only, pancreas only)? The consultants on HPB are a mixed bag, some very nice (Hammond), some a bit gruff. People keep getting hernias, and there’s ample colorectal work to keep you busy. 09. To anyone reading this there’s about 500 reviews on the site at the moment and this is growing every day. Jan 4, 2022 · Prehabilitation programs developed for hepato-pancreatico-biliary surgery specifically addressing the pathophysiological issues associated with HPB surgery and cancer are urgently needed. After completing the UEMS fellowship in HPB and Transplant Surgery, he has been working as an HPB surgeon since May 1, 2023. Hepato-Pancreato-Biliary (HPB) Surgery. Starzl Transplantation Institute. com | drsupriyo@hpbandgisurgery. Reply reply. I think median urology is ~550k. Section of HPB-GI Surgery. But you’re choosing them for their ability to provide you what you want in life. New comments cannot be posted and votes cannot be cast. Introduction: Indonesia has practiced HPB surgery for long time including open and minimal invasive surgery (MIS). A major component of the centre included training of national and international fellows in HPB surgery and liver transplantation. u/yermahm is saying that if you want to make money do a fellowship so you can perform mohs surgeries, but u/DiogenesLaertys is claiming that reimbursement for derm/mohs surgery will decrease in the near future like it already has for other specialties such as path Marylebone HPB’s consultant rooms are conveniently located in Central London and easily accessible by Underground, National Rail and bus services. P: 03 9416 2246. General Surgery ST3 preferencing starts on Tuesday (26/03/24), does anyone have any positive or negative input regarding deaneries? Personally I'm interested in HPB and/or Transplantand have family in the NW and London but I'm happy to go anywhere for training if I'm honest. Diseases of the liver, pancreas, and biliary tract may frequently require Section of HPB-GI Surgery. General surgery is legit one of the few specialties where they put sooo much emphasis on their in-service exam (ABSITE) and turn it into the hunger games. AHPBA graduated fellows’ assessments of strengths, weaknesses, opportunities and threats facing fellowship training in HPB surgery: “HPB training excellence means volume, knowledge, and mentorship”. More. Insurance pays $50k for the procedure. Ramdip Ray Mar 22, 2024 · The North East’s Hepato-Pancreatico-Biliary (HPB) Centre provides highly individual, specialist services for patients with benign (non-cancerous) and malignant (cancerous) diseases of the liver, biliary system and pancreas. Hepatobiliary and Pancreatic Surgery is a surgical sub-specialty focused on treating diseases and cancers of the liver, pancreas, bile duct and gallbladder. Looking for any light at the end of the Whipple Tunnel. 336-716-0664 Request an Appointment. PGY4 - Colectomy, Ex-lap for perforated bowel/bowel obstruction. The Hepatobiliary and Pancreatic Surgery (HPB), GI, Skin, and Sarcoma Section (HPB-GISS) provides state-of-the-art treatment for patients with primary and metastatic cancers of the liver, gallbladder, bile duct and pancreas, in addition to surgical treatment for tumors of the HPB surgery. Any left handed HPB surgeons out there able to provide advice? • 7 min. The problems of these organs may be benign or Unfortunately, most general surgery residents graduate from training with very little exposure to major HPB operations. Each week a diferent surgeon is responsible for taking call. We provide expertise in all surgical options to treat these conditions. 885 Regent Street. It's the way fellowship selection is undertaken. Intersex people with have related surgical interests may post. Purpose of review: Preoperative optimization and structured evidence-based perioperative care of a patient undergoing complex hepatobiliary (HPB) surgery are essential components in their management. Our liver and pancreatic surgeons provide specialized treatment and compassionate care at every stage of your journey. Pgy3 Korean surgical resident in Canada here, I watch korean surgery documentary time to time and I hear residents fellows and even staff say they go home only once a week and spend the rest of the time in the hospital. It is not unreasonable to be very uncomfortable/not proficient and ask for help or back-up as a first year attending for a trauma ex-lap that is not simple or literally any of the above cases that are The sub will be back up tomorrow night. View community ranking In the Top 10% of largest communities on Reddit Hepato-biliary Pancreatic Surgery Deck It's based on prepladder notes & bailey love images and tables. We receive 50 new referrals per week and discuss 100 patients per week in our oncology HPB multidisciplinary meeting (MDM). I would say that female residents/surgeons have families IN SPITE of their residencies. HPB get sick quickly. Please note - regrettably we are unable to answer specific medical questions or offer medical advice via email or telephone. Jan 31, 2024 · The practice of HPB surgery has changed drastically in the past few decades, together with the training requirements of HPB surgeons. 5 miles Phone: 704-355-1813 Welcome to r/PlasticSurgery! This subreddit is a general hub for discussion, before and after posts, stories, experiences, and general information about cosmetic/plastic surgeries. On calls you will be the surgical senior on site overnight, so F1/ACP might ask you to get involved with ward sickies occasionally. Consulting Rooms: 344 Burwood Highway, Burwood 3125. • Any letters A to F. Bariatric MIS = dedicated and pleasant patient population, good money, same 3 surgeries. VHC Health’s HPB surgeons have specialized training and extensive experience in surgical procedures specifically designed for hepatopancreatcobiliary diseases. to 5 p. Sumit Gulati; Dr. HPB isnt necessary because so little of EGS (basically none) involves that Portal vein or IVC. You’ll find a lot of naysayers within and outside the field but you can chose a path that works for you. Started on the stationary bike after that and started back to heavily modified crossfit 7 or 8 weeks after surgery. So check out where the liver Vanity-HPB. Alberta. We actively engaged trainees in ensuring training is achieved and conduct workshops as well as “Intensive Course” to improve the surgical knowledge and skills of trainees. The fellow will also graduate with a vast working oncological knowledge. Tumors out. Plastics = patients are fine, lots of varied awesome cases, good money. Supriyo Ghatak; Dr. Colorectal/Breast = basically same as bariatric with more money. Current prehabilitation programs for major abdominal surgery are heterogenous, and caution is advised in the translation of these results to the unique Hospital Address: Health Sciences North. For the women, people will say it's possible to have a family as a woman in surgery with good planning. 1 miles. Scan this QR code to download the app now The IU School of Medicine Department of Surgery offers a one-year Hepato-Pancreato-Biliary (HPB) Fellowship. Our team includes fellowship-trained liver, pancreas and biliary surgeons. • After 0x (Pref) or at end (Suf) • 0x will remain at front. Specialties. 41 Ramsey Lake Road. Everywhere does. Opening lecture. To contact the HPB Division or to make an appointment at the UPMC Liver Cancer Center, call 412-692-2001. I needed a copy of Oddkins, went on hpb. Give us a call +917301275275. They both have universities, they’ll both have academics. Traditionally performed by general surgeons in non-specialistic environments, HPB surgery is now increasingly performed at high-volume, highly specialized centers by surgeons who have completed specific training. 09:00 - 09:30 | Conference: The history of robotic surgery predicting the future. Can anyone talk about their experience as a general surgery sub-speciality surgeon in reserves? Especially regarding the realities of deployment - ie likely length of time/frequency, how to navigate pausing civilian practice, does deployment actually tailor towards subspecialty training or do they just use you as a general surgeon doing trauma. and I maintained an academic affiliation with the University of Minnesota as an Clinical Associate Professor. Difficult laparoscopic cholecystectomy: Subtotal cholecystectomy. Trach. The HPB surgery team works in tandem with Johns Hopkins Kimmel Cancer Center physicians in the Pancreatic Multidisciplinary Cancer Clinic, which offers patients with complex cases comprehensive examinations and imaging, and evaluation by a panel of experts from across disciplines, including surgery, medical and radiation oncology, pathology The Oxford Hepato-Pancreato-Biliary (HPB) surgical unit provides both a local and tertiary referral service. Use tab to navigate through the menu items. 10 It has been suggested that it takes approximately 20 cases to develop baseline I was having that conversation the other day with a professor in HPB surgery. PGY5 - Vascular Anastomosis (Program dependent) or Repair, Hiatal Hernia. The overall plan of treatment takes into consideration the sequencing and A subreddit for those in the field of military medicine. HPB (Oxford). Welcome to the website for the Canadian Hepato-Pancreato-Biliary Association. Monday - Friday 8:30 AM to 5:00 PM. Partners, caregivers, etc, with a legitimate interest in surgery may post if it's of clear benefit to a trans individual or the community. Bought one in "very good" condition. This is an open source tool that uses your web browser to generate HPB vanity addresses. General urology can be as tough as GS. Center for Liver Diseases. I was off all exercise for 1 month except situps at home. Hernias fixed. The word HPB means HepatoPancreatoBiliary i. Esophagus. Our HPB Surgeons. Ian McGilvray (Director) Phone: 416 340 5230 Dec 3, 2018 · A member of your care team will answer Monday through Friday from 9 a. I also question why people go into general surgery. Epub 2022 Oct 1. For example a General Surgeon might as well have 3 years of core training and after that another 3 years of HPB, Colorectal etc. So what cases do academic HPB surgeons usually do? Do they further become superspecialized for a specific organ (i. Another big advantage is that the dye can be customized to target various cancer types. Office Address: Suite 3-22B. More details can be found here . If surgery goes over 1 hr, I’m fucking dying inside. Any advice would be very appreciated. It's not uncommon for pediatric surgeons to have 5-6 hospitals under them since they are so few. Anecdotally, If the HPB consultants at my local centre ever needed specialist advice or ultra specialist services they'd contact (or ask us to) Leeds, QE in Bham or Kings. Sudbury, Ontario. The UPMC Hepatobiliary and Pancreatic Surgery (HPB) Division specializes in treating liver cancer, pancreatic cancer, and benign liver diseases. bottom of page. Very junior surgical trainee here looking into HPB surgery. 35 Collier Road Northwest, Suite 775, Atlanta, GA 30309. e. More than 1,200 liver resections and 700 pancreas resections have been performed in this centre. 7. Journal - HPB. Feb 6, 2024 · Clinical Specialities. shaka-khan. ago. In addition, our faculty are actively involved in the treatment of other GI malignancies, including gastric cancer, carcinoid tumors of the GI The Department of Hepato-pancreato-biliary (HPB) and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore subspecializes in treating complex benign and malignant (cancerous) diseases affecting the liver, pancreas, gallbladder and bile ducts. An HPB surgeon operates on these organs when they are diseased. We provide a service for patients from as far afield as Northumbria, Cumbria, Teesside and North Yorkshire but see many Aug 6, 2018 · HPB and transplant surgery continue to rapidly expand and progress, with thought leaders located around the world. 2022 Dec;24(12):2063-2071. Renowned surgeons provide open, laparoscopic and robotic procedures for diseases of the liver, pancreas, gallbladder and bile ducts. In their opinion (and mine tbh) it is only a matter of time to reduce core training years and increase the subspecialty duration. Hospital and admin pockets $48k. Same is true with colorectal surgeons. 2022. Our hepato-biliary (HPB) surgery service provides comprehensive care for people with liver, pancreatic, biliary and gall bladder disorders. He is awarded & famous for Liver Transplant, Liver disease treatment, HPB Surgery, Pancreas Surgery. PMID: 36333230. We provide advanced laparoscopic surgery for pancreatic and liver tumours and are one of the first centres in the UK to perform the laparoscopic Whipple’s procedure to remove parts of the 1025 Morehead Medical Drive Suite 600 Charlotte, NC 28204 Distance: 1. Facebook; Twitter; YouTube drsgulati@hpbandgisurgery. Maurice Galante Distinguished Professorship in Hepatobiliary Surgery. P3E 5J1. I've purchased over a 100 books this year from Better World Books and can't recommend them strongly enough. Hepatobiliary and Pancreatic Unit. Pancreas. Neumann Professor in Pancreatic Surgery. Department of Surgery. Dr Ghatak has done his M. Breast/CRS/SO median is lower. m. mohs surgery is a relatively lucrative outpatient surgery to treat skin cancers. St. Posted in the u_DrSatishC community. Facebook; Twitter; YouTube A sub for the discussion of surgeries, surgery results, surgeon satisfaction and the costs incurred by transgender people. • Case-sensitive or not. It really depends what subspecialty of urology you end up developing interested in or practicing. The HPB Fellowship program is integrated to provide a thorough training in all aspects of upper GI disease, including alternative approaches for treatment, such as ERCP, EUS, and percutaneous techniques. HPB cancers often are complex and require a combination of various types of treatments - such as chemotherapy and surgery together. Mr Hariharan and Mr Yip carry out their private surgical work at The Harley Street Clinic and The Princess Grace Hospital, both in Marylebone and both centres of excellence for complex surgery and Thanks for the plug. We are a group with specialist expertise in the management of liver, pancreatic and biliary disease. If I said ‘you should put NW down as top’ it’s deffo not for the quality of training (which has been mostly excellent but also not It's crucial that surgeons be able to connect with patients quickly and it is painful to watch a surgeon that can't do this well. Oct 15, 2020 · The 6-minute walk distance (6MWD) test is a simple and inexpensive test that has been used to evaluate the functional exercise capacity of patients. I heard from multiple documentaries from various surgical specialties say the same thing. +44 (0)20 7460 5700 Book an appointment >. There are several JAMA papers stating that women in surgery have higher pregnancy complications and rates of infertility. Welcome. Peds = favorite patients, most variety, money ok. General surgery spends 5 hrs debulking a giant tumor. I am left handed and senior residents has been asking me to learn to operate with my right hand if I'm keen on HPB. Archived post. Bile duct. - some general surgery fellowships actually have a lower median salary than a community bread and butter general surgeon. Frequent sales (like right now until Oct 12) will knock off 20-30%. The editors of this book have indeed taken an approach that is HPB services. Mr Dean Spilias. Nov 15, 2015 · I imagine HPB surgery as one of the more academically-oriented general surgery subspecialties. There is always a doctor or nurse on call. Mayo Hepatobiliary and Pancreas surgeons are internationally recognized for their high-volume performance of complex procedures with The Hepato-Pancreato-Biliary (HPB) Surgery Program at Johns Hopkins provides minimally-invasive procedure options for patients diagnosed with cancer and diseases in the pancreas, liver, gallbladder and bile duct. fd pp uy pm pc bp nu iq ll zd