About CLBS
Mission statement:
The Centre for Liver and Biliary Surgery is committed to providing all aspects of liver care starting from prevention, vaccination, and treatment of hepatitis B and C. It aims to provide advanced liver surgery such as complex resection and transplantation at low rates and with the best results. The Centre will work closely with Delhi Liver Foundation to educate people to drink safely, to prevent fatty liver and to eat healthy.
The Center for liver and Biliary surgery at Indraprastha Apollo Hospital Delhi under the guidance and leadership of Dr Subhash Gupta has acquired an outstanding reputation in the field of Liver Transplantation comprehensive management of complex conditions of Liver, Biliary tree and Pancreas. The center has a highly qualified team Surgeons that has performed more than 700 living donor as well as deceased donor Liver transplants. The results are comparable to those of the most acclaimed centers around the world.
Complex liver resections for advanced cancers of the liver, Gall bladder and bile ducts (cholangiocarcinomas) are performed regulary at CLBS with gratifying results. Surgical procedures are complemented by an advanced interventional radiology setup that deals with procedures such as chemoembolization, radiofrequency ablation and percutaneous alcohol injection into tumour tissue.
Pancreatic surgery is also carried out in great numbers and possibly we have one of the largest series of pancreaticoduodenectomy operation for cancers of the periampullary region. The unit has treated patients from all over India as well as patients from Middle East, Africa and South East Asia. Apart from malignancies this unit has considerable skills in dealing with surgical management of all aspects of pancreatitis. Its faculty consists of nationally and internationally known consultants.
This unit has a reputation for shunt surgery for patients who have bled from varices. In situations where the liver is not diseased, then shunt surgery is quite an appropriate form of treatment. Often because of blockage of hepatic veins mesocaval shunts can reverse the damage to liver.
This unit is a referral centre for patients who have been operated elsewhere and has developed a complication. One such common condition is intestinal fistula and these have been managed very successfully here. A paper from our unit was awarded the best paper in one of the recent Indian Society of Gastroenterology meetings. The unit has a very active Stoma Clinic, which deals with wound care in intestinal fistulae.
Colorectal cancer is another active area of our unit and there is a major emphasis on sphincter saving surgery either using staplers or by intersphincteric resection. Ulcerative colitis generally can be treated by medicine but surgery has a major role in certain situation. The entire diseased colon is removed and the end of small intestine folded on itself and joined to create a pouch, which is then joined to the anus so that the patient can pass stool normally.
The unit has skilled consultants who are backed by a huge team of experienced registrars, theatre personnel and equipment such as ultrasonic aspirator, argon beam coagulator and thromboelastograph which all helps in conducting major surgery.
The Unit of Surgical Gastroenterology and Liver transplantation has a proven track record of dealing with complex gastrointestinal cases and is at the forefront of clinical medicine and liver surgery in India.