HPB surgery
Visitor Information
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Our hepato-biliary (HPB) surgery service provides comprehensive care for people with liver, pancreatic, biliary and gall bladder disorders.
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 pancreas, small intestine, bile duct and gallbladder.
According to the National Cancer Intelligence Network (NCIN), our cancer network has the highest three-year survival rate (1999 to date) in the UK. We are also a recognised centre of excellence for neuroendocrine tumours according to the European Neuroendocrine Tumour Society (ENETS).
Conditions and treatments
Our team offers specialist investigations and care for conditions such as primary liver cancer, benign liver tumours, primary biliary cancers (including gallbladder cancer), secondary liver tumours from another primary cancer, pancreatic cancer, pancreatic neuroendocrine tumours (NET), chronic and acute pancreatitis and other complex benign hepato-biliary and pancreatic conditions. We offer a range of specialist surgical and medical treatments for these conditions, including:
- Open and laparoscopic liver, pancreatic and biliary surgeries
- Percutaneous radio-frequency ablation (RFA) and microwave ablation of primary and secondary liver tumours
- Transarterial chemo-embolisation (TACE) for primary liver tumours and percutaneous bland embolisation for liver tumours
- Endoscopic radio-frequency ablation for biliary tumours (endobiliary and EUS RFA)
- Selective internal radiation therapy (SIRT) for primary or secondary liver tumours subject to individual patient funding
- Sorafenib for primary liver cancer – hepatocellular carcinoma (HCC) – subject to individual patient funding or by clinical trial specialist
Clinics
HPB surgery clinic at Hammersmith Hospital
Address
Main outpatients department
Ground floor
A block
Hammersmith Hospital
Du Cane Road
London W12 0HS
Contact information
Phone: 020 3313 1000
Hours
- HPB surgery clinic: Monday and Tuesday afternoons
- Specialist liver cancer clinic (HCC clinic): Wednesday afternoons
- Neuroendocrine clinic: Thursday mornings
Meet the team
Consultants
Professor Nagy Habib
Mr Madhava Pai
Mr Poyyamozhi Rajagopal
Mr Duncan Spalding
Mr Mikael Sodergren
Clinical nurse specialist
Lola Brown
Patient information
Before your appointment
If you’ve been referred via the two week wait pathway, you can expect to receive an an outpatient appointment within one to two days and your appointment will be within two weeks of referral.
Patients referred urgently should receive appointments within two to six weeks of referral. For non-urgent patients, there is a maximum wait of 12 weeks from the referral date for an appointment. If you require inpatient surgery, the date will be based on clinical need. We aim to give all patients a date for admission within 18 weeks of the referral date.
You are welcome to bring a relative, close friend or carer with you to your appointment. You are also welcome to ask for a chaperone and we will endeavour to provide one for you. Details of what you should bring to your appointment will be advised in the appointment letter. Generally, please prepare a list of all your medications, their doses, and any supplements you take. Bring detailed notes of your symptoms and try to recall when your symptoms began.
During your appointment
Please note that we are a teaching hospital, so medical students may be present for some appointments. If you do not wish to have them in the room please let the nurse or doctor know and the students will be asked to step outside.
During your appointment, we will discuss your symptoms and different treatment options. You will likely have some tests and investigations on the day of your appointment. The appointment length is specific to each patient and the condition being discussed. We aim to carry out any required diagnostic tests on the day, so you may be asked to spend up to four hours in the outpatients department for these tests. You will be advised about the outcome of your appointment before you leave hospital.
After your appointment
If a follow up appointment is required, this will be given to you by the reception desk before you leave hospital.
Patient information leaflets
Refer to this service
GP
Please use NHS e-Referrals to refer a patient to our HPB surgery service.
Two week wait cancer referrals — click here to learn more.
Secondary care
Secondary care referrers should contact our MDT coordinators directly by phoning 020 3313 4628 to refer patients. Alternatively, contact the Macmillan navigators and they will direct to specific pathways.
Where possible, tests and investigations should be carried out prior to referral and the results should be sent with referrals.
Your inpatient stay Your stay in hospital
You may need to stay at one of our hospitals to have a procedure or receive treatment, either overnight as an inpatient or during the day as a day patient. Ahead of your inpatient stay, you will usually need to attend a pre-operative assessment appointment.
Find out more about how you can reschedule or cancel your inpatient stay, pre-operative assessments, what to bring with you when you come to hospital and much more.