Our practice provides care in the full range of upper gastrointestinal, hepatobilary and pancreatic surgery. In addition to this Dr Sandroussi undertakes surgery for weight loss, complex laparoscopy, hernias, adrenal surgery and gallbladders.
You can be assured – we have a commitment to surgical excellence
Surgery for cancer requires complete removal of all malignant tissue and local lymph nodes. Sometimes these procedures can be complex and involve resection of major abdominal blood vessels and multiple organs. It is important to remove all cancerous tissue. Cancer surgery does not occur in isolation, and all patients are managed as part of a multidisciplinary team which includes oncologists, nurses, dietiticians and physiotherapists.
Surgery on the pancreas is commonly performed for precancerous and cancerous conditions of the pancreas. Pancreatic adenocarcinoma is a difficult disease to treat, and a large number of patients are not suitable for surgery due to the extent of disease. Patients with more advanced disease may need chemotherapy and radiotherapy before any surgery, and the operations may involve resection of major blood vessels. Certain patients may be suitable for laparoscopic (keyhole) of robotic resection of their tumours.
Gallbladder surgery is very common. The vast majority of these procedures are laparoscopically (keyhole) in order to minimise trauma and improve the speed of recovery. Certain patients are suitable for a single incision procedure which can be performed as a Robotic procedure.
Oesophageal surgery is relatively uncommon, and major resections of the oesophagus are mostly undertaken for the treatment of oesophageal cancer. Most patients will need chemotherapy and radiotherapy prior to the surgery and more and more the surgery is being done using a minimally invasive approach either with laparoscopy, or robotic resection of the oesophagus. There are also many operations for benign disease is of the oesophagus, particularly for the treatment of large hiatus hernias, and reflux. Most patients having these types of operations will be suitable for laparoscopic or keyhole surgery.
Laparoscopic and Robotic Surgery
Liver surgery has become more common over the past two decades and we can now undertake most liver operations safely. They are generally performed for malignant conditions of the liver and bile ducts. It is also possible to remove tumours that have spread to the liver from other organs. Most liver resections are done via an incision in the abdomen but there are more and more patients who are suitable for laparoscopic (keyhole) or robotic procedure.
Most operations on the stomach are undertaken for cancer of the stomach. A much smaller number of gastric resections are undertaken for ulcer disease. These operations are relatively common, and in general are very safe. They can be either undertaken with an incision, or via a minimally invasive approach. The choice of operation depends on the position and type of the tumour and the patient's body habitus.
Surgery for weight loss is the only proven method for long term weight loss in certain patients. The commonest procedures for this are laparoscopic sleeve gastrectomy and laparoscopic gastric bypass. These can achieve excellent weight loss in the majority of patients who undergo the procedures. Complications of obesity are improved with surgery. Recently new endoscopic procedures (sleeve gastroplasty) have been developed to reduced the volume of stomach and help with weight loss.
Minimally invasive surgery involves performing operations through small incisions in the abdomen with a camera to allow visualisation of the structures. It reduces the pain from procedures and speeds up recovery. There are many major operations which can be done in this way and the use of the Robot has allowed us to increase the types of surgery that possible using minimally invasive techniques. Ask about whether laparoscopic (keyhole) or Robotic surgery is appropriate for your condition.
Endoscopy is used for the diagnosis and treatment of many conditions. These procedures are very commonly used for the diagnosis of gastric and intestinal conditions. It is also possible to undertake some therapeutic procedures endoscopically. Stents, extraction of bile duct stones and dilatation of strictures are common endoscopic procedures. All diagnostic and therapeutic endoscopy procedures and endoscopic retrograde cholangiopancreatography (ERCP) are available.