Hepatobiliary Surgery Program

Hepatobiliary Surgeons in New York City

The Hepatobiliary-Pancreatic Service was designated as a division of the Department of General Surgery at Mount Sinai St. Luke’s Roosevelt Hospital Center. Fadi F. Attiyeh was named Division Chief. This highly specialized service deals with all conditions that affect the liver, gallbladder, bile ducts, pancreas, and duodenum. The conditions include congenital abnormalities, inflammations, benign and malignant tumors, and traumatic injuries. Of all the diseases affecting these organs, cancer remains the most challenging to treat. The Division brings together specialists in Surgery, Internal Medicine, Gastroenterology, Medical and Radiation Oncology, Diagnostic and Interventional Radiology, and Nuclear Medicine to ensure that every patient receives the latest and most comprehensive care in a multidisciplinary way.

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Numerous advances, especially in the field of surgery, which is most often the treatment of choice for removing cancerous growths, have been made in the last two decades that drastically changed the outlook in a very positive way. Major liver resections for primary and metastatic tumors in the liver are now routinely performed with great successes and long term cures, often without the need for blood transfusions. Tumors that cannot be removed for various reasons can be destroyed with the use of ablative methods such as radiofrequency currents and alcohol injections into the tumor. Other effective modalities include chemotherapy with embolization, or through a hepatic artery pump.

Cancer of the pancreas continues to pose a major challenge in terms of resection and cure. The Whipple’s resection for cancer of the head of the pancreas is the mainstay of the surgical treatment. Many improvements in surgical technique, perioperative care, and a comprehensive support system have contributed to the success of this surgical procedure. The mortality rate for Whipple’s resection by Dr. Attiyeh at Mount Sinai St. Luke’s Roosevelt Hospital Center stands at 1.5%, which is lower than most published reports from major institutions in the US.

Bile duct injuries, especially those resulting from laparoscopic cholecystectomy, can be complex and very challenging. Dr. Attiyeh has repaired many bile duct injuries with complete success.

Below is a list of some of the hepatobiliary conditions and procedures that Dr. Attiyeh provides to his patients:

Biliary

Pancreas

Liver

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