Pancreatic & HPB Cancer treatment in Jaipur
Whipple procedure, distal pancreatectomy and liver resection for pancreatic, gallbladder, bile duct and liver tumours.
About pancreatic & hpb cancer
Cancers of the pancreas, gallbladder, bile ducts and liver are among the most challenging in oncology. Gallbladder cancer in particular is unusually common in North India, including Rajasthan, and is often found incidentally after gallstone surgery.
Surgery is the only curative option for most of these cancers, and outcomes depend on being treated at a high-volume centre. Dr. Ledwani performs the Whipple procedure (pancreaticoduodenectomy), distal pancreatectomy, radical cholecystectomy and liver resections with the multidisciplinary support of BMCHRC.
Symptoms to watch for
- Yellowing of the eyes and skin (jaundice) with dark urine and pale stools
- Pain in the upper abdomen radiating to the back
- Unexplained weight loss and loss of appetite
- New-onset diabetes in later life
- Itching, nausea and fatty, foul-smelling stools
Risk factors
- Smoking and heavy alcohol use
- Chronic pancreatitis and long-standing diabetes
- Gallstones (gallbladder cancer) and chronic hepatitis B or C (liver cancer)
- Obesity
- Family history and inherited syndromes
How it is diagnosed
- Contrast-enhanced CT scan (pancreatic protocol) or MRI with MRCP
- Tumour markers CA 19-9 and AFP
- Endoscopic ultrasound with biopsy where needed
- ERCP with stenting to relieve jaundice before surgery
- PET-CT and diagnostic laparoscopy in selected patients
Treatment options
- Whipple procedure
Removal of the head of the pancreas, duodenum, bile duct and gallbladder with careful reconstruction, for tumours of the pancreatic head and lower bile duct.
- Distal pancreatectomy
Removal of the body and tail of the pancreas, often with the spleen, performed laparoscopically for suitable tumours.
- Radical cholecystectomy
Removal of the gallbladder with a margin of liver and regional lymph nodes for gallbladder cancer.
- Liver resection
Removal of a segment or lobe of the liver for primary liver cancer or limited metastases.
- Chemotherapy and biliary drainage
Chemotherapy before or after surgery, and stenting to relieve jaundice and improve quality of life.
Why choose Dr. Ledwani for pancreatic & hpb cancer surgery
- 16+ years and 10,000+ cancer surgeries, with formal MCh training in surgical oncology
- Organ- and function-preserving techniques used wherever oncologically safe
- Laparoscopic and VATS approaches for faster recovery in suitable patients
- Multidisciplinary planning with medical and radiation oncology at BMCHRC, Jaipur
Frequently asked questions
Is the Whipple operation safe?
It is a major operation, but in experienced hands at a high-volume cancer centre it is performed safely with a hospital stay of about 10–14 days.
My gallbladder cancer was found after a laparoscopic cholecystectomy. What next?
Depending on the depth of the tumour, a completion radical cholecystectomy removing part of the liver and lymph nodes may be recommended. Early referral is important.
Can I live without a pancreas or part of my liver?
Yes. The remaining pancreas usually maintains digestion and sugar control, sometimes with enzyme supplements, and the liver regenerates after resection.
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