The Hepato-Pancreato-Biliary unit in Leicester comprises of 6 surgeons, 3 clinical nurse specialists and a research nurse. We cover a catchment area over 2 million including Leicestershire, Peterborough, Kettering and Northampton.
HPB Cancer Work
In 2013 over 1,500 suspected cases of cancers of the liver, gallbladder, pancreas, duodenum, spleen and adrenals were discussed at our MDT. We undertake 100 curative resections for liver malignancies and 50 pancreatic explorations annually. In addition, we offer a wide range of palliative treatments (including ablation, biliary stenting, TACE and chemotherapy) for HPB malignancies. We have made major changes in our processing of our 2WW referrals (including a new HPB-specific proforma) to improve the patient pathway and expedite access to treatment. Since these improvements, we have achieved a 90% compliance with 62 treatment targets and 100% 31 day targets. Our mortality figures over the last 2 years were <1% for both pancreatic and liver resections.
Benign Biliary Work
In addition, to our cancer services we provide the majority of the benign biliary work in Leicester including gallstone disease, acute pancreatitis, chronic pancreatitis and obstructive jaundice. The HPB unit undertook over 1,000 ERCPs in the last year and over 500 of the 600 cholecystectomies undertaken in Leicester.
“Hot” Gallbladder Service
The unit currently attempts to undertake cholecystectomies for patients admitted wit biliary colic or acute cholecystitis on their index admission. Suitable patients with uncomplicated gallstone disease are discharged with analgesia with definitive surgery scheduled the following week.
Teaching and Education
We are keen to improve our engagement with primary care in Leicestershire. We are happy to give talks on any aspect of our cancer or biliary work to both GPs and GP-trainees in Leicester. Advice is also avilalbe via our “choose and book” advice clinics or in the “staff section” of our new website.
Please email HPBLeicester@gmail.com for a password (all emails must be from a NHS account).
For further details on the Hepato-Pancreato-Biliary unit please visit the unit's website.