Hepatobiliary surgery addresses selected conditions involving the liver, bile ducts and related structures. Care begins with identifying the cause of symptoms and deciding whether surgery, an endoscopic procedure or another treatment is appropriate.
Conditions that may need assessment
- Selected liver masses, cysts and tumours
- Bile duct narrowing, obstruction or suspected tumours
- Complications of gallstone disease requiring specialist assessment
Symptoms to discuss with a doctor
- Yellowing of the eyes or skin (jaundice)
- Pain in the upper right abdomen, fever or chills
- Itching, dark urine or pale stools
Important: These symptoms can have many causes. Symptoms alone do not establish a diagnosis.
Diagnosis and investigations
Investigations are selected according to symptoms and examination findings. Not every patient needs every test.
- Liver-function blood tests and other targeted laboratory tests
- Abdominal ultrasound, CT scan or MRI/MRCP when indicated
- Further endoscopic or tissue-based testing only when clinically needed
Treatment options and surgical planning
Options may include monitoring, medication, endoscopic drainage or surgery depending on the underlying diagnosis. Complex cases can require joint planning with gastroenterology, radiology and oncology teams.
What to expect at your consultation
Bring relevant test results, imaging, prescriptions and a list of current medicines. The consultation typically includes reviewing symptoms, explaining possible diagnoses, discussing investigations and outlining management options. A surgical decision is individual and is not guaranteed by an appointment.
Frequently asked questions
Does jaundice always mean I need surgery?
No. Jaundice has several possible causes and requires investigation before deciding on treatment.
What is MRCP?
MRCP is an MRI technique that helps doctors examine the bile ducts and pancreatic duct without an operation.
When should I seek urgent medical help?
Fever with jaundice, severe abdominal pain or confusion needs urgent medical assessment.
Book a specialist consultation
If you have persistent symptoms or have been advised to seek surgical review, use the appointment page to request a consultation. Confirm the current chamber schedule before travelling.
Medical information notice: This page offers general education and does not replace examination, medical advice or emergency care.