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Pancreatic & Biliary Surgery


The USC Center for Pancreatic and Biliary Diseases was established in 1993 to provide specialized expertise in pancreatic cancer surgery (including the Whipple surgery), laparoscopic and robotic surgery for pancreatic, endocrine and bile duct disorders, treatment of pancreatitis and clinical protocols for pancreatic and bile duct cancer. We provide specialized expertise in the following areas

Whipple Operation
We offer specialized expertise in the Whipple operation for pancreatic and periampullary cancers. Over the past nine years we have had few complications and no deaths in more than 100 consecutive cases of the Whipple operations. Dilip Parekh M.D. has recently performed the first hand assisted laparoscopic Whipple operation at USC.

Laparoscopic Surgery
Laparoscopic surgery is performed through small incisions and allows rapid recovery, less pain and early return to work compared to open surgery. Laparoscopic operations are offered for pancreas and liver resection (removal), Whipple operation, pseudocyst drainage, gall bladder and bile duct surgery, removal of endocrine tumors.

Preservation of Pancreatic Tissue in Pancreatic and Biliary Surgery
Radical surgery is not indicated for many benign (non cancerous) and precancerous pancreatic and periampullary diseases. We offer specialized surgical procedures to preserve pancreatic tissue and the duodenum that often avoid the Whipple operation.

Specialized Services for Severe Pancreatitis
We are a referral center for critically ill patients with acute pancreatitis with complications such as pancreatic necrosis and pancreatic abscesses.We offer a specialized laparoscopic procedure for removal of the necrotic (dead) pancreatic tissue to promote early recovery.

Specialty Services for Chronic Pancreatitis
We offer specialized expertise to treat complications of chronic pancreatitis such as severe chronic pain, pseudocysts and diabetes. We offer a unique surgical operation, in which only the head of the pancreas is removed preserving the duodenum and the bile duct (thereby avoiding the Whipple operation). Laparoscopic procedures offered include peustow procedure(drainage of pancreatic duct) and drainage of pseudocyst.

Bloodless Surgery
The practice of bloodless surgery involves surgical care without transfusion of blood products. Blood surgical techniques are the standard practice of Center Surgeons for complex pancreatic and biliary operations.

Abdominal Endocrine Tumors
Specialized diagnostic techniques available to localize these small tumors include volume rendering CT scanning, portal venous sampling, octreotide scans and endoscopic ultrasonography. Specialized surgical expertise in laparoscopic surgical resection is offered where appropriate.

Specialized Interventional Gastrointestinal Expertise
Procedures offered include stenting and sphincterotomy of the pancreatic duct, motility studies of the sphincter of oddi, endoscopic pseudocyst drainage, endoscopic ultrasonography with biopsy and pain management.

Clinical Protocols for Advanced and Metastatic Cancers
Specialized chemotherapy protocols are offered through the Norris Cancer Center for advanced or surgical inoperable pancreatic cancer to shrink large tumors not amenable to surgery.

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For Liver, Pancreas and Bile Duct Surgery, please call (323) 442-7172. For Organ Transplant Information, please call (323) 442-5908

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USC Hepatobiliary, Pancreas and
Abdominal Organ Transplant

1450 San Pablo Street
Healthcare Consultation Center 4
Suite 6200
Los Angeles, CA 90089

For Liver, Pancreas & Bile Duct Surgery,
please call (323) 442-7172
Fax: (323) 442-7173

For Organ Transplant Information,
please call (323) 442-5908

Fax: (323) 442-5721

Click map to go to directions

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