What is Hepato-Pancreato-Biliary Surgery?
HPB (Hepato-Pancreatico-Biliary) surgery is a subspecialty of surgery specific to benign and malignant diseases of the liver, pancreas and biliary tree. HPB surgery can be complex and requires specialized training and/or experience. TriHealth has built its HPB Surgery Program with the goal of providing state-of-the-art, high quality care for our patients and their supporting families. We are committed to providing care in a multidisciplinary fashion. This means working together with our surgeons, nurse practitioners, specialists in gastroenterology (GI), interventional radiology (IR), medical oncology, radiation oncology, genetics, nutrition and more. As a patient in the HPB Surgery Program you have access to all of these services and specialists.
HPB Surgery Program Services
- Individualized care plans for each patient
- Utilization of evidence based clinical pathways for enhanced recovery
- Multidisciplinary care via:
- Multidisciplinary Clinics (MDC):
Occasionally, surgery is only one part of the treatment plan; particularly when surgery is for the treatment of cancer. Multidisciplinary clinics are designed for patients who may need additional non-surgical treatment before or after surgery. During these clinic appointments patients may see surgical and non-surgical specialists at the same time and place. This allows us to provide an integrated and comprehensive treatment plan.
- Tumor Board Conferences:
Surgical decision-making often requires input from other specialists. Tumor Board Conferences are a way for all specialists involved in a patients care to come together, review the patient’s case in detail, and develop a comprehensive treatment plan.
- Multidisciplinary Clinics (MDC):
- Genetic Councilors
- Research Trials
- Wellness Programs before and after surgery
- Survivorship treatment plans
HPB Surgical Procedures
Complex hepatic (liver), pancreatic, and biliary surgeries, including, but not limited to:
- Liver resection (major and minor)
- Liver tumor ablation
- Pancreas resection for benign and malignant disease (including Whipple procedure)
- Bile duct resection
- Bile duct repair
- Complex gallbladder resection
All of these surgical procedures (including major pancreatic surgeries and the Whipple procedure) can be performed in a minimally invasive fashion, when appropriate, through the use of robotic or laparoscopic surgical techniques.
The Most Advanced Options for Your Care
The HPB surgery program was designed to provide advanced surgical care to patients with malignant or benign diseases of the liver, pancreas and biliary system. TriHealth’s HPB program uses a multi-disciplinary approach to provide individualized, state-of-the-art treatment plans and high-quality care.
Led by TriHealth Surgical Institute’s Thomas Maynard, MD FACS, Erik Dunki-Jacobs, MD FACS, and David Lee, MD, the HPB surgical team specializes in performing complex HPB surgical procedures in a minimally invasive fashion. TriHealth is the only regional center to provide robotic HPB surgery and its surgeons are considered leaders in the field.
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Meet Our Team
TriHealth’s lead HPB surgeons have more than 45 combined years of experience with complex HPB surgery and tout a major complication rate that is among the lowest in the country.
In addition to the surgeons, the HPB care team includes residents, advanced nurse practitioners, nurses, pharmacists, medical assistants, dieticians and other healthcare professionals.
Thomas C. Maynard MD FACS has specialized in pancreatic and complex biliary surgery for more than 30 years. As part of the HPB Surgery Program, he excels in traditional open and minimally invasive surgery of the gallbladder, pancreas and upper and lower gastrointestinal tract. His results in pancreatic surgery place him in the top tier nationally. He was first in the region to offer minimally invasive pancreatic surgery and has received the da Vinci Distinguished Robotic Surgeon award from Intuitive in 2015. Dr. Maynard has consistently ranked as a “Top Doctor” in the area of pancreatic and general surgery as reported by Cincinnati Magazine.
Erik M. Dunki-Jacobs MD is a fellowship-trained surgical oncologist specializing in pancreas, liver surgery and upper gastrointestinal surgery. He is a leader in minimally invasive and robotic surgical techniques. He is consistently named in Cincinnati Magazine as one of the area’s “Top Docs.”
David Y. Lee MD is a fellowship-trained surgical oncologist with a research-rich background in treating a wide variety of cancers. He employs some of the most advanced technologies available, utilizing minimally invasive procedures. Dr. Lee has received awards for clinical and research excellence by the Society of Surgical Oncology and was recognized by the Harold McAlister charitable foundation during his training at the John Wayne Cancer Institute. He has researched and published on minimally invasive technique for liver surgery, and has also published on the impact of preoperative chemoradiation and age on pancreatic surgery. Dr. Lee is board-certified in Complex General Surgical Oncology and General Surgery.
Sara Patrie NP is a certified nurse practitioner specializing in management of HPB patients. Her role is to provide both inpatient and outpatient clinical support.
Maria Holmes LPN works with Dr. Dunki-Jacobs in the outpatient setting. She is responsible for the day-to-day management of his office and works closely with his patients and their families to assure their needs are met.
Eileen Schiano LPN has worked directly with Dr. Maynard as his medical assistant in the outpatient setting for more than 20 years. She is responsible for the day to day management of his office, scheduling surgery, and works intimately with the patients and their families before and after surgery.
Katie Witte LPN is a specialty care navigator, licensed practical nurse, who works in the multidisciplinary clinics linking HPB patients with other specialists who may be involved in their care.
Surgical Residents. TriHealth is proud to have a General Surgical Residency Program training the next generation of surgeons. Drs. Maynard, Dunki-Jacobs, and Lee serve as faculty for this program and are involved in resident education. A surgical resident likely will be involved in your postoperative care, under the direct supervision of Drs. Maynard and Dunki-Jacobs.