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Gastrointestinal, Hepato-biliary and Pancreatic Surgical Oncology

Clinical Expertise

For appointments and information, please call (212) 746-6006

Pancreas

Dr. Lieberman

Our surgeons utilize a wide variety of invasive and non invasive technologies to diagnose and treat pancreatic cysts, neoplasms, pre-malignant and malignant tumors. Sorting out gastrointestinal disorders that may require surgery has been advanced by the advent of endoscopic ultrasound (EUS) technology and fine-needle aspiration. EUS uses a special endoscope with an ultrasound transducer at the tip to give the gastroenterologists a magnified view of pancreatic lesions and the surrounding tissues. This helps in the diagnosis of these lesions and in the choice of the appropriate treatments.

Operative procedures for treatment of pancreatic neoplasms include the Whipple procedure or pancreaticoduodenectomy and distal pancreatectomy. The surgeon's experience is critical to good outcomes in patients undergoing pancreatic surgery. Our surgeons have extensive expertise in the Whipple procedure-complex surgery that involves removal of the head of the pancreas, the duodenum, a portion of the stomach, a portion of the common bile duct and the gallbladder in order to treat pancreatic cancer or premalignant lesions in the pancreas.

Our surgeons are among a select number of physicians nationwide to use laparoscopic pancreatectomy, which allows partial removal of the pancreas in order to excise a cancerous lesion.

Liver

In the area of liver tumors, collaborations between surgical oncologists and liver transplant specialists offer patients-including those with liver metastases and primary liver and bile duct cancers-streamlined treatment and curative options. A multidisciplinary team meets regularly to discuss patient cases and develops treatments not otherwise available at other medical centers, that may include surgery, medical management, and radiation therapy. Our surgeons have unparalleled experience with major liver resections, hepatobiliary surgery, complex biliary tract disease, radiofrequency ablation of liver tumors and hepatic chemotherapy pumps for treatment of liver cancers.

Along with traditional resection for liver tumors, our surgeons have developed an innovative program in minimally invasive liver resection and new protocols for neoadjuvant therapy of primary and secondary liver cancers.

For liver tumors that cannot be removed with surgery, our surgeons utilize tumor ablation techniques and work closely with radiation oncologists to use sophisticated treatment technology, including intraoperative brachytherapy in which temporary or permanent radioactive sources are implanted at the time of surgery. Patients with liver tumors that can no longer be managed with traditional medical and surgical treatments may be evaluated as possible candidates for liver transplantation.

Gastric

A comprehensive multidisciplinary program is offered for the treatment of patients with gastric cancer. All patient cases are reviewed by our multidisciplinary tumor board to generate an appropriate treatment plan. The process begins with an accurate staging of disease. The staging of gastric cancer incorporates state-of-the-art technology, including endoscopic ultrasound, high resolution CAT scans and PET scans. Patients with early stage gastric cancer are treated by our surgeons with gastric resections that include appropriate lymph node dissections. Patients with more advanced staged disease undergo preoperative chemotherapy followed by surgical resection of their gastric cancer. Some patients are candidates for laparoscopic resections. Laparoscopic gastric resections are performed on patients with gastrointestinal stromal tumors and gastric carcinoid tumors. The laparoscopic approach diminishes postoperative pain, reduces length of hospitalization and enhances quicker recovery. When the laparoscopic approach is used for resection of gastrointestinal stromal tumors (uncommon tumors of the GI tract) and for partial removal of the stomach, the hospital stay is dramatically shortened and complete recovery occurs much faster than after traditional open surgery.

Our surgeons have developed a protocol for carcinomatosis (cancer that has metastasized to a large region) that incorporates surgery to debulk as much of the tumor as possible, followed by continuous heated chemotherapy to treat any residual disease. This surgical approach can enhance the effectiveness of chemotherapy.

Contact

Surgical Oncology
Directions
(212) 746-6006
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        Phone: (212) 746-6006
        Fax: (212) 746-8753
        Address: 525 E. 68th Street
        Starr 8
        New York, NY 10065
        Clinical Expertise