HPB refers to both benign and malignant conditions affecting the liver, pancreas, and biliary tract.
Cromwell Hospital specialises in comprehensive HPB surgery, led by expert HPB surgeons. We utilise the latest, evidence-based medical approaches and state-of-the-art technology to provide optimal outcomes for our patients.
Professor Adam Frampton
/ Consultant General and Hepato-Pancreatico-Biliary Surgeon
General surgery, General, Hepatobiliary, Upper GI surgery
Clinical interests: Removal of skin ‘lumps and bumps’ (e.g. lipoma, sebaceous cysts, skin tags, abscess drainage); Gallstone disease (Open/laparoscopic cholecystectomy (gallbladder removal) with on-table cholangiography, Open/laparoscopic common bile duct (CBD) exploration and clearance, Completion cholecystectomy (previously abandoned elsewhere), Repair of bile duct injuries/biliary reconstruction); Groin and abdominal wall hernia repair (e.g. inguinal, femoral, umbilical, incisional, recurrent); Management of acute and chronic pancreatitis (multidisciplinary and multimodal approach); Pancreatic pathology (benign/malignant) e.g. Pancreatic cancer, Pancreatic cystic lesions (Open/laparoscopic distal pancreatectomy and splenectomy, Pancreaticoduodenectomy (Whipple's procedure/PPPD), Total pancreatectomy and splenectomy, Central pancreatectomy); Biliary and liver pathology (benign/malignant) (e.g. gallbladder polyps, hepatocellular carcinoma, colorectal liver metastases, biliary-tract cancers (gallbladder, ampullary, cholangiocarcinoma), liver cysts, liver adenoma, focal nodular hyperplasia), Open/laparoscopic liver resection (hepatectomy); Splenectomy for haematological malignancies; Excisional biopsy, including groin and axillary lymph nodes; Diagnostic laparoscopy to investigate abdominal symptoms; Duodenal pathology (e.g. gastrointestinal stromal tumours (GIST), duodenal adenoma/cancer); Management of neuroendocrine tumors (NET) such as small bowel/carcinoid and pancreatic, as well as metastatic disease to the liver; Robotic surgery; Multimodal treatment to increase the resectability of patients with advanced pancreatic cancer and colorectal liver metastases; Assessment of acute abdominal problems and emergency surgery (e.g. laparoscopic appendicectomy for appendicitis, abscess drainage, treatment of bowel obstruction/bowel perforation); Surgical oncology
Languages spoken: English
Clinical interests: Varicose veins, thyroid, laparoscopy, pancreatic transplant, kidney transplant - vascular access
Languages spoken: Arabic/English/French/German/Hebrew/Italian/Japanese/Russian
Clinical interests: Upper GI and laparoscopy, pancreatic surgery
Languages spoken: English/French/Italian/Portuguese/Spanish
Clinical interests: Liver surgery, including living donor transplantation, and complex hepatobiliary surgery.
Languages spoken: Arabic/English/Italian
Clinical interests: Leading the minimum invasive liver and pancreatic surgery in the UK and internationally, and open surgery for advanced pancreatic and liver cancers, having performed the largest number of laparoscopic and Robotic pancreatic and liver operation in the UK, including the 1st Robotic Whipple’s operation in the UK and Malaysia, and 1st synchronous liver resection. Described a number of new techniques for pancreatic and liver operations such as non-touch technique for pancreatic cancer surgery (JAMA Surg 14), pancreatic anastomosis following resection -LVPJ (Arch Surg 11) and LPG (HBNS 16), and rapid induction of liver regeneration prior to major liver resection -RALPPS (Ann Surg 15; Cancers 19).
Languages spoken: Chinese/English
Clinical interests: Complex hepatobilary and pancreatic surgery for liver and pancreatic cancers.
Languages spoken: English/Tamil
Clinical interests: Renal and pancreatic transplantation, and vascular access for haemodialysis.
Languages spoken: English
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