Gastrointestinal surgery encompasses a wide clinical range - from laparoscopic cholecystectomy and hernia repair at one end, to Whipple's pancr...
Gastrointestinal surgery encompasses a wide clinical range - from laparoscopic cholecystectomy and hernia repair at one end, to Whipple's pancreaticoduodenectomy and hepatectomy for malignancy at the other. At the complex end of that spectrum, outcomes are substantially determined by surgical volume and subspecialty training. A liver transplant, a major hepatobiliary resection, or a multi-visceral resection for advanced GI malignancy requires a surgeon who has been specifically trained for these procedures at a high-volume centre - not one who performs them occasionally alongside a general surgical practice.
Medanta Indore's GI Surgery department brings that level of subspecialty training to central India. The team includes a surgeon with a dedicated fellowship in hepatopancreaticobiliary surgery and liver transplantation from one of Delhi's specialist HPB centres, a surgical gastroenterologist with a super-speciality DNB equivalent to an MCh in the field, and a visiting consultant with fellowship qualifications in minimally invasive and laparoscopic surgery. The combined surgical scope covers the full spectrum of GI, hepatobiliary, pancreatic, colorectal, and bariatric surgery - including adult and paediatric liver transplantation.
For patients in Madhya Pradesh and the central India region requiring complex abdominal surgery, access to HPB and transplant surgical expertise within Indore represents a meaningful departure from what has historically been available locally.
Hepatopancreaticobiliary Surgery and Liver Transplantation
Complex hepatopancreaticobiliary surgery - major hepatic resections, bile duct reconstructions, Whipple's pancreaticoduodenectomy for periampullary and pancreatic head cancers, distal pancreatectomy, and complex biliary procedures - requires a surgeon trained at a high-volume HPB centre. Dr. Nishant Shiv completed a dedicated Fellowship in HPB Surgery and Liver Transplantation at the Centre for Biliary and Liver Sciences, New Delhi a specialist institution with focused training in this surgical domain. His practice encompasses complex liver surgery including hepatic resections for primary and metastatic liver malignancy, adult and paediatric liver transplantation, and laparoscopic and robotic donor hepatectomy - the minimally invasive surgical removal of a liver lobe or segment from a living donor, a technically demanding procedure that has significant implications for donor safety and recovery.
GI Oncosurgery, Colorectal, and Upper GI Surgery
Dr. Vivek Sharma holds a super-speciality DNB in Surgical Gastroenterology, a qualification equivalent to the MCh degree and representing the highest postgraduate standard in the field. His surgical scope covers GI oncosurgery - surgical management of cancers of the oesophagus, stomach, liver, pancreas, and colon; upper GI surgery including oesophageal and gastric procedures; colorectal surgery encompassing colon and rectal resections for both malignant and benign conditions; laparoscopic and video-assisted thoracoscopic surgery; and liver surgery. He also performs bariatric surgery like sleeve gastrectomy and gastric bypass and complex hernia repair including incisional and recurrent hernias requiring mesh reconstruction.
Minimally Invasive Surgery, Bariatric, and General Surgery
Dr. Vijay Kumar Soni, Visiting Consultant, holds an MS in General Surgery alongside an FEHS (Fellowship in Endoscopic Hernia Surgery) and an FIAGES (Fellowship of the Indian Association of Gastrointestinal Endo Surgeons). His practice covers laparoscopic GI surgery, bariatric procedures, breast surgery and thoracic surgery.
Dr. Nishant Shiv, Consultant, completed both his MBBS and MS in General Surgery at NSCB Medical College, Jabalpur - a government medical college with significant surgical caseload - before undertaking a subspecialty Fellowship in HPB Surgery and Liver Transplantation at the Centre for Biliary and Liver Sciences, New Delhi. That fellowship represents a structured, dedicated training programme in a specialty where the volume and complexity of cases at the training centre directly shapes the calibre of the surgeon produced. His specific expertise in laparoscopic and robotic donor hepatectomy reflects a technically advanced subset of liver transplant surgery that demands both robotic surgical training and a thorough understanding of donor safety considerations.
Dr. Vivek Sharma, Consultant, holds a super-speciality DNB in Surgical Gastroenterology alongside an MS in Surgery and MBBS. The super-speciality DNB in Surgical Gastroenterology is the National Board of Examinations' highest postgraduate surgical qualification in this field - structured equivalently to the MCh degree - and reflects a training pathway that encompasses the full scope of GI oncosurgery, hepatobiliary, pancreatic, colorectal, and upper GI surgical practice in a high-volume environment.
Dr. Vijay Kumar Soni, Visiting Consultant, brings additional surgical capacity in laparoscopic GI, bariatric, breast and thoracic surgery. His FEHS and FIAGES fellowship qualifications reflect formal training in minimally invasive and endoscopic surgical techniques.
What is a Whipple's procedure & when is it indicated?
The Whipple's procedure or pancreaticoduodenectomy is a major abdominal surgery that removes the head of the pancreas, the duodenum, the gallbladder, part of the common bile duct and sometimes a portion of the stomach, followed by reconstruction to restore digestive continuity. It is the standard surgical treatment for cancers of the pancreatic head, periampullary region, and distal bile duct that are resectable at the time of diagnosis. It is among the most technically demanding operations in GI surgery, and outcomes are substantially better at centres where it is performed in meaningful volume. Patients who have been told that a Whipple's procedure may be required may seek a surgical consultation with Dr. Vivek Sharma at Medanta Indore.
What is robotic donor hepatectomy and how does it differ from open donor surgery?
In living donor liver transplantation, the donor undergoes hepatectomy (removal of a lobe or segment of the liver) and the liver tissue is then transplanted into the recipient. Conventionally this is performed through an open incision. Robotic donor hepatectomy performs the same operation through small keyhole incisions using robotic instrumentation, offering the donor a smaller scar, reduced post-operative pain, and faster recovery - significant advantages given that the donor is a healthy individual undergoing major surgery solely to benefit another person. It requires a surgeon specifically trained in both robotic surgery and hepatic anatomy, as the complexity of the dissection and the vascular control required are considerable. Dr. Shiv's fellowship training in HPB surgery and liver transplantation encompasses robotic donor hepatectomy as a specific technique.