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Hepatobiliopancreatic surgery and transplants, General Hospital
At the Hepatobiliary and Pancreatic Surgery and Transplant Department, we dedicate ourselves to hepatic (liver), pancreatic and biliary surgery, as well as cancer surgery. This mainly involves surgery related to the surgical and onco-surgical treatment of tumours or liver metastases, liver and bowel transplants in children and adults, and intestinal transplants. Our Children’s Liver Transplant Programme is the only one of its kind in Catalonia, and one of just five in Spain. Our excellent results make us a national leader.
The Hepatobiliary and Pancreatic Surgery and Transplant Department is highly specialised, and is independent of the General Surgery Department, which is not very common in general surgery departments. We are organised into two sections: one section devoted mainly to liver surgery and liver and intestine transplants, and another aimed at pancreatic surgery and advanced laparoscopic surgery.
Vall d'Hebron was the first health centre in Spain to carry out a paediatric liver transplant in 1985. With more than 30 years of accumulated experience acquired since the first transplant was carried out, the hospital is home to an amazing group of professionals: anaesthetists, intensivists, radiologists, gastroenterologists, hepatologists and more, all trained to treat the most complex cases with very high survival rates. This survival rate is more than 90% at five and six years after the transplant. We are deeply proud that we have been able to achieve such figures.
To do so, and to offer the best service to our patients, we work closely with other hospital departments, mainly with Internal Medicine and Hepatology, Intensive Care, Oncology, Gastroenterology, Radiology and Pathological Anatomy.
In 10,000 square metres there are 19 operating theatres designed to carry out highly complex operations. Operational since late 2016, this project forms part of our strategy to progressively adapt our spaces.
For patients, this technology means less aggressive surgery can be conducted, facilitating postoperative care and shortening the length of time for which they are hospitalised.
The Surgical Block, opened in September 2016, represents a technological and quality breakthrough for both patients, focusing on reducing surgery and postoperative care times and for professionals, incorporating new surgical techniques and making their work more precise. In addition, the Surgical Block has a clear orientation towards sustainability and energy efficiency. The new facilities, the leading technology and the change of management through processes allow new surgical techniques to be carried out, improving patient security and the work of professionals.
Operating theatres incorporate neurosurgery navigation systems, 3D imaging systems, integrated ultrasound and the new Da Vinci Xi robot. With this incorporation, Vall d'Hebron University Hospital is the first in Spain to have two operating theatres equipped with Da Vinci® robotic technology for clinical use. In addition, it has two hybrid operating theatres. They incorporate X-ray surgical arches to be able to see surgery results directly, designed for vascular surgery and neurosurgery.
The design of operating rooms is optimised in space and time. Among other improvements, we can configure the operating room according to the type of surgery. In just a few seconds, it adjusts to the predetermined position. All the necessary devices and connection points hang from the ceiling through an electronic tower system, making the space more accessible and easier to prepare for the next operation. At the same time, it allows for a more sustainable energy management.
The General Hospital Surgical Block has a total of 700 professionals, with the aim of maintaining and improving the figure of almost 8,000 operations a year in this field alone.
To help achieve these goals, professionals have seen a series of improvements in work processes thanks to these new facilities and the incorporation of technology. For example, to facilitate the distribution of material, we use a 1,000 m2 robotic system which distributes all the material needed for each operation.
Aside from operating rooms, the Block includes two rooms for patient care before and after undergoing surgery. The Pre- and Post-Anaesthetic Recovery Unit (URPA) aims to optimise the use of the operating theatre, since previously patients would go to sleep and wake up in the operating room. In addition, anaesthesia and nursing staff work in the URPA, and the Unit is clearly orientated to better and safer patient care.
The new General Hospital Surgical Block, as well as its organisational management, has been developed with the participation of a multidisciplinary team made up of professionals from all fields. It is an example of participation and teamwork, in which voices have been collected to develop healthcare projects focused on innovation and the improvement of clinical management. This project required an investment of €21 million in construction and €16 million more in equipment.
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