Cancer Care

Hepatobiliary Program: Liver, Pancreas and Biliary Tract Care

About the Hepatobiliary Program

The Hepatobiliary Program at Crozer-Chester Medical Center is comprised of a  multidisciplinary team of specialists who treat patients diagnosed with cancer of the liver, biliary ducts of the liver and the pancreas. We use the most advanced technologies and therapies, such as minimally invasive laparoscopic prcoedures and SIR-Sphere(s), to aggressively manage and treat primary biliary and hepatic tumors, as well as metastatic cancers. Our goal: to provide care that is comprehensive, minimally invasive and personal.

Comprehensive, Minimally Invasive & Personal Care

The Crozer Hepatobiliary team carefully evaluates each patient's clinical, radiologic, pathologic and molecular data and works with patients, families and their referring physicians to create an individualized, comprehensive plan of care that maximizes the quality of life.

Our team is committed to caring for each patient based on the extent of the disease, underlying cause and the level of residual liver and pancreatic function, concomitant diseases and therapies and the patient's unique history and preferences.

As early diagnosis become more common and increasingly important to improve outcomes using multimodality techniques, our physicians provide patients with therapies that are minimally invasive and far less toxic than the standard therapeutic options used in the past.

Contact Us

For expedited patient appointments, please call Joell Alter at 610-787-9609.

Diseases and Conditions Treated


  • Benign tumors (such as hemangioma, adenoma, focal nodular hyperplasi)
  • Cystic lesions, abscesses
  • Primary tumors (such as hepatocellular carcinoma, intrahepatic cholangiocarcinoma, fibrulamellar carcinoma)
  • Metastatic tumors of other origins

Bile Ducts:

  • Biliary cysts
  • Tumors and iatrogenic injuries


  • Pancreatic adenocarcinoma
  • Evaluation of cystic lesions
  • Chronic pancreatitis


  • Surgery
  • Chemotherapy
  • Pathology
  • Interventional Radiology
  • Diagnostic Imaging

Treatment Options

  • Open liver resection
  • Open pancreatic resection
  • Minimally invasive laparoscopic liver procedures (such as laparoscopic pancreatic procedures, liver wedge resection, liver lobectomy, liver cyst removal)
  • Radiofrequency ablation (percutaneous, open and laparoscopic)
  • Surgical repair of bile duct injuries
  • Full spectrum of interventional radiology procedures (liver biopsy, biliary drainage, portal vein embolization, arterial chemo embolization, TIPS).
  • Interventional endoscopic ultrasound for the diagnosis and staging of hepato-pancreatico-biliary tumors
  • Use of SIR-Sphere(s), an innovative treatment directed to liver tumors that uses radioactive embedded micro-particles injected directly into the tumor via its arterial supply
  • Therapeutic endoscopies (stent placement in the pancreatic and bile duct, endoscopic drainage of pseudo-cysts)

Meet the Team

Throughout the workup, treatment and follow-through, patients are supported by our multi-disciplinary team of specialized nurses, diagnostic imaging and surgical/procedural providers, researchers, educators and other care support specialists.


Cosme Manzarbeitia, M.D., FACS, Director of the Hepatobiliary Program

Sunny Fink, M.D.

Interventional Gastroenterology: 610-619-7476

Brian Copeland, M.D.

Michael Farber, M.D.

Hemchand Ramberan, M.D.

Interventional Radiology: 610-579-3516

Kurt Muettertties, M.D.

Lance Becker, M.D.

Chad Brecher, M.D.

About Hepatobiliary Cancer

Hepatobiliary cancer refers to cancer of the liver, the biliary ducts of the liver and cancer of the pancreas.

The liver, the largest organ in the body located in the upper right-hand portion of the abdominal cavity beneath the diaphragm, carries out many important functions, such as making bile, changing food into energy, and cleaning alcohol and poisons from the blood. The biliary ducts are tubes that carry bile from the liver to the gallbladder for storage and to the small intestine for use in digestion. The pancreas, an elongated, tapered organ located across the back of the abdomen behind the stomach, helps to regulate the amount of glucose in the blood and breaks down carbohydrates, proteins, fats and acids.

Liver cancer can be primary, meaning that it begins in the liver or secondary (metastatic), meaning that the cancer starts in another organ and then spreads to the liver. Most liver cancer is metastatic. Most biliary duct cancers develop in the part of the ducts that are outside the liver.  Pancreatic cancer is the fourth most common cause of cancer death in the U.S. Pancreatic cancer occurs when a cell in the pancreas is damaged and this malignant (cancerous) cell starts to grow out of control. 

Find additional information about cancer diagnosis, treatment, specific types of cancer and living with cancer.