Thomas J. Hugh is a Hepato-Pancreato-Biliary Surgeon based in Sydney, NSW, Australia. He works with people who need help with problems that affect the liver, gallbladder, bile ducts and pancreas. This can include planned surgery, as well as more urgent care when things flare up.
In his day-to-day work, Thomas looks after adults and families dealing with gallbladder issues like gallstones and gallbladder disease. He also helps when bile ducts get blocked, such as with choledocholithiasis, and when inflammation causes pain like cholecystitis. At times, care can involve procedures to check and manage problems in the gut, along with endoscopy when it’s needed.
He also treats cancers affecting these organs, including liver cancer and bile duct cancer (cholangiocarcinoma). Pancreatic cancer is another key part of the work, including pancreatic ductal adenocarcinoma and other pancreatic tumours. For some people, surgery is the next step, which may involve larger operations like a pancreatoduodenectomy, or parts of the pancreas and nearby structures being removed.
For liver conditions, he may perform liver surgery such as hepatectomy. In some cases, imaging-guided treatments like liver embolization can be considered as part of the wider plan. For gallbladder cancers and other complex biliary conditions, the goal is usually to remove the problem safely and help people recover well after treatment.
Alongside this, Thomas also manages certain abdominal issues outside the liver and pancreas area. That can include hernias such as umbilical hernia, and procedures like splenectomy when needed. When people come in with severe pain or complications, he focuses on making the situation clearer, stabilising the problem and talking through realistic options.
Over time, he has built a steady approach to care that combines surgery with practical follow-up. His training supports work across both planned and emergency presentations, including hospital cases involving acute illness. This includes conditions such as acute pain, gastrointestinal fistula, and some severe respiratory infections that can happen alongside other health issues.