Liver diseases require precise, integrated management handled by experienced medical professionals and supported by advanced medical technology. Addressing this need, the Mandaya Royal Hospital Puri Liver Center is established as a comprehensive referral center for the treatment of various liver conditions, ranging from chronic liver disease to liver cancer.
Supported by a multidisciplinary team of liver specialists, international-standard medical facilities, and comprehensive services such as TACE, TARE Y-90, liver resection, and liver transplantation, the Mandaya Liver Center is committed to delivering safe, precise, and outcome-oriented care for patients.
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Liver Specialist Medical Team at Mandaya Royal Hospital Puri Liver Center
Below is the liver specialist medical team at the Mandaya Royal Hospital Puri Liver Center:
1. Prof. Dr. dr. Toar Jean Maurice Lalisang, Sp.B Subsp.BD (K)
Prof. Dr. dr. Toar Jean Maurice Lalisang, Sp.B Subsp.BD (K) is a highly experienced liver specialist in digestive surgery and liver transplantation. He completed all levels of his medical education—from General Practitioner, General Surgeon, Digestive Surgery Subspecialist, to Doctoral degree—at the University of Indonesia.
In addition to his clinical practice, Prof. Toar is an active member of the Indonesian Society of Digestive Surgeons (IKABDI). His expertise includes complex digestive surgical procedures, particularly liver cancer surgery and liver transplantation.
Recently, Prof. Toar successfully performed laparoscopic removal of hepatocellular carcinoma (HCC) located in segment 6. This minimally invasive approach offers significant benefits for patients, including shorter hospital stays, faster recovery, and smaller surgical scars.
Practice Schedule at Mandaya Royal Hospital Puri:
- Tuesday: 3:30 PM – 5:30 PM WIB
- Thursday: 3:30 PM – 5:30 PM WIB
- Saturday: 11:00 AM – 1:00 PM WIB
2. dr. Ocsyavina, Sp.B Subsp.BD (K)
dr. Ocsyavina, Sp.B Subsp.BD (K) is a digestive surgeon at Mandaya Royal Hospital Puri. She completed her general medical education at Padjadjaran University, Bandung, followed by General Surgery and Digestive Surgery subspecialty training at the University of Indonesia.
In her clinical practice, dr. Ocsyavina manages various digestive surgical procedures, including laparoscopic gallbladder surgery, hernia surgery, colorectal cancer surgery, and intestinal polyp removal.
Practice Schedule at Mandaya Royal Hospital Puri:
- Monday to Friday: 4:00 PM – 6:00 PM WIB
- Saturday: 10:00 AM – 12:00 PM WIB
3. dr. Hendra Koncoro, Sp.PD-KGEH
dr. Hendra Koncoro, Sp.PD-KGEH is an internal medicine specialist and consultant in gastroenterohepatology with extensive experience in managing liver and digestive tract diseases. Conditions treated include liver cancer, gallstones, fatty liver disease, liver nodules, liver cirrhosis, and bile duct cancer.
To continuously enhance his expertise, dr. Hendra actively participates in international trainings and congresses, including Live Demo Endoscopy at Cedars-Sinai Hospital, Los Angeles (2024), the World Congress of Gastroenterology in Dubai (2022), WCIM in Cape Town (2018), and the ACG Annual Meeting in Vancouver (2023).
Practice Schedule at Mandaya Royal Hospital Puri:
- Wednesday: 10:30 AM – 12:30 PM WIB
- Saturday: 10:30 AM – 12:30 PM WIB
4. dr. Hendra Nurjadin, Sp.PD-KGEH
dr. Hendra Nurjadin, Sp.PD-KGEH is a liver specialist who treats various gastrointestinal and liver disorders, including gastritis, peptic ulcers, acid reflux disease, as well as tumors and cancers of the digestive system.
He is also experienced in performing diagnostic and therapeutic procedures such as gastroscopy, colonoscopy, endoscopy, and intestinal polyp removal.
Practice Schedule at Mandaya Royal Hospital Puri:
- Tuesday: 3:00 PM – 5:00 PM WIB
- Thursday: 3:00 PM – 5:00 PM WIB
5. dr. Epistel Pangujian Simatupang, Sp.PD-KGEH
dr. Epistel Pangujian Simatupang, Sp.PD-KGEH is an internal medicine specialist and consultant in gastroenterohepatology with experience in treating various liver and digestive tract diseases. His expertise includes endoscopy, esophagoscopy, gastroscopy, colonoscopy, laparoscopic gallbladder surgery, and intestinal polyp removal.
Practice Schedule at Mandaya Royal Hospital Puri:
- Monday: 6:00 PM – 8:00 PM WIB
- Wednesday: 6:00 PM – 8:00 PM WIB
- Friday: 10:30 AM – 12:30 PM WIB
6. dr. Sugianto Santoso, Sp.Rad (K)RI
dr. Sugianto Santoso, Sp.Rad (K)RI is a radiology specialist with a subspecialty in interventional radiology and extensive experience in minimally invasive procedures guided by advanced imaging technology. He completed his general medical education at Maranatha Christian University, Bandung, and his radiology specialist training at the University of Indonesia.
As an interventional radiologist, dr. Sugianto treats complex medical conditions without open surgery, including liver cancer. His expertise includes Radiofrequency Ablation (RFA), Microwave Ablation (MWA), Transarterial Chemoembolization (TACE), cryoablation, Digital Subtraction Angiography (DSA), and brain aneurysm treatment using coiling techniques, flow diverters, and stent placement.
Supported by state-of-the-art medical technology, dr. Sugianto provides safer, more precise, and more effective liver cancer treatment options at Mandaya Royal Hospital Puri, including TARE Y-90 and other interventional therapies.
Practice Schedule at Mandaya Royal Hospital Puri:
- Tuesday: 4:00 PM – 8:00 PM WIB
- Thursday: 4:00 PM – 8:00 PM WIB
Facilities and Flagship Services at Mandaya Royal Hospital Puri Liver Center
Mandaya Royal Hospital Puri is supported not only by an experienced and highly skilled liver medical team but also by a wide range of advanced facilities and flagship services.
1. Transarterial Chemoembolization (TACE)
Transarterial Chemoembolization (TACE) is a minimally invasive procedure used to treat liver cancer, particularly hepatocellular carcinoma (HCC) that cannot be surgically removed. During this procedure, chemotherapy drugs are delivered directly into the blood vessels supplying the liver tumor. Blood flow to the tumor is then blocked (embolization), depriving cancer cells of oxygen and nutrients.
This targeted approach allows a high concentration of chemotherapy to act directly on the tumor while minimizing side effects on surrounding healthy tissue. TACE is commonly used as a primary treatment, palliative therapy, or as a bridging therapy prior to liver resection or transplantation, with the goal of controlling tumor growth and extending patient survival.
2. Transarterial Radioembolization (TARE) Y-90
TARE Y-90 is a modern liver cancer treatment that combines interventional radiology and internal radiation therapy. This procedure uses microscopic beads containing the radioactive substance Yttrium-90, which are delivered directly into the blood vessels supplying the liver tumor. Once lodged in the cancer tissue, the Y-90 particles release high-dose localized radiation to destroy cancer cells from within.
The key advantage of TARE Y-90 lies in its highly targeted radiation delivery, allowing healthy liver tissue to remain protected. This therapy is suitable for patients with primary liver cancer or liver metastases, especially when surgery is not an option. In addition to shrinking tumors, TARE Y-90 can also serve as a bridging therapy prior to liver resection or transplantation.
3. Liver Transplantation
Liver transplantation is an advanced medical procedure that involves replacing a damaged or non-functioning liver with a healthy donor liver. This procedure is indicated for patients with end-stage liver disease, such as severe cirrhosis, liver failure, or selected cases of liver cancer that meet transplantation criteria.
At the Mandaya Royal Hospital Puri Liver Center, liver transplantation is performed through an integrated, multidisciplinary approach involving digestive surgeons, hepatologists, interventional radiologists, and intensive care teams. With comprehensive preparation and evaluation, liver transplantation aims not only to prolong life expectancy but also to significantly improve long-term quality of life.
4. Liver Resection
Liver resection is a surgical procedure to remove a portion of the liver affected by disease, such as tumors or liver cancer, while preserving healthy liver function. This procedure is typically performed in patients with good liver function and localized tumors, allowing safe removal of diseased tissue.
With the support of modern surgical techniques, including minimally invasive laparoscopic methods, liver resection can now be performed with lower risks, minimal postoperative pain, and faster recovery times. Liver resection remains one of the main curative treatment options for early-stage liver cancer and is often combined with other therapies such as TACE or TARE for optimal outcomes.
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