Mr Lalin Navaratne Consultant general surgeon

Background

Mr Lalin Navaratne is a consultant general, upper GI and trauma surgeon currently serving in both military and NHS settings. His NHS practice is based at Imperial College Healthcare NHS Trust. He is a member of the regular British Armed Forces (Defence Medical Services) holding the rank of Lieutenant Colonel.

Mr Navaratne graduated 1st in his class (with distinction) from University College London (UCL) Medical School. Whilst at medical school he undertook an intercalated Bachelor of Science (BSc) degree in Anatomy, once again graduating top of his class, receiving a First Class honours degree and named on the Dean’s list. Mr Navaratne completed his postgraduate surgical training in London at various prestigious surgical units including Royal London Hospital (Barts Health NHS Trust), Royal Marsden Hospital and St Mary’s Hospital (Imperial College Healthcare NHS Trust). Mr Navaratne completed a Major Trauma fellowship at the Level 1 Major Trauma Centre at St Mary’s Hospital. He subsequently undertook travelling fellowships to Kingston, Jamaica for the management of complex abdominal injuries with a focus on gunshot trauma and the David Dunn Fellowship to Hospital San Carlos in Madrid for Upper GI Surgery. Mr Navaratne is a Fellow of the Royal College of Surgeons.

Mr Navaratne is an expert in the laparoscopic management of gallstones and its associated complications such as gallstone related pain (biliary colic), gallbladder infection/inflammation (acute cholecystitis), gallstones that have escaped into the common bile duct (common bile duct stones / choledocholithiasis), obstructive jaundice and gallstone pancreatitis. Mr Navaratne performs elective and emergency cholecystectomy (key-hole surgery for gallbladder removal) with or without intra-operative cholangiogram (to ensure the bile duct is clear of stones) and laparoscopic common bile duct exploration (key-hole surgery to remove stones from the bile duct). Mr Navaratne also has a special interest in the management of gastro-oesophageal reflux disease (GORD) and minimally invasive abdominal wall hernia repair (including inguinal, femoral, umbilical, paraumbilical, epigastric, incisional and ventral wall hernias). His expertise spans complex general surgery, upper gastrointestinal procedures, and trauma surgery, underscored by his extensive military and civilian medical experience.

Mr Navaratne has published over 50 peer review papers in high impact medical journals. He has written several book chapters and is the author of the only textbook dedicated to Laparoscopic Common Bile Duct Exploration (LCBDE). He has presented his work at numerous international meetings and has received several awards/prizes for his research including the David Dunn Medal from the Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI).

Expertise

Gallstone disease, acute cholecystitis, common bile duct (CBD) stones, pancreatitis, gastro-esophageal reflux disease (GORD), abdominal wall (ventral) hernias, groin (inguinal and femoral) hernias, appendicitis, lipomas, sebaceous cyst

Research & publications

Lopez-Lopez V, Navaratne L, Ferreras D, Gil PJ, Bansal VK, Mattila A, Parra-Membrives P, Marco TG, Ruiz-Manzanera JJ, Nassar AHM, Sánchez-Bueno F, Robles-Campos R, Martinez-Isla A. Laparoscopic bile duct exploration during pregnancy: a multi-center case series and literature review. Langenbecks Arch Surg. 2023 Jan 20;408(1):45. doi: 10.1007/s00423-023-02793-9.

Navaratne L, Al-Musawi J, Vutipongsatorn K, Isla AM. Leveraging access to technology and enhanced surgical technique (LATEST) in laparoscopic bile duct exploration (LBDE). Surg Endosc. 2023 Mar;37(3):2367-2378. doi: 10.1007/s00464-022-09667-z.

Navaratne L, Al-Musawi J, Isla AM. Comment on "Conventional Surgical Management of Bile Duct Stones: A Service Model and Outcomes of 1318 Laparoscopic Explorations". Ann Surg. 2021 Dec 1;274(6):e901-e902. doi: 10.1097/SLA.0000000000004951.

Brewer JO, Navaratne L, Marchington SW, Martínez Cecilia D, Quiñones Sampedro J, Muñoz Bellvis L, Isla AM. Porcine Aorto-Renal Artery (PARA) model for laparoscopic transcystic common bile duct exploration: the evolution of a training model to meet new clinical needs. Langenbecks Arch Surg. 2021 Jun;406(4):1149-1154. doi: 10.1007/s00423-020-02045-0.

Navaratne L, Martínez Cecilia D, Martínez Isla A. The ABCdE score for PREdicting Lithotripsy Assistance during transcystic Bile duct Exploration by Laparoendoscopy (PRE-LABEL). Surg Endosc. 2021 Nov;35(11):5971-5979. doi: 10.1007/s00464-020-08082-6.

Navaratne L, Martinez Isla A. Transductal versus transcystic laparoscopic common bile duct exploration: an institutional review of over four hundred cases. Surg Endosc. 2021 Jan;35(1):437-448. doi: 10.1007/s00464-020-07522-7.

Senra F, Navaratne L, Acosta A, Martínez-Isla A. Laparoscopic management of type II Mirizzi syndrome. Surg Endosc. 2020 May;34(5):2303-2312. doi: 10.1007/s00464-019-07316-6.

Senra Lorenzana F, Navaratne L, Martínez Isla A. Choledochal varices: An uncommon cholangioscopic finding. Cir Esp (Engl Ed). 2020 Jun-Jul;98(6):361. English, Spanish. doi: 10.1016/j.ciresp.2019.12.010.

Martínez-Cecilia D, Navaratne L, Martínez Isla A. Biliary Surgery 2.0. Cir Esp (Engl Ed). 2020 Dec;98(10):571-573. English, Spanish. doi: 10.1016/j.ciresp.2019.12.003.

Jones T, Al Musawi J, Navaratne L, Martinez-Isla A. Holmium laser lithotripsy improves the rate of successful transcystic laparoscopic common bile duct exploration. Langenbecks Arch Surg. 2019 Dec;404(8):985-992. doi: 10.1007/s00423-019-01845-3.

Navaratne L, Martinez-Isla A. 10 years of laparoscopic common bile duct exploration: A single tertiary institution experience. Am J Surg. 2020 Apr;219(4):642-644. doi: 10.1016/j.amjsurg.2019.04.009.

Martínez Isla A, Navaratne L, Quiñones Sampedro J, Martínez-Cecilia D. Efficacy of fibrin-collagen sealant for reducing the incidence of biliary fistulae after laparoscopic exploration of the bile duct. Cir Esp (Engl Ed). 2019 Feb;97(2):119-120. English, Spanish. doi: 10.1016/j.ciresp.2018.10.007.

Navaratne L, Al-Musawi J, Mérida AA, Vilaça J, Isla AM. Trans-infundibular choledochoscopy: a method for accessing the common bile duct in complex cases. Langenbecks Arch Surg. 2018 Sep;403(6):777-783. doi: 10.1007/s00423-018-1698-6.

Al-Musawi J, Navaratne L, Martinez-Isla A. Laparoscopic common bile duct exploration versus endoscopic retrograde cholangiopancreatography for choledocholithiasis found at time of laparoscopic cholecystectomy. Am J Surg. 2019 Jan;217(1):188-189. doi: 10.1016/j.amjsurg.2018.02.007.

Navaratne L, Baltar J, Bustamante M, Martinez-Isla A. Treatment of Common Bile Duct Stones in Gastric Bypass Patients with Laparoscopic Transgastric Endoscopic Retrograde Cholangiopancreatography. Obes Surg. 2017 Oct;27(10):2675-2676. doi: 10.1007/s11695-017-2816-1.

Navaratne L, Ashrafian H, Martínez-Isla A. Quantifying tension in tension-free hiatal hernia repair: a new intra-operative technique. Surg Endosc. 2019 Sep;33(9):3040-3049. doi: 10.1007/s00464-019-06843-6.

Private practice

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