Services - GI & HBP Surgical Oncology

1. HepatoBiliaryPancreatic malignancies
Liver, Bile ducts and Gallbladder: We do major liver resections, surgery for bile duct tumours including Hilar cholangiocarcinoma, and surgery for gallbladder cancer.

Pancreas and Duodenum: We regularly do Pancreaticoduodenectomy (Whipple’s operation) and Laparoscopic/open Pancreaticosplenectomy. We also do central pancreatic resection, and spleen preserving distal pancreatectomy.

We work closely with the Endocrinology Department for patients with functional endocrine tumours. Diagnostic and therapeutic support is ably provided by Medical Gastroenterology, Radiology and Interventional Radiology, with a focus on prevention and management of cholangitis, to enable improved surgical outcomes.

2. Upper GI malignancies
Esophagus and stomach: We do D2 Gastrectomy, Thoracoscopic Esophagectomy, Radical resection of GE Junction cancers.

Every patient is evaluated in conjunction with Medical Oncology and/or Radiation Oncology to determine if Neoadjuvant Chemotherapy or Neoadjuvant Radiotherapy is required.

3. Colorectal malignancies
Colon and rectum: We frequently do Laparoscopic/open radical colonic resection, Low anterior resection and Abdominoperineal resection. For tumours requiring pelvic exenteration, we work with the Department of Urology. Segmental sacral resection, when necessary for some patients with locally advanced rectal cancers, is done with the Neurosurgery Department.

4. Stoma care
For patients requiring ileostomy or colostomy, trained stoma therapists offer complete care and support.

5. Pain relief
We involve the Anaesthsiology Department and the Department of Pain and Palliative Medicine to minimise pain in the perioperative period and long term.

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