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Department of
Surgery
     
Introduction Hepatobiliary
and Pancreatic
Surgery
Colorectal
Surgery
Breast Surgery,
Head and Neck
Surgery
Upper
Gastrointestinal
Surgery
Vascular
Surgery
(Cluster Based)
Urology
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Team
Blue Team - Hepatobiliary-Pancreatic Surgery
Blue Team

L to R: Dr. Jennifer Lee, Dr. Carman Chu, Dr. Daniel Chung, Dr. Oliver Chan, Dr. CN Tang(COS) and Dr. Eric Lai (Team Head)

Hepatobiliary-Pancreatic Surgery (HBP) Division at Pamela Youde Nethersole Eastern Hospital is one of the major tertiary referral centres for HBP diseases in Hong Kong SAR, China. Our scope of services includes general surgery and HBP surgery. Our surgeons provide comprehensive care for various benign and malignant diseases in liver, biliary and pancreas. We work intimately with other healthcare group - gastroenterologist, clinical oncologists, radiologists, pathologists, and others. We meet frequently to determine the most appropriate treatment for each patient.

Under the leadership and supervision of our Department Head Dr. Tang C.N. and our previous Department Head Mr. Michael Li, the division has established itself as one of the important centres for minimally invasive surgery, robotic surgery, 3-D technology application and clinical research in Asia. The division are very interested in and actively investigating the clinical applications of minimally invasive surgery (conventional laparoscopic approach, and robot-assisted laparoscopic approach) in HBP surgery. Regular international seminars and congresses were organized also. Our robotic surgery program was started in May 2009. Up till 2018, we have performed over 550 advanced HBP operations via robotic approach.

Our theater for robotic surgery

Our History & Development

Biliary surgery

Laparoscopic cholecystectomy was first introduced to our surgical unit in 1991. Our division started to explore the feasibility of laparoscopic cholecystectomy for acute cholecystitis in 1994. Currently, conventional 4-ports laparoscopic cholecystectomy, needlescopic cholecystectomy, and single port laparoscopic cholecystectomy are performed for appropriately selected patients with gallbladder pathologies.

Our first conventional laparoscopic bile duct exploration (LBDE) was performed in 1995. Since then, our division have made marked achievements in establishing the techniques and services of multi-modality management of primary and secondary biliary stones, including: pre-operative/intraoperative on-table/post-operative endoscopic retrograde cholangiopancreatography (ERCP), LBDE (transcystic duct approach or choledochotomy approach), and we have also adopted the techniques of laparoscopic biliary bypass (choledochoduodenostomy or choledochojejunostomy) for selected patients with recurrent primary biliary stones or advanced malignancies. In 2009, the division have successful performed our first robot-assisted LBDE for biliary stones in a patient with previous surgical history of partial gastrectomy and cholecystectomy. Currently, robot-assisted laparoscopic biliary surgery for biliary stones is one of our major services. Up till year 2018, over 100 robotic biliary operations were performed in our centre.


Liver surgery

Management of hepatic malignancy, particularly hepatocellular carcinoma (HCC) is an important focus of our cancer management services. Curative treatments in our centre including traditional open liver resection, minimally invasive approach of liver resection, radiofrequency ablation (RFA) or microwave ablation are provided for appropriately selected patients. For patients with unresectable hepatic malignant disease, other loco-regional therapies and systemic therapies are also available in our hospital.


Radiofrequency ablation (RFA)

We amongst the earliest groups of surgeons have developed the technique of conventional total laparoscopic liver resection and its hand-assisting modification, particularly for HCC, colorectal liver metastasis (CRLM) and also primary intrahepatic lithiasis. Our first conventional laparoscopic liver resection was performed for a patient with HCC in 1998. Our results showed that the short-term and long-term outcomes after laparoscopic liver resection for selected patients with hepatic malignancies and primary intrahepatic lithiasis were favorable. Recently, robotic minor and major hepatectomies were also developed in our centre. Our first robotic liver resection was successfully performed for a patient with colonic liver metastasis in 2009. Currently, robotic approach is also considered in various liver malignancies including HCC, liver metastasis, or even hilar cholangiocarcinoma. Up till year 2018, over 300 robotic liver resections were performed in our centre.


Robotic partial heptectomy


Robotic Whipple's operation

Pancreatic surgery

Traditionally, pancreatic surgery is considered as one of the most complex surgeries among the abdominal procedures. These advanced minimally invasive surgeries require surgeons to have highly experienced laparoscopic skills on tissue dissection, vascular structures handling and anastomotic technique. Our division has evaluated both the conventional laparoscopic and robot-assisted laparoscopic distal pancreatectomy and Whipple's procedure for various pancreatic pathologies. Currently, both open and robot-assisted laparoscopic approaches of pancreatectomies were offered to appropriately selected patients in our center. Our first hand-assisted laparoscopic Whipple procedure was successfully performed for a patient with carcinoma of ampulla in 2005. Our first robotic Whipple procedure was successfully performed for a patient with carcinoma of ampulla in 2009. Up till year 2018, the division has performed over 100 robotic pancreatectomies.

 
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Key Members

Dr Lai Eric C.H. MBChB(CUHK), MRCS(Edin), FCSHK, FHKAM(Surg), FRACS
Consultant

Dr. Lai is currently Consultant of the Department of Surgery, Pamela Youde Nethersole Eastern Hospital.


Dr. Chan Oliver C.Y. MBChB(CUHK), MRCS(Edin), FCSHK, FHKAM(Surg), FRCSEd(Gen)
Consultant

Dr. Chan is currently Consultant of the Department of Surgery, Pamela Youde Nethersole Eastern Hospital.

Dr. Chung Daniel T.M. MBChB(CUHK), MRCS(Edin), FCSHK, FHKAM(Surg), FRCSEd(Gen)
Associate Consultant

Dr. Chung is currently Associate Consultant of the Department of Surgery, Pamela Youde Nethersole Eastern Hospital.

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