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Research & Educaiton
The Division of Hepatobiliary and Pancreatic Surgery and Division of Liver Transplantation are renowned internationally for their excellence in clinical service and research. The Divisions are dedicated to strive for the highest standard of clinical care for Hong Kong and the region. A comprehensive service, including surgery and endoscopy for various hepatobiliary and pancreatic diseases, is provided. Our strength in clinical research and our passion for pioneering new techniques, reducing morbidity and mortality, and applying the latest surgical technologies have put us in the forefront on the global map. We are proud of our accomplishments and the staff have been recognized with numerous awards for excellence in research, both within the University and beyond. Our mission remains the pursuit of excellence in clinical services, in our research endeavours and in educating the surgeons of the future. Through high-quality clinical and laboratory research, important achievements have been made in the following areas: Liver cancer; Biliary & pancreatic cancers; Acute cholecystitis, cholangitis and pancreatitis; Recurrent pyogenic cholangitis; Endoscopic and laparoscopic surgery; Liver transplantation.
The Division of Esophageal and Upper Gastrointestinal Surgery is dedicated to achieve the highest standard of clinical care to patients suffering from disorders of the esophagus, stomach, and small bowel. Specialist services include the assessment and treatment of patients with swallowing problems, esophageal motility diseases*, gastroesophageal reflux disease*, heartburn and regurgitation symptoms, benign and malignant tumors of the esophagus, stomach, duodenum and small bowel, ingested foreign bodies, gastrointestinal bleeding, peptic ulcer diseases and their complications, other emergencies such as esophageal perforation and caustic substance ingestion, and metabolic and bariatric surgery for morbid obesity*.
The Division of Colorectal Surgery is responsible for the management of patients with benign and malignant diseases of the colon, rectum, anus, small intestine and appendix. With the expertise in general surgery and advanced laparoscopic skills, the Division also takes care of patients with abdominal wall hernias, both on the elective and emergency settings.
Outpatient service: Every working day Saturday morning (3/F Surgical Specialist Clinic)
Clinical service: Laparoscopic Surgery; Anorectal Surgery; Hernia Surgery; Endoscopy and Stenting (Conventional Colonoscopy, Narrow Band Imaging Colonoscopy, Post-Endoscopic Mucosal Resection (EMR) of colonic polyp)
The Division of Vascular Surgery was founded in 1990 to provide a comprehensive service to patients with atherosclerotic occlusive disease. The division is the only independent full time vascular surgery specialty unit in Hong Kong, recognized by the Royal Australasian College of Surgeons in providing clinical service and higher training.
The clinical services comprise in-patient treatment for complex arterial and venous diseases, open and minimally invasive arterial and venous surgery on three whole day operating sessions a week. We perform in excess of 500 operations a year, of which more than 300 are major arterial reconstructive procedures, including repair of aortic aneurysms, peripheral arterial bypasses, and carotid surgery for stroke prevention. We also provide a specialty led 24 hour emergency service for acute limb ischemia, ruptured aneurysms, arterial trauma, and other urgent conditions*. We are also a dedicated center for venous diseases, with capabilities of subfascial endoscopic perforator surgery and radiofrequency ablation of varicose veins.
Outpatient service: Every working day and Saturday morning (3/F Women Centre)
4) Pancreatic endocrine disease
More than 800 new patients with various thyroid diseases are seen and 250-300 thyroid operations are performed each year. Uninodular and multinodular goitre are common problems prevailing in our population. Fine needle aspiration cytology is frequently performed under ultrasound guidance. Thyroidectomy is performed for thyroid malignancy in about 20 % of patients. Surgery for retrosternal goitre and thyroid re-operations account for 14 and 16% of patients undergoing thyroid surgery respectively. Surgical treatment for thyrotoxicosis will be performed in selected patients. Our incidence of permanent hypoparathyroidism and vocal cord palsy is 1.6% and 0.9% respectively.
The Division is composed of experts specialized in the fields of otorhinolaryngology, plastic and reconstructive surgery and general surgery. The theme of the Division is in the management of major head and neck cancer including resection and reconstruction. The specialists in the team work together and have over the years built up a reputation of a tertiary referral centre, not only for Hong Kong, but also for Asia and internationally. For patients with certain diseases, the Division attracts patients from all over the world.
The main clinical expertise includes:
1. Reconstruction with pedicled flaps or microvascular free flaps:
1) Pedicled flaps (Pectoralis Major flap, Deltopectoral flap, Lateral thoracic flap)
2) Microvascular free flaps (Jejunum, Posterior tibial, Radial forearm, Anterolateral thigh, Rectus abdominis, Latissimus dorsi, Fibular osteocutaneous)
2. Surgical treatment of recurrent nasopharyngeal carcinoma:
1) Neck disease
3) Nasopharyngectomy (Endoscopic approach, Robotic assisted approach, Maxillary swing approach)
3. Combined cranio-facial resection of skull base tumour
1) paranasal sinus malignancy
2) olfactory neuroblastoma
3) recurrent nasopharyngeal carcinoma
4. Special challenging head and neck diseases:
1) Carotid body tumour
2) Cranial nerve schwannoma
3) Recurrent tumour
5) Parapharyngeal space tumour
Vertigo and imbalance assessment centre equipped with sophisticated Electronystamography, postmography (Equitest) Cochlear implant programme
Allergy diagnostic assessment with skin prick test, serum specific lgE level, acoustic Rhinometry
We provides a comprehensive urology service to the public as well as being a tertiary referral centre on a territory-wide basis. Highlights on areas of special interest are given in the following sections.
1. GENERAL UROLOGY
1) Haematuria; 2)Benign prostatic hyperplasia; 3)Management of BPH represents the main bulk of workload of the Division and ongoing clinical trials are being conducted to further improve the service and treatment outcome.
2. STONE SURGERY
Patients with renal and ureteric stones can be treated with extracorporeal shock wave lithotripsy*.
Special interest is also given to the field of endourological treatment of urinary tract calculi. Excellent results had been reported by the Division in international literature on treatment of ureteric calculi with ureterorenoscopic laser lithotripsy. More than 60% of patients with ureteric calculi are treated by URSL in the University of Hong Kong as day patients with over 90% success rate.
3. RENAL TRANSPLANTATION / DIALYSIS SERVICE*
The first renal unit in Hong Kong was established in late 60s in the Department of Surgery and first renal transplant operation in Hong Kong was performed in our centre in 1970. Currently, the University of Hong Kong is a regional renal transplantation centre. The Division of Urology and the Nephrology Division of the Department of Medicine have been integrated to provide a combined renal transplantation (both cadaveric and living related programmes) and dialysis service.
4. UROLOGIC ONCOLOGY*
The Division of Urology provides comprehensive surgical management of all cancers of the urinary tract. In addition a biweekly uro-oncology conference is held with the Department of Radiotherapy and Oncology for joint patient care.
5. VOIDING DYSFUNCTION
Full video-assisted urodynamic study is available to all patients with suspected voiding dysfunction to facilitate diagnosis and management. A special voiding dysfunction clinic is held weekly for patient assessment and subsequent follow up at our Specialist Clinic.
6. MINIMAL INVASIVE AND ROBOTIC ASSISTED LAPAROSCOPIC UROLOGY
The Division of Urology is experienced in performing highly specialized Minimally Invasive urology procedures including Laparoscopic and Robotic Assisted laparoscopic urology operations.
Procedures including nephrectomy, partial nephrectomy, pyeloplasty, cystectomy, and radical prostatectomy etc, could be performed either by laparoscopic or robotic assisted laparoscopic approach.
This would enhance patient recovery and decrease post operative pain.
The Division is the oldest and most established Paediatric Surgical Centre in Hong Kong. Over the years, the Division has grown from strength to strength and is now well recognized as an international centre of high repute. In Hong Kong, paediatric surgery is officially recognised as a specialty by the Medical Council and Academy of Medicine. It is a broad specialty which is defined by age rather than by organ systems. Specialist paediatric surgery encompasses surgery of congenital anomalies of the newborn, surgery of major conditions in infants and children including neoplasms, hepatobiliary diseases, gastrointestinal conditions, thoracic anomalies, major trauma, paediatric urology, etc. General paediatric surgery encompasses common elective and emergency conditions of children.
The University of Hong Kong - Shenzhen Hospital is implementing the appointment system for the outpatient services. Please make an appointment in advance and bring the relevant medical records or inspection reports to see your doctor on time.
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