Liver Surgery (Laparoscopic & Open)
Liver cancer (hepatocellular carcinoma) is best managed by surgery, if feasible. CT liver and MRI liver can often diagnose if the liver tumour is cancerous, or can be left alone. About 20-30% of liver tumours can be safely resected by laparoscopic means with present technology.
Colorectal liver metastasis is another common request for surgical resection. The decision for such surgery is almost always taken together with medical oncologist, colorectal surgeon and hepatobiliary surgeon for complete treatment planning.
Liver Tumour Ablation
Ablation can be performed using microwave or radiofrequency energy. Liver tumour ablation may be more suitable for higher risk patients, poorly located tumours, patients with poor liver function, patients with several liver tumours (not all of which can be surgically removed) and recurrent tumours or tumours not responding to chemotherapy.
Assessment for Pancreatic Cyst
Pancreatic cysts are often discovered incidentally on routine health screening. They are often a major cause of anxiety, as some may potentially be cancerous. Formal assessment of pancreatic cysts require accurate imaging and endoscopic ultrasound to predict cyst behavior. Surgery will be required for high-risk cysts.
Whipples Surgery & Distal Pancreatectomy
Pancreatic cancer is a dismal cancer, which will require major surgery if feasible. Whipples surgery is required for head of pancreas tumours, and distal pancreatectomy for body and tail of pancreas tumours. Dr Lee has a long track record (over 8 years) of safe pancreatic surgeries.
Pancreatic Drainage Procedures for Pancreatitis
Pancreatitis is often caused by gallstone disease and excessive alcohol consumption. Once the acute episode is resolved, gallstone surgery is advised to prevent a recurrent episode. Patients with chronic pancreatitis may require complex drainage and repair surgeries to alleviate their pain and symptoms
Surgery for Bile Duct Cancer (Cholangiocarcinoma)
Bile duct cancers are difficult tumours to treat, and often require multi-disciplinary input and proper treatment planning. One of the key steps is differentiating the different type of bile duct tumours – intrahepatic cholangiocarcinoma, hilar cholangiocarcinoma or distal cholangiocarcinoma. Targeted treatment planning will result in predictable and safer outcomes for patients. Very detailed discussions and assessments are required for these tumours.
Laparoscopic common Bile Duct Exploration
Bile duct stones are often removed by endoscopic means (ERCP removal). Laparoscopic common bile duct exploration is suitable for failed ERCP, or patients with large stones (> 1.5 cm size).
Hepaticojejunostomy for Bile Duct Strictures
Bile duct strictures are usually the result of previous gallstone disease, inflammation, or previous gallbladder surgery. Surgery for bile duct stricture is a complex one that requires detailed planning. The overall philosophy for such surgery is that a well-planned one will solve the patient’s problem of long-standing infection and pain.
This is a very common problem causing abdominal pain in patients. Some patients may have acute cholecystitis, and can present as an emergency admission. Laparoscopic surgery is often feasible, even for inflamed gallbladders, with advanced laparoscopic cameras. Dr Lee takes pride in his patients’ quick recovery and scar minimization.
Hernia Repair (Laparoscopic & Open)
Groin (inguinal) hernias are a common problem, especially amongst male patients. Smaller hernias can often be managed by a laparoscopic approach, with a quick return to work and minimal pain. Other hernias can occur at the umbilical area, or at previous surgical scar sites. Laparoscopic approach to such hernia is often feasible.
DIGESTIVE & LIVER SURGERY
Unit 03-37C (Annexe Block)
6A Napier Road, Singapore 258500
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Main: +65 64751488
Fax: +65 64751489
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Sat: 9am to 12pm
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