Upper Gastrointestinal Surgery

Oesophagogastric

We provide a large range of Upper Gastrointestinal (oesophageal and gastric) and laparoscopic procedures, for both benign and malignant diseases. All areas of our surgical practice are expanding as we take on an increasingly more complex workload from the surrounding regions, and we also have an increasingly older population.

Annually, we perform over 70 to 80 oesophageal and gastric resections, and 600 cholecystectomies. We provide a full range of complex and laparoscopic surgical services for OG cancer as well as benign upper GI (OG) diseases. We are one of the biggest OG cancer units in UK for totally minimally invasive oesophagectomy (TMIO) and hybrid oesophagectomy. For patients with very early cancer or dysplasia of the oesophagus or stomach, we offer endoscopic mucosal resection (EMR), and/or radiofrequency ablation (RFA). The department was the sixth largest surgical contributor to the most recent national audit (NOGCA).

We have an extensive prospective database of oesophagogastric cancer patients together with prospective quality of life data. We also have the shortest length of stay (Median 7.5 days), and the lowest mortality nationally. We have an intercalated clinical pathway for oesophagectomy patients and are committed to an enhanced recovery pathway for all patients. We also offer a full range of laparoscopic OG surgery such as Nissen and partial fundoplications, Heller’s myotomy, giant para-oesophageal hiatal hernia repair, redo fundoplication and resections for GIST. The OG team also provide a consultant led emergency oesophageal rota for oesophageal perforations. The care of these patients are all consultant led.

Hepatobiliary

We have a significant workload for surgical biliary disease and perform approximately 600 cholecystectomies per year. Most recently we have developed intra-operative laparoscopic ultrasound to be used as an adjunct to cholangiograms. Our hepatobiliary MDT is linked to the regional service at Addenbrooke’s hospital for malignant and complex benign disease. We also regularly perform laparoscopic bile duct exploration and have access to advanced end-biliary techniques such as spyglass cholangioscopy ERCP.

Specialist registrar events

Here are some photos from our Upper GI regional teaching day held at BCRE on 17th May 2019.

Video

Massive Liver Trauma: A Stepwise approach

Trauma conference international, August 17th – 18th 2017, Fairmount, Royal York, Toronto, ON, CA

James Luketich Esophageal Anastomosis: How I Do It

Lectures from the 2013 meeting of the General Thoracic Surgical Club’s 26th annual meeting in Naples, FL.

Intraoperative Evaluation of the Common Bile Duct – Ultrasound tips, tricks, results

CBD Evaluation by Ultrasound – Technique and Results.

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