Hepatobiliary, Pancreatic and Hernia Surgery Department

Phone: 020-89169085 Address: Building 3, 17th Floor Department Introduction The department comprises subspecialties including hepatobiliary, pancreatic and splenic surgery, and vascular and hernia surgery. The department’s medical and nursing team has developed into a professionally and technically strong core team with a well-balanced staffing structure and excellent overall competence. It currently has 16 physicians, including 1 chief physician, 4 deputy chief physicians, 9 attending physicians, and 2 resident physicians (including 1 postdoctoral fellow, 2 physicians with doctoral degrees, and 9 with master’s degrees). There are 20 nurses, including 2 deputy chief nurses. The medical and nursing team upholds the spirit of the four qualities: innovation in technology, dedication in diagnosis and treatment, patience in nursing, and compassion in humanistic care. The department follows the five principles of being minimally invasive, digital, specialized, precise, and painless as its treatment philosophy; that is, it is guided by digital three-dimensional visualization, led by minimally invasive treatment, and aims to build a technologically advanced, comprehensive minimally invasive surgical service in China, applying the concept of minimal invasiveness across all professional fields. Adhering to the specialized and precise diagnosis-and-treatment approach of dedicated personnel, dedicated specialty, and dedicated disease, the department implements the principles of enhanced recovery treatment to fulfill patients’ wishes for pain-free hospitalization and rapid recovery. Team with Advanced Technologies Excellent Nursing Team of the Hepatobiliary, Pancreatic and Hernia Surgery Service Department Honors More than RMB 1 million in funding for provincial-, municipal-, and district-level research projects over the past three years More than 30 papers published in domestic and international core journals over the past three years More than 10 SCI papers Six national patents obtained Key Clinical Specialty of Guangdong Province Named an advanced department by the hospital for three consecutive years Hospital-level Youth Civilization Unit Gao Peng was named a Yangcheng Good Doctor in the fourth edition Zeng Xiancheng received the title of Outstanding Young Medical Talent of Guangdong Province Yang Qiaolan received the title of Outstanding Young Medical Talent of Guangdong Province Department Highlights A hepatobiliary, pancreatic and hernia surgeon performing a meticulous operation 1. Diagnosis and Treatment of Abdominal Diseases Using Digital Three-Dimensional Visualization Technology Digital three-dimensional visualization technology has been a research hotspot in China and abroad in recent years. The department currently has advanced domestic and international three-dimensional visualization software systems, including the Qingdao Hisense Computer-Assisted Surgery System, the Hangzhou Yinku Three-Dimensional Visualization Reconstruction System, and the Beijing Hybrid Virtual Reality Technology System. Through three-dimensional reconstruction and simulated surgery, the patient’s diseased area can be reconstructed in three dimensions, the lesion can be located precisely, and its positional relationship with surrounding tissues and blood vessels can be clearly identified. A simulated operation can also be rehearsed on a computer to develop the optimal surgical plan, much like conducting a preliminary dress rehearsal of the patient’s operation. This enables the surgical team to be fully prepared and to navigate in real time during clinical surgery, allowing precise removal of the lesion and achieving precision diagnosis and treatment. This greatly improves the patient’s surgical success rate and reduces postoperative complications. Application of 3D Visualization Technology in Abdominal Diseases 2. Treatment of Intrahepatic and Extrahepatic Bile Duct Stones Using Percutaneous Transhepatic Puncture and Rigid Choledochoscopy Traditionally, intrahepatic and extrahepatic bile duct stones have mostly been treated through an abdominal incision of more than 10 cm, together with an incision of the common bile duct or partial hepatectomy. This causes excessive trauma, numerous complications, and slow recovery, with a postoperative recovery period of 1–2 weeks. Under B-mode ultrasound guidance, our department performs percutaneous transhepatic puncture of the bile ducts and uses a rigid choledochoscope together with U100 laser lithotripsy to remove the biliary stones completely, avoiding the pain associated with open surgery and liver resection. Compared with traditional surgery, this technique offers the advantages of being more minimally invasive, having higher stone-removal efficiency, a lower residual-stone rate, and faster recovery, with discharge 2–3 days after surgery. 3. Enhanced Recovery After Surgery Technology Promotes Rapid Patient Recovery Enhanced Recovery After Surgery (ERAS) is a new concept and practice in the field of surgery. It advocates the use of comprehensive perioperative preparation, fluid management, optimized anesthesia, and other measures during the perioperative period to reduce surgical stress, decrease postoperative inflammatory responses and complications, shorten hospital stays, and significantly accelerate postoperative recovery. Our department has fully implemented ERAS since 2016, accelerating patients’ recovery, greatly reducing their perioperative suffering, substantially lowering hospitalization costs, and improving the inpatient experience. 4. Multidisciplinary Team Diagnosis and Treatment Model (MDT) Overcomes Difficult and Critical Cases Patients with difficult and critical conditions are often the cases that departments are least willing to encounter. Through a multidisciplinary team diagnosis and treatment model, our department brings together experts from anesthesiology, the ICU, radiology, oncology, interventional medicine, ultrasonography, cardiology, respiratory medicine, gastroenterology, pathology, and other departments to organize multidisciplinary case discussions and determine the optimal diagnosis and treatment plan for each patient. This greatly improves the level of diagnosis and treatment for difficult and critically ill patients and reduces diagnostic and treatment risks. 5. Establishment and Management of a Pain-Free Ward Pain is one of the main reasons patients are afraid of hospitalization and surgery. In the past, people believed that enduring pain during hospitalization and after surgery was only to be expected. Modern medicine, however, tells us that freedom from pain is a basic right enjoyed by every patient. The American Pain Society lists pain as the fifth vital sign after body temperature, pulse, respiration, and blood pressure. Since 2016, the department has actively developed and managed a pain-free ward, dedicated to eliminating pain in hospitalized patients. By establishing a comprehensive pain-assessment system and using strategies such as scheduled analgesia, preemptive analgesia, multimodal analgesia, and individualized analgesia, patients can pass safely and comfortably through the perioperative and functional recovery periods. During the perioperative period, the department has developed measures including preventive preoperative analgesia, meticulous intraoperative techniques, intraoperative injection of analgesic medication into the incision, and individualized and multimodal postoperative analgesia. In addition, every patient has a pain-rating scale at the bedside. After admission, the primary nurse instructs the patient on how to assess pain severity and records the pain score according to the patient’s condition. The physician then provides appropriate treatment based on the severity of the pain. 6. Single-Port Laparoscopy Takes Minimally Invasive Surgery to the Extreme Minimally invasive surgery has become a trend in the development of modern surgery. Conventional laparoscopic surgery requires 3–5 abdominal incisions, whereas our department goes a step further by actively performing single-port laparoscopy. After surgery, the patient has only 1 incision of approximately 12 mm at the umbilicus. This not only accelerates recovery but also leaves almost no abdominal wounds after surgery, taking minimally invasive surgery to the ultimate level—the minimally invasive among minimally invasive procedures. 7. Combined TriVex and EVLT System Treatment of Varicose Veins The traditional surgical treatment for varicose veins of the lower extremities is high ligation and stripping of the great saphenous vein. Traditional high ligation and stripping of the great saphenous vein has several shortcomings, including substantial vascular-bed injury, multiple incisions, and considerable bleeding; a long operating time; significant patient discomfort and restricted activity for at least two weeks after surgery; postoperative scarring; and a high rate of complications. Modern minimally invasive procedures are mainly divided into endovenous, or intraluminal, treatments, including laser, electrocoagulation, radiofrequency, and microwave treatments, and non-endovenous, or extraluminal, treatments, including endoscopy and the shaving-aspiration technique. Our department has newly introduced an endovenous laser treatment system (EVLT) and a non-endovenous, extraluminal shaving-aspiration treatment system, the TriVex rotary resection system, making treatment of lower-extremity varicose veins minimally invasive. This treatment has significant advantages, including minimal trauma, rapid recovery, broad indications, a low recurrence rate, and good cosmetic results. Director Gao Peng’s team on ward rounds