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The Hepatobiliary Department of Zhongshan Hospital

 


The Department of General Surgery at Zhongshan Hospital, Fudan University, was founded in 1946. There are four divisions, one center lab, and forty-eight doctors covering 184 beds. They treat 75,000 outpatients, 8,000 emergence patients, 58,000 inpatients, and perform 4,500 major surgical cases annually. There are 7 units, the unit of hepatobiliary disease, the laparoscopic unit, the unit of thyroid disease, the unit of breast disease, the unit of stomach disease, the unit of pancreatic disease, and the unit of colorectal disease.


The unit of hepatobiliary disease is a pioneer in the prevention and treatment of biliary stone diseases. They use combined Chinese-Western medicine and advanced medical technique to treat biliary stone diseases, such as endoscopic retrograde cholangiopancreatography (ERCP) for complex biliary stone and tumours. They also offer naso-biliary drainage ENBD tube for the diagnosis and treatment of malignant biliary diseases. For senior patients who are not good candidates for surgery, endoscopic sphincterotomy (EST) to treat certain types of biliary diseases avoids surgical procedures. Biliary endoscope plus intracorporeal electrohydraulic lithotripsy for remained stones has a success rate of 95%. They also offer laparoscopic cholecystectomy for gall bladder disease. The department has considerable experience with congenital biliary diseases and biliary injury. They performed around 1000 cases of hepatectomy annually.

Their research focuses on early diagnosis of malignant biliary diseases and treatment of malignant biliary stenosis and is supported by the Ministry of Health and the Ministry of Science with 14 different topics. They have received many awards for their outstanding achievements.


The unit of pancreatic surgery has 8 surgeons and is a key academic department of the Ministry of Education. For patients with pancreatic cancer they perform Whipple procedure (or pancreaticoduodenectomy), extended radical surgery, combined vessels reconstruction pancreaticoduodenectomy, or pancreatic tail resection according the type and stage of the pancreatic cancer. The resection rate is around 70%. The rate of fistulas has been kept below 3%. The 5-year accumulation of perioperative mortality is 1.4% (less than the reported rate of 3-5%). The 1-year survival is 60%, and the 2-year survival is 40%. The unit has research fund of $280,000 and has won many rewards.

 
 
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