1. Post-Procedure Complications Monitoring Programme 48th Review Meeting
Friday, 12 December 2014
4:00 - 5:40pm, 4/F, Arthur K C Li Surgical Library
Lui Che Woo Clinical Sciences Building, PWH

2. Attendance Present Prof. Paul B S Lai (Chairman)
Dr. Sunny Y S Cheung (2nd Chairman)
Team 1 – Dr. Ray K W Hung
Team 2 – Dr. Simon K H Wong & Dr. H C Yip
Team 3 – Dr. Eric Y F Cheung
PRAS – Dr. David S Y Wong
NS – Dr. W K Mak
PSU – Dr. Edwin K W Chan & Dr. Vicky H Y Wong
URO – Dr. C K Chan
Mr. Alfred Chan
Ms. Daisy Feng
Mr. Philip Yeung
Ms. Eunice Tam

3. Items discussed
Complications report – October 2014
AOB

4. 1. Complications Report – October 2014

5. October 2014 Summary (case collection progress and Complication rate)
PRS NS
PSUR
URO
CTS
Dept. total
Total cases 71 58 83 43 55 69
532
Missing cases 3 1 4
Non-Discharged * 5 7 2 9 35
Complication rate and Magnitude
Team 1
Team 2
Team 3
Team 4
PRAS NS
PSUR
URO
CTS
Total
No. of Complication 9 11 15 2 5 4 14 64 71 58 83 43 55 69
534
Complication Rate
12.68%
18.97%
18.07%
4.65%
11.63%
7.27%
2.90%
20.29%
11.99%

6. Team 1 – Hepato-biliary and Pancreatic Surgery

7. Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 2/6)
Same Patient as the following case

8. Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 3/6)
This was a planned re-operation and not a complication
Rare Case

9. Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 4/6)

10. Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 5/6)

11. Team 1 – Hepato-biliary and Pancreatic Surgery ( Cont’d 6/6)

12. Team 2 – Upper Gastro-intestinal Surgery

13. Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 2/7)
Same Patient

14. Team 2 – Upper Gastro-intestinal Surgery
( Cont’d 3/7)

15. Team 2 – Upper Gastro-intestinal Surgery
( Cont’d 4/7)

16. Team 2 – Upper Gastro-intestinal Surgery
( Cont’d 5/7)

17. Team 2 – Upper Gastro-intestinal Surgery ( Cont’d 6/7)
OGJ laxity (a very lax fundus) causing the reflux

18. Team 2 – Upper Gastro-intestinal Surgery
( Cont’d 7/7)

19. Team 3 – Colorectal Surgery

20. Team 3 – Colorectal Surgery ( Cont’d 2/9)
Same Patient

21. Complicated Premorbid status
Team 3 – Colorectal Surgery
( Cont’d 3/9)
Complicated Premorbid status

22. Complicated Premorbid status
Team 3 – Colorectal Surgery
( Cont’d 4/9)
Complicated Premorbid status

23. Team 3 – Colorectal Surgery
( Cont’d 5/9)

24. Team 3 – Colorectal Surgery
(Cont’d 6/9)

25. Team 3 – Colorectal Surgery
(Cont’d 7/9)

26. Robot mainly used for TME part
Team 3 – Colorectal Surgery
(Cont’d 8/9)
Robot mainly used for TME part

27. Team 3 – Colorectal Surgery (Cont’d 9/9)
Dr. Eric Cheung to handover to next T3 representative to present in January 2015

28. Team 4 – Vascular Surgery

29. Team 4 – Vascular Surgery ( Cont’d 2/3)
Died on 20 Oct 2014
Should be a Team 1 case
(Team 1 consulted Team 4)

30. Team 4 – Vascular Surgery
( Cont’d 3/3)

31. Plastic, Reconstructive and Aesthetic Surgery

32. Plastic, Reconstructive and Aesthetic Surgery
( Cont’d 2/4)

33. Plastic, Reconstructive and Aesthetic Surgery
( Cont’d 3/4)

34. Plastic, Reconstructive and Aesthetic Surgery ( Cont’d 4/4)
Review / Sharing of experience of ‘Fournier Gangrene’ – by Dr. C K Chan & Dr. David Wong

35. Neurosurgery

36. Neurosurgery
( Cont’d 2/4)
Grade 2 3

37. Neurosurgery
( Cont’d 3/4)
Grade 1

38. Neurosurgery
( Cont’d 4/4)

39. Paediatric Surgery & Paediatric Urology

40. Paediatric Surgery & Paediatric Urology
( Cont’d 2/3)

41. Paediatric Surgery & Paediatric Urology
( Cont’d 3/3)

42. Urology

43. Urology
( Cont’d 2/3)

44. Urology
( Cont’d 3/3)

45. Cardiothoracic Surgery

46. Cardiothoracic Surgery
( Cont’d 2/15)

47. Cardiothoracic Surgery
( Cont’d 3/15)

48. Cardiothoracic Surgery
( Cont’d 4/15)

49. Cardiothoracic Surgery
( Cont’d 5/15)

50. Cardiothoracic Surgery
( Cont’d 6/15)

51. Cardiothoracic Surgery
( Cont’d 7/15)

52. Cardiothoracic Surgery
( Cont’d 8/15)

53. Cardiothoracic Surgery
( Cont’d 9/15)

54. Cardiothoracic Surgery
( Cont’d 10/15)

55. Cardiothoracic Surgery
( Cont’d 11/15)

56. Cardiothoracic Surgery
( Cont’d 12/15)

57. Cardiothoracic Surgery
( Cont’d 13/15)

58. Cardiothoracic Surgery
( Cont’d 14/15)

59. Cardiothoracic Surgery
( Cont’d 15/15)

60. 2. AOB

61. AOB
Nil case selected for M & M meetimg

62. THE END