Hostedandorganizedby: Date:15-16Dec2017Time:0800-1700hrs

Venue:TJDanarajAuditorium,FacultyofMedicine,UM,KL.

ORGANIZINGCOMMITTEE:

DrVasuPillaiLetchumananDrKohPengSoonDrHairolOthman

DrLeowVoonMengDrMohdSharifudinDrYangKhuanFuat

DrFebraSiamDrZamriZuhdiDrKoongJunKit

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LOCALORGANIZINGCOMMITTEE:

A/ProfYoongBoonKoonDrKohPengSoonDrKoongJunKitDrKamarajanDrFooSiangLin

MessagefromtheOrganizingChairman:

Itgivesmegreatpleasuretowelcomeallofyoutothe2ndHPBUpdateSymposiumheldthisyearattheTJDanarajAuditorium,FacultyofMedicine,UniversityofMalaya,KualaLumpur.

The event started with “live surgery” workshop on 15thDecember 2017 for commonhepatobiliary surgeries involvinglimitednumberofdelegates.Thisisthefirst^meaworkshopisarranged and due to overwhelming response, we hope toaccommodatemorepar^cipantsinthefuture.

Following that, on 16th December 2017, a symposium incollabora^onwith College of Surgeons, AcademyofMedicine(CSAMM) is organized to keepmedical officers, postgraduatedoctors, general surgeons and hepatobiliary trainees updatedonthelatestadvancesindiagnosis,managementandresearchofhepatobiliarydiseases.

This year’s landmark mee^ng draws many local as well asinterna^onalexpertstopresentthelatestdataontheirspecificareasofinterestandsharetheirexperienceindealingwithHPBissuesthatares^llwidelydebatedbyexpertsworldwide.

ItisourhopethatthroughthisyearlyHPBupdatesymposium,doctorswillkeepabreastofcurrentdiagnos^candtherapeu^cstrategies including best surgical op^ons pertaining to HPBdisorders. We also hope to cul^vate interest of buddingsurgeonsinthefieldofhepatobiliaryandpancrea^csurgery.

Theorganizingcommifeeasagroupofvolunteershasworkedvery hard in pugng together an interes^ng scien^ficprogramme to cater to various category of doctors. We areproudtoget thebestpeople in thefieldofHPBtospeakandmoderateonvariousinteres^ngtopicsinthissymposium.

Iwould to thankall the invited local and interna^onal facultymembers, organizing commifee, our corporate sponsors andallthedelegatesinmakingthiseventsuccessful.

Iamconfident that the2ndHPBupdatesymposiumwillprovetobeabeneficialandenjoyablescien^ficevent!

DatoDrHarjitSingh,PrinceCourtMedicalCentre,KualaLumpur

DrManisekarKSubramaniam,HospitalSultanahBahiyah,AlorSetar,Kedah

AssocProfDatoDrRazmanJarmin,UKMMedicalCentre,KualaLumpur

AssocProfDrBongJanJin,SunwayMedicalCentre,Sunway,Selangor

DrMohdRizalRoslan,SelayangHospital,Selangor

AssocProfDrYoongBoonKoon,UMMedicalCentre,KualaLumpur

Pierce Chow is Co-Director (Surgical) of the Comprehensive Liver Cancer Clinic at theNa^onalCancerCentreSingaporeandSeniorConsultantSurgeoninHPBandTransplantSurgery at the Singapore General Hospital. He is concurrently Professor and CourseDirectoratDuke-NUSMedicalSchoolSingapore,AdjunctFacultyattheGenomeIns^tuteof Singapore and Research Director at the Ins^tute of Molecular and Cell BiologySingapore.ProfessorChowwastheChapterofSurgeon’sGoldMedalistattheconjointRoyalCollegeof Surgeons of Edinburgh/M.Med (Surgery) examina^on in 1994 and subsequentlycompleted a clinical fellowship in Liver Transplanta^on at the Queensland LiverTransplant Service. In 1995, he was recipient of the Young Surgeon’s Award of theAcademyofMedicineSingaporeforhisresearchintothepatho-physiologyofliverbloodflowandregenera^on.In addi^on to managing a busy HPB surgical oncology service, Pierce has researchedextensively on hepatocellular carcinoma (HCC). He leads collabora^ve research on thegenomicheterogeneityofHCCandapplica^onsinprecisionmedicine.Heco-foundedtheAsia-Pacific Hepatocellular Carcinoma Trials Group in 1997 and has been the protocolchairof5mul^-na^onaltrials.In2012theNa^onalMedicalResearchCouncilSingaporeconferred him the Na^onal Outstanding Clinician-Scien^st Award for improving clinicaloutcomesofpa^entswithhisresearchonLiverCancer.ProfChowwasawardedtheNMRCTransla^onal-ClinicalResearchGrantfortheFlagshipProgram in Liver Cancer in 2016 and has commenced themul^-na^onal PLANET study(PrecisionMedicineinLiverCancerAsia-PacificNetwork).

Tan-ToCheungistheChiefoftheDivisionofHepatobiliaryandPancrea^cSurgerywithintheDepartmentofSurgery,QueenMaryHospital, theUniversityofHongKongandtheCouncilmemberoftheHongKongSocietyofHepatobiliaryandPancrea^cSurgery.HeisalsoAssociateProfessorofSurgeryattheUniversityofHongKong.Dr.CheungreceivedhismedicaldegreeintheUniversityofHongKong.Aoergradua^ng,Dr.CheungstartedhiscareerasaSurgeoninQueenMaryHospitalandwithhisinterestin complicated liver surgeryand liver transplanta^onhebecamea staffmember in theDivision of Hepatobiliary and Pancrea^c Surgery since 2006. Dr. Cheung is one of theleadingexpertsinlaparoscopicliverresec^oninHongKong.Inaddi^on,hehasledagoodnumberofmul^disciplinaryclinicaltrialsonthetreatmentofHCC.Heiskeenonnewproceduresdevelopmentandisanac^veresearcherinthefieldoflivertransplant, complicated liver surgery, ALPPS procedures,minimally invasive surgery forliver cancer and the role of dual tracer PET CT on diagnosis of HCC. Dr. Cheung hasobtainedhispostgraduatedoctoraldegree(MasterofSurgeryHKU)ontheresearchoftreatment of HCC in liver cirrhosis. He is the world leading expert in the area of highintensityfocusedultrasound(HIFU)therapyforHCC.HeperformedthefirstHIFUtherapyforpa^entswai^ngforlivertransplantintheworld.Dr.CheungistherecipientoftheGBOngtravellingFellowshipAward.Hehaswonmanyothersinvariousinterna^onalmee^ngs.Hehasauthoredmorethan170peer-reviewedar^cles and other publica^ons, is frequently invited to lecture interna^onally includingpresenta^onsinplenarysessions,andhasmentoredalargenumberoftrainees.

ProfDrPierceChowKahHoe(Singapore)

A/ProfDrCheungTanTo(HongKong)

Adrian Chiow is a Consultant Hepatobiliary and Pancrea^c (HPB) Surgeon at theDepartmentofSurgery,ChangiGeneralHospital (CGH)andaVisi^ngConsultantwith theDepartment of HPB and Transplanta^on, Singapore General Hospital (SGH). Dr. Chiow’ssubspecialityinterestisinminimallyinvasive(laparoscopicandrobo^c)prac^ceofHPB.He graduated withMBBS from the University of Melbourne (Australia) with Honours in2003andcompletedtraininginGeneralSurgeryatSinghealthandEasternHealthAlliancewithSpecialistAccredita^onBoardcer^fica^on in2012.Hesubsequentlycommencedhisspecialist HPB training in CGH before undergoing further subspeciality clinical trainingunder the Human Manpower Development Programme (HMDP) award in 2013 foradvancedandminimallyinvasive(laparoscopic/robo^c)HPBSurgeryunderthetutelageofProfessor Nicholas O’Rourke at the Royal Brisbane Hospital, Brisbane, Australia. Sincereturningfromfellowship,hestartedtheAdvancedLaparoscopicHPBservicein2014andtheRobo^cHPBprogramin2016inCGH.He is ac^vely involved in undergraduate teaching as senior clinical lecturer and MBBSExaminerwiththeYongLooLinSchoolofMedicine,Na^onalUniversityofSingaporeaswellas Adjunct Assistant Professor for Lee Kong Chian School of Medicine. He serves aconcurrent role as Associate Programme Director for the Singhealth General SurgeryResidencyProgram.Dr.Chiow’sresearch interestsare in improvingclinicaloutcomesandqualityoflifeforpa^entsundergoingminimallyinvasiveHPBsurgery.

Dr.CatherineTehiscurrentlytheChairoftheDepartmentofSurgeryinNKTI,co-Directorof theLiverCenterofNKTI.Shealsoservesas theChiefof theSec^onofHepatobiliaryPancrea^c Surgery of the Maka^ Medical Center. She is ac^vely involved in variousprojects inHPBsocie^eslocallyandinterna^onally.SheiscurrentlythesecretaryofthePhilippine Associa^on of HPB surgeons, founding member of the Interna^onalLaparoscopicLiverSociety,memberoftheCSEcommifeeintheAPHPBAandIHPBA.Shewas recently awarded in Toronto as one of the MOST INFLUENCIAL FILIPINA IN THEWORLDasanINNOVATORandTHOUGHTLEADERINHEALTHCARE.DrTehisapioneerinmajorandcomplexHPBsurgeries.Sheisapioneerinlaparoscopicmajorliverresec^onsinthecountry.Herothercontribu^onsincludeinves^gatorini^atedoutcomeresearchesonHPBsurgeryandmanagementofHPBdisease.SheisthePrincipalinves^gator of the Asian Registry for Liver Mets. A strong advocate of MDT(mul^disciplinaryteam)approachinthetreatmentofcancer,sheintroducedandsetupMDT in her ins^tu^on as the standard approach to managing cancer. As part of theEGOSLIM(ExpertGrouponOncosurgeryofLiverMetastases),theinterna^onalconsensusguidelines on the management of liver metastases from colorectal cancer has beenformedandpublished.Her other hospital affilia^ons include St Luke’s Medical Center, The Medical City andChineseGeneralHospital.

A/ProfDrAdrianChiowKahHeng(Singapore)

DrCatherineTeh(Philippines)

•  15DECEMBER2017

0800–1700-Workshop(SmallgroupparCcipaCon&byinvitaCon)–Tipsandtricksinlaparoscopiccholecystectomyfordifficultgallbladders-Surgeons:Dr.ManisekarKSubramaniam,A/ProfDatoDrRazmanJarmin,

A/ProfYoongBoonKoon-Moderators:DrMohdSharifudin,DrYangKhuanFuatandDrHairolOthman-Sponsoredby:Medtronic;J&JEthicon;andStorz

1900–2200–CMEandFacultyDinner(byinvitaCon)-Topic:Op;mizingpa;entoutcomewithSIR-SphereY-90resinmicrosphere-Speaker:ProfPierceChow&A/ProfCheungTanTo -Sponsoredby:SIRTEX

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•  16DECEMBER2017

0800-0830–RegistraSon&Lightrefreshments0830–0840–Welcomingspeech

0840–1040-Symposium1Chairpersons:DrManisekarKSubramaniam;DrThamaraiVelan;DrMohd

Sharifudin&DrZamriZuhdi•  0840-0910 -Managingcomplica^onspostliverresec^oninHCC– DatoDrHarjitSingh•  0910-0940 -BridgingtherapiesinunresectableHCCawai^nghepatectomy

–ProfPierceChow•  0940-1010 -Strategiesinthemanagementofcolorectallivermetastases–

DrCatherineTeh•  1010-1040 -Roleofinterven^onalradiologistinunresectableprimaryand

secondarylivertumours– DrMohdRizalRoslan

1040–1100–Teabreak

1100–1300–Symposium2Chairpersons:DrLimKinFoong;DrHairolOthman;DrYangKhuanFuat&

DrFebraSiam•  1100-1130-Bluntpancrea^cinjury:Conserva^veorsurgery– Dr.ManisekarKSubramaniam•  1130-1200-Challengesinlaparoscopicresec^onofpancrea^ctumours–A/ProfDrAdrianChiow•  1200-1230-Surgicaltreatmentinsymptoma^cbenignlivertumours–A/ProfDrBongJanJin•  1230-1300–Strategiesfortreatmentinlocallyadvancedpancrea^chead

cancer– DrCatherineTeh

1300–1430–LunchTalkSymposium(SponsoredbyBayer)Chairpersons:DrLeowVoonMeng ;Speaker:A/ProfBongJanJin•  Op^mizingtreatmentoutcomeofunresectablehepatocellularcarcinoma

withsystemictargetedtherapy.

1430–1630–Symposium3Chairpersons:DrVasuPillai;DrHaritharanThamutaram,DrSyakirah

Shamsudin&DrKoongJunKit•  1430-1500 -TipsandpisallsinlaparoscopichepatectomiesforHPB

surgeonsembarkingonlaparoscopicsurgery–A/ProfAdrianChiow•  1500-1530 -Approachtoensuringgoodoutcomeinlaparoscopic

hepatectomy–A/ProfCheungTanto•  1530-1600-Surgicalapproachinmanagingbileductstones–A/ProfYoongBoonKoon•  1600-1630-ManagingIPMNandMCN–A/ProfDatoDrRazmanJarmin

1630–1700–Teabreak/Closingceremony