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Auckland City Hospital (ACH)

Auckland City Hospital (ACH)

Auckland City Hospital (ACH) is a tertiary referral hospital based in Grafton, Auckland.  It is the largest hospital in New Zealand with some 750 in patient beds.  The Hepatopancreaticobiliary (HPB) unit works within the HPB/Upper gastrointestinal (UGI) unit that is part of the Department of General Surgery.  The HPB and UGI unit specialises in the management of patients with both benign and malignant liver, biliary, pancreatic  and upper gastrointestinal disease, including bariatric surgery.  Our aim is to provide a national service for New Zealanders, to optimise the evaluation and treatment of patients with relevant benign and malignant conditions and to provide an environment for clinical excellence, research and teaching in this area.  The Unit coordinates the efforts of Medical & Radiation Oncology, Interventional and Diagnostic Radiology, Gastroenterology and Endoscopy and Hepatology.  Additionally, through an association with the New Zealand Transplant Unit patients may be referred for hepatic, renal or pancreatic transplantation.

The HPB/Upper GI Unit is led by 5 Consultants that is divided into two streams.

Team: Johnston, Ram, Bartlett

Team: Windsor, Beban

Fellows, Registrars and House staff will be assigned to each team and will be responsible for the management of patients under those teams’ consultants’.  The areas of special expertise for the surgeons is as follows:-

Mr Adam Bartlett, MB, ChB, PhD, FRACS
Tel: 021 241 4647

  • Liver
  • Pancreatic
  • Biliary
  • Transplant

Mr Grant Beban
Tel: 021938 385

  • General Surgery
  • Gastro-oesophageal disease
  • Bariatric

Mr Peter Johnston
Tel: 021 403 423

  • Liver
  • Pancreatic
  • Biliary
  • Gastro-oesophageal disease
  • Transplant

Mr Rishi Ram
Tel: 021 522 289

  • General Surgery
  • Laparoscopic groin hernia repair & ventral hernia repair
  • Gallbladder disease

Professor John Windsor
Tel: 021 901 930

  • Pancreatic disease
  • Biliary diseases
  • Gastro-oesophageal diseases

A Fellow will be attached to each team usually for a period of twelve months and depending upon their training requirements will spend variable time on each team.  The fellow usually holds a FRACS or equivalent, and the position is accredited by ANZHPBA for post-fellowship training in HPB Surgery.  On average there  are 7.5 half-day operating sessions per week and 2 half-day outpatient sessions per week.  There are two HPB related multidisciplinary meetings (MDM) each week – a general HPB MDM on Wednesday midday and a HCC MDM on Tuesday morning, the later of which is run through the NZLTU.  The fellow is required to contribute to the general surgical on call roster after hours on a 1:X basis.  There is also an opportunity to assist after hours with acute HPB cases and with transplant related activities.

Within each stream there is a registrar and a House Surgeon.  The registrar, usually SET trainee, changes over at 6 months and spends three months in each team.   House Surgeons will remain with one team for the duration of their three month run.  The medical staff in the Unit are also assisted by Karen Lukies, Clinical Nurse Specialist.

The HPB unit is a busy team.  On average one would expect that over the 12-month attachment that they would be exposed to 200 major cases, of which the expected HPB exposure is-

Liver resections: 80

Complex biliary cases: 30

Surgical shunts: 5

Pancreatic operations: 50

Should you require further information please feel free to contact Mr Adam Bartlett, by or mobile 021 241 4647.

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