TWAH Surgical Booklet_06

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1 Colorectal Diseases Center 微創手術及大腸外科中心跨專科團隊

About Us 關於我們 Minimally Invasive Surgery (MIS) and Colorectal Diseases Center is directed by a group of experienced and professional surgeons and qualified nurses.

微創手術及大腸外科中心的醫生和護士, 憑藉多年專科經驗, 專注一對一個案管理及時治療跨專科及專業準確的醫療服務 Feature 特點 Timely access to services patients referred with suspicion of colorectal diseases will be arranged specialist assessment,

2 About Us 關於我們 Minimally Invasive Surgery (MIS) and Colorectal Diseases Center is directed by a group of experienced and professional surgeons and qualified nurses. The center provides one-to-one care, timely treatment, multidisciplinary care, professional diagnosis and investigation to all our patients. 微創手術及大腸外科中心的醫生和護士, 憑藉多年專科經驗, 專注一對一個案管理及時治療跨專科及專業準確的醫療服務 Feature 特點 Timely access to services patients referred with suspicion of colorectal diseases will be arranged specialist assessment, investigation and treatment shortly. One-to-one care designated nurse will be the case manager to follow along the treatment journey. Multidisciplinary care wound or stoma care nurse, oncologist and dietitian will be considered for the treatment plan. Advanced equipment HD digital images and narrow band imaging increase clarity of image and accuracy of the examination. 及時治療 - 盡快為懷疑患有大腸疾病的病人進行檢查和治療一對一跟進 - 由專業護士作個案經理, 全程專人跟進治療過程跨專科治療 - 傷口護理護士臨床腫瘤科醫生和營養師會按需要加入治療先進儀器 - 高清數碼影像和窄頻內視鏡能提高影像清晰度, 令治療更精確

3 What Is Colorectal Cancer? 認識大腸癌 Colorectal Cancer usually starts from the growth of polyps in the large bowel. When a polyp develops over time, it may turn into cancer. Colorectal Cancer is the most common cancer in Hong Kong, 5036 new cases are recorded which is the highest among cancers. Over 90% of colorectal cancer cases occurs in people aged 50 or above. 大腸癌的雛型, 就是腸道內的一顆顆瘜肉當瘜肉隨年月而增長和病變, 便很大機會惡化成大腸癌大腸癌是香港最常見的癌症, 當中超過九成患者都是五十歲以上人士 First Step: Colorectal Cancer Screening 第一步 : 大腸癌篩查 Faecal Occult Blood Test can detect hidden blood in stool samples, even in tiny amount. The presence of hidden blood indicates bleeding somewhere in the bowel, the patients would be advised to take colonoscopy examination. 大便隱血篩查能檢測肉眼難以察覺的大便帶血症狀如大便帶血, 即腸道已出血, 患者求診時, 醫生會按需要安排進行大腸鏡檢查仔細檢驗 Follow up: Colonoscopy 跟進 : 大腸鏡檢查 It is an investigatory procedure that a doctor uses a long flexible tube to examine the inside of the large bowel and polyps could be removed by surgeon immediately. To detect colorectal cancer earlier, colonoscopy is currently a reliable and safe way. 醫生會將一條長而柔軟的導管放入患者體內, 詳細檢查大腸, 如醫生在過程中發現瘜肉, 也可即時切除定期進行安全及可靠的大腸鏡檢查, 發現早期病變, 可有效地預防大腸癌 Treatment 治療 Oncologist will participate in the treatment. Treatments include surgery, chemotherapy, radiotherapy or targeted therapy. 大腸癌患者一經確診後, 臨床腫瘤科專科醫生會參與治療治療方法包括手術化療電療和標靶治療 2

4 High risk group 高風險人士 Aged 50 or above History of colonic polyps One or more first-degree relative was diagnosed with colorectal cancer Long history of inflammation of the bowel Persons with hereditary bowel diseases Obesity Diet habit with low fibre intake, lack exercise, smoking, alcohol consumption and high consumption of red and processed meat 五十歲以上曾有大腸瘜肉一位或以上直系親屬曾確診大腸癌患大腸長期發炎的疾病肥胖飲食習慣為低纖維缺乏運動吸煙喝酒或經常進食加工或紅肉 Hong Kong Adventist Hospital Tsuen Wan Endoscopy Center 香港港安醫院荃灣內視鏡中心 The Endoscopy Center at Hong Kong Adventist Hospital Tsuen Wan provides one-stop services in diagnostic and therapeutic endoscopy. Managed by a team of professional and dedicated nurses and technicians, the center features state-of-the-art equipment and offers comprehensive and affordable endoscopy services to the community. Patient comfort is one of our top priorities and we take great care to minimize discomfort caused by the procedures through the use of light sedation. 香港港安醫院荃灣的內視鏡中心備有先進內視鏡儀器提供一站式的內視鏡診斷和治療中心內的護士和技術人員均已受專業訓練且態度親切友善務求提供周到體貼及價錢合理的內視鏡服務了解到病人接受內視鏡檢查時或會感到不安我們會根據實際情況處方適量藥物以幫助紓緩情緒並減輕過程中可能帶來的不適 3

5 HDTV Video Processor 高品質HDTV圖像處理系統 The Olympus CV-290 unit is the world s first high definition (HDTV) video processor for endoscopy. Coupled with the Olympus GIF Type HQ 290 endoscope, the system has dramatically improved image quality. 高品質圖像處理技術為現時全球最尖端的內視鏡診療系統配合內視鏡可得出清晰影像令診斷和治療更加準確 Narrow Banding Imaging NBI窄頻內視鏡檢查 Its principle is to exclude the red light which has a long wavelength, leaving only the blue and green lights which have rather short wavelengths and are able to reveal blood vessels and surface characteristics in high contrast images. Subtle changes in both mucosal structure and color are highlighted. It works like a filter which detects early abnormalities by spotlighting potential malignancies with remarkable clarity and detail. 原理為去掉波長較長之紅光留下波長較短的藍光和綠光病灶表層的微細血管變化更易被觀察即使過去難以察覺的黏膜組織和顏色變異都可以清楚顯現其目的在於偵測早期病灶有助準確地檢視病變或癌變位置 Laparoscopic Colectomy 微創腹腔鏡大腸切除手術 Laparoscopic colectomy, a minimally invasive surgery for colorectal cancer, is considered as an alternative to traditional open colectomy. Surgeons will use surgical instruments to remove a portion or entire colon. Compared to open colectomy, laparoscopic colectomy brings less pain, reduced blood loss and shorter recovery time to patients. 腹腔鏡手術屬微創手術外科醫生會使用特別設計的外科手術儀器切除部分或全部大腸與傳統手術相比微創腹腔鏡大腸切除手術能減少病人的術後痛楚減少出血量和康復較快 4

6 When is Endoscopy Indicated? 什麼情況下需要接受內視鏡檢查 Gastroscopy 胃鏡檢查 Gastroscopy is performed to examine your upper gastrointestinal tract for either the purpose of diagnosis, or to monitor healing. Common diseases include Ulcers - of the esophagus, stomach, or duodenum; Occasionally these ulcers may be malignant Tumors - of the stomach or esophagus Inflammation - of the lining of the upper gastrointestinal tract (esophagitis or gastritis) Suspected intestinal bleeding For patients who have symptoms such as difficulty in swallowing, upper abdominal pain, heart burn or indigestion 胃鏡檢查有助確診或治療下列的上消化道疾病潰瘍包括食道胃十二指腸潰瘍有機會是癌變的先兆腫瘤包括胃或食道炎症包括食道炎或胃炎懷疑腸道出血吞嚥困難上腹持續疼痛胃灼熱或消化不良 5

7 Colonoscopy 大腸內窺鏡檢查 A colonoscopy is an examination of the large intestine. The examination is an important tool for the early detection and treatment of cancer in the large bowel. It also enables diagnosis of various other diseases of the lower gastrointestinal tract: Colon and rectal cancer - a serious but usually curable malignancy Polyps - fleshy tumors which may be forerunners to colon cancer Inflammation of the colon (colitis) which may be acute, chronic, or recurrent Diverticulosis and Diverticulitis - pockets along the intestinal wall that can become infected Suspected bleeding in the large bowel Abdominal symptoms, such as pain or discomfort, chronic diarrhea, constipation, or a change in bowel habits 結腸內視鏡有助確診和治療大腸的早期病變或癌症還有助檢查下消化道多種疾病包括結直腸癌較嚴重但有機會治癒的癌症瘜肉瘜肉可能是大腸癌的先兆大腸發炎急性慢性或持續復發憩室病及憩室炎腸壁向外凸出成袋狀可引致感染和發炎懷疑大腸出血腹部持續疼痛或不適持續腹瀉便秘或大便習慣無故改變 6

8 Operation Package Price List (The following price indicates hospital charges, surgeon and anesthetic fee.) 手術套餐費用列表 (下列費用包括醫院收費外科醫生及麻醉科醫生費 ) Operations 手術名稱 Length of Stay 住院日數 Price (3 Bed) 收費 (三人房) Breast Lumpectomy 乳房腫塊切除術 Under General Anesthesia 全身麻醉 Under Local Anesthesia 局部麻醉 $24,500 $9,000 Circumcision 包皮環切術 Under General Anesthesia 全身麻醉 $8,20 Under Local Anesthesia 局部麻醉 $8,500 (Child兒童( $5,00 Hemorrhoidectomy 痔瘡切除術 Staple 植入式縫合釘 $38,060 Conventional 傳統方式 2 $28,990 2 $72,440 Unilateral 單側 $45,070 Bilateral 雙側 $65,200 Laparoscopic Cholecystecomy 腹腔鏡膽囊切除術 Laparoscopic Hernia Repair (Under General Anesthesia) 腹腔鏡疝 (小腸氣) 修補術 (全身麻醉) Lumps & Bumps 各類良性小型結節切除術 Under General Anesthesia 全身麻醉 Under Local Anesthesia 局部麻醉 $2,800 $3,780 Modified Radical Mastectomy 乳癌根治術 3 $72,700 Repair Inguinal Hernia 2 $34,500 $25,000 (Child兒童) Thyroidectomy (Hemi) 單側甲狀腺切除術 2 $47,000 Thyroidectomy (Subtotal) 次全甲狀腺切除術 2 $62,920 腹股溝疝氣 (小腸氣) 縫合術 7

9 Terms and Condition 收費細則 Including: Surgeon s fee Anesthetic fee Doctor s ward round fees Hospital service charge Accommodation Nursing care All usual medications 費用包括外科醫生手術費麻醉科醫生費醫生巡房費醫院服務費住宿護理費手術期間常用藥物費 Excluding: Pre and post-operative consultations Pathology and laboratory test Subsequent treatment based on the biopsy report Additional accommodation (standard charge) Emergency services beyond the routine procedure 不包括手術前後診症費病理化驗費化驗檢查後的跟進治療額外住宿 (須按標準收費繳付) 手術正常程序以外的緊急服務 Important information 注意事項 The package is only applicable to the bookings of a standard 3-bed. The price is not applicable to low-charge beds. Private and 2-bed rooms are also available. Please refer to our staff for further details. The surgeon reserves the right to decide whether there is an Operation Package suitable for the needs of a particular patient. The Hospital reserves the right to change or amend details without prior notification. For the latest information, please visit our website at 上述套餐適用於三人房上述收費不適用於低收費病床本院亦備有私家房及雙人房切合不同人士的需要詳情歡迎向本院查詢外科醫生有權決定手術套餐是否適用於該病人如有任何資料調整或變更本院毋須另行通知如欲查閱最新資料請瀏覽本院網站 8

10 Day Admission Operation Package Price List (The following price indicates hospital charges and surgeon fee.) 日間手術套餐費用列表 (下列費用包括醫院收費及外科醫生費 ) Operations 手術名稱 Discounted Price Price 收費 (Hong Kong Permanent Residents Only) 優惠價 (香港永久性居民適用) $3,300 $0,75 $2,000 $7,470 (includes Helicobacter pylori rapid urease test) $ 9,730 胃鏡檢查 (包括幽門螺旋桿菌快速尿素檢測試) $ 7,80 Colonoscopy 大腸內窺鏡檢查 Colonoscopy Gastroscopy Diagnostic (includes Helicobacter pylori rapid urease test) 大腸內窺鏡檢查胃鏡檢查 (包括幽門螺旋桿菌快速尿素酶檢測試) Gastroscopy Diagnostic Terms and Conditions 收費細則 9 Including: Surgeon s fee Hospital service charge Nursing care All usual medications 費用包括外科醫生手術費醫院服務費護理費手術期間常用藥物費 Excluding: Pre and post-operative consultations Pathology and laboratory test Subsequent treatment based on the biopsy report Accommodation Emergency services beyond the routine procedure 不包括手術前後診症費病理化驗費化驗檢查後的跟進治療住宿手術正常程序以外的緊急服務

Important Information 注意事項 The discounted price is only applicable to Hong Kong Permanent Residents and low-charge beds. Inpatient services are available as needed.

11 Important Information 注意事項 The discounted price is only applicable to Hong Kong Permanent Residents and low-charge beds. Inpatient services are available as needed. Please refer to our staff for further information. The surgeon reserves the right to decide whether there is an Operation Package suitable for the needs of a particular patient. The Hospital reserves the right to change or amend details without prior notification. For the latest information, please visit our website at 優惠價只適用於香港永久性居民及低收費病床本院亦備有住院服務切合不同人士的需要詳情歡迎向本院查詢外科醫生有權決定手術套餐是否適用於該病人如有任何資料調整或變更本院毋須另行通知如欲查閱最新資料請瀏覽本院網站 Appointment & Enquiries 預約及查詢 Please call us for appoinment & enquiries. 請致電與本院職員聯絡 Tel 電話 (852) /

12 Address 地址 99 Tsuen King Circuit, Tsuen Wan, N.T. 新界荃灣荃景圍99號 Telephone 電話 (852) Hong Kong Adventist Hospital - Tsuen Wan Fax 傳真 (852) Website 網站 Location 醫院位置 Bus 巴士 Bus Terminal H 眾安街 t 街 Ro ad 楊屋道 d 路育 Castle Peak Rd Discovery Park 青山道愉景新城 Fire Station 34, 34M, 48X, 57M, 58M, 59A 59M, 60M, 66M, 67M, 68A, 68M 69M, 234A, 234B, 234X u Kok Rd 西樓道南豐涌大道 Rd 咀 un g 沙 Ch Rd Fok Loi Estate 中心福來邨 Tsu 路 at sui 角消防局 Sh 巴士荃灣en Wan 港鐵 MTR 站總站 Mini Bus Terminal 專線小巴總站 95M Tsuen Wan West Station Tsuen Wan MTR Whampoa Gardens Cheung Sha Wan 荃灣西站荃灣港鐵站黃埔花園長沙灣 To the Hospital Via Castle Peak Road: Alight at Tsuen King Circuit Flyover Take the bus in front of Tsuen King Circuit Police Station 所有行經青山公路荃灣段之巴士於荃景圍天橋站下車然後步行至荃景圍警署轉乘巴士到醫院巴士總站 A3, E3, 243M 警署門途經巴士河背 Airport Bus Terminal 荃德花園錦豐園 un 往屯 en M To Tu Uk 84 eet 萬景峰2期 Police Station kr Yu 39A, 39M 30, 30X 安 On 千里台途經巴士 ng i Str Vision City 2 荃景花園 Tsuen Tak Garden Ye u 39A, 39M 30, 30X Tsuen King Garden 學校 84 途經巴士專線小巴總站 Pu tre e 學校 Ho ng 楊屋MarkUk Roa 道街et d 市 ns School Tsuen K ing C ircu it 學校途經專線小巴 Yeu 專線小巴總站 95, 95M 84 go Mini Bus Terminal 荃灣中心專線小巴總站 39A 39M 30X 30 un Tsuen Wan Centre Mini Bus Terminal Ta i 荃威花園 Ch 39A, 39M, 30, 30X Allway Garden Mini Bus Terminal Sa il a 巴士總站 Minibus 專線小巴 95M Tsuen Wan MTR Nina Tower Tsuen Wan Chung On Street 荃灣港鐵站如心廣場荃灣眾安街 Parking 停車場 Parking is available for a fee for patients and visitors 本院設有收費停車場予病人及其家屬使用

TWAH Surgical Care leaflet_kimmy

TWAH Surgical Care leaflet_kimmy Map 結腸內視鏡有助確診和治療大腸的早期病變或癌症, 還有助檢查下消化道多種疾病, 包括 : + 結直腸癌較嚴重但有機會治癒的癌症 + 息肉息肉可能是大腸癌的先兆 + 大腸發炎 ( 急性慢性或持續復發 ) + 憩室病及憩室炎腸壁向外凸出成袋狀, 可引致感染和發炎 + 懷疑大腸出血 + 腹部持續疼痛或不適持續腹瀉便秘或大便習慣無故改變 Appointment & Enquiries 預約及查詢