General Surgery at Shanghai First People's Hospital | CMCS

Expert General Surgery at One of Shanghai's Premier Academic Medical Centers

The Department of General Surgery at Shanghai First People's Hospital — affiliated with Shanghai Jiao Tong University School of Medicine — is one of Shanghai's most distinguished general surgery centers, with a national reputation for excellence in hepatobiliary and pancreatic surgery, gastrointestinal surgery, minimally invasive and robotic surgery, bariatric and metabolic surgery, and the management of complex surgical conditions. With one of Shanghai's highest-volume robotic surgery programs and a comprehensive hepatopancreaticobiliary (HPB) service, the department combines outstanding surgical expertise with a world-class research program, offering international patients access to some of China's most eminent general surgeons. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their surgical care journey.

About the Department

The general surgery department is a national key clinical specialty operating dedicated surgical wards, multiple robotic and laparoscopic operating theaters (da Vinci Xi), a hepatobiliary and pancreatic surgery center, a gastrointestinal surgery program, a bariatric and metabolic surgery center, a colorectal surgery program, a thyroid and parathyroid surgery program, a breast surgery program, and works in close collaboration with oncology, radiation oncology, gastroenterology, and interventional radiology through a fully integrated multidisciplinary tumor board.

Hepatobiliary & Pancreatic (HPB) Surgery

Liver Surgery

• Hepatocellular Carcinoma (HCC) — Anatomic and non-anatomic hepatic resection; laparoscopic and robotic hepatectomy; ALPPS (associating liver partition and portal vein ligation for staged hepatectomy) for small future liver remnant; liver transplantation evaluation; one of Shanghai's most experienced liver resection programs
• Colorectal Liver Metastases (CRLM) — Simultaneous and staged resection; two-stage hepatectomy; portal vein embolization (PVE) coordination; conversion chemotherapy; KRAS/RAS/BRAF status-guided systemic therapy
• Intrahepatic Cholangiocarcinoma (iCCA) — Hepatic resection with negative margins; lymph node dissection; adjuvant capecitabine; FGFR2 fusion testing; IDH1 mutation testing
• Benign Liver Conditions — Hepatic hemangioma; focal nodular hyperplasia; hepatic adenoma; liver cysts; hydatid disease; laparoscopic and robotic resection
• Living Donor Liver Transplantation (LDLT) — Evaluation and coordination with transplant hepatology

Biliary Surgery

• Cholangiocarcinoma — Hilar cholangiocarcinoma (Klatskin tumor): Bismuth-Corlette classification; hepatic resection with caudate lobe; biliary reconstruction; perihilar CCA: portal vein resection and reconstruction; distal CCA: pancreaticoduodenectomy (Whipple)
• Gallbladder Cancer — Laparoscopic cholecystectomy for incidental T1a; extended cholecystectomy with liver resection and lymphadenectomy for T1b-T3; palliative biliary drainage
• Choledochal Cyst — Complete cyst excision; Roux-en-Y hepaticojejunostomy; laparoscopic and robotic approach
• Laparoscopic Cholecystectomy — For symptomatic gallstones; acute cholecystitis; single-incision laparoscopic cholecystectomy (SILC); one of Shanghai's highest-volume programs
• Common Bile Duct Stones — Laparoscopic CBD exploration; ERCP coordination; T-tube drainage; primary closure

Pancreatic Surgery

• Pancreatic Ductal Adenocarcinoma (PDAC) — Pancreaticoduodenectomy (Whipple); distal pancreatectomy with splenectomy; total pancreatectomy; robotic Whipple; vascular resection and reconstruction for borderline resectable disease; FOLFIRINOX neoadjuvant; gemcitabine + nab-paclitaxel; one of Shanghai's most experienced pancreatic surgery programs
• Pancreatic Neuroendocrine Tumors (pNET) — Enucleation; distal pancreatectomy; Whipple; laparoscopic and robotic approach; somatostatin analogues; everolimus; sunitinib; Lu-177 DOTATATE for metastatic pNET
• IPMN & Cystic Lesions — Fukuoka guidelines for IPMN management; surveillance vs. resection; Whipple or distal pancreatectomy for high-risk features
• Chronic Pancreatitis — Frey procedure; Beger procedure; Puestow procedure; total pancreatectomy with islet autotransplantation (TP-IAT) for refractory pain
• Robotic Pancreatic Surgery — Robotic Whipple; robotic distal pancreatectomy; robotic central pancreatectomy; one of Shanghai's most experienced robotic pancreatic surgery programs

Gastrointestinal Surgery

Gastric Surgery

• Gastric Cancer — Robotic and laparoscopic total and subtotal gastrectomy; D2 lymphadenectomy; FLOT perioperative chemotherapy; HER2 testing; CLDN18.2 testing; one of Shanghai's most experienced gastric cancer surgery programs
• GIST (Gastrointestinal Stromal Tumor) — Laparoscopic and robotic wedge resection; imatinib adjuvant for high-risk; avapritinib for PDGFRA D842V-mutated GIST; ripretinib for refractory GIST
• Bariatric & Metabolic Surgery — Laparoscopic sleeve gastrectomy; Roux-en-Y gastric bypass; one anastomosis gastric bypass (OAGB/MGB); revisional bariatric surgery; one of Shanghai's most experienced bariatric programs; coordination with endocrinology for T2DM remission

Colorectal Surgery

• Colon Cancer — Robotic and laparoscopic right hemicolectomy; left hemicolectomy; sigmoid colectomy; complete mesocolic excision (CME) with central vascular ligation (CVL); FOLFOX adjuvant; pembrolizumab for MSI-H stage III
• Rectal Cancer — Robotic and laparoscopic low anterior resection (LAR); abdominoperineal resection (APR); total mesorectal excision (TME); intersphincteric resection (ISR) for ultra-low rectal cancer; transanal TME (TaTME); neoadjuvant chemoradiation; total neoadjuvant therapy (TNT); watch-and-wait for complete clinical response
• Inflammatory Bowel Disease Surgery — Laparoscopic total colectomy; proctocolectomy with IPAA (J-pouch); Hartmann's procedure; strictureplasty for Crohn's disease
• Diverticular Disease — Laparoscopic sigmoid colectomy; Hartmann's reversal
• Anorectal Surgery — Hemorrhoidectomy; fistula surgery (LIFT, advancement flap, video-assisted anal fistula treatment — VAAFT); sphincter-preserving fistula repair; transanal minimally invasive surgery (TAMIS) for rectal polyps and early rectal cancer

Thyroid & Parathyroid Surgery

• Thyroid Cancer — Total and hemithyroidectomy; central and lateral neck dissection; intraoperative nerve monitoring; endoscopic and robotic thyroidectomy (transaxillary, transoral); RAI coordination; one of Shanghai's most experienced thyroid surgery programs
• Benign Thyroid Disease — Multinodular goiter; Graves' disease; substernal goiter; minimally invasive video-assisted thyroidectomy (MIVAT)
• Parathyroid Surgery — Minimally invasive parathyroidectomy (MIP) for primary hyperparathyroidism; intraoperative PTH monitoring; 4D-CT and sestamibi scan localization; reoperative parathyroid surgery

Hernia Surgery

• Inguinal Hernia — Laparoscopic TEP and TAPP; robotic inguinal hernia repair; Lichtenstein open repair; one of Shanghai's highest-volume laparoscopic hernia programs
• Ventral & Incisional Hernia — Laparoscopic IPOM; robotic retromuscular repair (rTAR); component separation; biological and synthetic mesh
• Hiatal Hernia & GERD — Laparoscopic Nissen and Toupet fundoplication; robotic fundoplication; LINX magnetic sphincter augmentation; paraesophageal hernia repair

Why International Patients Choose Shanghai First People's Hospital General Surgery

• Robotic HPB Surgery — One of Shanghai's most experienced robotic Whipple and robotic liver resection programs
• ALPPS for Small FLR — Associating liver partition and portal vein ligation for staged hepatectomy; enables resection of otherwise unresectable liver tumors
• Robotic Rectal Cancer Surgery — TaTME and robotic TME for ultra-low rectal cancer; sphincter preservation
• Bariatric Surgery Expertise — One of Shanghai's most experienced bariatric programs; T2DM remission; coordination with endocrinology
• Robotic Thyroidectomy — Transaxillary and transoral robotic thyroidectomy; no neck scar
• Cost-Effectiveness — World-class surgical care at significantly lower cost than equivalent treatment in Western countries

The CMCS Patient Journey

1. Initial Inquiry — Share your surgical diagnosis, imaging (CT, MRI, PET-CT), pathology reports, endoscopy results, and prior treatment history with CMCS.
2. Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
3. Specialist Matching — We identify the most appropriate surgeon based on your condition — HPB surgery, gastric cancer, colorectal cancer, thyroid, bariatric, or hernia surgery.
4. MDT Submission — For oncology cases, we facilitate pre-arrival case review by the multidisciplinary tumor board.
5. Priority Scheduling — We secure a consultation and surgical slot with minimal waiting time.
6. Travel & Logistics — Assistance with visa invitation letters, accommodation near Shanghai First People's Hospital, and Shanghai airport transfers.
7. Surgical Coordination — Full coordination of pre-operative assessment, surgical admission, and post-operative care.
8. Post-Operative Follow-Up — Surgical report translation, pathology result interpretation, adjuvant therapy coordination, and remote follow-up after you return home.

Book a Consultation

If you require liver, biliary, pancreatic, gastric, colorectal, thyroid, bariatric, or hernia surgery — CMCS can arrange a specialist consultation with Shanghai First People's Hospital's general surgery team.

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