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Associate Professor Alfred Kow Wei Chieh

Photo of Associate Professor Alfred Kow Wei Chieh
Credential:
MBBS, M Med (Surgery), MRCS (Ed), MRCS (Ire), FRCSEd (Gen Surgery)
Designation:
Senior Consultant, Division of Hepatobiliary & Pancreatic Surgery, Department of Surgery, University Surgical Cluster, National University Hospital
Senior Consultant, Liver Transplantation, National University Centre for Organ Transplantation, National University Hospital
Senior Consultant, Division of Surgical Oncology, National University Cancer Institute, Singapore
Specialty:
Cancer, Geriatric Oncology, Organ Transplantation, Surgery
Sub Specialty:
Hepatobiliary & Pancreatic Surgery, Liver Transplantation, Surgical Oncology (Hepatobiliary & Pancreatic Surgery)
Medical and Surgical Conditions:
Bile Duct Cancer, Gallbladder Cancer, Gallstones, Liver Cancer, Liver Cirrhosis - Surgical, Liver Transplant, Pancreatic Cancer, Pancreatitis
Special Interest:
Malignancies in liver, pancreas and biliary tree (including gallbladder) (All surgical and non-operative treatment options for these malignancies)
Liver transplantation (Deceased and Living-donor LT for acute liver failure, chronic liver disease and liver malignancies)
Minimally Invasive HPB Surgery (including laparoscopic pancreatectomy, laparoscopic liver resection and laparoscopic biliary surgery such as CBD exploration for stone diseases, including single incision surgery)

Institution:
National University Hospital
National University Cancer Institute, Singapore
National University Health System
A/Prof Alfred Kow is a practicing surgeon at the Division of Hepatobiliary & Pancreatic Surgery, NUH. A/Prof Kow obtained his Master of Medicine (Surgery), Master of the Royal College of Surgeons of Edinburgh and Ireland diplomas in 2005 and subsequently, completed his advanced surgical training in Tan Tock Seng Hospital. In 2009, he obtained his Fellowship of the Royal College of Surgeons of Edinburgh (General Surgery) in Hong Kong. He was also accorded Specialist accreditation in General Surgery by Ministry of Health, Singapore in the same year. He received the funding from National University Health System in 2010 to undergo fellowship training in living donor liver transplantation (LDLT) and hepatobiliary & pancreatic surgical oncology in Samsung Medical Center & Samsung Cancer Center, Sungkyunkwan University School of Medicine in Seoul, South Korea. During his 1 year stay in Korea, he authored or co-authored 6 peer-reviewed journals. He has also published numerous articles on pancreatic surgery, liver surgery and biliary surgery at peer reviewed journals and written a book chapter. A/Prof Kow is strongly interested in liver transplantation (both deceased donor and living donor) as well as minimally invasive (laparoscopic) surgery for hepatobiliary and pancreatic conditions.
In addition, A/Prof Kow has keen interest in research activities involving development of surgical techniques in HPB surgery and outcome of surgical treatment for HPB malignancies. The other areas that he is keen to research on are liver transplantation, peri-transplant management and outcome studies. Furthermore, he is also actively developing research to help improve surgical education and training for both undergraduate and postgraduate setting. Many of his research work on education aim to understand the art and science behind training the junior doctors to be excellent surgeons for the future. He has won grants to study the use of mobile apps in teaching patient safety in surgery.

Research and Publications

  1. "Striving for Better Operative Outcome: 101 Pancreaticoduodenectomy." Kow WCA, Chan SP, Earnest A, Chan CY, Lim K, Chong SY, Lim KH, Ho CK, Chew S P, Liau KH. HPB 2008; 10 (6): 464 – 471.
  2. "Laparoscopic Spleen-Preserving Distal Pancreatectomy – A Novel Technique in preservation of Pancreatic Parenchyma." Das De S, Kow WCA, Lim KH, Ho CK. ANZJS 2009; 79: 288 – 293.
  3. "An Audit of AS23 laparoscopic cholecystectomy: Is Singapore ready for Day-case Lap Cholecystectomy?" Kow WCA, Tan EPA, Chan SP, Lee SF, Chan CY, Liau KH, Ho CK. HPB 2008; 10 (6): 433 – 438.
  4. "Outcome of A strategy in reducing surgical site infection in a tertiary hospital." Liau KH, Aung KT, Chua N, Chan CY, Ho CK, Kow AWC, Earnest A, Chia SJ,. Surgical Infection (Larchmt) 2010 Apr; 11(2): 151 – 9.
  5. "Starting a laparoscopic hepatectomy programme", Wang E, Kow AWC, Chan CY, Liau KH, Ho CK. Singapore Med Journal 2009; 50(4): 1—6. 
  6. "Using Percutaneous Transhepatic Cholangioscopic Lithotripsy for Intrahepatic Calculus in Hostile Abdomen" Kow AWC, Wang B, Wong D, Sundeep P J, Chan CY, Ho CK, Liau KH. The Surgeon, 2011; 9(2): 88 – 94.
  7. "Endovascular stenting for mycotic peudoaneurysm of the aorta in a SLE patient due to Klebsiella bacteraemia." Huey CWT, Kow WCA, Chia KH. 2nd Edition, College of Surgeons Newsletter, Academy of Medicine, Singapore, 2008.
  8. "Is Pancreaticoduodenectomy Justified in the elderly patients?" Kow WCA, Sadayan NA, Ernest A, Chong SY, Chan CY, Ho CK, Liau KH. The Surgeon 10 (2012): 128 – 136.
  9. "Moving towards the new International Study Group for Pancreatic Surgery (ISGPS) definitions in pancreaticoduodenectomy: a comparison between the old and new. Tan WJH, Kow AWC, Liau KH. HPB (Oxford) 13; 5660 (2011).
  10. "Perioperative Outcome of Laparoscopic and Open Distal Pancreatectomy –Our Institution's 5 year" Soh YF, Wong KY, Kow AWC, Soh JGS, Wang B, Ho CK, Liau KH, Chan CY. Asian J Surg 2012 xx: 1 – 8.
  11. "Risk factors of peritoneal recurrence and outcome of resected peritoneal recurrence following liver resection in HCC: Reviewing 1222 cases of hepatectomy in a tertiary institution." Kow WCA, Kwon DCH, Song SH, Shin MJ, Kim MJ, Joh JW. Published in Annals of Surgical Oncology (2012). a. Presented as Free Oral Paper at the 10th IHPBA Congress in Paris, France 2012.
  12. "The role of caudate lobectomy in Type III hilar cholangiocarcinoma: A 15-year experience in a tertiary institution." Kow WCA, Choi DW, Choi SH, Heo JS, Kim MJ. World J Surgery (2012) 36:1112 – 1121. a. Oral presentation at the 3rd APHPBA Meeting at Melbourne, Australia.
  13. "Surgical Outcomes of 230 Cases of Resected Hilar Cholangiocarcinoma at a Tertiary Institution." Song SC, Choi DW, Kow WCA, Choi SH, Heo JS, Kim WS, Kim MJ. ANZJ of Surgery Sept 2012 (Epub ahead of print).
  14. The Varying Faces of Gall Bladder Carcinoma. Lim K.S., Tan C.H., Kow A.W.C. Acta Radiologica 2012 Apr 30 (Epub) PMID: 22547386