Capstone Colorectal Surgery Centre

General Surgery

Specialist(s) Dr. Kam Ming Hian
Background

A Capstone is the topmost stone of a structure such as a Pyramid. Hence, it is often used to refer to a crowning achievement or the final stroke of a project; the culmination or acme of achievements. It is also the keystone in a stone arch. Hence, our corporate logo comprises of a stylized symbol of Medicine embodied by the staff of Asclepius to represent medicine (and healing) and the caduceus, a rod with two entwined serpents topped by a pair of wings. The apex of the logo is an arch with the capstone in a darker shade of blue and it encapsulates a figure of the colon & rectum, our Centre’s specialized area of interest. The first 3 letters “CAP’ of the word CAPSTONE also stands for Colon, Anus & Proctology, emphasizing our dedicated focus on comprehensive surgical management of diseases affecting the colon, rectum and anus.

Together, this symbol embodies our Vision “to be a World-class Centre that delivers comprehensive, holistic and personalized care of patients in all aspects of colorectal diseases using the most advanced surgical techniques and technologies”. Our Mission is to bring evidence-based, cost-effective surgical care to the bedside through the integration of clinical and molecular research. This is supported by our collaborative research initiatives with various research institutions and industries, both locally and internationally.

The Colorectal Cancer Genomic Health Service (CCGHS) was launched in November 2011 as part of the repertoire of services provided at Capstone Colorectal Surgery Centre to further integrate the 2 key pillars of clinical service and basic science research to deliver the next level of integrated and holistic care for our patients and their families with Hereditary Colorectal Cancers. This integration of translational research and clinical genetic care will allow Capstone Colorectal Surgery Centre to remain ready and relevant for the era of academic and personalized medicine in Asia and beyond. Collaborative partnerships have been established with A*Star (Agency for Science, Technology and Research, Singapore) as well as other healthcare partners. The CRCGHS integrates the merits of a diagnostic laboratory and a clinical service, providing personalized and enhanced quality of care to affected patients and their families while moving in tandem with our larger organizational aim of establishing an academic center of excellence in colorectal disease management. This this unique service, we aim to serve as the expert base in Singapore & Asia for the principles and practice of genomics-based personalized care of Hereditary Colorectal Cancer patients and their families via an integrated platform for translational research, clinical care, patient education and public outreach.

Facilities and Services

Services Provided
1. Haemorrhoid (Piles) Treatment
  a. Stapled Haemorrhoidectomy
  b. THD (Transanal Haemorrhoidal De-arterialisation)
  c. Ligasure Haemorrhoidectomy
  d. Conventional Haemorrhoidectomy
  e. Rubber-band Ligation

2. Surgery for colonic and rectal cancers
  a. Open
  b. Laparoscopic (key-hole): Conventional, Single-port and Hand Port-assisted
  c. Robotic-Assisted Minimally Invasive Surgery
  d. Complex pelvic tumor resection (for advanced tumors involving other pelvic organs such as uterus and bladder)

3. Appendix surgery
  a. Conventional (open)
  b. Laparoscopic (key-hole)
  c. Single-port laparoscopic surgery

4. Hernia Repair
  a. Open and Laparoscopic (key-hole)

5. Anal surgeries
  a. Anal abscess drainage
  b. Fistula treatment
  b.i. Lay open (fistulotomy)
  b.ii. Seton insertion
  b.iii. LIFT procedure (Ligation of Intersphincteric Fistula Tract)
  b.iv. Flap repair
  c. Anal Fissure
  d. Trans-anal excision of polyps

6. Endoscopy (diagnostic and therapeutic)
  a. Colonoscopy and Polyp removal
   a.i. Endoscopic Mucosal Resection (EMR)
   a.ii. Polypectomy
   a.iii. Colonic Stenting (for cancer obstruction)
  b. Gastroscopy

7. Genetic Counseling and Genetic Testing for hereditary colorectal cancers
  a. Assessment of high risk individuals and families with family history of colorectal cancers
  b. Genetic testing for hereditary colorectal cancers
  c. Clinical surveillance for high-risk individuals

8. Stoma management
  a. Creation of stoma
  b. Closure of stoma
  c. Revision of problematic stoma