Mr Thomas Armstrong: General surgery
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Mr Thomas Armstrong

General surgery

 

  • Fee assured
Overview

Specialises in

  • Hepatobiliary
  • Upper GI surgery

About me

I am a general surgeon with a dedicated interest in liver, pancreatic, bile duct, gallbladder and hernia surgery (HPB Surgery). This is a highly specialised area of surgery and I receive referrals from GPs, gastroenterologists and surgeons throughout Hampshire, Dorset, Wiltshire, Isle of Wight and The Channel Islands.

Because I am super specialised, I perform a very large volume of surgery in a narrow field. I have done over 500 major HPB cases and assisted with a further 200 procedures as a trainee. I was fortunate to train in an era when HPB surgery had been centralised to major hospitals and I am amongst the vanguard of modern surgeons who have benefitted from such intensive training. I have also trained in the era of keyhole surgery and undertake approximately 50% of my liver surgery using this technique. It is important to understand that keyhole surgery is not always better and I would only recommend minimally invasive surgery when appropriate.

In addition to this I have operated on countless patients with gallstones and hernias. Nearly all gallbladder and gallstone related surgery is done with keyhole surgery. Clinicians based in other local hospitals often seek my advice and help in managing patients with difficult or challenging gallstone disease or the consequences of it.

I work with other dedicated specialists from anaesthetics, medicine, radiology, and oncology to ensure that every patient that I see is offered the most up to date treatment that benefits from the expertise of the whole medical team. I carefully monitor my outcomes and submit detailed reports on my surgery to the Association of Upper Gastrointestinal Surgeons (AUGIS). The volume of surgery that I undertake is significantly greater than the national average (approx 75 major resections per annum) and post-operative mortality rate (<1%), which is significantly lower than national average.


The main disease areas that I treat are listed below:

PANCREAS
Cancer of the pancreas
Pancreatic cysts
Neuroendocrine or carcinoid tumours (NETs)
Acute pancreatitis
Chronic pancreatitis

LIVER
Primary liver cancer (hepatocellular carcinoma)
Secondary liver cancer (from bowel cancer, NETs and other rare tumours)
Liver cysts

BILE DUCT
Bile duct cancer (cholangiocarcinoma)
Bile duct stones
Bile duct strictures (narrowings)

NEUROENDOCRINE or CARCINOID TUMOURS
Pancreatic neuroendocrine tumour
Duodenal neuroendocrine tumour
Carcinoid Tumour of the bowel
Paraganglioma

GALLBLADDER
Gallstones
Gallbladder cancer
Bile duct stones

DUODENUM
Duodenal cancer

SMALL BOWEL
Small bowel cancer (jejunum and ileum)

HERNIA
Groin (inguinal/femoral)
Umbilical
Epigastric
Incisional

I am married with 3 children. My free time is spent with my family, often involving some kind of sport, preferably outside and ideally by the sea. I enjoy sailing, bike riding and playing golf. I am a keen follower of current affairs and most sport. I live in Southampton, which means that I find it easy to pop into hospital to see my patients at short notice.

The feedback that I get from my patients is excellent. I feel that the increasing number of health care professionals and their relatives who I treat these days vindicates my approach. I feel passionate about the work that I do and the patients that I treat and I always strive to do my very best for everyone I care for.


Areas of interest

Gallstones; Gallbladder Surgery; Laparoscopic Cholecystectomy; Liver cancer; Liver Surgery; Pancreatic Cancer; Pancreatic surgery; Bile Duct Cancer; Bile Duct Surgery; Hernia; Hernia Surgery; Keyhole Surgery; Laparoscopic Surgery;

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