Dr Charles Bih-Shiou Tsang

曾弼修医生
Adj Associate Professor

Senior Consultant General Surgeon

Adj Associate Professor Charles Tsang graduated from medical school at the National University of Singapore in 1987, obtained his Fellowship Diploma in Surgery from the Royal College of Surgeons of Edinburgh and Royal College of Physicians and Surgeons of Glasgow in 1993. He completed a Clinical Fellowship in Surgery at the Leeds General Infirmary, UK in 1994 and went on to successfully complete an advanced residency in Colon and Rectal Surgery at the University of Minnesota. He emerged at the top of the class and was the first non American to be award the Carl E Christensen Outstanding Resident Scholar Award in 1997. He then successfully defended his thesis in 1998 and graduated with a Master of Science in Experimental Surgery. He became a Fellow of the Academy of Medicine and an accredited Specialist in General Surgery in 1999. With an experience spanning 12 years as a Consultant Colorectal Surgeon, he was the Head and Senior Consultant, Division of Colorectal Surgery as well as Head of Surgical Oncology with the National University Cancer Institute of Singapore, before moving to private practice on 2 July 2012. As such, he is a highly accomplished surgeon, well versed in laparoscopic and robotic surgery for both cancers and benign disorders, proctology, advanced therapeutic endoscopy and functional bowel disorders such as constipation and incontinence.

Adj Associate Professor Tsang is very passionate about teaching undergraduates and postgraduate is currently an Adjunct Associate Professor of Surgery in the Yong Loo Lin School of Medicine, National University of Singapore. He was instrumental in starting a highly successful and competitive Fellowship training program in Colorectal Surgery at NUH which has over the years benefited numerous surgeons from ASEAN, China, India and the UK. In recognition for his contributions to the development of colon and rectal surgery in Singapore and South East Asia, Adj Associate Professor Tsang was made an International Fellow of the American Society of Colon and Rectal Surgery.

Adj Associate Professor Tsang also has an impressive research background, having held grants from A*STAR and EXPLOIT. He has authored and co-authored numerous papers in peer reviewed journals and has contributed to several book chapters. He is a member of the Editorial Board of the Korean Journal of Coloproctology as well as a reviewer with the Diseases of Colon and Rectum and the British Journal of Surgery.

Adj Associate Professor Tsang is also a frequent invited speaker at many international meetings for his expertise in the management of complex anal fistula and colorectal cancer. One of his areas of interest is in endorectal and endoanal ultrasound imaging for which he is a recognised world authority. Adj Associate Professor is also a pioneer surgeon in the development and promotion of the LIFT technique for treatment of anal fistulas in Singapore and the region. He was also the first surgeon in Singapore and in the region to have performed sacral nerve modulation as well as implanted artificial bowel sphincters for faecal incontinence. As Head of Colorectal Surgery at NUH, he also started the Robotic Colorectal Surgery programme in collaboration with Korea University, where he was also appointed a Visiting Professor. In the field of advanced therapeutic endoscopy, Adj Associate Professor Tsang also collaborated with Jichi Medical University in Japan to develop endoscopic submucosal dissection techniques for removal of early colorectal tumors endoscopically at NUH. He also started the double balloon enteroscopy programme at NUH for evaluation of small bowel disorders.

Adj Associate Professor Tsang has won numerous awards including Five Years of Dedicated Voluntary Service to the Community by the People’s Association in 2003 and the Excellent Service Star and Gold Award in 2008 and 2009 respectively by the National University Hospital. He currently practices full time as a colorectal surgeon at Colorectal Clinic Associates and is a Visiting Senior Consultant at the Department of Colorectal Surgery in Singapore General Hospital. He is also a Visiting Consultant to Hospital Raja Permaisuri Bainun in Ipoh and the Traditional Chinese Medicine University in Nanjing.

PUBLICATIONS

1. The da Vinci Xi: A Review of Its Capabilities, Versatility, and Potential Role in Robotic Colorectal Surgery. 

JC Ngu, CB Tsang, DC Koh.

Robotic Surgery: Research and Reviews 2017;4: 77-85

2. Identification of the internal anal opening and seton placement improves the outcome of deep postanal space abscess. 

Tan KK, Liu X, CB Tsang, Koh DC.

Colorectal Dis. 2012 Oct 26. PMID: 23107468

3. To LIFT or to Flap? Which Surgery to Perform Following Seton Insertion for High Anal Fistula?

Tan KK, Alsuwaigh R, Tan AM, Tan IJ, Liu X, Koh DC, CB Tsang.

Dis Colon Rectum. 2012 Dec;55(12):1273-7. PMID:23135586

4. The anatomy of failures following the ligation of intersphincteric tract (LIFT) technique for anal fistula: A review of 93 patients over 4 years

K.K Tan, I. Tan, D.C Koh, C.B Tsang

Dis Colon Rectum, Nov 2011, 54(11):1368-72 PMID: 21979180

5. A New application of the 4-arm Standard da Vinci ® Surgical system: totally robotic assisted left sided colon or rectal resection

D.C Koh, SH Kim, CB Tsang

Surgical Endoscopy June 2011, 25(6):1945-52. PMID: 21136096

6. Staging of Rectal Cancer – Technique and Interpretation of Evaluating Rectal Adenocarcinoma uT1-4, N Disease: 2D and 3D Evaluation.

Tan KK, Tsang CB, Dec 2010

Semin Colon Rectal Surg 21:197 – 204

7. Artificial Bowel Sphincter Implantation for Fecal Incontinence in Asian Patients

K. Chittawatanarat, D.C Koh, A.A Seah, W.K Cheong, C.B Tsang

Asian Journal of Surgery, July 2010, 33(3): 134-142 PMID: 21163411

8. Hand-assisted laparoscopic abdomino-perineal resection utilizing the planned end colostomy site

D.C Koh, C.B Tsang, C.W Law, I Kristian, W.K Cheong

Tech Coloproctol, 2010 June, 14(2):201-6. PMID: 20428915

9. Natural History of Small “Indeterminate” Hepatic lesions in patients with Colorectal Cancer

GH Lim, D.C Koh, C.B Tsang, W.K Cheong, K.S Wong

Dis Colon Rectum, Aug 2009, 52(8):1487-91. PMID: 19617765

10. Hand-assisted laparoscopic colectomy versus standard laparoscopic colectomy : A cost analysis

April Camilla Roslani, DC Koh, AsimShabbir, Wong Kutt Sing, Charles TsangBih-Shiou, Wong Hwee Bee, Cheong Wai Kit

Colorectal Disease 2009 June, 11(5):496-501. PMID: 18662242

11. Laparoscopic Colectomy : A Cost-Beneficial Alternative to Open Colectomy

April Camilla Roslani, AssimShabbir, Wong Kutt Sing, Charles Tsang Bih-Shiou, Wong Hwee Bee, Cheong Wai Kit

Australia & New Zealand Journal of Surgery (May 2008)

12. Cholesterol Atheroembolism of the Colon can Mimic the Endoscopic Features of Pseudomembranous Colitis

Lim GeokHoon, April Camilla Roslani, Brendan Pang, Charles Tsang Bih-Shiou

Surgical Laparoscopic Endoscopic Percutaneous Technique Jan 2008 Dec; 18(6):616-8

13. Management of Acute Bleeding Per Rectum

Benita KT Tan, CBS Tsang, DCNK Nyam, YH Ho

Asian J Surg 2004;27(1):32-8

14. Comparison of J-pouch and coloplasty pouch for low rectal cancers: a randomized, controlled trial investigating functional results and comparative anastomotic leak rates.

Ho YH, Brown S, Heah SM, Tsang C, Seow-Choen F, Eu KW, Tang CL

Ann Surg. 2002 Jul;236(1):49-55.

15. Prospective randomised trial comparing ayurvedic cutting seton and fistulotomy for low fistula-in-ano.

KS Ho, C Tsang, SeowChoen, YH Ho, CL Tang, SM Heah, KW Eu

Tech Coloproctol. 2001 Dec;5(3):137-41

16. Massive Bleeding from a Dieulafoy-like lesion of the rectum in a burns patient

Guy RJ, Ang ES, Tan KC, Tsang CB

Burns 2001 Nov;27(7):767-9

17. Randomized Trial assessing anal sphincter injuries after stapled haemorrhoidectomy

Ho YH, SeowChoen, Tsang C, Eu KW

Br J Surg 2001 Nov;88(11):1449-55

18. Stapled haemorrhoidectomy- cost and effectiveness. Randomised, controlled trial including incontinence scoring, anorectalmanometry, and endoanal ultrasound assessments at up to three months

Ho YH, Cheong WK, Tsang C, Ho J, Eu KW, Tang CL, Seow-Choen F

Dis Colon Rectum 2000 Dec;43 (12) : 1666-75

19. Post-operative Pneumoperitoneum after Colorectal Resections

Tang CL, Yeong KY, D Nyam, Eu KW, Ho YH, A Leong, C Tsang, SeowChoen

Dis Colon Rectum 2000 April;43 (4) : 1116-1120

20. Anal sphincter injuries from stapling instruments introduced transanally: randomized, controlled study with endoanal ultrasound amdanorectalmanometry

Ho YH, Tsang C, Tang CL, Nyam D, Eu KW, Seow-Choen F

Dis Colon Rectum 2000 Feb;43 (2) : 169-73

21. Complete Rectal Prolapse- Evolution of Management and Results

D-S Kim, C Tsang, W D Wong, A C Lowry, S M Goldberg, R D Madoff

Dis Colon Rectum 1999 Apr;42(4):460-6

22. Skin Stapled Bowel Anastomosis in a Canine Model

BK Ang, D Cheong, E Teh, TA Teo, C Tsang

Singapore Med J 1999; 40(2):81-83

23. Prospective, randomized trial comparing pain and complications between diathermy and scissors for closed hemorrhoidectomy.

Ibrahim S, Tsang C, Lee YL, Eu KW, Seow-Choen F

Dis Colon Rectum 1998 Nov;41(11):1418-20

24. Anal Sphincter Integrity is a useful determinant of outcome in rectovaginal fistula repair

C Tsang, RD Madoff, WD Wong, DA Rothenberger, CO Finne, D Singer, AC Lowry

Dis Colon Rectum 1998 Sep;41(9):1141-6

25. Circumferential margin involvement after mesorectal excision of rectal cancer with curative intent – Predictor of survival but not local recurrence?

Hall NR, Finan PJ, al-Jaberi T, Tsang C, Brown SR, Dixon MF, Quirke P

Dis Colon Rectum 1998 Aug;41(8):979-83

26. Recurrent and Extensive Anal Condyloma

C Tsang Proceedings of the 4th SGH Colorectal Week 1998; 4:35-38

27. Rectovaginal Fistulas

C Tsang, D A Rothenberger

SurgClin North Am 1997 Feb;77(1):95-114

28. Selective Sedation For Colonoscopy

C Seow, AFPK Leong, C Tsang

GastrointestEndosc 1994 Nov-Dec;40(6):661-4