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About - HPB St. Joe’s

About HPB St. Joe's

The hepato-pancreato-biliary (HPB) service at St. Joseph’s Health Centre (part of Unity Health Toronto) provides surgical care to patients with both cancer and non-cancer related problems of the liver, pancreas and bile duct. Our goal is to provide outstanding clinical care and education in HPB surgery.

We work with an amazing team of doctors, nurses, dieticians and physiotherapists to help patients both locally and from across the province with surgical problems of the liver, bile duct and pancreas.

Dr. Melanie Tsang

Dr. Tsang obtained her undergraduate degree at McGill University in Microbiology and Immunology, followed by a Master of Science at the University of Toronto in the Institute of Medical Science. She went on to complete her medical degree and General Surgery residency at Queen's University. She returned to Toronto to complete the General Surgical Oncology fellowship with a focus in Hepato-Pancreato-Biliary and Upper Gastrointestinal Surgery. She has also completed a Master of Science in Clinical Trials through the London School of Hygiene & Tropical Medicine.

Her clinical focus is in Hepatobiliary and Pancreatic Surgical Oncology. She has been appointed as an Assistant Professor and Surgeon Teacher with an interest in Clinical Trials and quality improvement. She is also the ACS National Surgical Quality Improvement Program Surgeon Champion at St. Joseph’s Health Centre and a Vice-Chair on the Unity Health Toronto Research Ethics Board.

Dr. Shiva Jayaraman

Dr. Jayaraman completed his undergraduate degree in biology at the University of Ottawa in 1998 and medical school at The University of Western Ontario in 2002. He completed his General Surgery Residency at The University of Western Ontario and became a Fellow of the Royal College of Surgeons of Canada in 2007. He then stayed in London where he completed a Minimally Invasive and Robotic Surgery Fellowship as well as a Master's degree in Electrical and Computer Engineering in 2009. The focus of his thesis was the design and evaluation of novel instruments for Minimally Invasive Surgery and surgical education. In 2010 he completed a fellowship in Hepatobiliary and Pancreatic Surgery at Memorial Sloan-Kettering Cancer Center in Manhattan, New York City.

Dr. Jayaraman's main clinical interests are Hepatobiliary and Pancreatic Surgical Oncology, intra-abdominal malignancies, and the application of advanced minimally invasive surgical approaches, including laparoscopy and robotics, to diseases of the liver, pancreas, and biliary tract. In addition to clinical research related to his surgical practice, Dr. Jayaraman's main academic interest is the advancement of surgical technique with the aid of novel technologies. He has expertise in image-guided surgery, robotics, and the design and evaluation of novel surgical instruments. He also has an interest in the improvement of surgical education through technology and simulation.

He is also the Associate Program Director for the General Surgery Residency Program at the University of Toronto.