Mr Geoffrey M Tsang

Qualifications

MBChB

MD

FRCS (Cardiothoracic)

Special clinical interests

Mr Tsang has performed over 5000 Cardiothoracic Operations in Southampton as primary surgeon since his appointment as Consultant Cardiac Surgeon in 1999. He performs all aspects of adult cardiac surgery. His major interest is in thoracic aortic surgery, aortic and mitral valve repair, and replacement. His interest in surgery to the aortic root, ascending, arch, descending and thoracoabdominal aorta dates back to his training in Birmingham with Professor Bonser. He is also an expert in coronary artery bypass grafting. He is one of two surgeons in Southampton who undertake both open and transcatheter aortic valve replacement surgery (TAVI).

Mr Tsang’s personal operative results, and those of the Cardiac Unit at UHS, are available for public scrutiny on the website of the Society for Cardiothoracic Surgery in Great Britain and Ireland (www.scts.org). His personal operative outcomes, and those of the cardiac unit at UHS, have consistently been significantly better than expected when adjusted for surgical and operative risk. They compare very favourably with other Cardiac Units in the United Kingdom.

Mr Tsang’s experience and results at Spire Southampton Hospital are available for scrutiny on the Spire Hospital website (www.spirehealthcare.com). He has performed over 1000 cardiac procedures at this hospital with a mortality rate less than 0.25% for all cases - despite a varied case mix. The outcomes for the Cardiac Surgical Group at Spire Southampton are especially outstanding considering the surgical and operative risk profiles of patients are equivalent to many much larger Cardiac Units in the United Kingdom. The risk adjusted surgical outcome data for Mr Tsang and the Cardiac Surgical group are consistently updated on the Spire Southampton website.

Professional and research interests

Until recently Mr Tsang was the Wessex Training Programme Director coordinating cardiothoracic trainees in both Southampton and Oxford. He remains as the Chairman of the Specialty Training Committee. He has recently been appointed as a member of the Specialty Advisory Committee in Cardiothoracic Surgery at the Royal College of Surgeons. He is an Examiner for the final FRCS (Cardiothoracic) Intercollegiate Examination. In addition Mr Tsang has previously been the Clinical Service Director for Cardiothoracic Surgery at the University Hospital Southampton.

Since the Award of his MD thesis in 1996 Mr Tsang has had an ongoing interest in clinical research. This has resulted in the publication of over 40 publications in the peer reviewed literature. He continues an active involvement in the supervision of clinical research of cardiothoracic trainees.

Current NHS and/or university posts

Consultant Cardiac Surgeon, University Hospital Southampton Foundation Trust (UHS)

Year of first medical qualification

1987

Current membership(s) of professional, national and regional bodies

Royal College of Surgeons of Edinburgh

Speciality Advisory Committee for Cardiothoracic Surgery

Society for Cardiothoracic Surgery in Great Britain and Ireland

Background Information

Mr Tsang graduated MBChB from Birmingham University Graduate 1987. He attained his fellowship at the Royal College of Surgeons of Edinburgh 1991. He trained in all aspects of cardiothoracic surgery in rotations in the West Midlands as well as at Newcastle upon Tyne. He undertook his surgical research fellowship under Professor Cliff Shearman resulting in the award of an MD in 1996. He graduated FRCS (cardiothoracic) in 1998 before being appointed a Consultant Cardiothoracic Surgeon in Southampton in 1999. In 2006 he was the Clinical Service Director for Cardiothoracic Surgery. He continued in this post until 2009. He continues as Consultant Cardiac Surgeon for all aspects of adult cardiac surgery.


Surgical Outcomes Data

Number and type of operations performed

This graph shows the number and percentage of each type of heart surgery done by this consultant surgeon. The number of operations is shown in the line going up the left hand side. The percentage (%) underneath each coloured bar shows how much of this consultant's heart surgery is made up each procedure type.

The 'key' underneath the graph shows what procedure(s) each coloured bar shows. The abbreviations used are explained below:

  • Isolated: This procedure has been carried out on its own. No other procedures were done during the same operation.
  • CABG: Coronary artery bypass grafting
  • AVR: Aortic valve replacement
  • MV: Mitral valve procedure

You can find out more about these procedures in the 'About cardiothoracic surgery' section. If you or someone you know if having heart surgery, it may be helpful to know whether the consultant does lots of that procedure. If you have questions or concerns about the number of procedures being done at your hospital, you should speak to your heart surgeon.

Click here for help understanding this graph

In-hospital survival rate (risk adjusted)

This graph shows the percentage of patients who survived their operation and left hospital alive. This is the 'In-hospital survival rate'. Some patients are more unwell than others and some need more complex operations. Hence, hospitals and consultants perform a range of cardiac operations and the type of patients they operate on can differ. So that we can make fair comparisons between them, the survival rates have been 'risk adjusted' to take into account the illness of the patient and the complexity of the operation. The dot on the graph shows the risk-adjusted survival for the unit/surgeon you have selected and the number of operations performed over the last 3 year period. The blue line indicates the predicted survival and the red dotted lines the range of results expected, worked out by complex statistics.

For more information on understanding mortality rates, look at the Understanding the graphs page

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Average patient risk profile

Some risk factors like age, gender, and other medical problems can affect the outcome of heart surgery.

Each of the graphs below shows what percentage of this consultant's patients have each risk factor (light blue bar on the left) next to the average for the whole of the UK (dark blue bar on the right). This can tell you whether the consultant operates on high risk patients in general, and whether they specialise in doing particular types of complicated surgery, like operations on the thoracic aorta.

You can find out more about the risk factors in the 'About cardiothoracic surgery' section.

Click here for help understanding this graph

Risk adjusted in-hospital survival for all surgeons

This graph shows the percentage of patients who survived their operation and left hospital alive. This is the 'In-hospital survival rate'. Some patients are more unwell than others and some need more complex operations. Hence, hospitals and consultants perform a range of cardiac operations and the type of patients they operate on can differ. So that we can make fair comparisons between them, the survival rates have been 'risk adjusted' to take into account the illness of the patient and the complexity of the operation. The dot on the graph shows the risk-adjusted survival for the unit/surgeon you have selected in comparison with the other units and surgeons in GB&I.