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REVISI LEVEL KOMPETENSI PPDS 2 BEDAH DIGESTIF

FK UNDIP / RSUP DR KARIADI


SEMARANG

UPPER GASTROINTESTINAL
No.
1

Procedure
Oesophageal Surgery
Oesophagectomy ,gastric interposition
Oesophagectomy, colonic interposition
Oesophagectomy, free jejunal graft
Heller procedur (Oesophageal myotomy)
Oesophageal (Reflux/motility)
Fundoplication
Para-oesophageal Hernia Repair
Epiphrenic diverticulectomy
Oesophageal myotomy + fundoplasty
Zenkers diverticulectomy (Open)
Gastric Surgery
Total Gastrectomy (D1 node dissection)
Total Gastrectomy (D2 node dissection)
Distal Gastrectomy (D1 node dissection)
Distal Gastrectomy (D2 node dissection)
Proximal Gastrectomy (D1 node dissection)
Proximal Gastrectomy (D2 node dissection)Gastric tumour, Local excision
Laparoscopy
Oesophagectomy
Gastrectomy
Fundoplication
Oesophageal myotomy
Upper Endoscopy
Diagnostic Upper GI endoscopy
Therapeutic Upper GI endoscopy (ballon dilatasi
achalasia, dilatasi striktur, ligasi / injeksi varises, ekstraksi
corpal)

Level 1

Level 2

Level 3

v
v
v
v

v
v
-

v
v
v
v
v

v
v
v
v
v

v
v

v
v
v
v

v
v
v
v
v
v
v

v
v

v
v
v
v

No
5

Procedure
Bariatric Surgery and Other
Gastric Band (Laparoscopic)
Gastric Band (Removal)
Gastric Band (Revision)
Tube Gastrectomy (Laparoscopic or Open)
Roux en Y Gastric Bypass (laparoscopic)
Roux en Y Gastric Bypass (open)
Roux en Y Gastric Bypass (revisional)
Splenectomy
Jejunostomy/Gastrostomy

Level 1

Level 2

Level 3

v
v
v
v

v
v
v
v
v

v
v
v
v
v
v
v
v
v

Level 1

Level 2

Level 3

v
v

v
v

v
v
v
-

v
v
v
v
v

v
v
v
v
v

v
v

v
v

v
v
v

v
v

v
v

v
v

v
v
v
-

v
v
v
v
v

v
-

v
v
v
v

v
v

v
v

COLORECTAL
No
1

Procedure
Procedures for Haemorrhoids
Excisional haemorrhoidectomy, open or closed and variants
HAL RAR
Stapled haemorrhoidopexy (PPH)
Anal abscess / Fistula
Incision and drainage of abscess
Anal fistulotomy or fistulectomy
Seton treatment of fistula
Endorectal / endoanal flap repair of fistula
Repair of recto-vaginal fistula (other than flap repair)
Other proctological procedures
Lateral internal sphincterotomy
Injection of botulinum toxin to anal sphincter
Excision perianal lesion (skin tag, haematoma, viral warts
etc)
Excision / lay open /flap repair Pilonidal sinus disease
Excision /exteriorisation hidradenitis suppurativa
Transanal procedures
Transanal excision of tumour
Transanal endoscopic microsurgery (TEM)
Anoplasty for stricture or ectropion
Transanal repair of rectocel
Stapled Transanal Rectal Resection (STARR)
Surgical procedures for incontinence
Sphincter repair
Graciloplasty
Sacral nerve stimulation insertion
Artificial bowel sphincter
Prolapse procedures
Perineal repair of rectal prolapse (Delorme, Altemeier)
Transabdominal resection or fixation of rectal prolapsed
Colonoscopy / flexible sigmoidoscopy

10

11

12

Diagnostic colonoscopy
Colonoscopy and polypectomy
Colonoscopic decompression of volvulus or
pseudobstruction
Colonoscopic dilatation and/or metal stent insertion
Colonoscopic endomucosal resection of tumour
Segmental colonic or ileo-colic resection
Ileocolic resection
Right hemi colectomy
Transverse colectomy
Left hemi colectomy
Sigmoid colectomy
Hartmanns resection
Anterior Resection
Anterior resection of rectum for benign and neoplastic
disease
Rectal resection as part of abdomino-perineal resection of
rectum
Perineal rectal resection
As part of abdomino perineal resection
As part of proctectomy for inflammatory bowel disease
Total colectomy
Whole of abdominal colon, with or without anastomosis
Excludes colectomy as part of ileo-anal pouch procedure
Rectal resection with colo-anal /ileoanal anastomosis
Low anterior resection with colo-anal anastomosis
Hand sewn to anal canal +/- colonic pouch
Stapled to anal canal +/- colonic pouch
Rectal resection +/- total colectomy with ileo pouch-anal
anastomosis

13

14

Stoma procedure
Creation, revision or closure of colostomy
Creation, revision or closure of ileostomy
Laparoscopic Procedure
Colectomy
Rectal Resection
Rectal prolapse
Miles procedure
Appendectomi

v
v
v

v
v

v
v

v
-

v
-

v
v

v
v
v
v
v
v

v
v
v
v
v
v

v
v
v
v
v
v

v
v

v
v

v
v

v
v

v
v

v
v

v
v
-

v
v
v
v

v
v

v
v

v
v

v
v
v
v

v
v
v
v
v

v
v
v
v
v

v
v

HPB
No
1

Procedure
Liver Procedure

Level 1

Level 2

Level 3

Wedge excision or Segmentectomy


Right Hepatectomy
Left lateral segmentectomy (segments 2,3)
Left Hepatectomy
Unroofing Liver Cyst open/Laparoscopic
Metastatectomy/Non anatomical resection
Ablative treatment (eg RFA) for liver tumour
Laparoscopic Hepatectomy
Liver Transplantation
Gallbladder Surgery
Open Cholecystectomy
Open Cholecystectomy + IOC
Open Cholecystectomy + CBD Exploration
Laparoscopic Cholecystectomy
Laparoscopic Cholecystectomy + CBD exploration
Choledochoscopy
Transduodenal sphincteroplasty
Bilio-Enteric Bypass
Resection of Choledochal Cyst
Pancreas and Duodenum
Transduodenal resection
Pancreatic duct sphincteroplasty
Pancreaticoduodenectomy (Whipple procedure)
Retroperitoneal node dissection
Distal pancreatectomy

v
v
-

v
v
v
v
v
v
v
--

v
v
v
v
v
v
v
v
v

v
v
-

v
v
v
v
v
v
v
v
v

v
v
v
v
v
v
v
v
v

v
v
v
v

Central pancreatectomy
Enucleation of pancreatic endocrine tumour
Total pancreatectomy
Duodenal preserving pancreatectomy (Begers)
Freys procedure / puestow procedure
Pancreaticojejunostomy
Pseudocyst gastrostomy / Enterostomy
External drainage pseudocyst
Pancreatic necrosectomy (Open/Percutaneous)
Local excision duodenal tumour
Duodenal exclusion procedures
Pancreatic Duct sphincteroplasty
Biliodigestif shunting / triple bypass
ERCP / endoscopic procedure biliary and pancreas

v
v
v
v
v
v

v
v
v
v
v
v
v
v
v
v
v
v
-

v
v
v
v
v
v
v
v
v
v
v
v
v

ABDOMINAL WALL
No
1

2
3

Procedure
Inguinal / femoral Hernia
Open hernia
Laparoscopic hernia
Ventral hernia
Internal hernia

Level 1

Level 2

Level 3

v
v
-

v
v
v
v

v
v
v
v

Level 1

Level 2

Level 3

v
v
v
v

v
v
v
v
v

v
v
v
v
v

LAIN LAIN
No
1

2
3
4

Procedure
Adhesiolisis
Laparoscopic adhesiolisis
Open adhesiolisis
Laparotomi ec peritonitis
Laparoskopi biopsi
Laparotomi reseksi tumor intra peritoneal / retro peritoneal

Ketua Program Studi Bedah Digestif


FK UNDIP/RSUP Dr Kariadi

dr. Andy Maleachi, SpB - KBD

Syarat Kenaikan Level Kompetensi

Pendidikan Sub-Spesialis Bedah Digestif yang dilaksanakan di Sub Bagian Digestif


FK UNDIP / RSUP Dr. Kariadi Semarang, meliputi program-program yang sesuai
dengan Katalog dan Kurikulum yang ditentukan Kolegium Ilmu Bedah Digestif,
yaitu:
A.
B.
C.
D.
E.

Program Pendidikan.
Program pelayanan di rumah sakit yang menjadi tempat pendidikan.
Program penelitian.
Program mendidik mahasiswa atau residen bedah umum.
Program kegiatan penunjang.

A. Program Pendidikan
Program ini meliputi kegiatan pendidikan kognitif, psikomotor dan afektif. Kegiatan
ini melibatkan para Konsultan Bedah Digestif sebagai pendidik atau pembimbing,
para trainee lainnya sebagai kolega peserta didik, para residen bedah dan mahasiswa
kepaniteraan klinik.
Kegiatan pendidikan kognitif meliputi:

Laporan kasus emergensi


Laporan kasus bedah digestif
Seminar kasus bedah digestif.
Clinico-Pathology-Conference (CPC)
Mengikuti ujian lokal kenaikan level

Kegiatan Pendidikan Psikomotor:

Melakukan operasi bedah digestif di RSUP Dr. Kariadi dan Rumah Sakit

Swasta di Semarang.
Melakukan asistensi atau observasi operasi oleh konsultan bedah digestif.
Kegiatan afektif terintegrasi dengan kegiatan-kegiatan tersebut di atas sesuai
dengan relevansinya.

B. Program pelayanan di rumah sakit yang menjadi tempat pendidikan


Melakukan pelayanan pada pasien rawat jalan Poliklinik Bedah Digestif berupa:

Diagnostik
Terapeutik
Konsultasi antar bagian / sub bagian.
Pelayanan pasien Rawat Inap:
Visite pasien bedah digestif dan konsultasi dengan bagian lain.
Menyiapkan dan merencanakan operasi
Melakukan konsultasi antar sub bagian / bagian.

Kegiatan di kamar bedah: operator, asistensi, operasi bersama sub

bagian/bagian lain.
Pelayanan pasien di Instalasi Gawat Darurat.
Dokter jaga trainee bedah digestif.
Konsultasi diagnostik dan terapi oleh residen bedah atau kepada konsultan

bedah digestif.
Melakukan operasi emergensi bedah digestif.

C. Program penelitian

Melakukan penelitian mandiri.


Menyampaikan atau mempublikasikan hasil-hasil penelitian pada kegiatan
pertemuan ilmiah bedah digestif.

D. Program mendidik mahasiswa atau residen bedah

Memberikan bimbingan kepada residen bedah umum pada penanganan

penderita rawat jalan / rawat inap dan tehnik operasi.


Memberikan bimbingan/ diskusi kasus kepada mahasiswa kedokteran UNDIP

E. Program kegiatan penunjang atau tambahan

Mengikuti berbagai kegiatan ilmiah, seperti seminar / simposium.


Mengikuti Advanced Laparascopic Surgery Course di Cho Ray University/
Hospital, Ho Chi Minh City, Vietnam.
Ketua Program Studi Bedah Digestif
FK.UNDIP

dr. Andy Maleachi, SpB - KBD