Division of Surgical Oncology
Leading nationally in cancer research
As part of the prestigious OHSU Knight Cancer Institute, we take an innovative and multidisciplinary approach to cancer care, research and physician training. The institute holds the National Cancer Institute’s top leadership in research designation. Our division is recognized as an international leader in personalized medicine, diagnostics and cancer research.
What sets us apart
- Leading-edge clinical programs, including Oregon’s only peritoneal surface malignancy program
- Research studies and national clinical trials that drive breakthrough cancer treatments
- Fellowship programs offering intensive connections with our faculty and the opportunity to work with Division of Abdominal Organ Transplantation faculty
- Expert faculty who lead clinical, training and research excellence and collaborate across disciplines to care for patients
- A high faculty and clinician retention rate and high scores on resident evaluations of surgeon mentorship
- Access to Vista Pavilion, a 14-story inpatient addition at OHSU Hospital that enhances coordination between cancer care specialists and expands capacity for complex care
Clinical programs
Peritoneal surface malignancy program
The program provides surgical treatment for these malignancies, which are often caused by cancer cells spreading from a tumor in nearby tissue. The program’s offerings include surgery for peritoneal surface malignancies, including HIPEC surgery.
Neuroendocrine tumors treatment program
Our experts are part of the Knight Cancer Institute’s specialized team to treat this rare form of cancer.
Multidisciplinary breast cancer treatment program
We partner with the Division of Plastic and Reconstructive Surgery for optimal results in breast reconstruction surgery.
We work with other OHSU departments to provide state-of-the-art treatment for melanoma and other skin cancers.
Novel therapies for cancer patients, including hepatic arterial infusion
We are one of a few providers in the Pacific Northwest of hepatic arterial infusion, a treatment for primary or metastatic liver cancer.
Fellowships
Hepato-Pancreatico-Biliary Fellowship
Our two-year Hepato-Pancreatico-Biliary Fellowship gives well-trained general surgeons experience in treating benign and malignant diseases of the liver, pancreas and biliary tract.
Transplant and Hepatobiliary Surgery Fellowship
Fellows in the Transplant and Hepatobiliary Surgery Fellowship program, operated by the Division of Abdominal Organ Transplantation, spend time training with our surgeons.
Research, clinical trials and breakthroughs
Our research work includes studying:
- How to use systemic methods and hepatic arterial infusion to deliver different types of chemotherapy in treating patients with liver-dominant and unresectable intrahepatic cholangiocarcinoma
- Molecular aspects of pancreatic cancer, including developing ways to target a pro-survival network in pancreatic cancer cells and personalizing therapy for pancreatic cancer patients
- New approaches to direct patients’ immune systems to recognize and destroy cancer cells, building on a previous discovery that high potassium concentrations in tumor tissue can prevent T cells from fighting cancer
- Reasons for the high rate of pancreatic cancer recurrence in the liver after pancreatic cancer removal surgery
Clinical trials
Our faculty are involved in these clinical trials:
- Testing Pump Chemotherapy in Addition to Standard of Care Chemotherapy versus Standard of Care Chemotherapy Alone for Patients with Unresectable Colorectal Liver Metastases: The PUMP Trial
- Testing the Addition of Paclitaxel Administered into the Abdominal Cavity Combined with Chemotherapy for Patients with Gastric Cancer Spread to the Abdominal Cavity, STOPGAP II Trial
- mFOLFIRINOX Followed by Hepatic Arterial Infusion of Floxuridine and Dexamethasone With Systemic mFOLFIRI for Unresectable Liver-dominant Intrahepatic Cholangiocarcinoma
Breakthroughs
Rodney F. Pommier, M.D., FACS, FSSO, has authored important research in surgical oncology, including studies finding that:
- Removing the primary neuroendocrine tumor (NET) improves survival even in patients with inoperable liver metastases.
- Surgical exploration is highly effective at finding occult primary NETs.
- Lowering the debulking threshold for small bowel NET liver metastases and pancreatic NET liver metastases from 90% to 70% has equivalent survival.
- Octreotide does not prevent carcinoid crisis.
- The pathophysiology of carcinoid crisis is not due to sudden massive release of hormones from tumors, but is a form of distributive shock, best treated with vasopressors rather than octreotide.
- Peritoneal cytoreduction is beneficial for patients with small bowel NETs and carcinomatosis.
News
A local filmmaker documented his cancer journey and surgical treatment at the Knight Cancer Institute in the film “Into the Unknown.”
Meet division faculty
Flavio G. Rocha, M.D., FACS, FSSO, is professor and division head of Surgical Oncology; physician-in-chief of Knight Cancer Institute; Hugh Hedinger and Georgeina Hedinger chair of Surgical Oncology. Dr. Rocha specializes in treating liver, pancreas and biliary tumors and disease. He also has expertise in managing upper gastrointestinal cancers and retroperitoneal sarcomas.
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Appointments and titles
- Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Areas of interest
- Clinical research and translational studies in cholangiocarcinoma
- Clinical trial development in cholangiocarcinoma
- Cancer of the upper gastrointestinal tract (including liver, bile ducts, pancreas, stomach, small bowel and sarcoma)
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Appointments and titles
- Associate Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Areas of interest
- Cholangiocarcinoma
- Colorectal Liver Metastasis
- Tumor induced immune suppression
- T cell ion transport
- T cell engineering
- Translational science
- Investigator initiated clinical trials
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Appointments and titles
- Assistant Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Appointments and titles
- Assistant Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Appointments and titles
- Associate Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Appointments and titles
- Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Areas of interest
- Early Detection of cancer recurrence
- Liver-directed therapies for metastatic and primary liver cancers
- Early phase clinical trial development in hepatopancreatobiliary oncology
- Surgical management of giant retroperitoneal sarcoma
- Risk factors for developing intrahepatic cholangiocarcinoma
- Cancer immunology
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Appointments and titles
- Associate Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Appointments and titles
- Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Appointments and titles
- Research Associate Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Appointments and titles
- Assistant Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Appointments and titles
- Assistant Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Appointments and titles
- Professor of Surgery, Division of Surgical Oncology, School of Medicine
- Professor of Dermatology, School of Medicine
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Areas of interest
- Clinical outcomes
- Multidisciplinary cancer care
- Cancer education
- Tumor immunology
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Appointments and titles
- Associate Professor of Surgery, Division of Surgical Oncology, School of Medicine
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Areas of interest
- Pancreatic cancer (advanced and borderline)
- Complex pancreatitis
- Minimally invasive (laparoscopic, robotic) liver & pancreas surgery
- Translational and Basic Science
- Hepatobiliary disease
- Liver tumors
- Bile duct tumors
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Erin Ward, M.D., Assistant Professor of Surgery
Questions?
Email us at surgdept@ohsu.edu.
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