Registration & Memberships

Registration and licensing

  • GMC

Memberships and associations

  • Fellow of the Royal College of Surgeons of Edinburgh
  • Fellow
  • Association of Surgeons of Great Britain & Ireland
  • Fellow
  • Association of Upper GI Surgeons of Great Britain and Ireland
  • Member of European Society of Surgical Oncology
  • Member of I-HPBA and E-AHPBA Member of UK and European NET Society (UKNETS and ENETS)
  • Member of the Pancreatic Society of UK & Ireland
  • Fellow of the Italian College of Surgeons

Languages Spoken

  • English
  • Italian

Professor Giuseppe Kito Fusai

Consultant HPB Surgeon, MS FRCS, Professor of Surgery

Giuseppe Fusai qualified with honours in 1987 at the University of Milan, Italy. He began his training in General Surgery in Italy and in 1992 he was awarded with a Master of Surgery (MS) from the University of Parma.

He moved to the UK in 1995 and in 1996 became Fellow of the Royal College of Surgeons of Edinburgh. Giuseppe specialized in Hepato-pancreato-biliary Surgery and Liver Transplant and since 1999 has worked in several Centres of Excellence in the UK and abroad, including Nagoya University Hospital in Japan, well known for the treatment of cholangiocarcinoma.

He is a Consultant Surgeon in the Liver Unit at the Royal Free Hospital NHS Trust in Hampstead, London and also Honorary Senior Lecturer at University College London.

During the last ten years Giuseppe has performed more than 800 major complex surgical procedures on liver, pancreas and biliary tract, with a perioperative mortality lower than the national and international standard (< 2% for pancreas and <3% for liver). He has also performed more than 2000 laparoscopic cholecystectomies. The good outcome highlighted here is also the result of an integrated approach with anaesthetists, radiologists, gastroenterologists and highly selected nursing staff to provide the best and safest perioperative care.

His primary clinical and academic interest is in liver metastases, hilar cholangiocarcinoma and pancreatic cancer and in the modalities to treat patients with advanced disease, including vascular reconstruction.”


HPB surgery

Special interests:

HPB and liver transplant surgery

Clinical and academic interest in oncological surgery and treatment modalities to increase the resectabiligy of patients with advanced pancreatic cancer, cholangiocarcinoma,and liver metastases

Procedures offered:

Liver resection

Whipple pancreato-duodenectomy

Distal and total pancreatectomy

Decompressive pancreatic surgery for chronic pancreatitis

Biliary reconstruction

Laparoscopic cholecystectomies

Clinical Interests:

My primary clinical interest is in liver metastases, hilar cholangiocarcinoma and pancreatic cancer and in the modalities to treat patients with advanced disease, including vascular reconstruction.

Research interests:

Over the last few years I have been part and led several international multicentre projects, including the “arterial study for patients with locally advanced pancreatic cancer” and “Orange II plus” a randomised controlled trial comparing laparoscopic versus open hemihepatectomy.

Published papers:

ClassenM, Cremer M, Faustini S, Meiser G, zum Buschenfelde M, Neuhaus H, Ott R, Pizzi P, Salvini A, Fusai GK, Staritz M et al.
Electromagnetic shock-wave lithotripsy of gallbladder calculi. Multicentred preliminary report on experience with 276 patients. Hepatogastroenterology 1990; 37 (4): 425-7

Salvini A, Pizzi P, Faustini S, Baresi A, Fusai GK, Lochis D.
Study of gallbladder motility after ESWL for cholelithiasis.
Italian Journal of Digestive Endoscopy 1991; 14: 168

Viani MP, Poggi RV, Pinto A, Fusai G, Andreani SM, Maruotti RA.
Gasless laparoscopic gastrostomy
Journal of Laparoendoscopic Surgery 1995; 5 (4): 245 – 249.

Jenkinson AD, Scott SM, Yazaki E, Fusai G, Walker SM, Kadirkamanathan SS, Evans D. Compliance measurements of lower oesophageal sphincter and oesophageal body in achalasia and gastro-oesophageal reflux disease.
Digestive Diseases & Sciences 2001; 46 (9): 1937 – 42.

Hoh IM, Fusai G, Bhattacharya S. Adult intussusception caused by Peutz-Jeghers hamartoma – an unusual presentation. Grand Rounds 2003; 3: 6-7

Fusai G and Davidson BR. Management of colorectal liver (lung) metastases [review] Colorectal Disease 2003; 5 (1): 2-23.

Fusai G and Davidson BR. Strategies to increase resectability of liver metastases from colorectal cancer [review]. Digestive Surgery 2003; 20: 1-16

Rolles K, Fusai G, Rolando N, Koti R, Patch D, Davidson B, Burroughs A.
Endoscopic biliary stenting facilitates safe and early removal of T-tube in liver transplant patients. Minerva Chirurgica 2005; 60: 1-5

Fusai G, Glantzounis G, Hafez T, Wang W, Sheth H, Kanoria S, Parks HG, Seifalian A, Davidson BR. N-Acetylcysteine ameliorates the late phase of liver ischemia-reperfusion injury in an experimental animal model with fatty liver. Clinical Science 2005; 109(5):465-73

Fusai G, Tucker O, Karani J, Heaton N, Portmann B, Rela M.
Peribiliary cysts can mimic Caroli’s disease. International Journal of Surgical Pathology 2005; 13(4):379-82

Fusai G, Steinberg R, Prachalias A, Heaton ND, Spitz L, Rela M.
Ex-vivo liver surgery for extra-adrenal pheochromocytoma
Pediatric Surgical International 2005; 22: 12-16

Beal I, Anthony A, Papadopolou G, Fusai G, Hutchins R, Davies N, Begent R, Tibbals B, Davidson BR. The effects of chemotherapy in patients undergoing portal vein embolization prior to hepatic resection for colorectal liver metastases. British Journal of Radiology 2006; 79(942): 473-8.

Fusai G, Dhaliwal P, Rolando N, Sabin C, Patch D, Davidson BR, Rolles K, Burroughs AK. Incidence and risk factors for severe and prolonged intrahepatic cholestasis following orthotopic liver transplantation: a multivariate analysis Liver Transplantation 2006; 12(11):1626-33

Kumar S, Fusai G Laparoscopic cholecystectomy in situs inversus totalis with left sided gallbladder Annals of Royal College of Surgeons of England 2007; 89(2):16-8

Fusai G, Warnaar N, Sabin CA, Archibong S, Davidson BR. Outcome of R1 resection in patients undergoing pancreato-duodenectomy for pancreatic cancer European Journal of Surgical Oncology 2008; 34(12):1309-15

Gurusamy KS, Samraj K, Fusai G, Davidson BR.
Early versus delayed laparoscopic cholecystectomy for biliary colic. Cochrane Database Systematic Review 2008; 8(4): CD007196

Pine JK, Fusai G, Young R, Sharma D, Davidson BR, Menon KV, Rahman SH. Serum C-reactive protein concentration and the prognosis of ductal adenocarcinoma of the head of the pancreas. European Journal of Surgical Oncology 2009; 35(6): 605-10

Pamecha V, Glantzounis G, Biswas A, Fusai GK, Sharma D, Davies N, Davidson BR Long-term survival and disease recurrence after preoperative portal vein embolization prior to major hepatectomy for colorectal cancer liver metastases Annals of Surgical Oncology 2009; 16(5): 1202-7

Gurusamy KS, Samraj K, Fusai G, Davidson BR.
Robot assistant for laparoscopic cholecystectomy.
Cochrane Database Systematic Review 2009; 21(1): CD006578

Gurusamy KS, Koti R, Fusai G, Davidson BR
Somatostatin Analogues for pancreatic surgery
Cochrane Database Systematic Review 2010; 2: CD008370

Gurusamy KS, Samraj K, Ramamoorthy R, Farouk M, Fusai G, Davidson B Miniport versus standard ports for laparoscopic cholecystectomy. Cochrane Database Systematic Review 2010; 3: CD006804

Hafez TS, Glantzounis G, Fusai G, Taanman JW, Wignarajah P, Parkes H, Fuller B, Davidson BR, Seifalian Intracellular oxygenation and cytochrome oxidase C activity in ischemic preconditioning in steatotic rabbit liver American Journal of Surgery 2010; 200(4): 507-18

Gurusamy KS, Koti R, Fusai G, Davidson BR
Meta-analysis of randomized controlled trials on the effectiveness of somatostatin analogues for pancreatic surgery: a Cochrane review HPB (Oxford) 2010; 12(3): 155-65

Gurusamy KS, Bong JJ, Fusai G, Davidson BR. Methods of cystic duct occlusion during laparoscopic cholecystectomy. Cochrane Database Systematic Review 2010; 6(10): CD006807

Biochemical indicators of in-hospital complications after pancreatic surgery
John BJ, Wijeyekoon S, Warnaar N, Shasi P, Rahman SH, Davidson BR, Fusai G International Surgery 2010; 95(3): 215-20

Gonzales H, Wei Liu Z, Cashman S, Fusai G Small for size syndrome following living donor and split liver transplantation
World Journal of Gastrointestinal Surgery 2010; 2(12): 389-94

Dhaliwal P, Fusai G, Glantzounis G, Sabin C, Rolando N, Patch D, Sharma D, Davidson BR, Rolles K, Burroughs AK
Risk factors associated with early hepatic artery thrombosis after orthotopic liver transplantation – a multivariable analysis
Transplant International 2011; 24(4):401-8

Damrah O, Naik P, Fusai G, Sharma D.
Is laparoscopic cholecystectomy safe for acute cholecystitis in the presence of ventriculo-peritoneal shunt?
Int J Surg Case Rep 2011; 2(6):157-8

Rindi G, Falconi M, Klersy C, Albarello L, Boninsegna L, Buchler MW, Capella C, Caplin M, Couvelard A, Doglioni C, Delle Fave G, Fischer L, Fusai G, de Herder WW, Jann H, Komminoth P, de Krijger RR, La Rosa S, Luong TV, Pape U, Perren A, Ruszniewski P, Scarpa A, Schmitt A, Solcia E, Wiedenmann B.
TNM staging of neoplasms of the endocrine pancreas: results from a large international cohort study.
J Natl Cancer Inst. 2012;104(10):764-77

Kanoria S, Glantzounis G, Quaglia A, Dinesh S, Fusai G, Davidson BR, Seifalian AM. Remote preconditioning improves hepatic oxygenation after ischaemia
reperfusion injury. Transpl Int. 2012;25(7):783-91

Gurusamy KS, Koti R, Fusai G, Davidson BR.
Somatostatin analogues for pancreatic surgery.
Cochrane Database Systematic Review. 2012; 13;6:CD008370

Gurusamy KS, Samraj K, Fusai G, Davidson BR.
Robot assistant versus human or another robot assistant in patients undergoing laparoscopic cholecystectomy.
Cochrane Database Syst Review. 2012; 12;9:CD006578.

Mouralidarane A, Soeda J, Visconti-Pugmire C, Samuelsson AM, Pombo J,
Maragkoudaki X, Butt A, Saraswati R, Novelli M, Fusai G, Poston L, Taylor PD,Oben JA. Maternal obesity programs offspring nonalcoholic fatty liver disease by innate immune dysfunction in mice. Hepatology. 2013; 58(1):128-38.

John BJ, Naik P, Ironside A, Davidson BR, Fusai G, Gillmore R,
Rahman SH. Redefining the R1 resection for pancreatic ductal adenocarcinoma: tumour lymph nodal burden and lymph node ratio are the only prognostic factors associated with survival HPB (Oxford). 2013;15(9):674-80

Ravikumar R, Holroyd D, Fusai G.
Is there a role for arterial reconstruction in surgery for pancreatic cancer? World J Gastrointest Surg. 2013; 27: 5(3): 27-9

Gurusamy KS, Koti R, Fusai G, Davidson BR.
Somatostatin analogues for pancreatic surgery.
Cochrane Database Syst Rev. 2013; 30;4

Gurusamy KS, Koti R, Fusai G, Davidson BR.
Early versus delayed laparoscopic cholecystectomy for uncomplicated biliary colic.
Cochrane Database Syst Rev. 2013; 30;6

Gurusamy KS, Vaughan J, Ramamoorthy R, Fusai G, Davidson BR. Miniports versus standard ports for laparoscopic cholecystectomy. Cochrane Database Syst Rev. 2013; 1;8

Preziosi G, Oben J, Fusai G
The role of hyperinsulinemia as a risk factor for pancreatic cancer J Cancer Ther 2013; 4:10-16

Coolsen MM, Clermonts SH, van Dam RM, Winkens B, Malagó M, FusaiGK, Dejong CH, Olde Damink SW. Development of a Composite Endpoint for Randomized Controlled Trials in Pancreaticoduodenectomy. World J Surg. 2013 Dec 24. [Epub ahead of print]

Portal Vein Resection in Borderline Resectable Pancreatic Cancer: a UK Multicentre Study.
Ravikumar R, Sabin C, Abu Hilal M, Bramhall S, White S, Wigmore S,
Imber C, Fusai G on behalf of the UK Vascular Resection in Pancreatic Cancer Study Group.
J Am Coll Surg. 2014 Mar;218(3):401-11.

Kasivisvanathan R, Abbassi-Ghadi N, Prout J, Clevenger B, Fusai GK, Mallett SV. A prospective cohort study of intrathecal versus epidural analgesia for patients undergoing hepatic resection.
HPB (Oxford). 2014 Jan 28. doi: 10.1111/hpb.12222. [Epub ahead of print]

Keane G, Bramis K, Pereira S, Fusai G
A systematic review of novel methods of cytoreduction in locally advanced and metastatic pancreatic cancer.
World Journal of Gastroenterology (WJG ) 2013 (in press)

Lykoudis P, O’Reilly D, Nastos K, Fusai G
Timing of surgical management of synchronous colorectal liver metastases: first, simultaneous or last? A systematic review on current literature British Journal of Surgery (BJS) 2013 (in press) DOI 10.1002/bjs.9449

Puri Y, Lytras D, Luong TV, Fusai GK
Rare presentation of self-resolving multifocal inflammatory pseudo-tumour of liver. World J Clin Cases. 2014 Jan 16;2(1):5-8

Gurusamy K, Kumar S, davidson BR, Fusai G
Resection versus other treatments for locally advanced pancreatic cancer Cochrane Database Syst Rev. 2014; Issue 2. CD010244

Preziosi G, Fusai G
Obesity and pancreatic cancer
Surg Oncol 2014; 23(2):61-71.

Ravikumar R, Fusai G
Preoperative Gemcitabine-Baseb Chemoradiation Therapy for Resectable and Borderline Resectable Pancreatic Cancer.
Letter to the Editor Ann Surg 2014, May 12

Vyas SJ, Davies N, Grant L, Imber CJ, Sharma D, Davidson BR, Malago M, Fusai G. Failure of Portal Venous Embolization. ALPPS as Salvage Enabling Successful Resection of Bilobar Liver Metastases. J Gastrointest Cancer. 2014 (in press)

Professor Giuseppe Fusai, Consultant Surgeon, is available to be seen for consultations at the Royal Free.