ABDOMINAL AND DIGESTIVE SYSTEM
Oesophageal / stomach / duodenum
Minor
Oesophagogastroduodenoscopy (OGD) +/- biopsy and/or polypectomy
Percutaneous gastrostomy
Major
Excision of oesophageal lesion / destruction of lesion or tissue of
oesophagus, cervical approach
Permanent gastrostomy / gastroenterostomy
Complex
Oesophagectomy
Total oesophagectomy and interposition of intestine
Proximal gastrectomy / radical gastrectomy / total gastrectomy +/-
intestinal interposition
Jejunum, ileum and large intestine
Minor
Colonoscopy +/- biopsy
Colonoscopy with polypectomy
Sigmoidoscopy
Major
Ileostomy or colostomy
Resection of small intestine and anastomosis
Complex
Anterior resection of rectum, open or laparoscopic
Abdominoperineal resection, open or laparoscopic
Colectomy, open or laparoscopic
Low anterior resection of rectum , open or laparoscopic
Liver
Minor
Fine needle aspiration (FNA) biopsy of liver
Pancreas
Intermediate
Closed biopsy of pancreatic duct
Major
Excision / destruction of lesion of pancreas or pancreatic duct
Complex
Pancreaticoduodenectomy (Whipple's Operation)
Abdominal wall
Intermediate
Laparoscopy / peritoneoscopy
Major
Exploratory laparotomy
BRAIN AND NERVOUS SYSTEM
Brain
Major
Brain biopsy
Complex
Craniectomy
Excision of brain tumour or brain abscess
Excision of brain, including lobectomy
Hemispherectomy
ENDOCRINE SYSTEM
Adrenal Gland
Major
Unilateral adrenalectomy, laparoscopic or retroperitoneoscopic
Complex
Bilateral adrenalectomy, laparoscopic or retroperitoneoscopic
Thyroid Gland
Minor
Fine needle aspiration (FNA) of thyroid gland +/- imaging
guidance
Major
Hemithyroidectomy / partial thyroidectomy / subtotal
thyroidectomy / parathyroidectomy
Total thyroidectomy / complete parathyroidectomy /
robotic-assisted total thyroidectomy
EAR/ NOSE / THROAT / RESPIRATORY SYSTEM
Respiratory system
Minor
Bronchoscopy +/- biopsy
Laryngoscopy +/- biopsy
Microlaryngoscopy +/- Biopsy +/- excision of nodule / polyp /
Reinke's edema
Tracheostomy, temporary / permanent / revision
Intermediate
Laryngeal diversion
Partial / total resection of laryngeal tumour
Thoracoscopy +/- biopsy
Major
Pleurectomy
Segmental resection of lung
Thoracoplasty
Complex
Laryngectomy +/- radical neck resection
Lobectomy of lung / pneumonectomy
EYE
Eye
Intermediate
Enucleation of eye
FEMALE GENITAL SYSTEM
Cervix
Minor
Colposcopy +/- biopsy
Conization of cervix
Destruction of lesion of cervix by excision/ cryosurgery /
cauterization / laser
Endocervical curettage
Loop electrosurgical excision procedure (LEEP)
Intermediate
Amputation of cervix
Fallopian tubes and ovaries^
Major
Ovarian cystectomy, open or laparoscopic
Wedge resection of ovary, open or laparoscopic
Oophorectomy, laparoscopic
Salpingo-oophorectomy, open or laparoscopic
Uterus
Minor
Hysteroscopy +/- biopsy
Intermediate
Hysteroscopy with excision or destruction of uterus and supporting
structures
Complex
Radical abdominal hysterectomy
Pelvic exenteration
Vagina
Minor
Destruction of lesion of vagina by excision / cryosurgery /
cauterization / laser
Intermediate
Partial vaginectomy
Major
Vaginectomy, complete
Vaginal reconstruction
Complex
Radical vaginectomy
Vulva and introitus
Minor
Destruction of lesion of vulva by excision / cryosurgery /
cauterization / laser
Wide local excision of vulva with cold knife or LEEP
Excision biopsy of vulva
Intermediate
Vulvectomy
Major
Radical vulvectomy
HEMIC AND LYMPHATIC SYSTEM
Lymph Nodes
Minor
Biopsy / excision of superficial lymph nodes / simple excision of
lymphatic structure
Incisional biopsy of cervical lymph node / fine needle aspiration
(FNA) biopsy of lymph nodes
Intermediate
Bilateral inguinal lymphadenectomy
Cervical lymphadenectomy
Major
Inguinal and pelvic lymphadenectomy
Radical groin dissection
Radical pelvic lymphadenectomy
Selective / radical / functional neck dissection
Wide excision of axillary lymph node
MALE GENITAL SYSTEM
Prostate
Minor
Prostate biopsy
Major
Transurethral prostatectomy or TURP
Prostatectomy, open or laparoscopic
Complex
Radical prostatectomy, open or laparoscopic
Testicles^
Minor
Testicular biopsy
Intermediate
Exploration of testis
Major
Orchidectomy or orchidopexy, laparoscopic
MUSCULOSKELETAL SYSTEM
Bone
Intermediate
Amputation of one arm / hand / leg / foot
Spine
Minor
Spinal biopsy
SKIN AND BREAST
Skin
Minor
Curettage / cryotherapy / cauterization / laser treatment of lesion
of skin
Local excision or destruction of lesion or tissue of skin and
subcutaneous tissue
Breast
Minor
Fine needle aspiration (FNA) of breast cyst
Incisional breast biopsy
Intermediate
Breast tumour/ lump excision +/- biopsy
Partial or simple mastectomy
Major
Modified radical mastectomy
Partial or radical mastectomy with axillary lymphadenectomy
Total or radical mastectomy
URINARY SYSTEM
Kidney
Minor
Percutaneous insertion of nephrostomy tube
Renal biopsy
Major
Nephroscopy
Nephrectomy, open or laparoscopic or retroperitoneoscopic
Bladder, ureter and urethra
Minor
Cystoscopy +/- biopsy
Cystoscopy with catheterization of ureter/ transurethral bladder
clearance
Major
Diverticulectomy of urinary bladder, open or laparoscopic
Transurethral resection of bladder tumour
Partial cystectomy, open or laparoscopic
Ileal or colonic replacement of ureter
Unilateral reimplantation of ureter into bowel or bladder
Bilateral reimplantation of ureter into bowel or bladder
Complex
Radical/ total cystectomy, open or laparoscopic
Formation of ileal conduit, including ureteric implantation