Dr. Tung is a fellowship-trained surgeon in the Stanford Health Care Chest Wall Surgery Program. He is a clinical instructor in the Stanford Medicine Department of Surgery.
His areas of expertise include trauma, general, and critical care surgery. He excels at the surgical treatment of chest wall injury, including stabilization of rib fractures.
In his research, Dr. Tung has investigated gastrotomy tube complications. He has participated in the American Association for the Surgery of Trauma study of the surgical treatment of liver injury. Other research interests include massive transfusion strategies and education regarding pre-hospital trauma management.
Dr. Tung has co-authored articles on complications of hernia surgery and other topics. His work has been published in The Journal of Trauma and Acute Care Surgery and Case Reports in Surgery. He also co-authored a chapter on chest wall surgery in the Textbook of Emergency General Surgery.
Dr. Tung has made presentations at the American College of Surgeons Annual Meeting, Academic Surgical Congress, and other conferences. Topics include massive transfusions, prehospital trauma care, burn resuscitation, and complications of percutaneous endoscopic gastrostomy (PEG) in trauma patients.
He is a member of the American College of Surgeons, Chest Wall Injury Society, Eastern Association for the Surgery of Trauma, and Association for Academic Surgeons. He is a member of the Stanford Medicine Trauma Committee and other committees. He has worked as and is a certified emergency medical technician (EMT) as well as a tactical physician. He also has served as a “Stop the Bleed” instructor with Stanford Medicine as well as with other institutions where he practiced previously.
Dr. Tung is fluent in English and Cantonese. He is proficient in Mandarin.
- General Surgery
- Surgical Stabilization of Rib Fractures
- Disaster Management
- Pre-Hospital Care
- Trauma Surgery
- Critical Care Surgery
Clinical Assistant Professor, Surgery - General Surgery
Board Certification: American Board of Surgery, Surgical Critical Care (2021)
Board Certification: American Board of Surgery, General Surgery (2020)
Medical Education: Tufts University School of Medicine (2014) MA
Fellowship: UCSF Fresno Surgical Critical Care Fellowship (2020) CA
Residency: Maine Medical Center Program (2019) ME
- Ventriculoperitoneal shunt migration into an inguinal hernia with subsequent laparoscopic reduction and hernia repair. Trauma surgery & acute care open 2022; 7 (1): e000951
- Ventriculoperitoneal shunt migration into an inguinal hernia with subsequentreduction and hernia repair TRAUMA SURGERY & ACUTE CARE OPEN 2022; 7 (1)
Surgical Infection Society: Chest Wall Injury Society Recommendations for Antibiotic Use during Surgical Stabilization of Traumatic Rib or Sternal Fractures to Reduce Risk of Implant Infection.
2022; 23 (4): 321-331
Background: Surgical stabilization of rib fractures is recommended in patients with flail chest or multiple displaced rib fractures with physiologic compromise. Surgical stabilization of rib fractures (SSRF) and surgical stabilization of sternal fractures (SSSF) involve open reduction and internal fixation of fractures with a plate construct to restore anatomic alignment. Most plate constructs are composed of titanium and presence of this foreign, non-absorbable material presents opportunity for implant infection. Although implant infection rates after SSRF and SSSF are low, they present a challenging clinical entity often requiring prolonged antibiotic therapy, debridement, and potentially implant removal. Methods: The Surgical Infection Society's Therapeutics and Guidelines Committee and Chest Wall Injury Society's Publication Committee convened to develop recommendations for antibiotic use during and after surgical stabilization of traumatic rib and sternal fractures. Clinical scenarios included patients with concomitant infectious processes (sepsis, pneumonia, empyema, cellulitis) or sources of contamination (open chest, gross contamination) incurred as a result of their trauma and present at the time of their surgical stabilization. PubMed, Embase, and Cochrane databases were searched for pertinent studies. Using a process of iterative consensus, all committee members voted to accept or reject each recommendation. Results: For patients undergoing SSRF or SSSF in the absence of pre-existing infectious process, there is insufficient evidence to suggest existing peri-operative guidelines or recommendations are inadequate. For patients undergoing SSRF or SSSF in the presence of sepsis, pneumonia, or an empyema, there is insufficient evidence to provide recommendations on duration and choice of antibiotic. This decision may be informed by existing guidelines for the concomitant infection. For patients undergoing SSRF or SSSF with an open or contaminated chest there is insufficient evidence to provide specific antibiotic recommendations. Conclusions: This guideline document summarizes the current Surgical Infection Society and Chest Wall Injury Society recommendations regarding antibiotic use during and after surgical stabilization of traumatic rib or sternal fractures. Limited evidence exists in the chest wall surgical stabilization literature and further studies should be performed to delineate risk of implant infection among patients undergoing SSSRF or SSSF with concomitant infectious processes.
View details for DOI 10.1089/sur.2022.025
View details for PubMedID 35522129
Traumatic Injury and Death Among Law Enforcement Officers
ELSEVIER SCIENCE INC. 2021: E94
View details for Web of Science ID 000718306700228
Surgical Infection Society Guidelines for Total Abdominal Colectomy versus Diverting Loop Ileostomy with Antegrade Intra-Colonic Lavage for the Surgical Management of Severe or Fulminant, Non-Perforated Clostridioides difficile Colitis.
Background: Clostridioides difficile infection (CDI) can result in life-threatening illness requiring surgery. Surgical options for managing severe or fulminant, non-perforated C. difficile colitis include total abdominal colectomy with end ileostomy or creation of a diverting loop ileostomy with antegrade vancomycin lavage. Methods: The Surgical Infection Society's Therapeutics and Guidelines Committee convened to develop guidelines for summarizing the current SIS recommendations for total abdominal colectomy versus diverting loop ileostomy with antegrade lavage for severe or fulminant, non-perforated C. difficile colitis. PubMed, Embase, and the Cochrane database were searched for pertinent studies. Severe infection was defined as laboratory diagnosis of C. difficile infection with leukocytosis (white blood cell count of ≥15,000 cells/mL) or elevated creatinine (serum creatinine level >1.5 mg/dL). Fulminant infection was defined as laboratory diagnosis of C. difficile infection with hypotension or shock, ileus, or megacolon. Perforation was defined as complete disruption of the colon wall. Total abdominal colectomy was defined as resection of the ascending, transverse, descending, and sigmoid colon with end ileostomy. For the purpose of the guideline, the terms subtotal colectomy, total abdominal colectomy, and rectal-sparing total colectomy were used interchangeably. Diverting loop ileostomy with antegrade enema was defined as creation of both a diverting loop ileostomy with intra-operative colonic lavage and post-operative antegrade vancomycin unless otherwise specified. Evaluation of the published evidence was performed using the Grades of Recommendation Assessment, Development and Evaluation (GRADE) system. Using a process of iterative consensus, all committee members voted to accept or reject each recommendation. Results: We recommend that total abdominal colectomy be the procedure of choice for definitive therapy of severe or fulminant, non-perforated C. difficile colitis. In select patients, colon preservation using diverting loop ileostomy with intra-colonic vancomycin may be associated with higher rates of ostomy reversal and restoration of gastrointestinal continuity but may lead to development of recurrent C. difficile colitis. Conclusions: This guideline summarizes the current Surgical Infection Society recommendations regarding use of total abdominal colectomy versus diverting loop ileostomy with antegrade lavage for adults with severe or fulminant, non-perforated C. difficile infection.
View details for DOI 10.1089/sur.2021.126
View details for PubMedID 34619068
Gastrobronchial Fistula after Robotic Repair of Traumatic Diaphragmatic Hernia
CASE REPORTS IN SURGERY
2020; 2020: 8085425
Gastrobronchial fistulas are a rare occurrence in the literature. We report a case of a gastrobronchial fistula after robotic repair of a chronic traumatic diaphragmatic hernia. The patient had severe respiratory symptoms with multiple studies that were inconclusive. The fistula was ultimately discovered after an esophagogastroduodenoscopy (EGD). The patient underwent a left thoracotomy for takedown of his fistula and eventually recovered. Earlier EGD and a lower threshold for differential that included this diagnosis would have led to an earlier identification and treatment of a rare disease process.
View details for DOI 10.1155/2020/8085425
View details for Web of Science ID 000522989600001
View details for PubMedID 32257500
View details for PubMedCentralID PMC7102410
- Empyema commission of 1918-Impact on acute care surgery 100 years later JOURNAL OF TRAUMA AND ACUTE CARE SURGERY 2019; 86 (2): 321-325