Dr Worthley is a Hepatopancreatobiliary (HPB) Surgeon with a special interest in the endoscopic (Using ERCP techniques) and laparoscopic management of patients with disorders of the biliary tract and pancreas.
He has 40+ years experience in the medical profession and actively contributes to the many committees and societies he holds a seat on.
Dr Worthley is an active mentor and teacher, coordinating courses and training through an assortment of medical centers and institutions.
Qualifications
- 1974: Bachelor of Medicine and Bachelor of Surgery – MBBS
- 1976: Fellow of Royal Australasian College of Surgery – FRACS (Part 1)
- 1976: Diploma of Clinical Sciences, Uniersity of Adelaide
- 1982: Fellow of Royal Australasian College of Surgery – FRACS (Part 2)
Personal Appoinments
- 2017- Current: Senior consultant; Division of Surgery – Central Adelaide Local Health Network, The Queen Elizabeth Hospital and Royal Adelaide Hospital
- 2007-2015: Head of Hepatopancreatobiliary (HPB) Surgery Unit and Head of Acute Trauma Surgery Sub-unit, Royal Adelaide Hospital
- 1989 -2015: Clinical Senior Lecturer, Department of Surgery, University of Adelaide
- 1989-2006: Visiting Surgeon, Port Augusta Hospital
- 1989-2015: Surgical Endoscopist for ERCP, Royal Adelaide Hospital
- 1988 – Current: Private Hepatopancreatobiliary (HPB) surgical practice
- 1989-2015: Senior Visiting Surgeon – Hepatobiliary and Pancreatic Surgical Unit Royal Adelaide Hospital.
- 1985 & 1998: Lecturer, Flinders University and Consultant Surgeon, Flinders Medical
- 1985: Senior Surgical Registrar at Flinders Medical Centre- with Drs J Toouli and J McK Watts.
- 1983 – 1984: Junior Consultant Surgeon at Groote Schuur Hospital Capetown with Professors J Terblanche and D Dent.
- 1982 – 1983: Chief Surgical Resident at Flinders Medical Centre, Bedford Park, South Australia – on Professor J McK Watts Unit.
- 1982: Senior General Surgical Registrar at Repatriation General Hospital Daw Park South Australia- with Mr Mervyn Smith, Professor J McK Watts and Mr Robert Black.
- 1978 – 1982: Acting Senior General Surgical Registrar at Queen Elizabeth Hospital, Woodville, South Australia (12 months on Mr John O’Brien’s Unit).
- 1978 – 1982: Junior General Surgical Registrar at Royal Adelaide Hospital (6 months on Professor Ludbrook’s Unit and 6 months on Mr Mervyn Smith’s Unit).
- 1978 – 1982: Junior General Surgical Registrar at Modbury Hospital South Australia (2 months), Senior Surgeon was Mr Donald Beard. Gained orthopaedic experience with Mr Ronald Gray.
- 1978 – 1982: Junior Urological Registrar at Royal Adelaide Hospital (6 months). Junior General Surgical Registrar at Royal Adelaide Hospital (6 months) Wilson Unit
- 1978: Basic Surgical Trainee at Royal Adelaide Hospital and Adelaide Children’s Hospital. Gained experience in E.N.T.Surgery (2 months), Casualty (5 months), Eye Surgery (3 months), Paediatric Surgery (6 months- 2 months as Resident and 4 months as Registrar), General Surgery (3 months as relieving Junior Registrar), Vascular Surgery (3 months), Cardiothoracic Surgery (3 months) and Paediatric Medicine (2 months).
Committees
- 2010 – 2014: Surgical Services Taskforce- SA Health. RAH Emergency Surgery representative.
- 2002 – 2007: Wakefield Hospital Morbidity and Mortality Sub Committee
- 1996 – 2007: Wakefield Hospital Medical Executive Committee
- 1996 – 2007: South Australian Medical Officers Association Councilor VMS representative
- 1990 – 1995: Upper Gastrointestinal Surgical Representative on Subcommittee
- Of Australian Casemix Clinical Committee
- 1990 – 1995: Member of Executive, Upper Gastrointestinal Section of
- Royal Australasian College of Surgeons
- 1990 – 1995: Project Grants Committee Royal Adelaide Hospital
- 1989 – 1994: Chairman, Trauma Interest Group Royal Adelaide Hospital
- 1988: Interviewing Panel for the RACS Examination
- 1988: Organising Committee for RACS Workshop
- 1988: Medical Advisory Committee Flinders Medical Centre
- 1988: Medical Staff Society Executive- Flinders Medical Centre
- 1987: Organising Committee for International Biliary Association Meeting Adelaide
- 1987 – 1988: Committee on Clinical Investigation Flinders Medical Centre
- 1987 – 1988: Fifth Year Course Committee; Coordinatior of Fifth Year Surgical Training
- 1986 – 1988: Fifth Year Course Committee; Coordinatior of the multidisciplinary final Objective Student Clinical Examination
- 1986 – 1988: Animal Ethics Review Subcommittee of Flinders University
Professional Memberships
- International HepatoPancreatoBiliary Association
- World Association of Hepato-Pancreato-Biliary Surgery
- Australian Gastroenterological Society
- Surgical Research Society of South Africa
- Surgical Research Society of Australasia
- Australian Medical Association.
- ANZ HPB Association
- Australian Gastrointestinal Trials Group
- Australian Pancreatic Genome Initiative
Peer-Reviewed Publications
- Worthley, CS, Jamieson, GG, Smith, CA “Perforated Jejunal Diverticulum Containing a Smooth Muscle Tumour.” A.N.Z. J Surg. 1982; 52: 89-91.
- Worthley CS “Exploration of the Common Duct: An analysis of 413 patients.” A.N.Z. J. Surg. 1982; 52: 478-483
- Worthley CS, Toouli J. “Gallbladder non-filling: an indication for cholecystectomy following endoscopic sphincterotomy.” Br. J Surg 1988; 75: 796-798
- Worthley CS, Byrne M, Hickman R. “Evaluation of Tc-99m-DTPA for renal clearance studies in the pig.” Urological Research 1988; 16: 449-454
- Terblanche J, Worthley CS, Krige J, Spence R. “High or low hepatico-jejunostomy for bile duct strictures?”Surgery 1990; 108: 828-834
- Bornman PC, Kahn D, Terblanche J, Worthley CS, Spence RAJ, Krige JEJ. “Rigid versus fibreoptic endoscopic injection sclerotherapy – a prospective randomised controlled trial in patients with bleeding oesophageal varices.” annals of Surgery. 1988; 208: 175-178
- McIntosh GM, Baker RA, Worthley CS, Iannos J, Saccone GTP, Toouli J. “Motility of the biliary tract in the chronic pig model”. Surg. Res. Commun. 1988; 4: 93-101
- Worthley CS, Baker RA, Iannos J, Saccone GTP, Toouli J. “Human fasting and postprandial sphincter of Oddi motility”. Br. J. Surgery. 1989; 76: 709-714
- Worthley CS, Watts J.McK, Toouli J. “Common duct exploration or endoscopic sphincterotomy for choledocholithiasis”. A.N.Z. J. Surg. 1989; 59: 209-215
- Worthley CS, Toouli J. “Endoscopic decompression for acute cholangitis due to stones.” A.N.Z. J. Surg. 1990; 60: 355-359
- Eaton MC, Worthley CS, Toouli J. “Treatment of post-choledochoduodenostomy symptoms.” A.N.Z. J. Surg. 1989; 59: 771-774
- Krige JEJ, Worthley CS, Terblanche J. “Severe Juxtahepatic Venous Injury: Survival after prolonged hepatic vascular isolation without shunting.”H.P.B. Surgery 1990; 3: 39-45
- Williams JAR, Treacy PJ, Sidey P, Worthley CS, Townsend NCW, Russell EAD “Primary duct closure versus T-Tube draining following exploration of the common bile duct.” A.N.Z. J. Surg. 1994; 64: 823-826
- Treacy PJ, Worthley CS, Harley H. “CT-infusion choledochography in the management of Caroli’s Disease.” A.N.Z. J. Surg. 1997 67; 221-222
- Treacy PJ, Worthley CS “Pancreatic stents in the management of chronic pancreatitis.” A.N.Z. J. Surg. 1996; 66: 210-213
- Treacy PJ, Williams JAR, Bais R, Willson K, Worthley CS, Reece J, Bessell J. Thomas DW. “Evaluation of amylase and lipase in the diagnosis of acute pancreatitis.” ANZ J Surg. 2001 Oct;71(10):577-82
- Toh S K, Davies N, Dolan P, Worthley CS, Townsend N, Williams JAR. Good outcome from surgery for ampullary tumour. A.N.Z. J. Surg. 1999 Mar 69(3) : 195 – 8.
- Toouli J, Roberts-Thomson JC, Kellow J, Dowsett J, Saccone GT, Evans P, Jeans P, Cox M, Anderson P, Worthley CS, Chan Y, Shanks N, Craig A. Manometry based randomised trial of endoscopic sphincterotomy for sphincter of Oddi Dysfunction. Gut 2000, 46 (1): 98 – 102
- Treacy J, Williams JAR, Bais R, Willson K, Worthley C, Reece J, Bessell J, Thomas D. Evaluation of amylase and lipase in the diagnosis of acute pancreatitis. A.N.Z. J. Surg 2001, 71(10), 577-82
- Miliauskas JR, Worthley C, Allen PW Glomangiomyoma (glomus tumour) of the pancreas: a case report. Pathology 2002, Apr 34(2), 193-5
- Thomas R, Shah S R, Worthley C S, Biliary access in technically difficult biliary cannulation: the mucosal bridge technique HPB 2009, 11(2), 176-180.
- Warren R Leigh, Chandrasegaram D Manju, Madigan J Daniel, Dolan M Paul, Neo L Eu, Worthley CS Falciform ligament abscess from left sided portal pyaemia following malignant obstructive cholangitis.
World Journal of Surgical Oncology.2012, 10:278. - Manju D. Chandrasegaram, Su C. Chiam, NamQ. Nguyen,2 Andrew Ruszkiewicz, Adrian Chung, Eu L. Neo,1 John W. Chen,1 Christopher S. Worthley, Mark E. Brooke-Smith A Case of Pancreatic Cancer in the Setting of Autoimmune Pancreatitis with Nondiagnostic Serum Markers Hindawi Publishing Corporation Case Reports in Surgery Volume 2013, Article ID 809023, 6 pages http://dx.doi.org/10.1155/2013/809023
- Nathan AD, Chandrasegaram MD, Neo EL, Dolan PM, Tan CP, Chen JW, Worthley CS Palliative bypass for small bowel carcinoid with mesenteric mass and vascular encasement ANZ J Surg 2014, 84(10),793-4
- Manju D. Chandrasegaram, Guy D. Eslick, Wayne Lee, Mark E Brooke-Smith, Rob Padbury, Christopher S Worthley, John W Chen, John A Windsor Anticoagulation policy after venous resection with a pancreatectomy: a systematic review. HPB 2014 Aug;16(8):691-8.
- M.D. Chandrasegaram, D. Y. Chen, C. P. Tan, E. L. Neo, P. M. Dolan, J. W. Chen, M. E. Brooke-Smith, G. Cheetham, A. Ruszkiewiczand C. S. Worthley KRAS Mutation is a Local Tumour Event and Not a Field Change in Pancreatobiliary Tumours British Journal of Medicine and Medical Research, 2013, Vol.: 3, Issue.: 4 (October-December)
- Manju D Chandrasegaram, Su C Chiam, John W Chen, Aisha Khalid, Murthy L Mittinty, Eu L Neo, Chuan P Tan, Paul M Dolan, Mark E Brooke-Smith, Harsh Kanhere, Chris S Worthley Distribution and pathological features of pancreatic, ampullary, biliary and duodenal cancers resected with pancreaticoduodenectomy World J Surg Oncol. 2015; 13(1): 85-87
- Chandrasegaram MD, Shah A, Chen JW, Ruszkiewicz A, Astill DS, England G, Raju RS, Neo EL, Dolan PM, Tan CP, Brooke-Smith M, Wilson T, Padbury RT, Worthley CS. Oestrogen hormone receptors in Focal Nodular Hyperplasia HPB (Oxford). 2015;17(6):502-7