St Paul's Hospital - Providence Health CareGeneral Surgery

P. Terry Phang, M.D.
M.Sc., F.R.C.S.C., F.A.C.S., F.A.B.C.R.S.

P. Terry Phang,  M.D. M.Sc. F.R.C.S.C  F.A.C.S.  F.A.B.C.R.S.

Dr. Phang is an Associate Professor of Surgery at the University of British Columbia. His medical training was received at the University of Toronto. He received surgical training at Memorial University of Newfoundland and specialized in colorectal surgery training at the University of Minnesota in 1996-97. He holds American Board certification for Surgery and Colorectal Surgery. He has a Masters of Science degree in biochemistry and clinical research training in critical illness and colorectal surgery.

Dr. Phang's current research includes diagnostic imaging of rectal cancer, advanced techniques of rectal cancer surgery including laparoscopy, sphincter-preserving rectal cancer resection, and transanal microsurgery. He has taught many surgeons in British Columbia and Canada on rectal cancer and laparoscopic colon surgery, and many medical students and family physicians on colorectal diseases. He is the leader of the British Columbia Cancer Agency Surgical Oncology Network committee on rectal cancer that has the mandate of improving outcomes for rectal cancer through programmatic development in BC.



Phang PT, Keough KMW: Inhibition of pulmonary surfactant by plasma from normal adults and from patients having cardiopulmonary bypass.  J Thorac Cardiovasc Surg 1986; 91(2):248-251.

Phang PT, Swinamer DL, Eccles R, Lunt JA, Allen P, Jeejeebhoy KN, Belcastro A, King E: Muscle function testing and 31-P NMR spectroscopy in fasted healthy volunteers.  J Crit Care 1987; 2(3):156-161.

Passerini L, Phang PT, Jackson FL, Costerton JW, King EG: Biofilms on flow-directed right heart catheters. Chest 1987; 92(3):440-446.

Swinamer DL, Phang PT, Jones RL, Grace M, King EG: Twenty-four hour energy expenditure in critically ill patients.  Crit Care Med 1987; 15(7):637-643.

Swinamer DL, Phang PT, Jones RL, Grace M, King EG: Effect of routine analgesia on energy expenditure in critically ill patients.  Chest 1988; 92(1):4-10.

Phang PT, Passerini L, Mielke B, Berendt R, King EG: Brain hemorrhage associated with methanol poisoning. Critical Care Medicine 1988; 16(2):137-140.

Keough KMW, Parsons CS, Phang PT, Tweeddale MG: Interactions between plasma proteins and pulmonary surfactants:  surface balance studies.  Can J Physiol Pharmacol 1988; 66:1166-1173.

Swinamer DL, Fedoruk LM, Jones RL, Chin WDN, Phang PT, Hamilton SM, King EG: Energy expenditure associated with CPAP and T-piece spontaneous ventilatory trials following prolonged mechanical ventilation. Chest 1989; 96(4):867-872.

Phang PT, Rich T, Ronco JJ: A validation and comparison study of two metabolic monitors.  J Paren Ent Nutr 1990; 14(3):259-261.

Fenwick JC, Dodek PM, Ronco JJ, Wiggs B, Phang PT, Russell JA: Increased concentrations of plasma lactate predict pathologic dependence of oxygen consumption on oxygen delivery in patients with adult respiratory distress syndrome.  J Crit Care 1990; 5(2):1-6.

Ronco JJ, Phang PT: Validation of an indirect calorimeter to measure oxygen consumption in the ranges seen in critically ill patients.  J Crit Care 1991; 6(1):36-41

Kingston G, Phang PT, Leathly M: Increased incidence of nosocomial pneumonia in mechanically ventilated patients who have subclinical aspiration.  Am J Surg 1991; 161(5):589-592.

Ronco JJ, Phang PT, Wiggs BR, Walley KR, Fenwick JC, Russell JA: Oxygen consumption does not depend on oxygen delivery in the adult respiratory distress syndrome. Am Rev Resp Dis, June 1991, 143:1267-1273.

Di Quinzio C, Phang PT: Treatment of perforated benign gastric ulcer in high risk patients.  Can J Surg  Feb 1992, 35(1):94-97

Jones PHJ, Ridgen JE, Phang PT, Birmingham CL: Thermogenic response to high and low polyunsaturated: saturated ratio fat in obesity.  Metabolism, April 1992, 41(4):396-401. 

Segal J, Phang PT, Walley KR: Low-dose dopamine hastens the onset of gut ischemia in a porcine model of hemorrhagic shock. J Appl Physiol, 1992, 73(3):1159-64.

Ronco JJ, Fenwick JC, Phang PT, Wiggs BR, Russell JA: 02 consumption does not depend on 02 delivery in criticaly ill septic patients.  Am Rev Resp Dis 1992, 147:25-31.

Skarsgard ED, Phang PT, Belzberg A, Russell JA: Evaluation of myocardial injury by radionuclide angiography following penetrating cardiac trauma. Can J Surg 1993, 36(5): 425-430.

Phang PT, Russell JA: When does oxygen consumption depend on oxygen delivery? Respiratory Care 1993 ; 38(6): 618-30.

Ronco JJ, Fenwick JC, Wiggs BR, Phang PT, Russell JA, Tweeddale MG: Oxygen consumption is independent of increases in oxygen delivery by dobutamine in septic patients who have normal or increased plasma lactate. Am Rev Resp Dis 1993; 147: 25-31.

Ronco JJ, Fenwick JC, Tweeddale MG, Wiggs BR, Phang PT, Cooper JA, Cunningham KF, Russell JA, Walley KR: Identification of the critical oxygen delivery for anaerobic metabolism in critically ill septic and nonseptic humans. JAMA, 1993; 270(14): 1724-1730.

Ronco JJ, Belzberg A, Phang PT, Walley KR, Dodek PM, Russell JA: No differences in hemodynamics, ventricular function and oxygen delivery and consumption between septic and nonseptic patients who have adult respiratory distress syndrome. Crit Care Med 1994, 22:777-782.

Phang PT, Cunningham KF, Wiggs BR, Ronco JJ, Russell JA: Mathematical coupling explains pathologic dependence of oxygen consumption on oxygen delivery in ARDS. Am J Respir Crit Care Med 1994; 150: 318-323.

Russell JA, Phang PT: The oxygen delivery/consumption controversy: Approaches to management of the critically ill.  Am J Respir Crit Care Med, 1994; 149:533-537.

Cunningham K, Aeberhardt L, Wiggs B, Phang PT: Interpretation of indirect calorimetry results for measuring energy expenditure. Am J Surg, 1994; 167:547-549.

Vestrup JA, Phang PT, Vertesi L, Wing PC, Hamilton NE: The utility of a multi-centre regional trauma registry.  J Trauma 1994; 37: 375-378.

Dubois B, Phang PT: Penetrating trauma: Dealing with the obvious and the obscure. Can J Diagnosis 1994, 11(10): 63-73.

Cleator IGM, Litwin D, Phang PT, Brosseuk DT, Rae AJ: Laparoscopic ileogastrostomy. Obesity Surgery 1994, 4: 358-60.

Birmingham CL, Jones P, Orphanidou C, Bakan R, Cleator IGM, Goldner EM, Phang PT: The reliability of bioelectric impedance analysis for measuring changes in the bodycomposition of patients with anorexia nervosa. Int J Eating Disorders 1996, 19(3): 311-315.

Phang PT, Aeberhardt L: Effect of parenteral nutrition on body composition in ICU patients. Can J Surg 1996, 39(3): 212-219.

Gow K, Phang PT, Haley L:  Validity of visual inspection of diagnostic peritoneal lavage fluid. Can J Surg 1996, 39(2): 114-119.

Humer MF, Phang PT, Friesen BP, Allard MF, Goddard CM, Walley KR: Endotoxin induced microvascular dysfunction impairs gut oxygen extraction in pigs.  J Appl Physiol 1996; 81: 895-904.

Rudston-Brown BCD, MacLennan D, Warriner B, Phang PT. Effect of subcutaneous CO2 insufflation on arterial PaCO2 in pigs. Am J Surgery 1996, 171: 460-463

Phang PT: Pathologic dependence ot the clinical VO2-DO2 relationship: a con? Reanimation Urgences 1996; 5: 196-199

Brown G, Frankel D, Phang PT: Methylene blue infusion for septic shock.  Case report. Postgraduate Medical Journal 1996, 72: 612-624.

Macdougall DE, Jones PJH, Kitts DD, Phang PT: Effect of butter compared with tallow consumption on postprandial oxidation of myristic and palmitic acids. Am  J Clin Nutrition 1996; 63: 918-924.

Macdougall DE, Jones PJH, Vogt J, Phang PT, Kitts DD: Utilization of myristic and palmitic acid in humans fed different dietary fats. Europ J Clin Invest 1996; 26: 755-62

Su W, Jones PJ, Cleator IG, Phang PT, Birmingham CL: Determinants of weight loss following ileogastrostomy.  Int J Obesity & Related Metabolic Dis 1996; 20: 481-487.

OF Bathe, B Rudston-Brown, AWC Chow, PT Phang: Gut is not a source of cytokines in a porcine model of endotoxicosis. Surgery1996; 120: 522-533.

Axler O, Tousignant C, Thompson CR, Dall’ava-Santucci J, Phang PT, Russell JA, Walley KR: Comparison of transesophageal echocardiographic, Fick, and thermodilution cardiac output in critically ill patients. J Crit Care 1996.  11: 109-116

Axler O, Thompson CR, Walley KR, Tousignant C, Verburgt L, Phang PT, Russell JA: Small hemodynamic effect of typical rapid volume infusions in critically ill patients. Crit Care Med 1997; 25: 965-970.

Phang PT, Wong WDW: The use of endoluminal ultrasound for malignant and benign anorectal diseases. Current Opinion in Gastroenterology 1997, 13(1): 47-53

Rudston-Brown B, Draper PN, Warriner B, Phang PT: Effect of venous gas embolism in a porcine model - Comparison of carbon dioxide and helium. Can J Anesth 1997; 44: 1102-1107.

Pilon C, Leathly M, London, McLean S, Phang PT, Priestley, Rosenberg F, Singer J, Anis A, Dodek PM: Practice guidelines for arterial blood gas measurement in the intensive care unit decreases numbers and increases appropriateness of tests. Crit Care Med 1997, 25(8): 1308-1313.

OF Bathe, AWC Chow, PT Phang: Splanchnic origin of cytokines in a porcine model of mesenteric ischemia-reperfusion.  Surgery 1998; 123: 79-88.

Giffen DM, Gow KW, Warriner CB, Walley KR, Phang PT: Oxygen uptake during peritoneal ventilation in a porcine model of hypoxemia. Critical Care Medicine 1998, 26:1564-1568.

Phang PT, Hain JM, Perez-Ramirez JJ, Madoff RD, Gemlo BT: Closing the loop: Techniques and complications of ileostomy takedown.  Am J Surg 1999; 177:463-466.

Bathe OF, Rudston-Brown B, Chow AWC, Phang PT: The liver as a focus of impaired oxygenation and cytokine production in a porcine model of endotoxicosis. Critical Care Medicine 1998, 26:1698-1706.

Gow KW, Phang PT, Tebbutt-Speirs SM, English JC, Allard MF, Goddard CM, Walley KR: Effect of crystalloid resuscitation on oxygen extraction in endotoxemic pigs. J Appl Physiol 1998, 85(5): 1667-1675.

Walley KR, Friesen BP, Humer MF, Phang PT: Small bowel tonometry is more accurate than gastrictonometry. J Appl Physiol 1998, 85(5): 1770-1777.

Granton J, Walley KR, Phang PT, Russell JA, Lichtenstein S: Assessment of three methods to reduce the influence of mathematical coupling on oxygen consumption and delivery relationships. Chest 1998, 113:1347-1355.

Baird J, Phang PT:  Hemodynamic and ventilatory effects of retroperitoneal insufflation in a porcine model.  Am J Surg 1999; 177:164-166.

Dodek PM, Phang PT: Initial management of trauma by a trauma team: Effect on timeliness of care and mortality in a teaching hospital.  Am J Med Quality 2000; 15:3-8.

Brown J, Phang PT, Sullivan BJ, Mason AC: Cecocutaneous fistula after remote appendectomy. Canadian Journal of Radiology, 2000; 51: 20-22.

Ma R, Phang PT: Result of curative surgery with postoperative chemoradiation for rectal adenocarcinoma in British Columbia, 1985-94. CJS 2001, 44: 377-382.

McGregor GI, Phang PT, MacFarlane JK: Surgery for colorectal cancer - Current trends. BCMJ 2000; 42: 177-179.

KT Alscher, PT Phang, KR Walley: Enteral feeding decreases gut apoptosis, permeability, and lung inflammation during murine endotoxemia. Am J Physiol Gastrointest Liver Physiol 2001; 281: G569-G576.

W. Douglas Wong, Susan M. Congilosi, Michael P. Spencer, Marvin L. Corman, Frank G. Opelka, Marcus Burnstein, Juan J. Nogueras, H. Randolph Bailey, Jose Manuel Devesa, Robert D. Fry, Elisa Birnbaum, James W. Fleshman, Mallory A. Lawrence, M.D. W. Donald Buie, John Heine, Peter S. Edelstein, Sharon Gregorcyk,  Paul Antoine Lehur, Francis Michot, P. Terry Phang, David J. Schoetz, Fabio Potenti, Josephine Y. Tsai: The Safety and Efficacy of the Artificial Bowel Sphincter for Fecal Incontinence – Results of a Prospective, Multicenter Trial. Dis Colon Rectum 2002; 45: 1139-1153.

Ciaran F. Keogh, Jacqueline A. Brown, P. Terry Phang: Linitus Plastica of the Rectum: Utility of TRUS. Journal of Ultrasound in Medicine, 2002; 21: 103-6.

R Simons, A Kirkpatrick, S Kasic, L Appleton, PT Phang, L Vertesi: Relative importanct of designation and accreditation of trauma centres during evolution of a regional trauma system. J Trauma, 2002; 52: 84-86.

Brown JA. Phang PT. Enns R. Butchart MK. Filipenko JD. Mason AC. Cooperberg PL. Computed tomography to detect body packing: an unusual cause of small bowel obstruction. Canadian Association of Radiologists Journal, 2002; 53(2):84-6.

Richard CS, Phang PT, McLeod RS. Need for preoperative radiation in rectal cancer. Can J Surg 2003;46:54-57.

PT Phang, J MacFarlane, RH Taylor, R Cheifetz, N Davis, J Hay, G McGregor, C Speers, B Sullivan, J Pitts, A Coldman: Effects of positive resection margin and tumor distance from anus on rectal cancer treatment outcomes. Am J Surg 2002, 183: 504-508

PT Phang, J MacFarlane, RH Taylor, R Cheifetz, N Davis, J Hay, G McGregor, C Speers, A Coldman: Effect of emergent presentation on outcome from rectal cancer management. Am J Surg 2003, 185:450-454.

PT Phang, J MacFarlane, RH Taylor, R Cheifetz, N Davis, J Hay, G McGregor, C Speers, B Sullivan, J Pitts, A Coldman: Practice patterns and appropriateness of care for rectal cancer management in BC. BC Med J 2003; 45:324-329.

D Malfair, JA Brown, PT Phang: Preoperative rectal cancer imaging. BC Med J 2003; 45:259-261.

PT Phang, J Law, E Toy, C Speers, A Coldman: Audit of rectal cancer pathology in BC. BC Med J 2003; 45:319-323.

PT Phang, T Strack, B Poole: Proposal to improve rectal cancer outcomes in BC. BC Med J 2003; 45:330-335.

JFM Oosthuizen, PT Phang, D Gouthro. Surgical blood use in a Canadian hospital – did Krever have an effect? Can Soc Transfusion Med Bulletin 2003; 15:80-89.

PT Phang: TME techniques. Can J Surg 2004; 47:130-137.

R Cheifetz, PT Phang: Evaluating learning and knowledge retention after a continuing medical education course on total mesorectal excision for surgeons. Am J Surg 2006; 191: 687-690.

PT Phang: Commentary: A prospective analysis of microsatellite instability as a molecular marker in colorectal cancer: Am J Surg 2006; 191: 651.

J Smith, H Hwang, KW Wiseman, D Filipenko, PT Phang: Ex vivo sentinel lymph node mapping in colon cancer: improving the accuracy of pathologic staging? Am J Surg 2006; 191: 665-668.

R Sidhu, E Vikis, R Cheifetz, PT Phang: Self-assessment during a 2-day laparoscopic colectomy course: can surgeons judge how well they are learning new skills? Am J Surg 2006; 191: 677-681.

R McLeod, PT Phang, S Wexner.CAGS evidence based reviews: The timing of elective colectomy in diverticulitis – a decision analysis. Can J Surg 2006; 49: 212-213.

PT Phang: Commentary: Martius flap adjunct for repair of complex, low rectovaginal fistula. Am J Surg 2007; 193:599.

Pinsk I, Phang PT: Total mesorectal excision and management of rectal cancer. Expert Rev Anticancer Ther 2007; 7:1395-1403.

P.T. Phang, H. Kennecke, C.E. McGahan, J. MacFarlane, G. McGregor, and J.H. Hay, Predictors of positive radial margin status in a population-based cohort of patients with rectal cancer. Current Oncology 2008; 15(2): 1-6.

Sher-Ping Leung, Obi l Griffith, Hamid Masoudi, Allen Gown, Steven Jones, Terry Phang, SM Wiseman: Clinical utility of type 1 growth factor receptor expression in colon cancer. Am J Surg 2008; 195: 604-610.

Ariana Murata, CJ Brown, M Raval, PT Phang: Impact of short course radiotherapy and low anterior resection on quality of life and bowel function in primary rectal cancer. Am J Surg 2008; 195: 611-615.

PT Phang: Commentary Colorectal complications of external beam radiation vs brachytherapy for prostate cancer.  Am J Surg 2008; 195: 620.

Carl Brown; Julio Aguilar-Garcia; P. Terry Phang for the Members of the Evidence Based Reviews in Surgery Group: MERCURY Study Group. Diagnostic Accuracy of Preoperative Magnetic Resonance Imaging in Predicting Curative Resection of Rectal Cancer: Prospective Observational Study. Commentary: Dis Colon Rectum 2009; 52: 1-3.

Rouse HC, Godoy MCB, Lee WK, PT Phang, Brown CJ, Brown JA: Imaging findings of unusual anorectal and perirectal pathology: a multi- modality approach. Clinical Radiology 2008; 63: 1350-1360.

I. Pinsk, J Brown, PT Phang: Assessment of sonographic quality of anal sphincter muscles in patients with faecal incontinence. Colorectal Disease 2009; 11: 933-940.

Chung W, Kazeemi P, Sun C, Brown CJ, Raval M, Phang PT: Anal fistula plug and fibrin glue vs conventional management of complex anal fistula. Am J Surg 2009; 197: 604-608.

Krajewski S, Brown J, Phang PT, Raval M, Brown CJ: The Impact of Computed Tomography Scanning of the Abdomen on Clinical Outcomes in Patients with Acute Right Lower Quadrant Pain – A Meta-Analysis. Can J Surg 54: 43-53, 2011.

ZV Maizlin, JA Brown, G So, CBrownD, PT Phang, D Koff, ML Walker, JM.Kirby, P Vora, P Tiwari: Can CT replace MRI in Pre-operative Assessment of the Circumferential Resection Margin in Rectal Cancer? Dis Colon Rectum 2010; 53: 308-314.

Phang PT, McGahan CE, McGregor G, MacFarlane JK, Brown CJ, Raval MJ, Cheifetz R, Hay JH: Effects of change in rectal cancer management on outcomes in British Columbia. Can J Surg 2010; 53: 225-231.

Phang PT: Evolving rectal cancer management in British Columbia. Can J Surg 2010; 53: 222-224.

Phang PT, McGahan C, Cheifetz R, Brown CJ, Raval M: Revisiting rectal cancer care in BC. BCMJ 2010; 52: 510-513.

Chung W, Ko D, Sun C, Raval MJ, Brown CJ, Phang PT: Outcomes of anal fistula surgery in patients with inflammatory bowel disease. Am J Surg 2010; 199: 609-613.

Phang PT: Commentary: Laparoscopy for resection of rectal cancer. Am J Surg Jan 2010; 199: 602-603.

Phang PT, Woods R, Kennecke H: Effect of Systematic Education Courses on Rectal Cancer Treatments in a Population. Am J Surg 2011; 201: 635-639.

Phang PT: Commentary: Laparoscopic colectomy conversion predictors and outcomes. Am J Surg 2011; 201: 630-634

Phang PT: Commentary: Expediting return of bowel function following colorectal surgery. Am J Surg 2012; 203: 648-9

Phang PT, Gollub MJ, Loh RD, Nash GM, Temple LK, Paty PB, Guillem JG, Weiser MR: Accuracy of endorectal ultrasound for measurement of the closest predicted radial mesorectal margin for rectal cancer. Dis Colon Rectum 2012; 55: 59-64.

Aslani N, Lobo-Prabhu K, Heidary B, Phang PT, Raval MR, Brown CJ: Outcomes of laparoscopic colon cancer surgery in a population-based cohort in British Columbia: Are they as good as clinical trials? Am J Surg 2012; 204: 411-415.

CAGS based evidence review: Rectal cancer training. Morris AM, Delaney CP, Pahlman LA, Phang PT: Dis Colon Rectum 2012; 55: 1096-1099.

R Kalke, J Brown, M Raval, PT Phang, C Brown: Angioembolization for Acute Lower Gastrointestinal Bleeding:  A Systematic Review of the Literature. Accepted BJS, Jun 2011.

Planting A, Raval M, Phang PT, Brown C. Transanal endoscopic microsurgery: impact on fecal incontinence and quality of life. Can J Surg accepted Mar 2012.

Faulds J, McGahan C, Raval M, Phang PT, Brown C.Differences Between Referred and Non-Referred Colorectal Cancer Patients. Can J Surg accepted Jun 2012.


Book Chapters

Phang PT, Wong WD: Preoperative investigation of rectal cancer. Current Therapy of Colorectal Diseases, 1998.

PT Phang, WD Wong: Preoperative evaluation of the rectal cancer patient: Assessment of operative risk and strategy. Current therapy in colon and rectal surgery. 2nd Edition, 2005.