Medic, MD, FRCS (Gen Surg)
Specialises in
Virtual consultations:
I have been working as a Consultant Colorectal and General Surgeon for over eight years. I specialise in minimally invasive techniques, including laparoscopic surgery, robotic surgery and trans‑anal endoscopic microsurgery (TEM), for the treatment of bowel cancer, diverticular disease, rectal prolapse and obstructed defaecation.
My clinical practice covers a wide range of colorectal conditions, including bowel cancer, haemorrhoids, rectal prolapse, faecal incontinence, disorders of defaecation, diverticular disease, pilonidal sinus disease and all types of hernia. I have developed a large practice in colonoscopy and endoscopic polypectomy and regularly perform therapeutic endoscopic procedures.
I have a particular interest in haemorrhoidal disease, faecal incontinence, irritable bowel syndrome and pilonidal sinus surgery. I am a founding member of the Merseyside and Cheshire Small and Early Rectal Tumours (SERC) multidisciplinary team and the Wirral Polyp MDT, and I established and chair the Wirral Pelvic Floor MDT, providing a multidisciplinary approach to complex pelvic floor conditions.
I have performed over 200 laparoscopic bowel resections for cancer, including more than 50 rectal cancer resections, and have significant experience in robotic rectal cancer surgery. I also undertake robotic ventral mesh rectopexy for rectal prolapse and obstructed defaecation. In addition, I perform a high volume of minimally invasive haemorrhoid procedures, including trans‑anal haemorrhoidal dearterialisation (THD) with rectal mucopexy. I carry out more than 500 colonoscopies each year, with a substantial proportion being therapeutic procedures.
I regularly review and audit my clinical outcomes as part of ongoing service development and quality improvement. I have held several leadership roles, including Chair of the Merseyside and Cheshire Colorectal Cancer Clinical Network Group, supporting the development of colorectal cancer services across the region.
I am Clinical Lead for Colorectal Cancer and Clinical Lead for Pelvic Floor Surgery at Wirral University Teaching Hospital, and also serve as Clinical Lead for Cancer Services, overseeing cancer care delivery and service development within the Trust.
My practice includes procedures such as endoscopic mucosal resection, polypectomy, laparoscopic and robotic bowel surgery, trans‑anal endoscopic microsurgery, trans‑anal haemorrhoidal dearterialisation, haemorrhoid surgery, rectal prolapse surgery, and surgical and non‑surgical management of faecal incontinence and obstructed defaecation.
Some of the principal treatments carried out by Mr Liviu Titu at Spire include:
General surgery
Colorectal surgery
Medic / University of Cluj-Napoca, Romania / 1992
Medic
MRCS / Royal College of Surgeons of Edinburgh / 1999
MRCS
MD / University of Hull / 2003
MD
FRCS / Royal College of Surgeons of Edinburgh / 2005
FRCS
EBSQ Coloproctology / Munich, Germany / 2010
Eurpean Board of Surgical Qualification Coloproctology
Association of Coloproctology of Great Britain and Ireland
European Society of Coloproctology
The National Pelvic Floor Society
Royal College of Surgeons of Edinburgh
Chair of the Cheshire and Merseyside Colorectal Cancer Network Group
Clinical Lead for Cancer Services, Wirral University Teaching Hospital
Clinical Lead for Colorectal Cancer Surgery, Wirral University Teaching Hospital
Clinical Lead for Pelvic Floor Surgery and Chair of the Pelvic Floor MDT, Wirral University Teaching Hospital
I have authored scientific articles in prestigious surgical journals such as Annals of Surgery, Diseases of Colon and rectum and Colorectal Disease. I was awarded an MD by the University of Hull in 2003 for my thesis “Cytotoxic T cell immune response against telomerase in colorectal cancer patients”. I was supported in my research activities by grants from Cancer Research UK, Bowel Disease Research Foundation, Society of Academic and Research Surgery of Great Britain and Ireland and Yorkshire Cancer Research.
Shapey I, Agbamu D, Newall N, Titu L. Nicorandil associated ulceration of the gastrointestinal tract: side-effects requiring surgical intervention. Int J Colorectal Disease 2015; 30(8):1143-5.
Siddique K, Cheema MR, Bapat P, Titu L. Optimization of Peri-Operative HDU Care for Elective Colorectal Patients. J Women’s Health Care 2014; 3(5):188 doi:10.4172/2167-0420.1000188.
Titu LV, Riyad K, Carter H, Dixon AR. Stapled trans-anal rectal resection (STARR) in the treatment of obstructed defaecation: a cautionary tale. Diseases of Colon and Rectum 2009; 52(10):1716-22.
Titu LV, Phillips SM, Zafar N, Greenslade GL, Dixon AR. Emergency laparoscopic surgery for complicated diverticular disease. Colorectal Disease 2009; 11(4):401-4.
Titu LV, Tweedle E, Rooney PS. High tie of the inferior mesenteric artery in curative surgery for left colonic and rectal cancers: a systematic review. Digestive Surgery 2008; 25(2):148-157.
Titu LV, Breen DJ, Nicholson AA, Hartley JE, Monson JRT. Is routine Magnetic Resonance Imaging justified for the early detection of resectable liver metastases from colorectal cancer? Diseases of Colon and Rectum 2006; 49(6):810-5.
Titu LV, Nicholson AA, Hartley JE, Breen DJ, Monson JRT. Routine follow-up by Magnetic Resonance Imaging does not improve detection of resectable local recurrences from colorectal cancer. Annals of Surgery 2006; 243(3):348-352.
Baker RP, Titu LV, Hartley JE, Lee PW, Monson JR. A case-control study of laparoscopic right hemicolectomy vs. open right hemicolectomy. Diseases of Colon and Rectum 2004; 47(10):1675-9.
Titu LV, Loveday RL, Madden LA, Cawkwell L, Monson JR, Greenman J. Cytotoxic T-cell immunity against telomerase reverse transcriptase in colorectal cancer patients. Oncology Reports, 2004; 12(4):871-6.
Loveday RL, Titu L, Beral D, Jordison V, Monson JRT, Greenman J. Telomerase activity in circulating colorectal tumour cells. Cancer Therapy, 2004; 2:85-90.
Titu LV, Laden G, Purdy GM, Wedgwood KR. Gastric barotrauma in a SCUBA diver: report of a case. Surgery Today 2003; 33(4):299-301.
Titu LV, Monson JRT, Greenman J. Cytotoxic T lymphocyte immunity in colorectal cancer. Cancer Immunology Immunotherapy 2002; 51(5):235-47.
Baker RP, White EE, Titu L, Duthie GS, Lee PWR, Monson JRT. Does laparoscopic abdomino-perineal resection of the rectum compromise long-term survival? Diseases of Colon and Rectum 2002; 45(11): 481-5.
Duca S, Bala O, Iancu C, Titu L, Scripa E. Outcome of Laparoscopic versus Open Cholecystectomy in Obese Patients. Romanian Journal of Gastroenterology 1996; 192(12):323-327.
Consultant Colorectal and General Surgeon, Wirral University Teaching Hospital
| Telephone | 0151 929 5408 (Wirral) / 01978268035 (Yale) |
| info@spirewirral.com (Wirral) / info@spireyale.com (Yale) | |
| Private secretary | Deborah Jones |
| Private secretary telephone | 0151 604 7090 extension 2790 |
| Private secretary email | Deborah.jones8@nhs.net |