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The AICEP webinars with our Alessandro Vitale talking about therapeutic hierarchy for HCC “The long and winding road…” 🍃

🤖 Robotic pancreatoduodenectomy with multiple scope transition by YosukeInoueHPB 🇯🇵 🦾 First approach the SMA from the left 🔄 Then move to central position and finally right with port hopping 🥷 Amazing skills and a true honor to be invited to deliver lectures!

Visiting 🇯🇵 colleagues @ Tokyo Cancer Institute, discussing: •Robotic PD •Port switch 4 left-posterior artery first •Preop plan & drawing •POH/PPAP/POPF mgmt •..& more! Thank you for ospitality YosukeInoueHPB Atsushi Oba & all team. The start of a strong collaboration! 🇮🇹🇯🇵

⭐️Guidelines, RCTs, Meta-analysis 🆚 🤦🏻 “we’ve always done it this way” 😂😂😂 Congrats 🎉 🇹🇷

The dilemma of MPD dilatation after PD for non invasive IPMN 🍇 ... Keep calm! 🧐 481 multicentric resections 🤏 27% MPD dilated after a median of 3 years 🔮 Age at PD and FU duration only predictors... 🔪 Completion surgery 3% / malignancy 0.8% 👉journals.lww.com/annalsofsurger…

🧐 How to measure the actual benefits of robotic whipple?! 🤌 Still missing a composite outcome metric including… 🤒 Patients QoL 👨‍⚕️ Preference / Ergonomics 🏥 Costs effectiveness 🔥 hot topic, influenced by the “surgical FOMO”… 🤘🎸 great discussion at AISP !

☢️ TARE can downstage intermediate and advanced HCCs to LT 🤩 📊 44% objective response 📋 30% listed for LT 🔪 23% received LT 🔥 ITT analysis of the largest series in literature out now 🔥 American Society of Transplantation (AST) Transplantation SoMe4HPB Shimul A. Shah United Network for Organ Sharing (UNOS) journals.lww.com/transplantjour…

🩸 Blood loss in HPB surgery: how to estimate !? 🔑 Quality indicator and outcome metric but... no standard assessment! 📃 Finally a Delphi consensus process from E-AHPBA (see thread 🧶) 🆓 open access 👉academic.oup.com/bjs/article/11…

🩸 Blood loss estimation method 🧶 ⚖️ Calculation based on intraoperative suction fluid amounts (ml) - volume of saline solution used for irrigation (ml), + difference in weight between used operative gauzes and dry gauzes (considering 1 g = 1 ml blood)

🩸 Blood loss grading 🧶 Null (0–100 ml), no intraoperative transfusion 🅰️ (101–500 ml), no intraoperative transfusion 🅱️ (> 500 ml), and/or intraoperative transfusion C any amount determining intraoperative adverse event with life-threatening complication, transfusion needed

Radiologic findings 5⃣ years after a Whipple... 😱 What about that dilation of the MPD ?! Should we be worried about it if index surgery was done for an IPMN?! 📏 MPD dilatation is indeed NORMAL after a PJ... Check this Annals of Surgery out for more 👉journals.lww.com/annalsofsurger…

🌅 6pm on a Friday 🎉 🔪 Last case of the week 🍾 ⏰ final minutes of the resection 🥳 🍝 looking forward to dinner 😋 🤦🏻………🩸 ❓Where’s the mistake❓ IHPBA SoMe4HPB SoMe4Surgery Catherine Teh 陳婉然🇵🇭 E-AHPBA GUIDO TORZILLI Simone Conci Cornelius A. Thiels Alejandro Serrablo Giovanni Marchegiani

✈️ The father of the Gastroenterology Guidelines on IPMN has made it to Università di Padova 🎓 Santhi Swaroop Vege Released in 2015 they called for surveillance discontinuation ✋ in selected cases but this was NOT accepted by the community Now we know that 🍇 in principle they were right 😇

🤩Last night we performed the 💯 th LT of 2024 🥳 👏Great team effort 👏 🎶Is there something more relaxing than the arterial sound on Doppler at the end? IHPBA American Society of Transplantation (AST) SoMe4HPB SoMe4Surgery SocietàItalianaTrapiantiDiOrgano United Network for Organ Sharing (UNOS) Shimul A. Shah Centro Nazionale Trapianti Riccardo De Carlis Marco Colasanti AISF - Associazione Italiana Studio Fegato

2nd MENTORSHIP PROGRAM Are u 40yo or younger HPB surgeon and do u want to take the leap 🏄? This is made for you! 📆 10th of January see you Dublin E-AHPBA Mentorship Breakfast ☕️in Dublin! Huge work to put all this togheter Carrie and all Mentors&Mentee IHPBA AICEP

💭 68yo F locally advanced GBC 💊 Stable on 12 cycles TOPAZ 📉 Significant disease control but still… 👇 This CT scan ❓ What would YOU do? ✂️ Would you dare take her to surgery? IHPBA SoMe4HPB E-AHPBA @HPB_influencer SoMe4HPB Catherine Teh 陳婉然🇵🇭 Lee M. Ocuin MD, FACS Cornelius A. Thiels

Fellowship PancreaticSurgery 2025-2026 🥇 1 posto 📅4 mesi continuativi 🔪😷📚chirurgia, clinica e ricerca 🤿nella multidisciplinarietà 🏁deadline domande 15.03.2025 🚩Inizio entro 12.2025 AICEP E-AHPBA only cited in @HPBjournal doi:10.1016/j.hpb.2024.01.015

Pleased to announce the online first publication on Annals of Surgical Oncology of the latest release about R1vasc Liver Surgery: pure R1vasc works also for MFCCC. Humanitas Milano Humanitas University IHPBA E-AHPBA AHPBA A-PHPBA AICEP SSAT IASGO_1988

👁️ Bordeline observable IPMNs 👁️ ⚖️ Reappraisal of the actual benefit of extended surveillance between cancer risk 🫸🫷 discontinuation 🧬 "Less invasive" biomarkers are expected to exclude from FU harmless cyst since first observation 🟠gut.bmj.com/content/early/…

Postop ⬆️ amylasemia and acute pancreatitis 🧪 systematic review and meta analysis 🐳 POH predicts POPF ⚡️ PPAP causes POPF, DGE, PPH and mortality 👉 Check amylase early and get ready to mitigate 🧯postop complications! sciencedirect.com/science/articl…