Continuous drain irrigation 🚒 👩‍🚒as a risk mitigation strategy for postoperative pancreatic fistula: a meta-analysis

🚿 800 pts analyzed but... limited evidence!

🐳 POPF reduction (OR 0.40)

🫵 Have you ever tried ?! 🧐

sciencedirect.com/science/articl…

Fluid collections 🐟 after distal pancreatectomy… real complications or just the way the pancreas heals ❤️‍🩹 ?!

💦 30 day prevalence 70% regardless of resection technique

🚨 POPF, PPAP and size > 5cm predictors of clinical relevance

🆓 link sciencedirect.com/science/articl…

How to predict recurrence of a distal cholangio 🌱 after resection ?!

🏥 645 PD at 13 centers

🍒 LNR and N stage predictors of recurrence + surgical radicality

🦾 A.I. based predictive model provided (C-index 0.8) imim.shinyapps.io/LassoCholangio…

authors.elsevier.com/sd/article/S07…

Somatostatin 🤜🤛 Octreotide for prevention of pancreatic fistula 🇫🇷 RCT for PD and DP

💉 7 days continuous IV / 4 times a day

🐳 POPF rate similar at 23% even after correction for MPD size

So… would you use ☝️,✌️, or… neither of the two?! 🤦‍♂️

journals.lww.com/annalsofsurger…

Left side pancreatectomy 🙊 do we speak the same language?!

🌍 International Delphi consensus

4️⃣ resection categories based on anatomy + additional procedures / technique 🔪🤖

👉 Distal is not just “distal”…

academic.oup.com/bjs/article-ab…

Implications of pregnancy 🤰 on mucinous neoplasms 🥑 of the pancreas

🇺🇸 🇮🇹 176 patients / 14% High grade

🫧 Size > 10 cm associated to HG

👩‍🍼 Peri gestational MCN positively correlated with cyst size

👩‍⚕️ Counseling needed on each specific case!

🆓 doi.org/10.1016/j.pan.…

🪐 The REDISCOVER Guidelines for BR and LA PDAC - part 2 🚀

💡 Unanswered questions / future perspectives include

🥀 Resection of SMA !?
🧐 Management of LA PDAC in unfit for chemo / elevated CA 19.9
💉 Numbers of chemo cycles
💥 Ablation therapies role

link.springer.com/article/10.100…

🍇 Is there a role for adjuvant 💊 chemotherapy in resected invasive IPMN?!

🧑‍🧑‍🧒‍🧒 459 pts / 60% adjuvant chemo / 50% gemcitabine alone

🙈 No benefit for survival / recurrence

🧘‍♀️Careful! No RCT data available yet.. what is your practice ?! 🫵

academic.oup.com/bjs/article-ab…

Surveillance of IPMN 🍇 based on competing risk analysis

👴 Age 🏥 Comorbidities 🫧 Relevant changes

🔴 75 y/old + CACI > 3 predict malignancy BUT ... death for any cause was 15% !!!

👗 Surveillance should be accordingly taylored

🆓 read 👉 gut.bmj.com/content/early/…

The EDS my_UEG postgraduate course is always a real blast 💥 🇵🇹

👩‍🎓🧑‍🎓A massive Università di Padova delegation and even the best poster award for our Riccardo Pellegrini … I am so proud 🥹

🧧 'Teacher open the door, you enter by yourself' 🐉

Thank you, China!

Every year we perform countless MRI/MRCP for IPMNs 🍇…

☢️ Can we use a short protocol for their surveillance?! 🤷‍♂️

🥊 Interobserver agreement among radiologists says.. finally the time has come!

🆓 link to paper 👉sciencedirect.com/science/articl…

🔪 A whipple is not a whipple without Henle’s trunk 🪵 identification…

👉Do you know all its variants ?! 👈

🎯 Check them all out here !!! … and have a great (and safe) next whipple you all!!!

God save the ... spleen! 🫘

Distal Pancreatectomy for body PDAC: is Splenectomy necessary? 🧐

🇫🇷 PSM analysis spleen preserving had ⬇️ harvested LN but ...

🐳 Less POPF and CCI
🪽 Same risk recurrence / survival

link.springer.com/article/10.124…

I have never seen so many YOUNG HPB surgeons as at AICEP E-AHPBA 🇮🇹 😳!!!

The future of our surgery looks finally bright, indeed! 💫

Thank you for these special days, and congrats to Gaetano Corvino for winning the Robot 🤖 contest (@HoggNDMD you should be proud 🥹…)

A neglected though fundamental topic in pancreas cancer and surgical oncology: 👉 palliative surgery 👈

👘 Palliative derives from Latin “pallium” meaning “cape” aimed at protecting

🙏 Alleviate symptoms in patient with serious, life-limiting illness

academic.oup.com/bjs/article-ab…

💥 Pancreas2000 Course 🔟 that’s a wrap 💥

At the stunning ChampalimaudF 🇵🇹 for an inspiring last meeting with top notch faculty and mentees.

The future of pancreatology is in good hands! 🙌

… see you at EPC-Europ Pancr Club in Santiago 🇪🇸!!!

Celebrating 🎉 the brand new Swiss chapter of E-AHPBA 🇨🇭in Lausanne

Merci beaucoup Emmanuel Melloul for the warm hospitality in the city of Olympic Games at Visceral CHUV 🏔️

So, this has been published by Elsevier as many already know… 🤷‍♂️

Nothing against the use of ChatAI per se but… what about the peer review process?!

🤔 Can the current system remain the same?! Thoughts 💭?!

Do you drain 💦 a distal pancreatectomy?! 🧐

🚨 Practice changing RCT The Lancet Gastroenterology & Hepatology 🇳🇱 🇮🇹 282 pts

✋ NO drain better outcomes!

⬇️ Major Morbidity 15% vs. 20%
⬇️ POPF 12% vs. 27%

👉Drainless DP new standard! 👈

🆓 download 👉sciencedirect.com/science/articl…