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The hospital margin for hepatobiliary surgery is huge. Surgeons are typically the entry point. But are HPB surgeons being compensated like spine and cardiac?? 👇🏼👇🏼👇🏼 The Financial Implications of Pancreatic Surgery journals.lww.com/aosopen/fullte…

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…

There are certain cases that are always painful, and at the end you tell yourself you’re going to stop doing them one day. Then after about 48 hr, the pain has passed enough that you’re ready again for the next one. Then this same cycle repeats over and over. 🤔

More data supporting extended antibiotics after Whipple and associated decrease in morbidity. Majority of patients had PDAC or CP (>70% of cohort) so presumably lower CR-POPF risk, reflected by ~10% POPF rate. Targeted mitigation strategies at ⬆️ risk patients may be the way…

Finally some evidence for the neglected 🍇 IPMN-derived cancer! 💉 Adjuvant Chemotherapy impact measured on 1k patients 👉 Survival benefit if 🍒 node positive and elevated 🧪 CA19.9 (associated 12.6-month survival benefit!) And now … RCT NEEDED! ascopubs.org/doi/10.1200/JC…

Good start to the summit of a fascinating topic learning from experts in the field. American College of Surgeons YFAACS

“So, a soft pancreas ➡️ main driver of fistula ➡️ majority of deaths in #Whipple #surgery”📛 💡 “What if we use #SBRT to induce fibrosis preop in non-PDAC (!) pts. Would it work? Could we prevent POPF?”✅ Did anybody try this before?? ☢️ Happening now in the #FIBROPANC pilot

Dejan Radenkovic Annelie Suurmeijer Leonoor Wismans Casper van Eijck Bas Groot Koerkamp E-AHPBA IHPBA anna bruynzeel Be aware, this os our protocol so experimental at this stage!

Happy to share our follow-up study by Alexander Loftus on extended antibiotic prophylaxis following pancreatoduodenectomy in patients with intermediate- or high-risk glands. Mohamedraed S. Elshami, MD, MMSc JJ Hue Victoria Wu AHPBA IHPBA @HPBjournal hpbonline.org/article/S1365-…

🩸 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…

What do you think? POPF after MIS and open Whipple Syed A. Ahmad Melissa Hogg Fadi Dahdaleh Flavio G Rocha, MD, FACS, FSSO Naruhiko Ikoma MD MS Pancreas Verona Nicholas Zyromski The Pancreas Club Jin He Alice Wei Timothy M. Pawlik Jordan Cloyd Susan Tsai, MD, MHS Laleh Melstrom Samer Naffouje jamanetwork.com/journals/jamas…

Pancreatic fistula 💦 the Achille’s heel of minimally invasive surgery?! 🌎 1100 POPF grade B/C 🚨 MIPD POPF experienced more second clinically relevant complication including PPH and DGE 🧐 Adhesions play a protective role?! How to mitigate MIPD 🧯?! jamanetwork.com/journals/jamas…

Surgery for symptomatic wide duct #chronic #pancreatitis : 🔪or 🤖 ? Today in BJS Open by Roberto Maria Montorsi Michiel Francken Marja Boermeester “This systematic review suggested that minimally invasive LPJ can be performed safely in … chronic pancreatitis. Phase 2 RCTs should assess

🧬 RNA neoantigen vaccines prime long-lived CD8+ T cells in pancreatic cancer 🎯 A milestone one in nature 🎯 🦠 Responders with vaccine induced t-cells have prolonged RFS compared to non responders 💉 Vaccine for PDAC not a dream anymore?! nature.com/articles/s4158…

Why are SAGES is in Tampa in 2026! AHPBA and Society of Surgical Oncology only one week apart from each other. Would be good to space them to be able to participate more.

Delayed Gastric Emptying 🤢 is an issue after robotic 🤖 PD 2️⃣1️⃣ % overall DGE rate 📹 assessment of technical skills ⬇️ DGE rates (after 35 procedures) 🤔 How do you perform GJ after a robotic PD ?! How do you prevent DGE?! 🫵 journals.lww.com/annalsofsurger…

Paige Aiello, MD (Paige Aiello) presented a retrospective review on micrometastatic disease post- neoadjuvant chemotherapy at #SSO2025. Findings revealed no difference in overall or recurrence-free survival between extra lymph node dissection and sentinel lymph node biopsy or

Many thanks for the opportunity to share the MUSIC Urology story and lessons learned about surgical QI at the @redeICC ICC Next Legacy conference. 🙏 to the incredible hospitality and many new friends in Fortaleza. Wayne State University School of Medicine Miguel E. Tobon David Edelman

Graft inflow modulation by splenic artery ligation for portal hyper perfusion does not decrease rates of early allograft dysfunction in adult live donor liver transplantation: A randomized control trial journals.lww.com/annalsofsurger…

In 1970, two different groups of surgeons from the same Department, unbeknownst to each other, submitted abstracts on the *same* cohort of pancreatic trauma patients, but came to *opposite* conclusions on the role of the ‘trauma Whipple’. The committee accepted both abstracts.