The Update is coming soon! The committee has put together a terrific program for practicing general surgeons....lots of videos, debates, controversies and updates. Please see cpd.utoronto.ca/generalsurgery/ for more details.

1. How big is your trocar site incision? Last week we established that a 5mm trocar has an outer diameter of 7.7mm. #surgery Ron Barbosa MD FACS Caroline Park MD, MPH Vahagn C. Nikolian, MD SAGES is in Tampa in 2026! TeachMeSurgery Surgical Pizza MISIRG Omar M Ghanem Emory Surgery Ivy N. Haskins, MD

Amazing how to see my old boss and mentor, the unparalleled Dr. Vivian McAlister, speak and share his wisdom and unreal stories again in person at the West Toronto Gut Club. Western General Surgery Residency Program WesternU Surgery Cdn General Surgeons Canadian Armed Forces

If one of the talks at a surgical conference is about bailout maneuvers during cholecystectomy, you should probably go to that one.

Hey, all you blue check mark peeps out there. How about en-masse stop paying for your blue check mark?

Amazing showing for UofT General Surgery at #AHPBA2025.

Dear HPB peeps, does anyone do this? This figure and caption are counter to the teaching and principles most biliary surgeons would adhere to. To person who posted, I don’t mean to be critical, just want to spur discussion. IHPBA Rohan Jeyarajah Flavio G Rocha, MD, FACS, FSSO Julie Hallet

Great day helping proctor an amazing Transcystic LapCBDE course at the #UofT GenSurgUpdate2025 led by David Gomez UofT General Surgery Unity Health Toronto CPD U of T Cdn General Surgeons OAGS

The Update in General Surgery 2025 is underway! Looking forward to an educational and entertaining day. Breast surgery in the am, ACS and tips/tricks in the pm. #UGS2025

#MSKCC fellows office circa 2009-2010 in Tdot ⁦Shangri-La Toronto⁩ ⁦Paul Karanicolas⁩ ⁦Flavio G Rocha, MD, FACS, FSSO⁩ ⁦Anand⁩ ⁦IHPBA⁩ ⁦CSSO⁩ ⁦Cdn General Surgeons⁩

This is Antonio, he had a #Whipple 6years ago for #PancreaticCancer. He permitted me to share this picture to help other patients who are starting/earlier on their journey. PanCAN Pancreatic Cancer Canada Unity Health Toronto Canadian Hepato-Pancreato-Biliary Association IHPBA Cdn General Surgeons HPB @ St. Joe's

The NHLs least preferred, but my dream scenario of the Ottawa Senators and the Winnipeg Jets in the The Stanley Cup finals is almost a possibility. Elliotte Friedman take note…I called it first! Go Sens! But also (and less so) Go Jets!

45 years ago today, this young man dipped his foot in the icy Atlantic beginning his Marathon of Hope journey. It’s incredible to think what he started and the legacy left behind. 🇨🇦#TerryFox

In lateral pancreaticojejunostomy (Puestow), does it matter which direction the jejunal limb is oriented—A: jejunal end toward head vs B: jejunal end toward tail? Is there any rationale or outcome difference based on orientation?

Eric Knauer Shiva Jayaraman Ron Barbosa MD FACS Ian S Soriano 🇵🇭 SSAT AHPBA Rohan Jeyarajah Shimul A. Shah Emory Surgery

Jeff Nahmias MD MHPE FACS FCCM Shahin Mohseni Ron Barbosa MD FACS Edward Lin Eric Knauer Shiva Jayaraman Ian S Soriano 🇵🇭 SSAT AHPBA Rohan Jeyarajah Shimul A. Shah Emory Surgery The quick answer is we couldn’t. But based on literature, most of these cases don’t happen in referral centers where you have expertise to open & fix a BDI on the table. Most drop drain & transfer. Also, % & findings mimic Jeff Nahmias MD MHPE FACS FCCM’s multi-inst paper! surgjournal.com/article/S0039-…

Our new manuscript is out ➡️ Failing to prepare: the erosion of intraoperative cholangiography in the rising surgical workforce ⬇️decreasing trainee experience with IOC 🏥university academic centers perform the least IOCs 👵🏼seniorization of trainee experience Link below 👇

Stable OR teams contribute to better outcomes🤝✨ Each additional case done by same anesthesiologist-surgeon team 👉 ⬇️ major morbidity 🔓‼Opportunity is knocking: ⬆️outcomes by re-organizing teams How to do it? 🆕📝JAMA Surgery tinyurl.com/yx44pm96

We’re hiring an HPB Surgeon!@UnityHealthTO HPB @ St. Joe's. Check out the posting 👉🏽 oags.org/job/st-josephs… Canadian Hepato-Pancreato-Biliary Association Cdn General Surgeons IHPBA SAGES is in Tampa in 2026!

Surgical teams with more experience working together associated with fewer patient complications It’s a no-cost innovation in the OR to improve patient outcomes - why not make it happen? Thanks Betty Zhou for chatting about it for Temerty Medicine temertymedicine.utoronto.ca/news/surgical-…