Interesting study

Frankly, I would have expected the opposite effect (ie abscopal effect w/RT & decreased mets), not increased metastasis with RT as shown here 🤔

Relevance in lung SBRT?
Jeff Ryckman Shankar Siva Matt Spraker Henning Willers, MD Matthew Katz, MD 🟦 Brendon Stiles

👉Reappraisal of 500 cases of robotic PD from #JHBPS
😃RPD is not only technically feasible but oncologically justified without compromising survival.
📢moreover, associated with benefits of low mortality, blood loss, and DGE.

IHPBA E-AHPBA AHPBA
onlinelibrary.wiley.com/doi/10.1002/jh…

Dr. Sunil Geevarghese brilliantly discusses “Moving Forward After Injury: A Leader’s Perspective” American College of Surgeons #ACSCC24

When the attending scrubs into the case and re-adjusts the Thompson retractors to improve exposure……

Guidelines are unanimous;

For look risk procedures like paracentesis we need not check INR and should not give FFP

Liver, gastroenterology, hematology, and interventional radiology societies agree

So why the variation in managing “the cirrhotic coagulopathy”?

🧵

⚠️No octreotide for intraop carcinoid crisis🫢

👥345 operations OHSU Department of Surgery
Crisis in 3️⃣0️⃣％

💉1st line IV octreotide🆚pressors (phenyl/vaso)

Pressors👉🏻⬇️crisis duration & number
Octreotide👉🏻ineffective & delays management

📝🔗link.springer.com/article/10.124…
#ASOchat #some4surgery

So excited to see this work published!
Reprogramming the Intrahepatic Cholangiocarcinoma Immune Microenvironment by Chemotherapy and CTLA-4 Blockade Enhances Anti-PD1 Therapy aacrjournals.org/cancerimmunolr…

Inspiring presidential address by Sean Cleary #AHPBA24 👏

Patients interest comes first: AHPBA can contribute to quality HPB surgery with
🍁 inclusion of all practice settings
🍁 ongoing education
🍁 multidisciplinary collaboration
🍁 advocacy to address disparities

Very proud of our colleague Sean Cleary UHN Sprott Department of Surgery U of T Department of Surgery @UHN Presidential Address AHPBA incredibly inspiring talk reminding us “why we do what we do”

HPB surgeons were well represented. Alice Wei Sean Cleary AHPBA IHPBA

Hey…they said it…not me
😎

link.springer.com/article/10.100…

(Pssst…they’re right though 😜)

I have a new lecture I give in the SICU on Fridays and it has nothing to do with traumatic brain injury, hyponatremia or sepsis.

I’ve called it my “internship survival pack.”

First, it requires food for an active audience (if you bring food, they may come. And stay.) 1/

First pig liver transplanted into a person lasts for 10 days ⁦nature⁩ ⁦Shimul A. Shah⁩ nature.com/articles/d4158…

#SameerPatel from UC College of Medicine UC General Surgery & #Legend Syed A. Ahmad with beautiful & thoughtful post-hoc analysis from SWOG Cancer Research Network #S1505 showing DOSE DENSITY in both neoadj & adjuvant setting is critical in dictating outcomes - it’s not just duration or # cycles! #SSO2024 Society of Surgical Oncology

Impact of the course of the segment 4 hepatic artery on proximal ductal margin status in right hepatectomy for perihilar cholangiocarcinoma surgjournal.com/article/S0039-… outstanding SURGERY Journal study from 🇯🇵 AHPBA E-AHPBA IHPBA Canadian Hepato-Pancreato-Biliary Association

Is it safe to stop placing a drain after distal pancreatectomy?
➡️Today #PANDORINA non-inferiority trial 🇳🇱🇮🇹 The Lancet Gastroenterology & Hepatology
✅ Yes! Not only safe, but improves overall morbidity and POPF B/C rate!

Wonderful collaboration DPCG & Pancreas Verona
➡️

Excited to have Marc Besselink as our visiting professor today at Hopkins Surgery today!

Very early recurrence (<12 weeks) after R0/R1 resection of #PDAC AnnalsSurgOncology:

➡️11% rate - same rate after neoadjuvant and upfront

➡️poor median DSS (13 months)

➡️ body tail lesions/large tumors preoperative predictors

➡️need for molecular markers

link.springer.com/article/10.124…

I have rounded on my patients nearly every Saturday for 30 years. I like weekend rounds and it’s always better when you can do it with the residents like Johns Hopkins Plastic & Reconstructive Surgery Scott Sylvester.

Sherry Wren Patrick Starlinger_TELL International IHPBA E-AHPBA SoMe4HPB We are lucky to have a robust GME infrastructure that supports trainees of all nationalities.

Applicants must meet criteria for state In-training licensure. Our staff walk them through the rest and help us with visa requirements case-by-case.