Replacement of the IVC with side branch for the LRV after IVC leiomyosarcoma & R kidney en bloc resection. Right visceral rotation by midline laparotomy
6 blades setup with Thompson Retractor
#oncovascular #vascsurg

21 year old female admitted scrim OSH with septic shock after lap chole. Failed ERCP. Robotic washout- cannulation of both visible holes. Contrast images 6 months later. WWYD?
SAGES is in Long Beach in 2025! SSAT AHPBA

Common during lap chole: after ductomy for IOC, you milk a stone out of cystic duct. Cystic then feels soft, but when you place IOC cath there is complete resistance/back pressure to flushing. WWYD next??!?

Eric Knauer Maggie Bosley, MD Michael J. Pucci Hope T. Jackson, MD Ron Barbosa MD FACS Kevin El-Hayek, MD, MBA, FACS

Mirizzi syndrome. Large stone in the gallbladder/cystic duct extrinsically compressing the common duct. Stent placed beyond stone to decompress the biliary tree. Next stop: CCY. #surgery #gitwitter ⁦Michael J. Pucci⁩ ⁦Ezra Teitelbaum⁩

Whipple’s Triad (for insulinoma): low blood sugar, symptoms of hypoglycemia, and those symptoms resolve with administration of glucose. Beautiful EUS of FPNET.

Learn how to do this #gensurgeons …next level is being able to flip the needle to backhand by gently putting the tip on something and spinning the needle. Residents will swoon seeing this 😂

Incisional hernia after TAAA repair. eTEP access and unilateral TAR. Retromuscular dissection to accommodate 26x30 cm heavy weight mesh and have the patient home the next morning. #OHSUHernia #HerniaGeeks

Full video with narration:
youtu.be/AXqkV8XwB-Q

Wellness is achievable even in Transplant Surgery! Jefferson Surgery

What a night for playoff hockey in Vancouver. First time in 9 years.

Historic surgical 'I have a comment...' moment:

Richard Cattell's comment on a presentation at the Southern Surgical in 1952 in which he described what would later become known as the 'Cattell-Braasch' maneuver when it was finally published in 1960, some *8 years* later. 🧐

Very interesting vascular case! Thanks for sharing.

Subtotal chole, fenestrating vs reconstituting (check tweet in first photo).
#safechole
SAGES Is In Cleveland 2024! Shiva Jayaraman Federico Serrot Jennifer Moffett MD, MS, FACS Ezra Teitelbaum

So many lessons, that sadly, need to be reinforced. It is important to share these experiences so others can learn. ICG, robots, etc are no replacement for meticulous techniques and adherence to principles of safe chole.

This is a must watch.

An incredible example with excellent narration of a major bile duct injury during cholecystectomy.

Congratulations, Ben! Karen Chojnacki

Zach Callahan has recieved a #SAGES2024 Recognition of Excellence Coin from Mike Ujiki forRising star in MIS and SAGES, Zach Callahan led a project for Educational Resources. He successfully completed an outstanding pilot commentary video that will be an enduring SAGES resource!

Congratulations Dr. Michael Brunt on a well deserved ⁦SAGES Is In Cleveland 2024!⁩ 2024 Distinguished Service Award!

Great trick!

One more. On Thursday come hear and see how I have been doing L-CBDE for the last 21 years. SAGES is in Long Beach in 2025! Michael J. Pucci Ian S Soriano MD 🇵🇭 Maggie Bosley, MD Ezra Teitelbaum Emory Surgery Edward Lin #CBDE