RCT Laparoscopic vs Open Hemihepatectomy? #liver #surgery
#ORANGE2plus published Journal of Clinical Oncology: ➡️332 pts; 166 lap vs 166 open in 16 European centers 🇳🇱🇬🇧🇧🇪🇮🇹🇳🇴.

🔑 time to recovery 4 vs 5 days, p<.001
🔑 major complic. 14.5 vs 16.9%, p=.58
🔑 global health status, p<.001
🔑 body

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
➡️

New research - van Bodegraven et al - Prophylactic abdominal drainage after distal pancreatectomy (PANDORINA): an international, multicentre, open-label, randomised controlled, non-inferiority trial

thelancet.com/journals/langa…

#GITwitter #SoMe4Surgery

Second RCT 🤖 vs open🔪 pancreatoduodenectomy this week. This time conversion very low 4% ✅ and operation time sign shorter (!) with robot (245 vs 298min) ✅. Primary endpoint was hospital stay: 2 days shorter ✅ 🤖

First international RCT on this topic: #DIPLOMA2 completed,

This is a huge THANK YOU to all the reviewers out there 🙏

The current system is probably wrong / not sustainable

Still, every time you click the “accept” button from the umpteenth email of your inbox 📨 you’re serving science

You’re contributing. Promoting knowledge.

🫵 Seeking for a fellowship in HPB surgery ?!

🤷‍♀️ No established training in Europe but 3⃣2⃣ programs exist 🥳

😷 Fellow median age 34 💰 70% funded

🪡 HPB major surgeries performed between 0-10 / minimally invasive 10% 😭

👉 Standard CV needed! 👈

hpbonline.org/article/S1365-…

As said before
Giampaolo Perri Tim Reese
Karolinska-HPB

Ernesto Sparrelid provides some insights into HPB fellowships in Europe #alps2024

Well, „observing“ out Karolinska-HPB Ernesto Sparrelid Stefan Gilg fellows, I can safely state that they indeed DO surgery as 1️⃣ surgeons, inclusive MIS.
BUT⚠️ this is not all! They are also immersed intensively in our academic environment! Magnus Nilsson Karolinska Institutet

Ville Sallinen ALPS Meeting Ernesto Sparrelid Karolinska-HPB Completely agree…Need for european regulations in fellowship??🧐

ALPS meeting ALPS Meeting - Ernesto Sparrelid from Karolinska-HPB giving an excellent overview on the landscape of HPB fellowships in Europe. Much still to do.

If you think of applying, ask the program director this question: How many procedures will I be doing as the first surgeon?

Giampaolo Perri continues the fellowship theme with an account of his own experiences #alps2024

ALPS meeting ALPS Meeting - EiC of @HPBjournal Prof Steve Wigmore giving tips on how to write a paper.

Ana Gleisner (she/her/hers) from CU Surgical Oncology CU Department of Surgery with some fabulous insights into setting up a robotic minimally-invasive program for liver surgery #alps2024

Postoperative Hyperamilasemia (POH) 🧪 is an early predictor od POPF after distal pancreatectomy

🇮🇹🇸🇪🇳🇴 1.2 k DP - POH 18% / POPF 29%

🐳 POPF doubled once POH diagnosed (46%)

🧑‍🔬 POH early predicts POPF severity and additional morbidity / mortality

👉journals.lww.com/annalsofsurger…

Excellent presentation Hop!

#AudioVisualAbstract : Risk Factors, Management, and Outcome of Gastric #VenousCongestion After #TotalPancreatectomy : An Underestimated Complication Requiring Standardized Identification, Grading, and Management Thomas Stoop Poya Ghorbani

rdcu.be/dwDAA

Great work Tim! Looking forward to the continuation of your fellowship with us!

Tim Reese Hannes Jansson jengstrand Poya Ghorbani PatrikLarsson Kjetil Søreide Johanna Samola Winnberg Way to go Tim. It shows the value of Karolinska-HPB training! Spread the word! Stefan Gilg Ernesto Sparrelid

A great and exciting week is coming to an end. Eight HPB-Cases I attended this week, including my first performed robotic distal pancreatectomy and first independent Whipple. What a fantastic fellowship! Thank you for the support and trust: Karolinska-HPB Ernesto Sparrelid Stefan Gilg