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Locally advanced CaGb with large liver infiltration, CBD infiltration and portal nodes. 4# of Gem-Cis-NabPaclitaxel. CA 19.9 4700 --> 400. Post chemo scan 👇🏼

IPDA .. do it well #RoboticPancreatoduodenectomy

Show us if you have got a better way to divide a high risk pancreas... Manish S Bhandare Gurudutt P. Varty ACTREC-TMC IHPBA TeamSurgery HPB unit Hospital del Mar HPB Lounge E-AHPBA A-PHPBA AHPBA

Ahmad Abou Abbass Jason Hawksworth MD, FACS Shailesh V. Shrikhande Somashekhar SP Yuichi Nagakawa Juan Santiago Azagra Manish S Bhandare Dr.Vikram Chaudhari

Advancing minimally invasive surgery is essential BUT I have seen many newly trained surgeons who are uncomfortable converting to an OPEN procedure when necessary. We can’t forget to train our new surgeons to first learn the essentials.

Complexity and Experience Grading to Guide Patient Selection Shailesh V. Shrikhande Annals of Surgery journals.lww.com/annalsofsurger…

A dedicated effort by ISGPS to not only guide patient selection & safety but also improve our ability to compare outcomes of MIS Pancreatoduodenectomy in next the decade. Giovanni Marchegiani IHPBA E-AHPBA A-PHPBA Marc Besselink Mohamed Abu Hilal Yuichi Nagakawa Amer Zureikat

Japanese Society of HBP Surgery American College of Surgeons HPB Lounge Catherine Teh 陳婉然🇵🇭 Surgeons For Surgeons HPB&UGI_ACTREC_TMC Lee M. Ocuin MD, FACS

Distal SMV resections need special attention - dealing with FJV & disease clearance at the distal end - Avoiding corkscrew, as anastomosis is low down at mesenteric root - SV preservation, when possible ACTREC-TMC Manish S Bhandare Gurudutt P. Varty IHPBA A-PHPBA TeamSurgery

Rubber Band Retraction - A very useful technique in Laparoscopic liver resection Manish S Bhandare Gurudutt P. Varty ACTREC-TMC IHPBA A-PHPBA ILLS HPB Lounge HPB unit Hospital del Mar TeamSurgery Shailesh V. Shrikhande Amit Chopde Amir M Parray Dr. Saneya Jasmine Agarwal

Standard LND for Gall Bladder Ca #RoboticRadCholecystectomy ⁦Manish S Bhandare⁩ ⁦Gurudutt P. Varty⁩ ⁦ACTREC-TMC⁩ ⁦Itaru Endo⁩ ⁦Dr P Jagannath⁩ Shailesh V. Shrikhande ⁦Syed A. Ahmad⁩ ⁦Anita Balakrishnan⁩ ⁦IHPBA⁩ ⁦A-PHPBA⁩ ⁦HPB Lounge⁩

“Posterior” Approach to SMA - Most useful to gain proximal SMA control during PD for PDAC ⁦Manish S Bhandare⁩ ⁦Gurudutt P. Varty⁩ ⁦ACTREC-TMC⁩

Anatomically resectable 🆚 biologically borderline PDAC 🩻 886 pts with identical imaging appearance 🪡 With upfront surgery 🧪 Biologically BR had worse DSS (54 vs. 27 months) ✌️different entities ✌️different approaches academic.oup.com/bjsopen/articl…

Hilar dissection in left extended hepatectomy for Perihilar cholangioca. Most crucial step as demonstrated in the video - preservation of pRHA specially when disease around that region! ACTREC-TMC Manish S Bhandare Gurudutt P. Varty IHPBA A-PHPBA E-AHPBA

Join us for the CME on "Idea to Publication" on 26 July 2025, hosted by Department of Anaesthesia, Critical Care & Pain, ACTREC-TMC, in association with SOAPC Mumbai. Open to Doctors Nurses Paramedics Venue: ACTREC-TMC 🔗 forms.gle/BXQVuLHfLxo13s…

Excellent summary slides for current evidence for pancreatic cancer treatment . Useful for quick reference. @asco #asco25 taken from talk by Dr Brian Wolpin 👍OncoAlert ONCO BRUNO

Key technical steps in Right Hepatectomy—watch for vascular control and safe transection plane. #SurgicalTeaching #HPB #LiverSurgery ⁦Manish S Bhandare⁩ ⁦Gurudutt P. Varty⁩ ⁦ACTREC-TMC⁩ ⁦IHPBA⁩ ⁦A-PHPBA⁩