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Some Liver Metastatic PDAC can be considered for Surgery after optimal response to CHT. Better if NO vascular encasement, LOW inflammatory index and GOOD nutritional status Check our latest research on rdcu.be/cTRON Annals of Surgical Oncology

🧐 Do you routinely drain distal pancreatectomies ?! 🐳 POPF and morbidity might not be negatively affected by drainless procedures 🇳🇱🇮🇹 The Pandorina binational multicenter randomized controlled trial is ongoing to provide more evidence ncbi.nlm.nih.gov/pmc/articles/P…

Pancreatoduodenectomy at the Verona Pancreas Institute: the Evolution of Indications, Surgical Techniques, and Outcomes: A Retrospective Analysis of 3000 Consecutive Cases journals.lww.com/annalsofsurger…

🚨📣 Body composition changes 💻 during neoadjuvant therapy may help identify patients at risk of worse postoperative outcomes after Whipple! Have a look👉frontiersin.org/articles/10.33…, and try CoreSlicer Pancreas Verona Louis Mullie, MD Frontiers - Nutrition E-AHPBA IHPBA

Happy Easter 🐣 read on POPF risk assessment for distal pancreatectomy! Full text now on available Annals of Surgery 🧮 Do you calculate D-FRS ?! 🧯 Would you perform drainless DP for negligible / low risk !? 🎯 RCT ongoing ... journals.lww.com/annalsofsurger…

✨ Highlights from #EAHPBA2023 🇫🇷 Do you routinely put drains 💦 after a distal Pancreatectomy?! The results of this brand new RCT 🇮🇹 🇳🇱 support drainless policies! POPF 🐳 drops down from 27% to 9%

Finally out 🔥 Association of HRS / WF with malignant IPMN 🍇 🆕syst review for upcoming guidelines 🗞️ 🥑 Mural nodules ≥5 mm / solid components with contrast enhancement 🕯️ best predictors of malignancy 📈 Growth ≥2.5 mm / year and pancreatitis WF sciencedirect.com/science/articl…

Out the manuscript on Whipple for resected extra-ampullary duodenal adenocarcinoma! Intestinal histotype (vs. non-): 🩹Less severe postop complications: 2 vs. 29% 📷Better prognosis: 3-, 5-y OS --> 71/53% vs. 29/24%. Check this out! Pancreas Verona E-AHPBA IHPBA AISP

What's the 30-d fate of abdominal collections 🫧 after distal pancreatectomy? They are common (68%), associated with PPAP, not always clinically relevant, and not associated with the transection technique (Ultrasound vs. Triple-Row Staple)Pancreas Verona SURGERY Journal E-AHPBA

Fluid collections 🐟 after distal pancreatectomy… real complications or just the way the pancreas heals ❤️‍🩹 ?! 💦 30 day prevalence 70% regardless of resection technique 🚨 POPF, PPAP and size > 5cm predictors of clinical relevance 🆓 link sciencedirect.com/science/articl…

“C’è un po’ di EPC in questo AISP”… cit 😂😝😇 Una delegazione 🇮🇹 talmente folta da non stare in una sola fotografia… questo è AISP!!! #EPC2024

Final results of our antibiotic stewarship program funded by AIFA and presented by Matteo De Pastena at the EPC-Europ Pancr Club annual meeting. Sharp reduction ⬇️⬇️⬇️ of infectious complications 🦠🦠🦠with rectal swab on admission and tailored antibiotic prophylaxis.

La gestione 🦺 delle raccolte 🫧 post-resezione ✂️ Dalla diagnosi ☢️ al trattamento 👷‍♀️👷‍♂️ 🎙 Giulia Zamboni, FRANCESCO DE COBELLI, Chiara Coluccio, Matteo De Pastena at #aisp2024

🔥off the press in the Annals of Surgery Not all PDACs are created equal! The morphologic subtype and intratumor spatial heterogeneity are associated with relevant prognostic implications in post-neoadjuvant pancreatectomy. journals.lww.com/annalsofsurger…

Published in @HPBjournal, our 🌎 survey study on surgical management of pancreatic neck/body cancer with venous involvement 🔍: 📝 222 surgeons, 49 countries, 6 continents 📍 Heterogenity in surgical management strategies ⚠️ Need for prospective studies & guidelines

😵‍💫 14 different Antithrombotic protocols reported for pancreatectomy with vascular reconstruction ⛔️ Different strategies for different types of reconstruction Huge variability across the 🌍 🇺🇸 vs 🇪🇺, 🇨🇳, 🇯🇵, 🇮🇳 ‼️ We need strong evidence 🧠 To read link.springer.com/10.1245/s10434…

🚨🚨Cross-sectional study of an antimicrobial stewardship program in pancreatic surgery ➡️ significant reduction of surgical site infections and increased coverage of rectal and biliary isolates by a tailored surgical antibiotic prophylaxis 🦠🦠💉💉 jamanetwork.com/journals/jaman…

Our latest research in JAMA Network Open! We present a novel Antimicrobial Stewardship Program (AMS) for pancreatic surgery. We found major reductions in SSI and atb use! Pancreas Verona Matteo De Pastena IHPBA E-AHPBA Surgical Infection Society AISP. Funded by AIFA 🧵👇

An antimicrobial stewardship program targeting surgical antibiotic prophylaxis in pancreatic surgery was associated with reduced surgical site infections, improved bacterial coverage, better clinical outcomes, and lower costs. ja.ma/466wiSH

A national Medicare study shows that when fewer exploratory surgeries lead to resection, patient outcomes worsen. The resection-to-exploration ratio may be a new quality signal. journals.lww.com/annalsofsurger…