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Did Rt hepat. & shaved off seg IV tumor from MHV. CUSA is a magical wand :) Discharged on D4 with normal LFT’s & intact MHV+LHV Histo; -ve margins (>2 mm) Planned for 2 more cycles of chemo IHPBA HPB Lounge SoMe4HPB #MedTwitter #MedEd #livertwitter #Cancer

‘22 achievement: Implemntation of ERAS for PPPD in a resource constrain cancer centre Mean LOS reduced to 4.9 days, used to be 11days pre ERAS 2 pt’s discharged within 80 hrs post whipple 🙏 Surgical Oncology Society Pakistan. SOSPK IHPBA ERAS® Society SoMe4HPB Irfan Ahmed HPB Lounge #HappyNewYear2023 #Cancer

Cirrhotic liver:To Pringle or not to Pringle? ⚖️:🩸vs. Ischemia 51👦, HepC, sg VI&VII HCC,🚫portal HTN 🔪:VI&VII NAR IntraOp: no Pringle,🩸loss 1000mls! Home: D4 Margins: -ve WWYD about Pringle in NAR for cirrhotic? IHPBA SoMe4HPB Surgical Oncology Society Pakistan. SOSPK HPB Lounge #MedTwitter #Cancer #MedEd

WWYD; 52👧 Hep C, BMI 33 ⬇️Plt 83k, INR 1.5, LFT ✅ CT: GB Ca with Cirrhotic Liver🤓 Intraop: Varicosities! Tx on peritoneal site 🚫liver invasion Cystic duct margin -ve on FS Will you do liver bed resection?🙃 IHPBA Surgical Oncology Society Pakistan. SOSPK SoMe4HPB HPB Lounge #Cancers #surgeons #MedEd #liver

Ended week on a high note 🔆 Lap Distal Pancreatectomy for an 8cm MCN in a 24👧 Thrombosed splenic vein >chunky short gastrics🩸 WWYD; medial to lateral or lat to med or a combination? IHPBA Surgical Oncology Society Pakistan. SOSPK SoMe4HPB HPB Lounge #MedTwitter #Cancer #surgeons #PancreaticCancer #liver

About last 2 cases; Nearly same📍of Tx Same🔪 1-Cholangio in 52 👦, with liver cirrhosis 2-Hepatoblastoma in 18 months 👶 Hepatoblastoma-🚫complications, home D4 Cholangio-grade A PHLF 🧐😕 IHPBA HPB Lounge SoMe4HPB Surgical Oncology Society Pakistan. SOSPK #liver #MedEd #cancerday2023 #cancer #hpb #surgery

Pancreatic Adeno-Squamous Ca, rare but aggressive Ca! 🔪: PPPD Findings:abutting Cava & Lt renal vein Unexpected SMV & SMA abutment-no such finding on 3weeks old CT! Home:D6 Margins:-ve, 0/16 N IHPBA HPB Lounge Surgical Oncology Society Pakistan. SOSPK SoMe4HPB #Cancer #PancreaticCancer #surgery #Meded #HPB

The most satisfying feeling before starting weekend; 39 👩‍🦰 with BR-PDAC CT: 5cm tumor, SMV-PV involvement MDT: Neoadj Folfirinox x 6 🔪: PPPD IntraOp: PV abutment only (white ➡️) Home: D3! IHPBA HPB Lounge SoMe4HPB Surgical Oncology Society Pakistan. SOSPK E-AHPBA TeamSurgery #cancer #surgery #MedEd #HPB

Plan for liver tumor - it keeps changing! 52👩‍🦰 CT: Seg VIII & V Tx (Cholangio vs. HCC) Plan: Anterior sectionectomy 😎👨‍⚕️ Intraop: tumor 👅 (white dots) at Rt pedicle 🤨 New plan 🔪: Rt Hepatectomy Home: D4 Histo: HCC! IHPBA HPB Lounge SoMe4HPB TeamSurgery Surgical Oncology Society Pakistan. SOSPK #hpb #MedEd

33yr athlete Hx of tremors, palpitations & confusion CT;Arterially enhancing pancreatic tail mass 🔪Lap spleen preserving distal panc Sharing my fav step🙂 Home;D3 What’ll be the histopath? IHPBA Surgical Oncology Society Pakistan. SOSPK TeamSurgery SoMe4HPB HPB Lounge #MedEd #Cancer #Pancreas #surgery

#PDAC - Pancreatic head 6 SMA 1st approaches described and commonly used Sharing the proposed 7th - "Retromesenteric Approach". Useful for uninate tomours abuttung SMA from posterior aspect. 1/2 Amir M Parray IHPBA IHPBA India TeamSurgery SoMe4HPB E-AHPBA Video👇

Rouvier’s Sulcus..Geometrically, the word line refers to a line segment in everyday life, which has two points to denote its ends. •• it seems everyone has an idea about the “line” of the RS • everyone is sure that the medial end of the line is a guide to safety •• the

Just wanted to remind you all why is fun doing what we love. Have a great Friday!! SAGES is in Tampa in 2026! Tec de Mty Surgery Residency @INCMNSZSurgery Georgetown-WHC General Surgery Residency Gabriel Escalona Vivas Dr Luis Felipe Cabrera Vargas MD FACS MACC MACCVA Ron Barbosa MD FACS Andrés Hanssen Dr. med. @Some4SurgeryITeam SoMe4HPB SoMe4IQLatAm SoMe4Surgery Eric Knauer Eric Pauli

#IntraoperativeUltrasound During #SurgicalExploration in Patients with #PancreaticCancer and Vascular Involvement ( #ULTRAPANC ): A Prospective Multicenter Study rdcu.be/dcTOz #VisualAbstract

First look results from PARANOIA Study Group by @uhb_hpb E-AHPBA Over 700 cases in 1st year! 👏 Interesting results: ⬇️CR-POPF with SSA, autologous barrier and stents, highlighting the need for real world evaluation of evidence based practice.

This is a great summary of the RCTs presented at E-AHPBA meeting in Lyon made by Marcello Di Martino for those, like me ☹️, who couldn’t be there. Bravo!

It is my great pleasure to see the DIPLOMA trial published thelancet.com/journals/lanep… MIDP for PDAC is'nt inferior to open for R0 resection, 258pts. A big 🙏to all 35 centers! Enjoy free access for more details IHPBA E-AHPBA Marc Besselink Maarten Korrel JonyvanHilst SoMe4HPB .

from open HPB surg. to getting trained & doing robotic HPB - an ongoing journey … 🚗🙂 but one thing is for sure - 🤖 is way more fun !! Me, robot & the team :) Thank you so much Jawad Ahmad Intuitive IHPBA SoMe4HPB Surgical Oncology Society Pakistan. SOSPK

Had an amazing Saturday in London with ALSGBandI & The Griffin Institute for “ALSGBI Robotic Training Day” 🙂 It was an honor to serve as co-faculty alongside experts Jim Khan Nader Francis CR Selvasekar & Jawad Ahmad & to connect with the candidates #Robotics #roboticsurgery

Great to hear Ahmad Abou Abbass share his inspiring robotic experience at UK Robotic HPB Conference - truly a legend! Big shoutout to Jawad Ahmad for continuously pushing the boundaries of robotic HPB in UK & grateful to have my video selected for the Best Video Presentation award