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Lower-Pressure Pneumoperitoneum Decreases Post-op Pain generalsurgerynews.com/In-the-News/Ar… General Surgery News

Patient with acute gallstone pancreatitis, unfit for GA/ Lap Chole. MRCP - small stones in GB but no CBD stone. Do you proceed with ERCP and prophylactic sphincterotomy? Is there evidence that prevents recurrent pancreatitis?

2100 patients with Acute Pancreatitis recruited into PAINAP study in 3 months !!! Potentially the largest study in literature dedicated to pain management in AP and very grateful to recruiting centers Recruitment now complete and moving onto data validation. Hpb North_Newcastle

The value of Transvesical-assisted cystic pedicle dissection. A large stone appearing at ? Hartman Pouch, ? GB neck. 1- never dissect proximal to stone 2- never assume it is in HP 3- immediately suspect Mirizzi 4- accessing the stone through the GB will help either transvesical

Risk of Recurrence > Surgical Resection for Adenocarcinoma Arising from IPMN: International Multicentre Observational Study 18centres 459patients #pancreaticcancer ⁦Annals of Surgery⁩ ⁦Sanjay Pandanaboyana⁩ ⁦Kjetil Søreide⁩ ⁦Surgery Glasgow Royal Infirmary⁩ pubmed.ncbi.nlm.nih.gov/37873663/

👉Recurrence patterns and Rx of Recurrence for Invasive #IPMN 🌏459patients 18 Pancreatic units ✅1y recurrence 23% Overall Recurrence 45% Median time to recurrence 33m ✅Adj chemo No impact on recurrence ✅Rx of recurrence⤴️survival Annals of Surgery shorturl.at/kwVZ2

👉🏾Prospective study on PROMs and QOL after PD at 5 time points 👉🏾Adj Chemo and post-op complications did not affect QoL 👉🏾General QoL and health were PROMs rated as ‘very important' 👉🏾QoL measures return to baseline at 6-months postop @HPBjournal shorturl.at/amE04

➡️Long term outcomes PDAC versus A-IPMN ➡️18 centres 476 PDAC vs 459 A-IPMN patients ➡️Median survival Survival PDAC 19m vs 39 m ⏱️to recurrence for 15 vs 33 m 📈10 y survival 9% vs 34% ➡️Adj Chemo⬆️survival PDAC. No impact A-IPMN tinyurl.com/2ych76r7@Annal…

Great work Sanjay Pandanaboyana and team 👇🏻Annals of Surgery SoMe4HPB Pancreatic Cancer Europe (PCE) Pointing to biological differences and outcomes , more to come 🤩👍🏻

🌎Multicenter study on Adj chemo (AC) 💊 for adenocarcinoma in IPMN 👉 18 centers & 469 patients 60% ✅AC 👉 78 m follow up 👎AC no impact on recurrence DFS OS 👎 No benefit in high risk groups 💊 No chemo regimen superior James Lucocq BJS tinyurl.com/39yr3b85

Great to see James Lucocq and Nejo Joseph give their oral presentations at IHPBA Cape Town including one in best of the best section. Thanks again to all collaborators for the data #ipmn #adenoipmn #collaborative

Multicenter study🌎on Long term survival after 🗡️ malignant IPMN 👉288 pts 98 m FU 👉48% recurrence with⬆️systemic recurrence 👉5y OS 46% 👉5y DFS 35% 👉Multivisceral resection, tail location , LVI, PNI⬇️long-term DFS James Lucocq SURGERY Journal tinyurl.com/2rx8aeuy

👉🌎study on Precursor Epithelial types of MalignantIPMN and recurrence/survival after🗡️ 297 🧑‍🤝‍🧑 👉 Gastric, PB, mixed🧑‍🤝‍🧑same clinicopath but ⬇️outcomes than intestinal 👉⏰to recurrence👍intestinal type 👉 Adj chemo⬆️survival in PB type shorturl.at/zcKCx James Lucocq

👉🌎 on analgesic use in AP shorturl.at/6Za9l👉 1864 🧑‍🤝‍🧑 118 centres & 27 countries 👉 Opioid use⬇️in Europe and ⬆️ Asia and AUS 👉 Pain severity, long pain duration, ANC, WON ⬆️ opioid use at discharge my_UEG guidelines ✍️ underway shorturl.at/boe1W Cecilie Siggaard Knoph

#Editorial BJS on Adenoca arising from IPMN #AIPMN study 459🧑🏻‍🤝‍🧑🏻 👉 5y DFS 30% 👉Rx of recurrence ⬆️ Survival 👉AdjChemo⛔impact 👉Gastric/PBtypes⬇️prognosis 👉Survival related to invasive type than precursor 👉10y OS A-IPMN 35% PDAC 9% James Lucocq tinyurl.com/mwdceups

The E-AHPBA Scientific & Research Committee is pleased to endorse the ADENO-IPMN 2 Study with a Blue Seal of Approval! 💙 Register your centre's participation here: shorturl.at/E5JKi Sanjay Pandanaboyana James Lucocq #EAHPBA #ScientificResearch #IPMN #Adenocarcinoma

School of Surgery at RCSEd this year was magnificent. Well done all Surgical Trainees who presented a really exciting research Morven Allan Leo Brown Duncan Rutherford JOE NORTON ALEX WALKER Kenneth McLean James Lucocq Lachlan Dick Katie Connor also known by Susan Boyle🤣

🔪 Open 🔦 Laparoscopic 🤖 Robot Pancreatoduodenectomy Randomised Controlled Trials 🧮 Network Meta-Analysis on 7 RCT 1.3 K patients 🔦 LPD ⬇️ LOS and blood loss vs. OPD 🔪 OPD ⬇️ OR time vs. LPD 🤖 RPD similar OPD but data preliminary.. 🫵 Surprised? journals.lww.com/aosopen/fullte…

Pleased to share our latest paper showing socioeconomic deprivation does not adversely affect outcomes of bariatric surgery. link.springer.com/content/pdf/10… BOMSS Clinical Surgery Obesity Surgery Journal Gillian Drummond RD BariatricBrian James Lucocq Andrew de Beaux Georgios Geropoulos

Epidemiological data on Acute Pancreatitis admissions (2013-2023) in England 🏴󠁧󠁢󠁥󠁮󠁧󠁿 @HPBjournal ➡️Incidence of AP 456 cases/mill ➡️Annual increase of 2.6 % ⬆️ ➡️ITU Admission 8% ➡️In-hospital mortality 4.5% ➡️ OS at 1, 5,10 y :88%,75% 63% ➡️ Northeast England ⬆️ James Lucocq