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Does the impact of pancreatic fistula (POPF) differ between minimally invasive (MIPD) and open (OPD) Whipple? Today in JAMA Surgery In pts with POPF after MIPD vs OPD: ⬆️ more secondary clinically relevant complications ⚠️ ⬆️ more hemorrhage 🩸 ⬆️ longer hospital stay 🏥 ⬆️

No two ways about it: the management of patients with #claudication in the US needs a complete overhaul. #WeCanDoBetter #Appropriateness #VESS25 VESurgery Vascular SVS Terrence Tsou Marty Makary MD, MPH JHH Vascular Surgery

🔥off the press Recent advances in systemic therapy for advanced biliary tract cancer: A systematic review & meta-analysis using reconstructed RCT survival data JHEP Reports 👇now available doi.org/10.1016/j.jhep… 👉very modest progress! 🧐we need biomarker & better 💊 ESMO - Eur. Oncology

Congrats to Marty Makary MD, MPH on a great hearing Here are my 5 TAKE AWAYS

Jobs at Johns Hopkins University jobs.jhu.edu/job/Baltimore-… We are actively seeking a new coordinator for our HPB surgery group. If you are interested, please apply.

rdcu.be/ecJZ0 My recent publication with Marty Makary MD, MPH. what a journey in the last 17 years learning from the best Hopkins Surgery

Another example of robotic surgery decreasing LOS, thus increasing throughput, allowing us to help more patients! Awesome work by my colleagues Jin He and Marty Makary MD, MPH #roboticsurgery Hopkins Surgery

🔥off the press Liposomal irinotecan for previously treated pts with BTC: A pooled analysis of NIFTY & NALIRICC Journal of Hepatology 🔎🇩🇪&🇰🇷 co-production 👉sig. ORR & PFS benefit 👉trend for OS 🤔Is there a role for Irino in BTC? 😅decide for yourself... ESMO - Eur. Oncology EASL Education ILCA

Syed A. Ahmad SURGERY Journal Steven D Wexner MD, PhD Gregory C. Wilson I look forward to reading this. 1st impression - congrats to the authors for appropriately differentiating competency, proficiency, and mastery. 3 distinct learning curve milestones that should be routinely recognized in surgical education jargon. 2nd impression - competency

🦠 Microbiome plays a role in pancreatic surgery for PDAC - Enterococcus in bile → ⬆️ SSI → ⬇️ OS 🚨 Highest risk: Preop ERCP + E. faecalis in bile aspirates 💊 THM: Consider piperacillin-tazobactam for periop prophylaxis #PDAC #microbiome #surgery journals.lww.com/annalsofsurger…

Purse string suture to decrease circumference but not to close the entire skin defect has been my preference for about 3 decades

Ronald Weigel, President of ⁦American Surgical⁩, delivering provocative perspectives on how to preserve the academic mission of surgeons. Many threats but hope, action, & intellectual curiosity will endure! 👏

The penultimate #AmerSurg25 presentation by Brady Campbell, MD MPH Jin He: "Mutational Status of Driver Genes in Patients with Resected Pancreatic Ductal Adenocarcinoma Is Associated with Pathological Characteristics and Overall Survival"

We will put forward a 500 million package for 2025-2027 to make Europe a magnet for researchers. As well as ambitious proposals for R&I in the next EU budget. We will also offer the best and brightest the right incentives to come to Europe ↓

🎸 Robotic PD significantly reduces CR-PF compared to open surgery. Importantly, this clinical advantage was achieved without increasing total hospital costs. 📄 the open-access article: Eduardo A. Vega Asif Halimi EMRE BOZKURT HPB unit Hospital del Mar Adnan Alseidi Naruhiko Ikoma MD MS link.springer.com/article/10.100…

Stable OR teams contribute to better outcomes🤝✨ Each additional case done by same anesthesiologist-surgeon team 👉 ⬇️ major morbidity 🔓‼Opportunity is knocking: ⬆️outcomes by re-organizing teams How to do it? 🆕📝JAMA Surgery tinyurl.com/yx44pm96

This week at NYP/Weill Cornell we completed our 3rd robotic liver transplant, this time using a right lobe living donor graft. Amazing team effort running 2 simultaneous robotic rooms for donor and recipient.

🇮🇹CASSANDRA TRIAL🇮🇹 Phase 3 RCT: Neoadjuvant PAXG vs mFOLFIRINOX in resectable/BR #PDAC 💥PAXG shows: ✅⬆️EFS ✅⬆️Path response ✅Suggestion of ⬆️OS ✅Same toxicity PAXG superior to mFOLFIRINOX? IHPBA EPC-Europ Pancr Club E-AHPBA OncoAlert Pancreatic Cancer Action Oncoinfo SoMe4HPB

🔥NeoPancOne🇨🇦 ➡️mFFX in resectable PDAC ➡️exploring GATA6&subtypes ➡️mEFS &OS 16.3 &34.2mths ➡️1yr EFS 90% in GATA6 hi vs 50% lo ➡️1yr OS classical 95% vs.57% basal-like ⭐️Time to subtype upfront in all PDAC recognising plasticity OncoAlert #ASCO25 Ontario Institute for Cancer Research (OICR) Princess Margaret Cancer Centre

Our very own Dr. Bruce Perler Hopkins Surgery receiving the Lifetime Achievement Award at #VAM2025. An inspiration to us all! Thank you for all of your contributions and mentorship.