June Issue: Preoperative Prognostic Factors in Resectable #PancreaticCancer : State of the Art and Prospects rdcu.be/eqPyF Gilbert Z Murimwa, M.D. Syed A. Ahmad

🫧 Cysts that are both small and stable convey a minimal risk of pancreas cancer! 🍇 2.3k patients from the Pacyfic trial 🤏 Size < 15 mm and growth < 2.5 mm/ year no higher risk of PDAC than general population onlinelibrary.wiley.com/doi/10.1002/ue… in my_UEG UEGJ

Distribution of the NCCN stages of #PancreaticCancer ? 16,412 pts (2017-2022) 🇳🇱 👉23% primary resectable 👉 8% borderline resectable 👉 11% locally advanced 👉 58% metastatic ⏩️ academic.oup.com/bjs/article/11…

Another 💎 from DISPAIR consortium SURGERY Journal: Does neoadjuvant therapy reduce complications after left pancreatectomy? 9 high-volume centers, propensity score matched Pancreatic fistula: neoadjuvant 20% vs 24%, p=0.7 No diff in other complications. sciencedirect.com/science/articl…

Advancing hepatic augmentation for safer hepatic surgery: insights into portal and hepatic vein embolization strategies ➡️ doi.org/10.1093/bjs/zn… The shift from traditional PVL to combined embolization techniques marks major progress in liver surgery 📈 It's not just about

Defining high-risk pancreas #NETs🦓 496 resections 🇮🇹🇫🇷🇨🇦 Early recurrence 71% if venous thrombosis 41% if Ki 67>5% + tumor >3cm + ⬆️LN ⚠️Signs of biologically borderline-resectable NETs 🛑before resection ➡️ start with systemic💊 🔗journals.lww.com/annalsofsurger… Stefano Partelli

👏Congratulations to Ingvild Farnes Ingvild Farnes for successfully defending her thesis: "Optimizing the diagnostic work-up and treatment for borderline resectable and locally advanced pancreatic cancer: Insights from the NORPACT-2 Trial". Big thanks to Prof. Ajith Siriwardena &

PREOPANC-2 published today in Lancet Oncology: authors.elsevier.com/a/1llTf5EIIgTS… together with DPCG and Marc Besselink

What is your anticoagulation practice 💉 after portal vein resection in pancreas surgery ?! 🧑‍🧑‍🧒‍🧒 1k pts / 90 days thrombosis 7% 🔮 Predictors resection type / graft material 🩸 Therapeutic anticoagulation 📉 early thrombosis but 👎 at 90 days journals.lww.com/annalsofsurger…

Primary percutaneous stenting for malignant hilar biliary obstruction. No longer cholangitis or pancreatitis keeping you from systemic treatment. #cholangiocarcinoma #drainage authors.elsevier.com/sd/article/S25…

Endoscopic or surgical #gastroenterostomy for palliation malignant gastric outlet obstruction? 🚀Today The Lancet Gastroenterology & Hepatology: #ENDURO randomised multicenter trial DPCG 🇳🇱 Excellent nationwide collaboration #surgery & #gastroenterology 🙌 ⏩️ sciencedirect.com/science/articl…

PUMP-2 published in JCO! HAIP chemo for intrahepatic cholangiocarcinoma #pump #CCA Flavio G Rocha, MD, FACS, FSSO Arndt Vogel Cholangiocarcinoma Foundation Timothy M. Pawlik Angela Lamarca Lorenza Rimassa Syed A. Ahmad Journal of Clinical Oncology ascopubs.org/doi/10.1200/JC…

This Review highlights that difficult cholecystectomies are associated with distinct patient, disease, and imaging factors, and emphasizes the need for careful assessment, advanced imaging, and adaptable surgical strategies to prevent serious injuries. ja.ma/4nSVnGR

Types of Pancreatic Cysts and Their Traits