“Is focal parenchymal atrophy of the pancreas REALLY useful for detecting early PDAC?” I really would like to know🤔

🇯🇵Prospective study screening 87000 CTs

🎨16.7% of the patients(5/30) with “K SIGN(K-shaped parenchymal constriction)” had PDAC

#jhbps

onlinelibrary.wiley.com/doi/10.1002/jh…

The efficacy of bile liquid biopsy in the diagnosis and treatment of biliary tract cancer
💉The sensitivity;
cytology => 27.9%,
cytology+genomic analysis => 53.5% (P<0.001).
💉In 28% of patients, targeted drug therapy was detected.

doi.org/10.1002/jhbp.1…

💫 Highlights from @HPBjournal: 1️⃣0️⃣ year review of surgery🔪 for IPNB in Europe 🌍 and Japan 🇯🇵

81 pts
➡️No difference in OS
➡️ Similar R0 resections

Type 1️⃣&2️⃣ classification important❗️

hpbonline.org/article/S1365-…

IHPBA Prof Steve Wigmore Anita Balakrishnan nuria lluis

👉Reappraisal of 500 cases of robotic PD from #JHBPS
😃RPD is not only technically feasible but oncologically justified without compromising survival.
📢moreover, associated with benefits of low mortality, blood loss, and DGE.

IHPBA E-AHPBA AHPBA
onlinelibrary.wiley.com/doi/10.1002/jh…

🔍Endoscopic papillectomy for ampullary carcinoma

Only ⛰️mucosal AC ⛰️with negative/uncertain margins can be well-controlled endoscopically

In other words, surgery would be recommended for AC invading 🌋the sphincter of Oddi or beyond🌋

onlinelibrary.wiley.com/doi/10.1002/jh…

#JSHBPS

God save the ... spleen! 🫘

Distal Pancreatectomy for body PDAC: is Splenectomy necessary? 🧐

🇫🇷 PSM analysis spleen preserving had ⬇️ harvested LN but ...

🐳 Less POPF and CCI
🪽 Same risk recurrence / survival

link.springer.com/article/10.124…

Collaboration with AI is expected to be a future direction in surgery.

Title: Novel navigation for laparoscopic cholecystectomy fusing artificial intelligence and indocyanine green fluorescent imaging

onlinelibrary.wiley.com/doi/epdf/10.10…
#@JSHBPS

Join us on May 6 2024 (the day before IEGUMILS) for the E-AHPBA pre-meeting course in MILS with live surgery and great talks. IHPBA E-AHPBA ILLS AICEP SAGES - Heading to Cleveland 2024 SoMe4HPB
Limited places .. Don't miss out – register now at iegumils.org!

Can't make it to the IHPBA 2024 World Congress in person? Join us virtually and gain access to all the insights, innovation and networking from the comfort of your own space. We're offering virtual translation, ensuring a seamless experience. To register: ihpba2024.org

Just visited Edion Peace Wing Hiroshima, the distinguished venue for the plenary sessions, council meetings, and a reception party of the upcoming JSHBPS2024@Hiroshima event on June 28th. #JSHBPS2024 #Hiroshima

🇯🇵Single-center report of endoscopic papillectomy of ampullary carcinoma

🤼‍♂️M group(CIS-mucosa) vs OD group(Oddi-duodenal MP): 3yr tumor control 90.8% vs 84.6%

M group➡️tumor(+) at resection margin was only factor affecting additional surgery🧐

#jhbps

onlinelibrary.wiley.com/doi/10.1002/jh…

💡A notable report from #JHBPS
📢LLR can be safely performed even in high-risk patients‼️

👉Rigorous assessment of indication and perioperative management can promote safe LLR, even in high-risk patients with comorbidities.

IHPBA AHPBA E-AHPBA
onlinelibrary.wiley.com/doi/10.1002/jh…

📢 Just 3 months to go until #JSHBPS 2024 in #Hiroshima ! 🚀 Join us for a symposium where history meets cutting-edge science. 🌈 This event is your gateway to innovation in surgery, HBP research, and cancer treatment. 🧬 Don’t miss it! 🗓️
👉site.convention.co.jp/jshbps36/en/🌟
#JSHBPS

Reappraisal of outcomes of 5⃣0⃣0⃣Robo-Whipple 🤖
👉conversion rate: decreased in the late group (5.6% vs. 12.0%)🤌
👉morbidity same🟰
👉Chyle leakage 25% (most common)

So much learning from High-volume center! 🇹🇼🇯🇵

pubmed.ncbi.nlm.nih.gov/37881144/

Do you drain 💦 a distal pancreatectomy?! 🧐

🚨 Practice changing RCT The Lancet Gastroenterology & Hepatology 🇳🇱 🇮🇹 282 pts

✋ NO drain better outcomes!

⬇️ Major Morbidity 15% vs. 20%
⬇️ POPF 12% vs. 27%

👉Drainless DP new standard! 👈

🆓 download 👉sciencedirect.com/science/articl…

A big chance for the surgical residents and fellows who are seeking additional training in the laboratory with a mentor✨🌍🤝

💫Highlights from @HPBjournal: CRP 🫂 TG18 criteria for prediction of difficult laparoscopic cholecystectomy

🇯🇵 🇫🇷 model to enhance predictive power for
➡️failure to achieve the critical view of safety

hpbonline.org/article/S1365-…

IHPBA Prof Steve Wigmore Taiga Wakabayashi IrcadFrance

ICG-guided liver resection has recently garnered attention⚡️

rdcu.be/dqOMv

Our next step will be to generate data to establish a milestone representing current clinical practice💪
ILLS

Game is changing gradually thanks to the advancements of MDC treatment for pancreatic cancer 🛫
🤝HBP SURGERY WEEK in Seoul🤝