“Which approach do you currently prefer re #pancreas #surgery per scenario? #robotic #laparoscopic vs #open. 315 surgeons, 46 countries, 8 international HPB Associations. Tess van Ramshorst Mohamed Abu Hilal @HPBjournal #SoMe4HPB 🔑 Distal/left = MIS 🔑 Whipple = open, RCTs needed

Pancreatic surgery in 2023, the close relationship between 3 🔑 factors: 🏥 Centralization 🤖 Innovation and 🕸️Dissemination Example: “MI surgery implementation depends on dissemination and standardization of training” 🎓 competency <> mastery 👑 👉 academic.oup.com/bjsopen/articl…

Teaching modern pancreatic surgery: close relationship between centralization, innovation, and dissemination of care Have a look at our latest narrative review by Giampaolo Perri JonyvanHilst Li Shen Marc Besselink Giovanni Marchegiani ➡️ doi.org/10.1093/bjsope… Innovations

Protocol #DIPLOMA2 randomized trial: MIS #robotic #laparoscopic vs #open #pancreatoduodenectomy published ➡️accrual of all 288 pts (2:1) completed ✅ ahead of schedule☺️ Wonderful European surgical collaboration incl 🇮🇹 🇳🇱 🇩🇪 🇸🇪 🇧🇪 🇪🇸 by E-MIPS Mohamed Abu Hilal

Minimally invasive versus open pancreatoduodenectomy for pancreatic & peri-ampullary neoplasm Read the DIPLOMA-2 trial protocol in #TrialsJournal General Medicine and Medical Evidence @ BMC #ISRCTN: isrctn.com/ISRCTN27483786 Marc Besselink Mohamed Abu Hilal Nine de Graaf JonyvanHilst trialsjournal.biomedcentral.com/articles/10.11…

New research - van Bodegraven et al - Prophylactic abdominal drainage after distal pancreatectomy (PANDORINA): an international, multicentre, open-label, randomised controlled, non-inferiority trial thelancet.com/journals/langa… #GITwitter #SoMe4Surgery

Is it safe to stop placing a drain after distal pancreatectomy? ➡️Today #PANDORINA non-inferiority trial 🇳🇱🇮🇹 The Lancet Gastroenterology & Hepatology ✅ Yes! Not only safe, but improves overall morbidity and POPF B/C rate! Wonderful collaboration DPCG & Pancreas Verona ➡️

Are you an aspiring young academic surgeon? ⭐️ European Surgical Association (ESA) mentorship program deadline April 1st 🇪🇺 & ESA Next Generation meeting before the conference (incl networking 🙏)! More information: europeansurgicalassociation.org/next-generation #ESA #Leeds #May2024 #BeThere

Spread the word 👇👇‼️ Matthias Löhr Giuseppe Malleo Gabriele Capurso MD, PhD🇺🇦 Enrique de-Madaria Pilar Acedo Roberto Valente Robert Sutcliffe Prof Keith Roberts Marc Besselink Ivonne Regel Algül Lab Seifert Lab Julio Mayol Julio IglesiasGarcia Julia MAYERLE Neesse lab Livia Archibugi J. Enrique Dominguez-Munoz Asbjørn Mohr Drewes

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…

Changing Paradigms🔝. DP🧐?? A gross term not fit for purpose in the era on percision 👋surgery. 🙏all involved experts 4 this historic 🤝on new terminology. A validation study on the way, interested ? text/like/share🙏 @BJS E-AHPBA IHPBA EPC-Europ Pancr Club YOUPPIE Pancreas AICEP

🚀 #DIPLOMA2 international RCT MIS vs open #Whipple: 1st ever presentation! 🔑 288 pts randomized (2:1) in 14 high volume European centers, 90% robot E-MIPS #IHPBA24 Mohamed Abu Hilal Anouk Emmen Nine de Graaf ⏩️Primary endpoint (non-inferiority): no differences in CCI

🚀🚀#DIPLOMA2 international RCT MIS vs open #Whipple: 2nd presentation! Focus on methodology #IHPBA24 🔑 Patients blinded up to day 5 🔑 Surgeons at least 60 MIPD experience 🔑 Centers at least 30 MIPD/yr prior 🔑 Randomization 2:1 to maintain skills in robot (lap) Whipple group

Very proud of Anouk Emmen and Nine de Graaf who both did an excellent job presenting the outcomes of the DIPLOMA2 trial IHPBA 2024 Cape Town!

Please help us with this brief survey for HPB surgeons/trainees: E-AHPBA Survey on Training for Fellows docs.google.com/forms/d/e/1FAI… Feel free to share this survey with colleagues! E-AHPBA European Society of Surgical Oncology (ESSO) IHPBA SoMe4HPB Karolinska-HPB Marc Besselink UEMS Section of Surgery Stefan Gilg

1st RCT comparing #robotic vs #laparoscopic hepatectomy for liver malignancies: #ROCNROLL trial published today together with our invited comment in The Lancet Reg Health-Europe Rutger-Jan Swijnenburg Tijs Hoogteijling authors.elsevier.com/sd/article/S26…

Syst review and meta-analysis of 2 RCTs (including our PANDORINA trial) and 6 NCS with a total of 3.610 patients undergoing distal pancreatectomy ➡️ No-drain policy associated with better postop outcomes❗️Who is still draining ❓journals.lww.com/international-… Marc Besselink E-AHPBA

Link to the survey at the end of the tweet by Ernesto Sparrelid Important topic! Please take the survey and retweet to disseminate it within the community. Jean-Nicolas Vauthey MD Andreas Schnitzbauer Richard Schulick, MD @Martina_Nebbia Prof Steve Wigmore Aiste Gulla Patrick Starlinger_TELL International Ching-Wei D. Tzeng Ana Gleisner (she/her/hers)

Spleen out or in when resecting PDAC in the left pancreas ? We have always done it this way ! Can we question this🤨? The debate is still ongoing, read & tell us your opinion 👍 ⁦E-AHPBA⁩ ⁦IHPBA⁩ ⁦EPC-Europ Pancr Club⁩ ⁦AICEP⁩ ⁦⁦Marc Besselink⁩

Today in BJS *185pts DIPLOMA trial *2.2% with positive splenic lymph nodes (station 10) Safety of spleen-preserving left pancreatectomy further studied in the international SPLENDID study @EMIPS Marc Besselink Mohamed Abu Hilal Caró Bruna Interested? Let us know!