If they have expertise, academics should contribute to critical social discourse. Major stream of my life: advocating for Canadian publicly funded, universal, high quality health care. Latest effort: article in Canada’s largest circulation newspaper. bit.ly/3BfRynS

« Leaders leave leaders behind » - tonight we celebrated Frances Wright 12-year tenure as Surg Onc program director U of T Department of Surgery during which time we trained over 50 fellows from the Americas, Europe, Africa, Asia, Australia, and the Middle East. Thank you Dr Wright!

It with great sadness that we say goodbye to Professor Leslie H Blumgart, a true legend of #HPB surgery who developed the field around the 🌍 Many of us remember his dedication to the teaching of Memorial Sloan Kettering Cancer Center surgical fellows who proudly carry on his legacy. Legends Of Surgery

I went to the store today looking for some camo pants but couldn’t find them anywhere

A short thread I wrote about moving colorectal cancer screening in Ontario to age 45.. Colorectal Cancer Resource & Action Network M Paul Karanicolas

From its inception, EBM has had its critics. In 2008 we were asked to engage in a debate about whether EBM has a sound scientific basis. The paper we wrote for the debate presents one of the nicest explanations of the role of EBM and what it offers. doi.org/10.1378/chest.…

Virtual Tumor Board 🚨: Hepatic Artery Infusion: What is the role in metastatic and primary liver disease? Register at ow.ly/VyMR50LUoAg. Miral Sadaria Grandhi Alex Parikh Michael Lidsky, MD, FACS Paul Karanicolas Andrea Cercek

Have you signed up for tomorrow's virtual tumor board, Hepatic Artery Infusion: What is the role in metastatic and primary liver disease? Register at ow.ly/VyMR50LUoAg. Miral Sadaria Grandhi Alex Parikh Michael Lidsky, MD, FACS Paul Karanicolas Andrea Cercek

Investigators meeting after completion of the HELIX trial today at #AHPBA23 Powerful collaboration across 1⃣1⃣sites 1⃣3⃣8⃣4⃣pts randomized 5⃣1⃣% eligible pts consented One of the largest trials in liver surgery. Congrats Paul Karanicolas and team! Results? 🤫... stay tuned!

👀Toronto experience with #LDLT for unresectable #CRLM by Luckshi Rajendran #AHPBA23 - prospective trial in 🇨🇦 ▪️3⃣6⃣eligible➡️7⃣transplanted+9⃣ongoing w-u ▪️Good early oncologic outcomes ▪️Option in highly-selected population Gonzalo Sapisochin UofT General Surgery U of T Department of Surgery Ajmera Transplant Centre UHN AHPBA

🚨First registry-linked collaborative RCT using NSQIP AHPBA American College of Surgeons ⭐️Pip-taz for antibioprophylaxis in whipple👉🏻⬇️ 30-day SSI in RCT ⭐️New standard of care & new way to run multi-centre trials 👏🏻Congrats everyone! Michael D’Angelica jamanetwork.com/journals/jama/…

Washing surgery wounds is necessary, but we still don’t know the most effective method. Paul Karanicolas is evaluating the best practice for keeping surgical wounds clean and avoiding infection. Learn about the #ClinicalTrial: cihr-irsc.gc.ca/e/53357.html?f… Sunnybrook Health Sciences Centre U of T Department of Surgery

📢Congratulations to Dr. Sean P. Cleary, who has been appointed as Bernard & Ryna Langer Chair, Division of General Surgery at U of T Department of Surgery. Read more about it here: surgery.utoronto.ca/SeanClearyGene…

🔥 PRACTICE CHANGING EVIDENCE 🔥 Annals of Surgery just published, online ahead of final publication, abdominal surgery results of the ROTBIGGS project What are procedure-specific risk estimates for #VTE & major #bleeding in general abdominal #surgery? #EBM 🧵1/10

Surg onc/HPB fellow Alejandro Branes at #AHPBA24 Unplanned ICU admission after hepatectomy (from #HELIX data) ▪️⬆️ mortality ▪️Associated with comorbidities,🩸>500cc & major resection ⚠️Close monitoring with these risk factors needed

Surg onc/HPB fellow Sasha Acher at #AHPBA2024 #AHPBA24 Hepatic inflow occlusion for liver resection ▪️Variability between surgeons ▪️No association with periop 🩸transfusion ▪️No association with postop morbidity ➡️Further work needed to understand use by surgeons & impact

Kicking off Yuman Fong visit to U of T Department of Surgery as Hanna visiting professor with journal club by UofT Surgical Oncology fellows ctDNA🧬: ready for clinical practice for CRLM? ❌ preop does not change management 🔪hepatectomy can convert ➕ve👉🏻➖ve For now: better use of💰to get CEA?😳

Thank you Yuman Fong for an inspiring, educational visit as our Hanna Visiting Professor U of T Department of Surgery Sunnybrook Health Sciences Centre! We loved spending time with you and learning about everything from hepatectomy to gene surgery to coaching. Your knowledge is endless!!!

❌ TXA for liver resection #HELIX out in JAMA 👥1384 pts 🏥11 centres TXA 🆚 placebo No difference🩸transfusion But ⬆️ complications with TXA ⚠️Stop (or don’t start?) using it 🔗👇🏻

Thanks to all the amazing patients, surgeons, and researchers who made this trial possible. TXA did not reduce bleeding or blood transfusion but increased periop complications after liver resection. ⁦JAMA⁩ jamanetwork.com/journals/jama/…