🆕Team design as innovation in perioperative care: the case of HPB anesthesiology ➡️https://buff.ly/U5wd2VX "Change takes time – in all fields, including surgery... But not all improvements require new technology." @halletjulie.bsky.social #surgery #team #HPB #medsky #surgsky

💥Bone mets in SI-NETs – more common than you think! 🦴25% on PET-CT 😌14% pain, 4% fracture ⏳Stage IV pts with 🦴 mets ⬇️ median survival vs without 📊>5 lesions has ⬇️ survival What's the best strategy for bone treatments in #NETs? 💭 ow.ly/GB2N50WCokB #NETSky #OncSky #MedSky #SurgSky

💭Guess what day it is? #NETs OR 🦓 with Dr Meloche-Dumas She’s focusing on NETs during surg onc fellowship. The NETs field needs more dedicated surgeons like her - watch out for what’s to come! So fun to create tailored multidisciplinary NETs rotations with UofT SurgOnc #NETsky #SurgSky #MedSky

Mesoappendix invasion not a criteria for right hemi in appendix NETs 👥4800 pts 🔬meso invasion not associated with LN+ on its own 📏size main risk factor No difference in OS appendectomy vs right hemi👌 Timely for @nanets.bsky.social guidelines! link.springer.com/article/10.1... #NETSky #SurgSky

Appendiceal Neuroendocrine Tumors: Prognostic Role of Mesoappendiceal Invasion and Implications for Recommending Right Hemicolectomy versus Simple Appendectomy - Annals of Surgical Oncology

Background Current guidelines are conflicting as to whether mesoappendiceal invasion (MAI) among patients with appendiceal neuroendocrine tumors (aNETs) warrants right hemicolectomy (RHC), especially ...

link.springer.com

#HPBSky Also check out the great ergonomics in surgery primer from last year 📑 🔑 at @bjsacademy.bsky.social 👏🏻 @halletjulie.bsky.social

Julie Hallet, MD MSc@halletjulie.bsky.social · last yr.

OR under pressure⚡️ Live observations 👀 👉🏻multiple ergonomic hazards across types of surgeries ‼️poor layouts 🤸awkward postures 🏃trip risks 📟tech fails Involving all team members😷 Time to make OR safe for workers! 📝🔗 academic.oup.com/bjs/article-... #SurgSky #MedSky

🆕 Ergonomics in the OR is a safety imperative The OR looks choreographed—yet beneath it lie serious ergonomic hazards for the surgical team. Read more on BJS Academy ⬇️ buff.ly/7QuQvlA @halletjulie.bsky.social @bjsurgery.bsky.social #surgsky #medsky #surgery

OR under pressure⚡️ Live observations 👀 👉🏻multiple ergonomic hazards across types of surgeries ‼️poor layouts 🤸awkward postures 🏃trip risks 📟tech fails Involving all team members😷 Time to make OR safe for workers! 📝🔗 academic.oup.com/bjs/article-... #SurgSky #MedSky

Under pressure: live observation of ergonomic challenges in the operating room

Ergonomics is the study of how people interact with their environment to improve efficiency and well-being. In the operating room (OR), poor ergonomic prac

academic.oup.com

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/annalsofsurg... #NETSky #HPBSky #PancSky #SurgSky

🎙️New data for management of #HCC What is new? What is in the works? Review this & more with Adam Yopp, Amit Singhal & Katie Kelley in new #SurgOncToday podcast 🎧 from @socsurgonc.bsky.social A real masterclass in perioperative care for HCC 🔝 #HPBsky #SurgSky #medsky #oncsky

What will my life look like after surgery? The STAYHOME tool can help with this question for older adults for cancer surgery: 🏡 individualized risk of staying home at 6 & 12 months 😷 uses preop info ✅ good discrimination & well calibrated 📝 in JAMASurgery lnkd.in/gTtRgj_e #SurgSky #OncSky

That was the last OR day with Dr Acher! Always bittersweet to see fellows go 🥹 So proud of the highly skilled, brilliant, whip-smart surgeon she is 🌟 @wiscsurgery.bsky.social, you're lucky to have her! Now, we can always dream of getting her on social media 🙃 @uoftsurgery.bsky.social

Should we chase margins intraop for PDAC? ✅Yes - R0 is key for cure ❌No - R1 reflects biology, not technical cure Great summary & sharp debate on surgical cure vs disease reality from #SSO2024 in @annsurgoncology.bsky.social between Alice Wei & David Kooby link.springer.com/article/10.1...

Great Debate: Chasing Intraoperative Neck Margins During Pancreatoduodenectomy—Beneficial or Not? - Annals of Surgical Oncology

Annals of Surgical Oncology -

link.springer.com

Sub-typing to select NAT in #PDAC? NeoPancONE 🇨🇦 #ASCO25 @ascocancer.bsky.social 👥84 resectable PDAC 💉mFOLFIRINOX NAT Median OS 34 months😀 🔬Classical vs basal sub-type main predictor EFS & OS What next 🤔: sub-type all PDAC prior to chemo? wait for more data? ascopubs.org/doi/10.1200/...

NeoPancONE: GATA6 expression as a predictor of benefit to peri-operative modified FOLFIRINOX in resectable pancreatic adenocarcinoma (r-PDAC): A multicentre phase II study.

4011Background: Modified FOLFIRINOX (mFFX) is increasingly used in the perioperative setting in r-PDAC and patients (pts) would benefit from a biomarker approach. GATA6 expression enriches for the cla...

ascopubs.org

Not in Chicago but getting the updates - #ASCO25 learnings today: 😀there's an option in BRAFV600 mCRC 😀Ipi+Nivo better in MSI-h unresectable mCRC 🫤ctDNA+ still not guiding care in CC 😳CRS+HIPEC no better with chemo @oncbrothers.bsky.social got the details 👉🏻 tinyurl.com/bd75xjw7 #OncSky #MedSky

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 do we do it? 🆕📝 tinyurl.com/yx44pm96 #SurgSky #MedSky #HPBSky

PRRT before surgery in #NETs? ☢️🦓 Maybe? 💭 Think about why, how to measure success, potential risks 🤔 Some key reasons to consider the approach by Jess Maxwell @mdanderson.bsky.social 👇🏻 @nanets.bsky.social #NETsky #HPBSky #SurgSky @enets.bsky.social @socsurgonc.bsky.social

#NETs in LA ⭐️🎥🌴 Reminder to debulk NETs liver metastases by Alexandra Gangi 🤩 @cedarssinai.bsky.social ➡️ mortality in NETs happens in the liver - treat it ⛔️ No to anatomic resection! 👉🏻 enucleate! #NETsky #HPBSky #SurgSky #OncSky @nanets.bsky.social

Perioperative management essentials for carcinoid syndrome 🎞️👀 sneak peek of 🗺️ international expert consensus recommendations at @essonews.bsky.social #NETs webinar today 🔹Assess for 🖤disease 🔹Identify & treat crisis fast 🔹Don't rely on octreotide! Thanks for the invite! #NETSky #HPBSky #SurgSky

New favourite slide from @drcnclarke.bsky.social on surgery for #PNETs 🟢🟠🔴 at AHPBA monthly fellows rounds @nanets.bsky.social @enets.bsky.social @socsurgonc.bsky.social #NETSky #HPBSky #PancSky #SurgSky

Symptoms & QoL are key in #NETs care New tools🧰 from @ascocancer.bsky.social for symtpom management in well-diff GEP-NETs ☑️carcinoid syndrome, heart disease, crisis & functional PNETs ☑️surgery, liver-directed therapy & systemic 🔗📝https://ascopubs.org/doi/10.1200/OP-25-00133 #NETSky #OncSky

Want to know more about surgery & functioning NETs?🤨 Join @essonews.bsky.social on May 14! 🔥Will include preview of international expert consensus recommendations for periop management of carcinoid crisis🦓🌎 Register 👇🏻👇🏻 #NETSky #SurgSky #OncSky #HPBSky

Are current wait time targets optimal? Strong work by Adom Bondzi-Simpson #AmerSurg25: wait time & survival in #CRC 🚫 diff OS if surgery <28d (traditional target) ⬆️OS if surgery <45d (new) Time to reconsider wait times to optimize cancer outcome vs resources? ⚖️🤔 📸cred @swexner.bsky.social

Re-operation for SB-NETs 👥 21 pts in 🇩🇪 ▪️Resected for residual disease - mostly mesenteric LN ▫️Incomplete prior surgery (48% as emergency) ▪️>80% disease-free at 52m median FU 🔑Post-resection ➡️ Get imaging ➡️ If residual disease: refer to NET expert tinyurl.com/upc5exfw #NETsSky #SurgSky #OncSky

Results of Surgical Reintervention After Suboptimal Initial Resection for Locoregional Neuroendocrine Tumors of the Small Intestine

Complete resection is the only chance for cure in small intestine neuroendocrine neoplasms (SI-NEN). Previous ENETS guidelines proposed standards for the surgery of SI-NEN, which should be followed t...

tinyurl.com

The scrub cap is back for some team spirit in the OR 🏥 #StanleyCupPlayoffs #GoHabsGo Bring back the cup where it belongs! 🔵⚪️🔴 🇨🇦

🚨 Debulking of #NETs liver metastases 🦓 What? Why? When? How? The 😈 is in the details Get details in 🆕 #SurgOncToday podcast🎙️with Jessica Maxwell & Alexandra Gangi: patient selection, preop preparation & technical approach open.spotify.com/episode/2n7z... #NETSky #HPBSky #SurgSky #OncSky

🚨 #AHPBA2025 recap🎙️ Missed the meeting? Spent time at the beach🏖️? Too many sessions to pick from? Get your update in 🆕 #SurgOncToday with Ryan Ellis & Michael Lidsky: HAIP⛽️, locally advanced PDAC, PNETs, NSQIP & more! open.spotify.com/episode/3AJT... #SurgSky #HPBSky @socsurgonc.bsky.social

Congrats Adom Bondzi-Simpson & Tiago Ribeiro on #SSO2025 presentations and awards 👏🏻👏🏻 Outstanding representation of UofT surgery and well deserved recognition of your work! 🎉 #SurgSky

Reunited with some favourite #SurgOnc colleagues and friends under the Florida ☀️ for #SSO2025 Starting with board meeting - lots accomplished under Ron DeMatteo's presidency and more to come under Russ Berman's leadership 💪🆙 @socsurgonc.bsky.social #SurgSky #MedSky #HPBSky #OncSky

📣Please share your thoughts and help shaping tomorrow‘s review process. 📣 📅 The survey below is still open until tomorrow, 23/3/25 at 23:59 CET @facs.org @gio-marchegiani.bsky.social @jbmatthews.bsky.social @drneil.bsky.social @halletjulie.bsky.social

BJS@bjsurgery.bsky.social · last yr.

📢 Calling All Surgical Reviewers & Authors! Your insights matter! Help us improve the peer review process by taking our short survey. Together, we can shape the future of surgical research. 👉 Take the survey here: www.surveymonkey.com/r/YLY69HZ @drjuliomayol.bsky.social @bjsacademy.bsky.social

Surgical ergonomics & human factors are joining forces in Toronto next week! Join the Society of Surgical Ergonomics and HF/ES for cocktail hour: 📆March 31, 2025 ⏰6:30pm 📍Miller Tavern (Yonge street) See you there!