Lee Ocuin, MD, FACS

End of year content continues!🎊

2⃣0⃣2⃣4⃣ HPB Wrapped by SSO with Cecilia Ethun & Sajid Khan

Top 10 studies🌟 - in this episode
🔟AMPLIFY
9⃣Adjuvant therapy for IPMN-PDAC
8⃣HELIX
7⃣CAMINO
6⃣PANDAS

Which one had the most impact #HPBSky?

🎧 tinyurl.com/5c5yj5ye

#SurgSky #MedSky #OncSky

Mitigation! Mitigation! Mitigation. Look forward to the results of your RT trial and others looking at extended antibiotics in targeted/elevated CR-POPF risk populations.

Does the impact of pancreatic fistula (POPF) differ between minimally invasive (MIPD) vs open (OPD) #Whipple?

In pts with POPF after MIPD:
⬆️ sec complications ⚠️
⬆️ hemorrhage 🩸
⬆️ hospital stay 🏥
⬆️ reoperations 🔪

@carobruna.bsky.social @abuhilal.bsky.social
▶️ jamanetwork.com/journals/jamas…

2 months…I guess any progress is progress in this disease space.

Trans-arterial embolization versus chemoembolization for neuroendocrine liver metastases: a propensity matched analysis Locoregional therapies are a mainstay of treatment for patients with neuroendocrine liver metastases (NELM), yet the optimal transarterial approach re…

Liver embolization for #NETs metastases: bland or chemo?

⬆️PFS for TACE vs TAE (after PSM)
Same complications
⚠️Selection bias...

⏭️RETNET RCT should answer this once and for all - 👀 out for results

🔗 sciencedirect.com/science/arti... @ihpba.bsky.social 🗞️

#NETsSky #MedSky #SurgSky

We’ve been through a lot in the past year but kept the faith, kept the focus, and came out the other side harder, better, faster, stronger, and wiser. More to be thankful for than can be put into words and looking forward to some amazing adventures. 💎⬆️💨💪🏼🧙🏼‍♂️😍 🦃

FIP – Écouter la radio en direct et les radios thématiques Tout l'univers musical de FIP, sélection de titres Jazz, Electro, Rock, Pop, Groove et bien plus. Écoutez la radio en direct et les radios thématiques.

If you do not already know this, Radio France FIP is the best radio station in the universe. An eclectic mix of music and at best, I know every tenth song. Can't imagine my admin/research days at work without FIP.

Expand your musical mind - check FIP out!

www.radiofrance.fr/fip

I have not - have tried to avoid this scenario and push for PTC if ERCP not feasible. That said, from speaking to colleagues who have operated post-procedure, it’s doable and usually not too terrible. But have your “terrible Whipple” playlist available…😉

1. Mitigation of fistula in elevated risk patients w extended abx.

2. When CR-POPF does happen, drain drain drain! I’ve never re-op’d but results are generally poor.

Free read on HPB journal 📔

🐳 Reoperation for pancreatic fistula on @ihpba.bsky.social journal

🤜🤛 Completion pancreatectomy or pancreas-preserving procedures ?!

💦 Drainage / wirsungostomy 44% vs. Completion panc 37%

😱 Mortality as high as 67%!

👀 What is your policy?

🆓 paper 👉 www.hpbonline.org/article/S136... #HPBSky

More and more people joining @bsky.app
For all those interested in HPB surgery - here is a starter pack of people and organizations in that field #HPBSky #SurgSky #MedSky

Let me know of others to add!

go.bsky.app/KyNk7sx

@eahpba.bsky.social now also on BlueSky 👍👍

a man in a suit and tie is giving a thumbs up while sitting in a chair . ALT: a man in a suit and tie is giving a thumbs up while sitting in a chair .

Will have to reconcile the intergalactic pew pew noises from those coming from inside my OR.

Guess I’ll write up my case series of HPB surgery on Pluto then.

Practice of neurosurgery on Saturn The practice of neurosurgery on Saturn is almost identical to the one practiced on Earth. Because the art of practice of Medicine was transferred by h…

It’s real and it’s beautiful.

www.sciencedirect.com/science/arti...

First-Line Systemic Treatment for Initially Unresectable Colorectal Liver Metastases This randomized clinical trial examines different treatments for patients with unresectable colorectal cancer with liver-only metastases.

First-Line Systemic Treatment for Initially Unresectable Colorectal Liver Metastases
Post Hoc Analysis of the CAIRO5 Randomized Clinical Trial

jamanetwork.com/journals/jam...

This study affirms an important point - patients with CRCLM who undergo resection will have better survival than those who don’t undergo resection. Imperative that ALL patients with CRCLM are evaluated by an HPB surgical oncologist.

Survival Outcomes of an Early Intervention Smoking Cessation Treatment After a Cancer Diagnosis This cohort study evaluates the survival outcomes of currently smoking patients with cancer who entered into a smoking cessation treatment program based on the time between diagnosis and program entry...

Survival Outcomes of an Early Intervention Smoking Cessation Treatment After a Cancer Diagnosis

jamanetwork.com/journals/jam...

A candle needs a wick to burn because the wick's primary function is to draw the melted wax (fuel) up to the flame where it can vaporize and combust,

Just the intellectually curious exploring the world around us.

“Curiosity is the wick in the candle of learning.” - William Arthur Ward

Early days. Thank you #MedSky #SurgSky 🙏🏾

For next time a patient with new cancer diagnosis asks "what can I do?"

Finally some evidence to answer:
🛑Stop smoking

⤴️median OS by 1.8 yrs with cessation within 6 months

Love data that can change what we do immediately in clinic! 😀

tinyurl.com/etwcd4yv

#MedSky #SurgSky #HPBSky

Now would you trade those for Oasis tickets?

💯

My friend, I am currently writing an update of “Simone’s Maxims” and I may cite you

Unsolicited career advice:

Be humble enough to know you are replaceable.

Be arrogant enough to know that it will be a downgrade.

I am so sorry to hear this. 💜

“Hey Siri, make me smile…”

Siri: 😍😍😍

Cancer recurrence and survival among patients who underwent neoadjuvant treatment and surgery for esophageal cancer: A single-institution 10-year experience Standard of care for locally advanced esophageal cancer is neoadjuvant therapy followed by surgical resection. The objective of this study is to explore perioperative factors associated with recurrenc...

Cancer recurrence and survival among patients who underwent neoadjuvant treatment and surgery for esophageal cancer: A single-institution 10-year experience

www.surgjournal.com/article/S003...

How common is recurr cholangitis after Whipple/HJ without HJ-stenosis (NSC)? Treatment?

🔑 4.2% of 1179 pts with HJ developed NSC
🔑 'step-up approach' = resolution of NSC in 15pts (30%) and reduction of NSC in additional 21pts (42%).
🔑 ✅ UDCA +stopping PPI
▶️ www.sciencedirect.com/science/arti...

🧐🧐🧐…