HPD (HPB and Liver Transplant Surgery Padova)

Hepato-Pancreato-Biliary and Liver Transplant Surgery @UniPadova 🎓 @OspedalePadova 🏥 Direttore @prof_cillo

[Giovanni Marchegiani @Gio_Marchegiani]

✔️More than 5️⃣k (!!!) pancreatologists 😱
✔️ Gathering with friends from all over the world
✔️ Trying the best Chinese robotic 🤖 platform right at the manufacturer

🇨🇳 🤝🇮🇹 Shanghai CAP 2026 you made it possible! Thank you so much for having me!

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

Stellar symposium on pancreas surgery in Hirakata 🇯🇵

Perfect organization from Sohei Satoi and @Hiro_Ishida_MD 🤝

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

Our fellow @a_mae0124 🇯🇵 🇮🇹 hitting the stage with her systematic review and meta analysis on treatment strategies for recurrent PDAC

Great day at @JSHBPS2026 @JSHBPS in Nara 🦌

[Giovanni Marchegiani @Gio_Marchegiani]

🔴 Post-Pancreatectomy liver injury (PPLI) might be a new significant entity in the modern era of pancreas cancer surgery with vascular resection

👉 Incidence 13% leading to ⬆️ mortality

🔜 More to come!

https://t.co/holgmSMA1R

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

🎙️ @Gio_Marchegiani is an invited speaker at @JSHBPS in Nara 🇯🇵 to present a new concept of IPMN 🍇 recurrence after surgery

Great time at @JSHBPS2026 thank you 😊 to the organizers for such an amazing opportunity

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

Alessandro Furlanetto on the stage of @JSHBPS 2026 in Nara 🇯🇵

His talk is about SMA approach of 🤖 Pancreatoduodenectomy @JSHBPS2026

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

And now @Giampaolo_Perri on our new protocol on risk based drain management 💦 to prevent and manage pancreatic fistula

Great 😊 time at @JSHBPS @JSHBPS2026

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

Very busy and productive days at @JSHBPS 2026 in Nara 🦌 🇯🇵

Dr. Bassi presenting our experience in robotic total pancreatectomy and islet autotransplantation @JSHBPS2026

[Hitoe Nishino @hitoen9]

New evidence & perspectives on the definition and management of IPMN progression during follow-up ✍️

🔍 What is the optimal surveillance strategy?
🔪 When and how should we intervene surgically?
🤔 What should actually be defined as so-called “recurrence”?

Still many unanswered questions and much to discuss 💪🏼 #JSHBPS2026

@JSHBPS @JSHBPS2026 @Gio_Marchegiani

[Alessio Marchetti MD @alemarche055]

A new player has entered pancreatic surgery: Postpancreatectomy liver injury

☠️ ~ 50% related mortality
Early detection with 🧪 and doppler 🔊
⚖️ Next step? Standardized definition @ISGPS_news

https://t.co/jLBO1s3S2Z

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

Fantastic time in Geneva Switzerland 🇨🇭 for @_ILTS_ 2026

Truly unforgettable event with top notch experts in the field! @prof_cillo

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

Our Dr. Domenico Bassi visiting @go3245 in Tokyo 🇯🇵 for an intense week

Dr. Alessandro Furlanetto is spending a 6-month fellowship focused on robotic HPB surgery 🎓🎓🎓

[BJS Open @BjsOpen]

Quality metrics for perioperative red blood cell transfusion in gastrointestinal cancer surgery: international Delphi consensus
➡️https://t.co/Unm30Nb1wK

A consensus on quality metrics to assess and monitor the use of perioperative red blood cell transfusion (RBCT) in gastrointestinal cancer surgery was generated through a four-round modified Delphi process with 37 international experts. Consensus was reached on 18 quality metrics across structures, processes, and outcomes of care, reflecting both clinical importance and feasibility. These expert-endorsed metrics can support institutions and health systems in monitoring RBCT practices, with a view to reducing unwarranted variation in RBCT use and improving patient outcomes and blood resource stewardship in gastrointestinal cancer surgery.

👏👏👏@HalletJulie, @jesse_zuckerman , Frances C Wright , Jeannie Callum , Alyson L Mahar , Alexis F Turgeon , Asim Alam , Jessica Armah , @Gio_Marchegiani , David Cavallucci , Guillaume Martel on behalf of , the RBCT Quality Metrics Group
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

Great time at the @PancreasClub ✨✨✨

[Giovanni Marchegiani @Gio_Marchegiani]

The @HPDsurgery 🔴🔴 delegation at the 2026 @PancreasClub in Chicago 🇺🇸

Days packed with science, fun and pancreas friendship from all over the world!

So proud of the team I am part of 💪

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

We will be there with our @prof_cillo

See you in Geneva 🇨🇭

[ILTS @_ILTS_]

Join us at the #TransMedics Evening Symposium at the #ILTSCongress2026.

OCS Liver Experience with 11,000 Liver Transplants – A New Standard of Care for Liver Transplantation Globally

Date: May 7th | 18:15-19:30 | Room K

More details at: https://t.co/3aoOjcf7ih

[ILTS @_ILTS_]

Join us at the #TransMedics Evening Symposium at the #ILTSCongress2026.

OCS Liver Experience with 11,000 Liver Transplants – A New Standard of Care for Liver Transplantation Globally

Date: May 7th | 18:15-19:30 | Room K

More details at: https://t.co/3aoOjcf7ih

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

Thank you @BjsOpen for featuring our paper!!!

[BJS Open @BjsOpen]

Postpancreatectomy diarrhoea: prospective, single-centre longitudinal analysis of incidence, risk factors, management, and impact on quality of life
➡️https://t.co/NAVx0VusSY

Postpancreatectomy diarrhoea affects over one-third of patients despite appropriate enzyme replacement, significantly impairing quality of life. This prospective study identified key risk factors for moderate-to-severe diarrhoea, including vascular resection, arterial divestment, and pancreatic ductal adenocarcinoma aetiology. The study findings highlight the need for personalized postoperative management to mitigate the clinical and therapeutic impact of postpancreatectomy diarrhoea.

👏👏👏@Giampaolo_Perri , @LiviaZornetta , Riccardo Pellegrini , Pietro Rigo , Nicola Canitano , Domenico Bassi , Patrizia Burra , @prof_cillo , @Gio_Marchegiani
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #some4hpb #some4tpl #PancreaticCancer #PancreaticSurgery #PancreasClub2023 @PancreasClub @YouppiePancreas @German_PancClub @DPCG_official @pancreatitis_nl @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe

[Alessandro Vitale @Vaital73]

WHEN THE BEST TREATMENT IS NO DELIVERABLE: RETHINKING DECISION-MAKING IN HCC

I am pleased to share our recent publication in Hepatoma Research:

In hepatocellular carcinoma (HCC), multidisciplinary tumour boards are now recognised as the cornerstone of treatment decision-making. Yet in real-world practice, some of the most influential determinants of therapeutic choice remain implicit and insufficiently structured.

This work focuses on the concept of “treatment unfeasibility” as a central yet often overlooked dimension of clinical reasoning. Rather than a simple contraindication, unfeasibility emerges as a multidimensional construct shaped by four key domains: technical limitations, available resources, patient values and preferences, and broader societal factors, including equity and access to care.

A critical insight is the frequent inverse relationship between therapeutic efficacy and feasibility, which contributes to the persistent undertreatment of HCC patients. Liver transplantation exemplifies this tension: it offers the highest curative potential yet remains inaccessible to many because of organ shortages, unequal resource distribution, and systemic disparities.

By making these determinants explicit and structuring them within a coherent framework, this paper aims to move beyond purely algorithmic decision-making and to provide practical tools for integrating these factors into multidisciplinary discussions.

Ultimately, improving HCC care requires not only identifying the best theoretical treatment but also ensuring that it is realistically deliverable for each individual patient.

https://t.co/62qCt8Q6l5

[HPD (HPB and Liver Transplant Surgery Padova) @HPDsurgery]

Our delegation in Skopje for the @EDSurgery @my_ueg postgraduate course

💪💪💪

[Giovanni Marchegiani @Gio_Marchegiani]

A great @EDSurgery postgraduate course in Skopje 🇲🇰 to discuss how to perform a safe pancreatic anastomosis

📏 Risk adjusted approach is key

👍 Low risk patients: do your fav anastomosis, train your residents!

😨 High risk: use ALL mitigations 🧑‍🚒 stents, cortisone, drains!

[Giovanni Marchegiani @Gio_Marchegiani]

🔵Vein resections ✂️are standard of care in pancreatectomy: what about TRUE infiltration role?

🔍 300 upfront resected veins 🇮🇹🇨🇳
🔬 66% path proven infiltration

🚨 True infiltration impairs survival 💉 adjuvant chemo prolongs it to 30 months

https://t.co/1VBFlEbx9z