JonyvanHilst

[Marc Besselink @MarcBesselink]

“Randomized trials incl robotic 🤖 surgery rarely perform adequate cost assessments and cost-effectiveness analyses.” @BjsOpen

⏩️ https://t.co/ELkEHyoFYY

[Annals of Surgery @AnnalsofSurgery]

In a multicenter RCT, lap distal pancreatectomy (LDP) for left-sided pancreatic cancer showed similar recurrence-free survival, R0 resection rates, and lymph-node yield compared with open surgery- supporting LDP as a safe, oncologically equivalent option. https://t.co/qkKXXJpoNe

[Marc Besselink @MarcBesselink]

Is there a difference in oncological outcome of minimally invasive vs open left pancreatectomy for #PancreaticCancer ?

✅ Today @JAMASurgery: follow-up of the #DIPLOMA international randomised RCT @e_mips @Abuhilal9Abu

⏩️ https://t.co/T3lyFwWtD1

[Marc Besselink @MarcBesselink]

The #LEOPARD2 trial changed our nationwide practice dramatically: near ❌ stop laparoscopic #Whipple, rapid ✅ increase #Robot Whipple. See our letter in @LancetGastroHep.
🧐#DIPLOMA2 trial Robot vs open Whipple coming up.

⏩️https://t.co/N09LVwY5Ur

[JonyvanHilst @JonyvanHilst]

Today in @BJSurgery

*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 @MarcBesselink @Abuhilal9Abu @carolouisebruna

Interested? Let us know!

[Mohamed Abu Hilal @Abuhilal9Abu]

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 👍 ⁦@EAHPBA⁩ ⁦@IHPBA⁩ ⁦@EurPancClub⁩ ⁦@Aicep4⁩ ⁦⁦@MarcBesselink⁩

[JonyvanHilst @JonyvanHilst]

@rajibaji1983 @Abuhilal9Abu @EAHPBA @IHPBA @EurPancClub @Aicep4 @MarcBesselink Great! We would love to compare outcomes if possible? Maybe with @tessalelarge ?

[Mohamed Abu Hilal @Abuhilal9Abu]

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 👍 ⁦@EAHPBA⁩ ⁦@IHPBA⁩ ⁦@EurPancClub⁩ ⁦@Aicep4⁩ ⁦⁦@MarcBesselink⁩

[Karolinska-HPB @HpbKarolinska]

Link to the survey at the end of the tweet by @sparrelid Important topic! Please take the survey and retweet to disseminate it within the community.

@VautheyMD @ASchnitzb @RichSchulickMD @nebbia_martina @ProfW_edinsurg @AisteGulla @TELL_Starlinger @CDTzeng @AnaGleisner

[Giuseppe Malleo @gimalleo]

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 ❓https://t.co/m9v7CjSXjT @MarcBesselink @EAHPBA

[JonyvanHilst @JonyvanHilst]

1st RCT comparing #robotic vs #laparoscopic hepatectomy for liver malignancies: #ROCNROLL trial published today together with our invited comment in @LancetRH_Europe @rj_swijnenburg @tjhoogteijling

https://t.co/IP4iJiM4S7

[Nuh Rahbari @NuhNRahbari]

𝟏𝐬𝐭 𝐑𝐚𝐧𝐝𝐨𝐦𝐢𝐳𝐞𝐝 𝐂𝐨𝐧𝐭𝐫𝐨𝐥𝐥𝐞𝐝 𝐓𝐫𝐢𝐚𝐥 𝐨𝐧 𝐑𝐨𝐛𝐨𝐭𝐢𝐜 𝐋𝐢𝐯𝐞𝐫 𝐑𝐞𝐬𝐞𝐜𝐭𝐢𝐨𝐧
#ROCNROLL RCT comparing Robotic vs Laparoscopic Hepatectomy for Liver Malignancies finally out
@LancetRH_Europe
👉 https://t.co/P09Q7hCoUt
#robotvslap #liversurgery #rct

[Kjetil Søreide @ksoreide]

Please help us with this brief survey for HPB surgeons/trainees:
E-AHPBA Survey on Training for Fellows
https://t.co/mfXTecY9Np
Feel free to share this survey with colleagues!
@EAHPBA @ESSOnews @IHPBA @hpb_so @HpbKarolinska @MarcBesselink @UEMSSurg @dr_gilgson

[JonyvanHilst @JonyvanHilst]

@SharanWad @Abuhilal9Abu @IHPBA @BJs @EAHPBA @EurPancClub @YouppiePancreas @Aicep4 @MarcBesselink @HPB_Surgeon @Gio_Marchegiani @TessvRamshorst @PancreasVerona @ILLS_LAPLIVER @hpb_so @SAGES_Updates @poliambulanza 😂😂

[JonyvanHilst @JonyvanHilst]

Very proud of @AnoukEmmen and @nine_degraaf who both did an excellent job presenting the outcomes of the DIPLOMA2 trial @IHPBA 2024 Cape Town!

[Marc Besselink @MarcBesselink]

🚀 #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 @Abuhilal9Abu @AnoukEmmen @nine_degraaf
⏩️Primary endpoint (non-inferiority): no differences in CCI complication score ✅
⏩️1-day faster time to func recovery ✅
⏩️2-day shorter hospital stay ✅
⏩️13% less grade B/C POPF ✅
⏩️Reduced blood loss ✅
⏩️10% less wound infections ✅
⏩️More daily steps (day 14-38) ✅

[Marc Besselink @MarcBesselink]

🚀🚀#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
@e_mips #IHPBA24 @Abuhilal9Abu @AnoukEmmen @nine_degraaf

[Marc Besselink @MarcBesselink]

🚀 #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 @Abuhilal9Abu @AnoukEmmen @nine_degraaf
⏩️Primary endpoint (non-inferiority): no differences in CCI complication score ✅
⏩️1-day faster time to func recovery ✅
⏩️2-day shorter hospital stay ✅
⏩️13% less grade B/C POPF ✅
⏩️Reduced blood loss ✅
⏩️10% less wound infections ✅
⏩️More daily steps (day 14-38) ✅

[Mohamed Abu Hilal @Abuhilal9Abu]

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 @EAHPBA @IHPBA @EurPancClub @YouppiePancreas @Aicep4

[Giovanni Marchegiani @Gio_Marchegiani]

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

https://t.co/sZ6fNw7xIj

[EPC-Europ Pancr Club @EurPancClub]

Spread the word 👇👇‼️

@maloehr1 @gimalleo @lelecapurso @DeMadaria @pilar_acedo @RobValente83 @liveRPancSurg @UHB_HPB @MarcBesselink @RegelIvonne @AlgulLab @seifertlab @juliomayol @JulioIglGar @JuliaMayerle @albrechtneesse @ArchibugiLivia @EDominguezMunoz @AsbjornDrewes

[Simone Augustinus @Simone_Aug]

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:
https://t.co/O0r2d5Q5l0

#ESA #Leeds #May2024 #BeThere

[The Lancet Gastroenterology & Hepatology @LancetGastroHep]

New research - van Bodegraven et al - Prophylactic abdominal drainage after distal pancreatectomy (PANDORINA): an international, multicentre, open-label, randomised controlled, non-inferiority trial

https://t.co/5DG7rUXwGj

#GITwitter #SoMe4Surgery