@chemaremes Buena opción y punto de partida en equipos entrenados, pero aún manda Step up creo, faltan más datos, más centros, más acceso a EUS; ej. en esta zona del país hay 2-3 centros de usg endoscopicos, además de la mortalidad como dicen que es importante (4/33 pacientes)
This Review highlights that difficult cholecystectomies are associated with distinct patient, disease, and imaging factors, and emphasizes the need for careful assessment, advanced imaging, and adaptable surgical strategies to prevent serious injuries.
https://t.co/efa5JxEsaK
Recién publicado:
📌 Hallazgos clave:
1️⃣ El ACS NSQIP mostró un AUC de 0.88.
2️⃣ Punto de corte óptimo: Un riesgo ≥6.6% predice ISQ con 78% sensibilidad y 92% especificidad, útil para estratificar pacientes.
3️⃣ Relación ISQ (HI): La ISQ aumenta 6 veces el riesgo de HI.
En este deporte de la Cirugía (y la Endoscopia y la Medicina....), la "estadística" siempre nos alcanza.
En el fracaso, tenemos la enseñanza.
Cuando algo NO nos sale bien, tenemos que hacer la introspección necesaria para aprender.
¡Excelente noche chatos!
HCC 101!
For the longest time, HCC was a bit of a blackbox to me.
So for today’s ROVER presentation, I started off with a 5-slide summary of HCC basics: a 20,000 foot overview.
Sharing here. Short thread 🧵 1/6.
How to predict 🔮 the faith of low risk IPMN?! Meta analysis @UEGJournal@my_ueg
🫧 Small cyst size and 🤏 lack of growth are negative factors
🎥 Dynamic evaluation is KEY! So …
👉take your time and study your patient / cyst 👈
🆓 access !!! https://t.co/KK7iDBz2Zv
CT scan in intubated MICU patient showing gallbladder wall thickening and sludge. US images were similar. General surgery was consulted. Recommendation was no intervention.
5 days later ➡️ now has resolved (R picture).
GB wall thickening often does NOT need a procedure. 🧐
🧵for junior trainees regarding the use of the non-dominant hand for surgical procedures:
We'll go over why it's probably even more important than your 'dominant' hand, and what I think is the key to developing proficiency with it, which may not be what you'd guess. 🧐
(1/ )
The definition of ‘left’ in left-sided pancreatectomy
-what else can, or even should, be left (behind):
the spleen?
lymph nodes?
peripancreatic tissue?
@hpb_so@BJSurgery@EAHPBA@IHPBA
From @alexbontemd at the SAGES meeting.
If you do gallbladder surgery then watch the entire 7 minutes of this.
Take the time to sign in with a password or whatever. Watch all of it.
There are 6-7 different moments of 😱😱😱😱😱
https://t.co/jPRPdmmoY8
I'm being bombarded by questions (quite understandably) about why any patient would undergo chemotherapy if a surgery had successfully removed their cancer
I struggled to come to the same understanding when I was first being trained as an oncologist
A THREAD
Surgical field setting is the most important part, and great operation should be on the great view.
We have to control the direction and force of all arm vectors.
🧵regarding 1-handed knot tying:
We'll go over basic concepts about knots and how to tie the '1-handed' knot.
We will also explore why one of the 'throws' is harder than the other, and a different way to do it that may be new to many who trained in surgery in the U.S.
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