In this @AnnSurgOncol#FeaturedArticle, authors review the American College of Surgeons Commission on Cancer Standard 5.6, which pertains to the curative intent colon resections performed for cancer.
📃: https://t.co/G0JlU1hGyT
🔍 Fun fact:
The caudate lobe drains into the left hepatic duct
Understanding hilar anatomy is crucial for tackling bile duct strictures and complex stones
Neoadjuvant FOLFIRINOX 🤜🤛upfront surgery for resectable pancreatic cancer
NORPACT-1 out 🔥 now @LancetGastroHep
📈 Median OS 25 vs. 38 months and resection rate did not differ
💉 60% neoadjuvant group had severe adverse event 🚨
🫵Comments?🧐
👉 https://t.co/zhikhG8XQN
BILIARY DUCT ANATOMY
👨🏽💻The anatomy of the biliary ducts always confused me prior to qualifying as a doctor but it needn’t be so confusing - let’s start at the top and work down...
👨🏽💻The intrahepatic biliary ducts drain bile from the liver (each segment of the liver is represented by Roman numerals on the diagram) into the right and left main hepatic which converge to form the common hepatic duct
👨🏽💻This is then joined by the cystic duct which connects the gallbladder. Sometimes stones in the cystic duct can compress the common hepatic duct or common bile duct resulting in obstruction - called Mirzizzi syndrome
👨🏽💻Once the cystic duct has joined the common hepatic duct it is now termed as the common bile duct which in normal variant anatomy joins up with the main pancreatic duct at the ampulla of Vater and drains into the major papilla
👨🏽💻The ampulla is surrounded by a circular layer of muscle known as the Sphincter of Oddi
👨🏽💻The accessory duct of Santorini drains into the minor papilla and the main pancreatic duct drains into the major papilla - there can be variant anatomy! In pancreatic divisum the ducts are separate and most of the pancreas is drained through the minor papilla - this puts the patient at risk of recurrent pancreatitis
Understanding the Couinaud Classification of Liver Anatomy
Introduction to Liver Segmentation
The liver is intricately divided into eight distinct segments. Each segment boasts its own vascular and biliary systems, ensuring efficient blood supply and bile drainage.
New guidelines for IPMN management, formulated by an expert group including our @SalviaRobi. Major changes:
🟢Imaging findings and cytology obtained by EUS included into the assessment of HRS and WF
🟢Surveillance discontinuation possibile for small unchanged BD-IPMN after 5years
🚨🚨🚨🚨
Which is the best technique (Tx) for a pancreatico-enteric anastomosis ⟖ ⟖ after a #Whipple Operation (#pancreaticoduodenectomy) for #PancreaticCancer?
#Bookmark this #Thread 🧵🧵...
The Pancreatico-enteric anastomosis ready reckoner!
Winning Tx revealed at d end!
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Zargar Classification 🚨 #GITwitter#MedTwitter
⚡️ Widely used to grade endoscopic severity of corrosive injuries and provide prognostic information
🔦 Endoscopy performed preferably during the first 24-48 hours after ingestion to evaluate extent of injury
Simple things surg regs should practice #1. One-handed suturing. This has come in super handy for me in tricky situations when one hand is either retracting something, plugging a hole in a blood vx or just holding the thread. 1/5