...E' arrivato QUEL momento dell'anno!
📢5° Congresso Nazionale AICEP
📍Silvi Marina (TE) | 19–21 Novembre 2026
👉Invia il tuo abstract: https://t.co/kEmMi6wKMH?
⏰Deadline 14/9/26
🖊Iscriviti qui: https://t.co/Ly6WXBNmbv?
✅Gratis per soci @Aicep4 e studenti
📅SAVE THE DATE😉
Uncertainty in medicine isn't a flaw to engineer away with finer algorithms. It's intrinsic to every individual decision.
Our new paper in BJS Open traces 20 years of liver cancer to make the case. Honoured to have Gordon Guyatt as co-author.
https://t.co/fgsAwpluer
🍒 Small p-NET <2cm always a challenge
🇮🇹 🇯🇵 🇫🇷 🇹🇷 🇬🇧 🇩🇪 460 resected / 35% enucleation
⚠️ Central panc morbidity 25% 🆚 enucleation 10% and ⬆️ POPF / LOS
🫐 LN Mets 14% 🙃
My take: less (no surgery) is MORE!
https://t.co/o4qt6EZMZW
Of surgical dogma and lemonade 🍋 managing the drain left after pancreatoduodenectomy
✍️ Beautiful commentary by @HalletJulie in @BjsOpen a pleasure to read!
↓↓↓
https://t.co/DN5pAeJb13
...E' arrivato QUEL momento dell'anno!
📢5° Congresso Nazionale AICEP
📍Silvi Marina (TE) | 19–21 Novembre 2026
👉Invia il tuo abstract: https://t.co/kEmMi6wKMH?
⏰Deadline 14/9/26
🖊Iscriviti qui: https://t.co/Ly6WXBNmbv?
✅Gratis per soci @Aicep4 e studenti
📅SAVE THE DATE😉
🇮🇹🇪🇸 The 5th AICEP National Congress (19–21 Nov, Silvi Marina, Italy) is now welcoming abstract submissions.
We encourage Spanish HPB surgeons to participate in this Italian–Spanish scientific meeting.
📝 Submit: https://t.co/tOOadZwnRx
📅 Deadline: 14 Sept 2026
#AICEP2026
Drain management after pancreatoduodenectomy: risk-stratified dynamic algorithm
➡️https://t.co/u8ORxSJqWh
This multicentre study of 788 patients undergoing pancreatoduodenectomy (PD) evaluates the reliability of drain fluid amylase (DFA) as a predictor of postoperative pancreatic fistula among high-risk (HR) and non-HR-PD. We found that, whereas early drain removal guided by DFA and serum enzymes is safe in non-HR-PD, DFA accuracy is reduced in HR-PD until postoperative day 5, when combined DFA and C-reactive protein levels allow safe drain removal. These findings support a dynamic, risk-based drain management protocol tailored to pancreatic fistula risk.
👏👏👏@Giampaolo_Perri , @BannoneElisa , @iisifrigerio , Riccardo Pellegrini , Martina Guerra , Roberta Vella , @CattelaniAlice , Elvira Adinolfi , @prof_cillo , @pancreassurg , @Gio_Marchegiani
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy@BJSurgery #some4hpb #some4tpl @hpb_so #PancreaticCancer #PancreaticSurgery @YouppiePancreas@German_PancClub@surgery_hps #PancreasClub2023 @PancreasClub@DPCG_official@pancreatitis_nl@PanCAN #PanCANawareness @EurPancClub@P_C_E_@dice_europe
🪨 LOW risk (hard pancreas / big duct)
👍 POD 3️⃣ safe early drain removal if DFA < 150 and no POH
🧈 HIGH risk (soft pancreas / small duct)
✋ Wait POD 5️⃣ if DFA < 150 and C-RP is low
🧯 Mitigation strategies always needed!
Out now in @BjsOpen 🆓
🆕 Drain management risk-stratified dynamic algorithm after Whipple 🆕
💦 Drain fluid amylase still key but pathways different based on intraop risk assessment
🚨 800 PD included / 32% high risk
Check out the thread 👉 practice changing algorithm
https://t.co/aqskbzXT8Y
🎓 EAHPBA-UEMS GOLD COURSE kicked off #ILLS2026!
Leading experts shared comprehensive lectures on liver surgery.
A perfect wake-up call for surgeons passionate about the #HPB field ☕️
🇪🇸Málaga, Spain
🗓️June 17–19, 2026
🔗https://t.co/NRvajmu519
@IHPBA@EAHPBA@APHPBA@AHPBA
Opening Ceremony of #ILLS2026🎊
We were honored to welcome Mayor Francisco de la Torre Prados of Málaga, who delivered a welcome address at the ceremony🇪🇸
#ILLS2026 officially started!!
@Abuhilal9Abu@drciria@Giammatwit
From CRLM to PHCC, where is MIS heading in liver tumor surgery?
🎤Cutting-Edge MIS in Liver Tumors
#ILLS2026
Experts compared indications, technical challenges, & oncological outcomes across different tumors👨🏼🏫
@AAFretland@Giammatwit@prof_cillo@IHPBA@EAHPBA@APHPBA@AHPBA
🎉 #ILLS2026 has just officially started!
🇪🇸Málaga has such a beautiful morning as the global #MILR community comes together for three days of learning, innovation, and collaboration🫱🏼🫲🏾
We hope you all enjoy #ILLS2026✨
@IHPBA@EAHPBA@APHPBA@AHPBA
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
Postpancreatectomy diarrhoea 🔴🔴 an emerging issue in the era of pancreas cancer surgery
🚨Incidence 33% at 90 days
😖 Severity correlates with QoL
💊 PERT always required + 40% loperamide
✂️ Arterial divestment / vascular resection risk factors
https://t.co/i03eJ7lcQS