Controversies in HPB Surgery

Exploring areas of clinical equipoise in Hepatic, Pancreatic and Biliary Surgery, this podcast series, produced by the Department of HPB Surgery, The Alfred Hospital Melbourne, features interviews with experts across HPB surgery and related specialties. The series delves into topics of interest to HPB Surgeons and trainees, where clinical decision making is challenging due to the limited evidence available on which to compare treatment options.

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Episodes

Sunday Feb 11, 2024

Associate Professor Charles Pilgrim, HPB Surgeon at The Alfred Hospital, Melbourne discusses the role of total pancreatectomy in the management of main duct IPMN and the longer term implications of the apancreatic state.

Friday Jan 19, 2024

Dr Marty Smith, Director of HPB Surgery at The Alfred Hospital, Melbourne discusses the surgical options for resection of mid-bile duct cholangiocarcinoma.

Saturday Jan 06, 2024

Dr Saxon Connor, HPB Surgeon from Christchurch, Aotearoa New Zealand discusses the role of subtotal cholecystectomy comparing fenestrating and reconstituting techniques.

Further reading on podcast topics:

 

Subtotal cholecystectomy- which technique is best?

A systematic review on laparoscopic subtotal cholecystectomy for difficult gallbladders: a lifesaving bailout or an incomplete operation?

//publishing.rcseng.ac.uk/doi/abs/10.1308/rcsann.2023.0008 

Subtotal Cholecystectomye“Fenestrating” vs “Reconstituting” Subtypes and the Prevention of Bile Duct Injury: Definition of the Optimal Procedure in Difficult Operative Conditions

//www.ahpba.org/wp-content/uploads/2023/12/subtotal_cholecystectomy__fenestrating__vs.11.pdf

Subtotal Cholecystectomy: The Devil Is in the Details

//journals.lww.com/journalacs/citation/2022/12000/invited_commentary__subtotal_cholecystectomy__the.24.aspx

Thinking Your Way Through a Difficult Laparoscopic Cholecystectomy: Technique for High-Quality Subtotal Cholecystectomy

//journals.lww.com/journalacs/abstract/2022/12000/thinking_your_way_through_a_difficult_laparoscopic.23.aspx

 

Mid-duct cholangiocarcinoma- what operation should be performed?

Segmental bile duct resection versus pancreatoduodenectomy for middle and distal third bile duct cancer. A systematic review and meta-analysis of comparative studies

//www.sciencedirect.com/science/article/abs/pii/S1365182X23005671

Treatment of mid-bile duct carcinoma: Local resection or pancreatoduodenectomy?

//www.sciencedirect.com/science/article/abs/pii/S0748798319305268

Does Intraoperative Frozen Section and Revision of Margins Lead to Improved Survival in Patients Undergoing Resection
of Perihilar Cholangiocarcinoma? A Systematic Review
and Meta-analysis

//link.springer.com/article/10.1245/s10434-022-12041-x

Oncologic Reappraisal of Bile Duct Resection for Middle-Third Cholangiocarcinoma

//link.springer.com/article/10.1245/s10434-020-09157-3

Benefits and limitations of middle bile duct segmental resection for extrahepatic cholangiocarcinoma

//www.sciencedirect.com/science/article/abs/pii/S1499387220300084

Comparison of pancreaticoduodenectomy and bile duct resection for middle bile duct cancer: A multi-center collaborating study of Japan and Korea

//onlinelibrary.wiley.com/doi/full/10.1002/jhbp.724

 

Surgical management of main duct IPMN- total v partial pancreatectomy

Is it time to expand the role of total pancreatectomy for IPMN?

//karger.com/dsu/article/33/4/335/117924/Is-It-Time-to-Expand-the-Role-of-Total

Patterns of Recurrence After Resection of IPMN. Who, When, and How?

//journals.lww.com/annalsofsurgery/abstract/2015/12000/patterns_of_recurrence_after_resection_of_ipmn_.31.aspx

Perioperative outcomes and long-term quality of life after total pancreatectomy

//academic.oup.com/bjs/article/106/13/1819/6120975?login=false

Systematic review of functional outcome and quality of life after total pancreatectomy

//academic.oup.com/bjs/article/106/13/1735/6120920?login=false

Should non-invasive diffuse main-duct intraductal papillary mucinous neoplasms be treated with total pancreatectomy?

//www.sciencedirect.com/science/article/pii/S1365182X21016336

Prophylactic total pancreatectomy in individuals at high risk of pancreatic ductal adenocarcinoma (PROPAN): systematic review and shared decision-making programme using decision tables

//journals.sagepub.com/doi/abs/10.1177/2050640620945534

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