Before and after. Intrahepatic cholangiocarcinoma. S6/7 remnant too small. Central hepatectomy performed (H123458-B). Luckily only 3 bile ducts to join. #cholangiocarcinoma #centralhepatectomy @WestmeadSurgery

Ａtouching moment during the tragedy: The earthquake in Myanmar was felt in Ruili, Yunnan, China, where two nurses at Jingcheng Hospital's maternity center were seen shielding infants:

Don't know who needs to hear this, but surgical repair of a "small fat containing inguinal hernia" for groin pain but no lump or a cough impulse is NOT going to help that patient. Please examine your patients. Do not rely on the useless ultrasound report.

Cure Probabilities After Resection of Pancreatic Ductal Adenocarcinoma: A Multi-Institutional Analysis of 2554 Patients ⁦@AnnalsofSurgery⁩

How common is recurrent cholangitis after Whipple/HJ without HJ-stenosis (NSC)? And how to treat? Today in @hpbjournal 🔑 50 of 1179 (4.2%) pts with HJ developed non-stenotic cholangitis NSC. 🔑 'step-up approach' with short-course antibiotics (n = 50, 100 %), prolonged

I've been looking for a video like this for a while.. Decided to make one #HPB #Mirizzi

Another Moynihan's hump just to prove it's not rare as hen's teeth and definitely something to watch out for!

@EdLinEmory @chris_nahm @WestmeadSurgery Definitely dilated and thick walled. Would do IOC and probably use PDS endoloop. Had this Moynihan hump that I shared recently.

Another teaching moment during a laparoscopic cholecystectomy. Moynihan's (Caterpillar) hump, which when unnoticed, can lead to injury to the right hepatic artery. @WestmeadSurgery

Intrabiliary pressures and the concept of cholangiohepatic reflux 🤯 📸: Illustrated Surgery, A Road Map, 2017

Using an exoscope camera to record open surgeries in a sterile manner, just like we do with laparoscopic and robotic surgeries. Nice technology to enhance visualization for the team and record videos of complex Hepatobiliary and Transplant resections and reconstructions.

Further your career with our Master of Surgery, led by Australia's largest surgical discipline. Through this program, you will develop critical knowledge and skills in surgical specialty areas and non-technical areas. Find out more: https://t.co/chiZ2500BG

Failed recovery after pancreatoduodenectomy: A significant problem even without surgical complications https://t.co/CzQkh7ztrR Congratulations @ThielsCA @MayoClinic on your best in @SurgJournal contribution

Every case can be a training opportunity for fellows, surgical registrars and SRMOs without compromising patient safety. The Whipple's procedure is the perfect multi-step case for teaching trainees of all levels.

Looking to start your career as a surgical SRMO in a supportive friendly environment that focuses on equipping you with skills and getting you onto SET? I urge you to consider @WestmeadSurgery @WestSydHealth! Applications close 6th August 23:00! https://t.co/jwRbzCw1pz

🧵regarding 'instrument tying' of knots. Instrument tying is a basic technique of tying surgical knots that is often used as an alternative to hand tying (which we've covered in previous 🧵). As usual, we'll go the basic technique and also look at some other caveats. (1/ )

From the NEJM Archive: Obstructive Jaundice Due to Bullet in Hepatic Duct — Report of a Case after a Latent Period of Nine Years (Original Article, July 1, 1954) https://t.co/hb9vt3Vmw8

Spinal & epidural Anaesthesia ‼️

CAN'T VENTILATE, CAN'T OXYGENATE 😱 This is a true emergency. Learn how to perform a CRICOTHYROTOMY with👇🏼 3 min video from our Trauma Surgery Video Atlas. Learn more about the atlas: https://t.co/YimZHUc2H3 Great work @georgoff @clarkninam @mcclellanjm @Kniery_Bird

Excited to share our latest study @NatureMedicine, revealing for the first time the ramifications of the pre-metastatic niche (PMN) in HUMAN pancreatic cancer (PaC)! https://t.co/QpqVJ3uL1w Here’s a summary and short tweetorial on how it all went down! 1/n