Prof Steve Wigmore

Steroids and the ‘silent’ cancer plaguing the manosphere #Echobox=1776575267" target="_blank" rel="nofollow noopener">thetimes.com/uk/healthcare/…

Steroids and the ‘silent’ cancer plaguing the manosphere. By the Times. We are so overly obsessed with looks, & often one type of look, for both men & women, it’s terribly unhealthy, as people go to extremes to get it. thetimes.com/article/1b284c…

@TsengJennifer @TheNotoriousHPB @FlavioRochaMD @SyedAAhmad5 @HalletJulie @gbonneysurg @liveRPancSurg @JBMatthews @HoggNDMD @VautheyMD @CDTzeng @timnewhook19 @HopSTranCao @timpawlik @SAGES_Updates @SSATNews @SocSurgOnc @IHPBA Looks like what goes on inside my head when I am getting ready to operate on a hilar cholangiocarcinoma case

@TheNotoriousHPB @FlavioRochaMD @SyedAAhmad5 @HalletJulie @gbonneysurg @liveRPancSurg @ProfW_edinsurg @JBMatthews @HoggNDMD @VautheyMD @CDTzeng @timnewhook19 @HopSTranCao @timpawlik @SAGES_Updates @SSATNews @SocSurgOnc @IHPBA That is some WEIRD (but beautiful) branching anatomy …

You might be an HPB surgeon if… @FlavioRochaMD @SyedAAhmad5 @HalletJulie @gbonneysurg @liveRPancSurg @ProfW_edinsurg @TsengJennifer @JBMatthews @HoggNDMD @VautheyMD @CDTzeng @timnewhook19 @HopSTranCao @timpawlik @SAGES_Updates @SSATNews @SocSurgOnc @IHPBA

These Surgeons are fantastic I am sure, but we should perhaps also hear from some of the non-male Surgeons, sitting in the audience. ⁦@_WomenSpeakers_⁩ #APTS26 #manel

We interrupt my lack of broadcasting for a special announcement: one surgical trainee will be staying as an ST3 Urology in the East of Scotland this August 🏴󠁧󠁢󠁳󠁣󠁴󠁿, while also taking up a SCREDS Clinical Lecturer post @EdinUniUsher. That trainee is, somewhat improbably, me! 😁

@kennethmclean92 @EdinUniUsher Many congratulations Kenny Make Urology Great Again !

🗓️ Deadline: 30 April! Our Editor Assistant bursaries — funded by the BJS Foundation Charity Committee — support future leaders in academic surgery. 🎙️Hear more about this opportunity from Charity Committee Member Rocío Anula. 🔗 bjsacademy.com/bjs-academy/ne… #Surgery @BJSurgery @BjsOpen @rocioanula

@zubirahmed Dear Zubir It is appalling that you should have to deal with this kind of bigotry and ignorance. I am proud to have you as a colleague in the NHS and amazing that you are still doing on call for transplant with everything else you contribute in public service

Guilty as charged. I love "Musliming" transplant organs from every creed colour and religion into every other. Because the gift is the same whoever the giver. So on this blessed day marking new life, this Muslim wishes you all a Happy Easter 🥚🧺⛪

📢 Edinburgh NRP Masterclass - 17–19 June 2026 Join us for a 3-day intensive, simulation-based programme in normothermic regional perfusion (NRP) in transplantation, delivered by expert UK and international faculty. 📍 Dalmahoy Hotel & Country Club, Edinburgh 🔬 Hands-on training | Expert-led sessions | Team-based learning 🔹 Limited places available 👉 Scan the QR code on the flyer to register your interest For enquiries, please contact: Kathryn Pearce | @vicky_banwell | @Asherief #NRP #Transplantation #OrganDonation #Surgery #MedEd #Simulation @cjcjohnston @Rab_thomas @manoj_thillai @lynseyfarwell @SunnyHeHuang @elijah_ablorsu @dr_rohitgaurav @KhaledAmmar53 @ProfW_edinsurg @BTStransplant @ESOTtransplant @_ILTS_

💫Highlights from the @hpbjournal : Cost-effectiveness 💰of MIS for PDAC 🇮🇹 Open, lap and robot compared using a Markov model based on RCTs 🧐QALY per ICER investigated 🥇 Open surgery still most cost-effective 💵 @IHPBA @ProfW_edinsurg @claudiochir hpbonline.org/article/S1365-…

💫Highlights from the @hpbjournal: Success rate for salvage NAT 💊 in unexpected LAPC 🇧🇪382 resections: 33 aborted due to LAPC ➡️20 NAT💊➡️10 resected 🔪 🎯Median OS 14.9 months in NAT group, ns compared to upfront resection @IHPBA @ProfW_edinsurg hpbonline.org/article/S1365-…

Is it sexy? No. Is it incredibly important for how we treat patients? Absolutely 🧠🧬 For over 20 years, 6 months of oxaliplatin plus a fluoropyrimidine has been the default for stage III colon cancer, and often high-risk stage II and rectal cancer. The cost has always been cumulative neuropathy that can follow patients for life ⚡️🖐️ The SCOT trial, the largest study in the IDEA collaboration, gives us long-term clarity with nearly 6,100 patients and more than 6 years of follow-up: 📊 5-yr DFS identical with 3 vs 6 months: 72.9% vs 72.9% 📈 5-yr OS identical: 82.4% vs 82.4% ✅ Noninferiority for OS formally met for 3 months Where this really matters clinically: 🟢 CAPOX clearly supports 3 months 🟢 Low-risk stage III shows no OS penalty 🟡 Even high-risk disease sees only tiny absolute OS differences ⚠️ Meanwhile, neuropathy nearly doubles when oxaliplatin is extended to 6 months. Many patients pay a lifelong price for minimal benefit. SCOT also uniquely included rectal cancer patients treated with upfront surgery, and here too, 3 months held up. This fits perfectly with modern TNT strategies 🧩 Takeaway: This isn’t flashy, but it’s foundational. For most patients with localized colon or rectal cancer, 3 months of adjuvant CAPOX is enough. Six months should be the exception, not the rule, and always a shared decision 🤝 Sometimes the most important advance is knowing when to stop. @OncoAlert @TheGutOncLab #GI26 ascopubs.org/doi/pdf/10.120…

💫Highlights from the @hpbjournal: Hepatic vein (HV) resection for R0 in CRLM 🇯🇵 🔎628 liver resections for CRLM - 54 with HV or IVC reconstruction 🪡 ➡️Survival equal to non-reconstructions ❗️Acheiving R0 is key 🗝️ @IHPBA @ProfW_edinsurg hpbonline.org/article/S1365-…

New study by De Pastena et al. reviews robotic surgery use across 82 HPB centres. 🔍Nearly all have robots, mainly Da Vinci; usage varies widely. 📊Many perform >20 resections/year, but pancreas use lags. 💭Variation tied to cost, logistics & access 🔗tinyurl.com/2ex48me7

The evidence would support performing diag laparoscopy prior to #NAT💊 and surgery✂️ 22% detection rate of occult metastases on🥢 in upfront resection pts in modern series with high quality imaging 🖥️ at experienced center @PanCAN @SocSurgOnc @IHPBA pmc.ncbi.nlm.nih.gov/articles/PMC10…

@villesallinen @SigridJuselius Congrats 🥂 Ville 🤩

I just received the news that I have been awarded 1.25milEUR grant for the @SigridJuselius professorship! Deeply grateful for all the support from so many during my path! I need to sit down for a while…

Staging laparoscopy 🙈 waste of time or added value!? 🗣️ 617 Surgeons / 76 countries ⏱️ Mostly performed same session laparotomy 🧐 Useful in suspicious radiology / ⬆️ CA 19.9 👉 Does not hurt + increase staging accuracy hpbonline.org/article/S1365-…

New study from the DISPAIR consortium @BjsOpen! Refined classification of postoperative pancreatic fistula after left pancreatectomy based on cumulative morbidity. Open Access: academic.oup.com/bjsopen/articl…

Check out the European-African Hepato-Pancreato-Biliary Association (E-AHPBA) Innovation Committee’s Position paper on the future of AI and HPB Surgery sciencedirect.com/science/articl… Niki Rashidian Martina Guerra Karol Rawicz-Pruszyński MD, PhD Oliver Strobel Isabella Frigerio