Knut Jørgen Labori

Small-bites fascial closure after elective midline laparotomy reduced long-term risk and size of incisional hernia vs traditional large-bites technique, supporting small bites as standard practice for abdominal closure. ja.ma/4di06iV

#PELICAN randomized trial @DPCG_official 🇳🇱 published @JAMANetworkOpen: ❓Can #RFA following induction chemoth improve survival vs chemoth only in 188 pts with nonprogressive but nonoperable locally advanced #pancreaticcancer (#LAPC)? 🔑 No. Moreover QoL ⤵️ 👀 #PREOPANC4 coming up. ▶️ jamanetwork.com/journals/jaman…

This expert consensus outlines key principles of extreme liver surgery, including patient selection, vascular control strategies, and preferred surgical approaches for complex hepatic resections. journals.lww.com/annalsofsurger…

IPMN 🫧 and adjuvant chemotherapy: current evidence 🍇 1.3k InvasiveIPMN / 60% had adjuvant chemo 💉 70% had contemporary regimens 😢 NO survival benefit (median 70 months) 👉 Controlled data on specific IPMN type urgently needed! 🧐 @JAMANetworkOpen #250900235" target="_blank" rel="nofollow noopener">jamanetwork.com/journals/jaman…

Surgery for IPMN 🍇 Survival supports EXTREME selection 👥 2.2k resection 🌍 61% upfront 👼 63% LGD ➡️ 5year OS 97% 🧐 Survival benefit or overtreatment ?! onlinelibrary.wiley.com/doi/10.1002/ue… in @UEGJournal @my_ueg

#Horaest 🎓 @TFStoop #CumLaude PhD ceremony today 🙌 (best 3% thesis) “A #paradigm #shift in localized #PancreaticCancer” @DPCG_official, @UvA_Amsterdam ⏩️ dare.uva.nl/search?identif… ✅#PREOPANC4 nationwide 🇳🇱 implementation LAPC surgery ✅International, national studies on #neoadjuvant #adjuvant treatment #quality of life and #surgery in #PancreaticCancer ✅543 pages, 19 chapters (incl @TheLancet), 150 co-authors, 20 countries, 286 impact factor points; median 10+. Thank you @sparrelid🇸🇪 for the excellent discussion!

Subtotal cholecystectomy can prevent bile duct injury, but bile leak remains a common postoperative challenge. The authors outline their institutional management algorithm. journals.lww.com/annalsofsurger…

Now out in #ASCOEdBook: "Contemporary Multidisciplinary Treatment of Borderline-Resectable and Locally Advanced Pancreatic Adenocarcinoma" authored by Dr. @RachelJoung_md and Dr. Rebecca Snyder. Learn more: bit.ly/3ZmiKOx #GI26 #pancsm

🧩New data coming in care of IPMN Where are the gaps? What studies are ongoing for monitoring, prophylaxis & stopping surveillance 🎧Explore it all with @Maker_MD @Gio_Marchegiani and Rebecca Snyder in a new episode of #SurgOncToday 🎙️ tinyurl.com/43frwavc

🔵 Post pancreatectomy mortality: the new seminal paper from @ISGPS_news @AnnalsofSurgery 👉 occurring within 90 days from pancreatectomy linked to it through root-cause analysis 3️⃣ categories ✂️ vascular complexity 💦 pancreas specific 🫀 C/P sudden journals.lww.com/annalsofsurger…

Celiac axis stenosis 🕵️‍♀️ the unknonw risk factors for additional morbidity after a Whipple 🌵 CAS incidence 16% in 1.7k cases 🚨 Grade B/C associated bile leak, liver perfusion failure, gastric ischemia 🔎 Preop diagnosis is key, treatment debatable journals.lww.com/annalsofsurger…

Great first day of the E-AHPBA Gold Seal Course: Contemporary Management & Innovations in Pancreatic Disease at Surgeons Quarter, Edinburgh✨ Excellent discussions, expert faculty and strong engagement👏 Looking forward to day two!

🎯 The Suitable Target ✨ New way to think surgical reconstructability in #LAPC 👏🏻 0% exploratory laparotomies 👑 Biology still the queen 🇮🇹🇫🇷🇺🇸 Teamwork makes the difference ‼️Rethinking resectability in #PDAC journals.lww.com/journalacs/abs… pic.twitter.com/Mpf0AptvGD

Had an inspiring day with Prof. @villesallinen 🇫🇮visiting the HPB dept at @Oslounivsykehus 🇳🇴as a critical friend. Excellent discussions on advancing surgical trials and improving patient care. Grateful for the collaboration @EAHPBA @IHPBA @knutjla @xtofero @AAFretland @UniOslo

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…

Use and management of routine prophylactic abdominal drainage in pancreatic surgery: meta-analysis of randomized clinical trials ➡️doi.org/10.1093/bjsope… Early removal of drains in partial pancreatoduodenectomy was safe with the additional benefit of significantly reducing chyle leak. The omission of routine abdominal drainage in left pancreatectomy was found to be safe, resulting in fewer postoperative pancreatic fistulas and a shorter hospital stay. The present meta-analysis therefore provides level 1a evidence in favour of a selective early drain removal policy in partial pancreatoduodenectomy and a no-drain policy in left pancreatectomy. 👏👏👏Laura Pietrogiovanna, Pascal Probst, Eduard A van Bodegraven, Alberto Balduzzi, Jörg Kaiser, Thilo Hackert, Eva Kalkum, @PhilipMueller_1, Sara Canovi, Pia Antony, Hendrik Strothmann, @MarcBesselink , @Gio_Marchegiani , Federico Storni, Alexander Dullenkopf, Fabian Hauswirth, Markus K Muller, Pietro Renzulli #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery @young_bjs @OUPMedicine #some4hpb #some4tpl @hpb_so @YouppiePancreas @German_PancClub @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe @surgery_hps #PancreasClub2023 @PancreasClub

Hot from the press 🔥🔥🔥 "The @EAHPBA - @ESSOnews - Innsbruck consensus recommendations on peri- and postoperative management following liver resection" out now @hpbjournal. Happy to be able to contribute my small share in this! authors.elsevier.com/sd/article/S13…

Global reference values reveal total pancreatectomy carries higher complication and mortality risks than pancreatoduodenectomy, especially for cases involving vascular resection. ja.ma/4ock0hb

Exploring the role of CA 19-9 dynamics in pancreatic cancer multidisciplinary treatment: Proposal of the PANC classification ⁦@SurgJournal⁩ ⁦@SWexner⁩ surgjournal.com/article/S0039-…