Jas Samra

@SyedAAhmad5 @TheNotoriousHPB Well done. An apple does not fall far from the tree. You must be a very proud dad.

Match day hit different this year. Proud of my son.

@DrAdarshVijay I just wanted to peruse the left lobe only as the right has gone. Shunt is between the portal vein and obliterated umbilical vein drawing into the distal left portal vein, beyond the glued vein.

@gall_tamara @JasSamra8 Nicely done. How does a Rex shunt help perfuse right lobe when your confluence of left and right PV is glued up?

@VautheyMD @SyedAAhmad5 @AuroraPryor @CharlesJYeoMD @SSATNews Dear Syed Well done, I just got my copy as I wanted to know what my residents are reading. Congratulations on your hard work and effort. We do appreciate.

Congratulations Syed and Aurora excellent work and timely edition! @SyedAAhmad5 @AuroraPryor @CharlesJYeoMD @SSATNews

@MarcBesselink @amsterdamumc @CancerCenterAms @EAHPBA @IHPBA @EurPancClub @IngmarFRompen An excellent lesson for all serious pancreatic surgeons working worldwide.

What happens when you merge two high volume centers for #pancreas #surgery? Birth of @amsterdamumc ❌❌❌ 😃 500 vs 500 Whipples (pre-vs post merger) ✅ 30-day mortality: 2.0 to 0.4%, P=0.02 ✅ failure-to-rescue: 4.9 to 1.1%, P=0.04 ✅ major morbidity: 41 to 35%, P=0.037 ✅ POPF grade C: 2.4 to 0.8%, P=0.044 ✅ PPH grade B/C: 8.0 to 4.6%, P=0.027 Outcomes improved for both centers. Higher volume with quality program pays off ⏩️journals.lww.com/annalsofsurger…

@ToruGotoMD You have an amazing skill which few of us possess. Congratulations on wonderful visual teaching .

I would like to do LT and HPB OR illustration education workshop in future. Happy to collaborate with anyone! Please contact me!

@chris_nahm @SyedAAhmad5 That is why stick a needle to aspirate first.

@SyedAAhmad5 "famous last words..." "this is either going to be bile or blood, have a stitch ready pls" "ok, any objections?"

In the operating room, you have to at times make moves you know will cause problems. You just have to take a deep breath and deal with consequences. Sometimes there are no other paths forward. Senior surgeons know what talking about.

@SyedAAhmad5 Amazing rivalry that ended well in 2007. Both were great surgeons.

Wow. What a time to be in Medicine. Clashing the titans.

@MGHSurgery @TeamSurgery247 @shimulshah73 Well deserved honour. Look forward to greater international collaboration.

Shimul Shah, MD, MHCM, new Chief of MGB Transplantation, has been appointed President-elect of the Americas HepatoPancreaticoBiliary Association! The AHPBA is one of the world’s leading professional orgs, dedicated to advancing the field of liver, pancreas, and biliary surgery.

@HalletJulie @SyedAAhmad5 @FlavioRochaMD @laleh_melstrom @SocSurgOnc @PancreasClub @EurPancClub @PanCAN @PanCancerCanada @YouppiePancreas @IHPBA @AHPBA @EAHPBA Look forward to the discussion. The best bit is the ending of the discussion as to what the discussants do in their own practice.

Get ready #SSO2025 - @SyedAAhmad5 🤜🤛 @FlavioRochaMD Evidence 🆚 Reality Will RCT change practice for use of neoadjuvant in pancreas cancer? Or will surgeons do as they wish regardless? Will @laleh_melstrom be able to keep them in check? Follow👇

@SyedAAhmad5 @Shrikhande_SV @TataMemorial @Manishbhandare4 @DrVAChaudhari Well deservedly, for long years of hard work and an exemplary leadership.

An unbelievable achievement for an unbelievable surgeon. He’s made such an impact on same many lives. @Shrikhande_SV @TataMemorial @Manishbhandare4 @DrVAChaudhari

@chris_nahm @WestmeadSurgery Just amazing, beautiful resection Chris.

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

@ToruGotoMD Brilliant, all serious HPB trainees should learn this.

Preoperative sketches that I have always drawn before living liver transplant donor, no matter how busy I am, all of them are converted from axial / coronal images to surgical view 15 min Image reading →10 min Drafting →30 min Painting in production →5 min Information writing

@SSATNews Well deserved.

Congratulations to Dr. Charles J. Yeo, MD, from Thomas Jefferson University, Philadelphia, PA, on being named the 2025 Layton F. Rikkers Master Clinician Award Recipient! 🏅👏 Your commitment to clinical excellence sets a remarkable standard. #MasterClinician #SSATAwards

@SyedAAhmad5 @SAGES_Updates @juliomayol @TomVargheseJr Only If

Some good….. @SAGES_Updates @juliomayol @TomVargheseJr

@nigeljamieson @PancreaticCanUK @UofGMVLS @LabSpatialNBJ @UofGlasgow Well done Nigel.

Thank you @PancreaticCanUK for This huge support. We are excited in @UofGMVLS @LabSpatialNBJ @UofGlasgow to investigate pancreatic cysts with the latest molecular microscopes to better understand why some develop into #pancreaticcancer.

@HalletJulie @TheNotoriousHPB @NANETS1 @ENETS_ORG @LACNETS @CureNETs @netcancerday @NECancerAus @CarcinoidNETs @DrCNClarke @AGangiMD @JMaxCutsNETs If 4 is contiguous with 3 not resectable. If isolated 4, option to divest or resect in select patients provided enough of the sma can be cleared with a number of branches with at least 150 cm viable small bowel on ICG. Of course one will need venous drainage- the tricky part

🔑 concepts in #NETs surgery Mesenteric nodal disease classification👉🏻4 levels 4⃣ - unresectable 1⃣2⃣3⃣ - need tailored mesentery resection to spare bowel ✅Resectable if can salvage >=2 proximal SMA branches 📝tinyurl.com/2w952fjv

@TsengJennifer He knew the difference between the red pill and the blue pill. Obviously miles ahead of every one.

18 yo called me today and so today I’m so good. That is all! ♥️

@DrPJagannath @SirohiBhawna Always sad to loose giants on whose shoulders we stand to see further.

Gentle giant in HPB surgery in India is no more. Prof VN Shrikhande is the founder President of Indian Chapter of IHPBA. A remarkable surgeon who built his long career by hard work,teacher for generations, surgeon to President of India , ever smiling and enthusiastic even at 93.

@SyedAAhmad5 “That is an interesting thought” would have been wiser response.

Asking for a friend….. Is this an appropriate response during tumor board? 👇🏼👇🏼👇🏼

@MarcBesselink @Ann_Suurmeijer @LeonoorW @Caspervaneijck @BasGrootKoerkam @EAHPBA @IHPBA @AnnA25_03 Look forward to results. TP is not a great alternative if SRBT works well.

“So, a soft pancreas ➡️ main driver of fistula ➡️ majority of deaths in #Whipple #surgery”📛 💡 “What if we use #SBRT to induce fibrosis preop in non-PDAC (!) pts. Would it work? Could we prevent POPF?”✅ Did anybody try this before?? ☢️ Happening now in the #FIBROPANC pilot trial @DPCG_official 🇳🇱 Protocol published today @BMJ_Open bmjopen.bmj.com/content/14/9/e…