Roundtable Video 1. Preparation and selection of the Pancreatic Surgical Patient
By Alison Shamwana | Started 26th Oct 2015
IHPBA is delighted to present a series of roundtable discussions on Treatment and Advances in the Surgical Management of Pancreatic Cancer. This is the first chapter, on Preparation and Selection of the Pancreatic Surgical Patient.
Other chapters:
- Video 2. Borderline resectable pancreatic cancer and neoadjuvant therapy
- Video 3. Technical Considerations in Pancreatic Surgery
- Video 4. Locally Advanced Pancreatic Cancer
- Video 5. Managing Complications Following Pancreatic Resection
Please note there is a discussion forum at the bottom of this page. If you wish to participate please log in to myHPB.
Video Outline:
1. The Clinical Focus of the Pancreatic Surgeon
a) Malignancies, Cystic disease, and Acute pancreatitis
2. Surgical Background of the Pancreatic Surgeon
a) Hepato-Biliary, Transplant, and Surgical Oncology
3. Pancreatic Resection
a) Patient selection criteria and considerations
- Is the disease state aligned with a surgical indication?
- Surgical fitness of the patient
- Image quality in acquisition and interpretation
- Multi-disciplinary decision making
Participant Background:
Charles Vollmer
Director of Pancreatic Surgery
Co-Chief of Upper Gastrointestinal Oncology at the Abramson Cancer Center
Co-Director of the Penn Pancreatic Cyst Program
Hospital Affiliation: University of Pennsylvania
Expertise: Malignant and benign conditions of the pancreas and biliary system, pancreatitis, pancreatic cystic lesions, pancreatic cancer, and upper gastrointestinal malignancies
Robert C.G. Martin
Sam and Lolita Weakley Professor
Division Director, Division of Surgery
Hospital Affiliation: University of Louisville, Louisville, KY
Expertise: Liver Tumors, Pancreatic, Esophageal, Gastric, Colon, Bile duct, Sarcoma and Melanoma
Professor Michelle de Oliviera
Assistant Professor at University of Zurich
Hospital Affiliation: University of Zurich, Zurich, Switzerland
Professor Nigel Heaton
Professor of Liver Transplant, Hepatobiliary and Pancreatic Surgery
Hospital Affiliation: London Bridge Hospital, London, United Kingdom
Expertise: Living Donor Transplantation, complex hepatobiliary and pancreatic surgery, liver transplantation
This video was produced with grant support from our Corporate Partner, AngioDynamics, Inc. Any opinions, findings, conclusions, or recommendations expressed in this video are those of the individuals appearing in the video and do not necessarily reflect the view of AngioDynamics, Inc.
Harjeet Singh 27th Oct 2015
(0)
sir who should manage early phase of acute pancreatitis. medical gastro or surgical gastro team. i think decision problem are more when patients is not under direct care of surgeons.
regards
harjeet
Fabrizio Panaro 3rd Aug 2018
(0)
THe best is a medical-surgical team! If depend of the acute pancreatitis degree (Baltazar Score). If C, D or E if better a expanded team. If just A or B the gastro is enough to manage the pancreatitis.
F PANARO
Tamara Floyd 13th Jun 2020
(0)
The "pillars of an HPB Surgeon"--benign, pre-malignant, malignant. Great discussion and points!
My thought about acute pancreatitis is that medical and surgical teams should be involved. Certainly depending on other surgeons available and their level of comfort, the potential need for CBDE may make HPB Surgeon involvement important. Additionally, I have seen cases where the perceived underlying cause of pancreatitis is contributed solely to gallstones and the patient actually has an underlying stricture or mass, which may leave the biliary system not adequately decompressed and contribute to post-cholecystectomy problems. Here, an HPB Surgeon would be key.