JonyvanHilst retweeted
“Randomized trials incl robotic 🤖 surgery rarely perform adequate cost assessments and cost-effectiveness analyses.” @BjsOpen
⏩️ academic.oup.com/bjsopen/art…
JonyvanHilst retweeted
In a multicenter RCT, lap distal pancreatectomy (LDP) for left-sided pancreatic cancer showed similar recurrence-free survival, R0 resection rates, and lymph-node yield compared with open surgery- supporting LDP as a safe, oncologically equivalent option. journals.lww.com/annalsofsur…
JonyvanHilst retweeted
Is there a difference in oncological outcome of minimally invasive vs open left pancreatectomy for #PancreaticCancer ?
✅ Today @JAMASurgery: follow-up of the #DIPLOMA international randomised RCT @e_mips @Abuhilal9Abu
⏩️ jamanetwork.com/journals/jam…
JonyvanHilst retweeted
The #LEOPARD2 trial changed our nationwide practice dramatically: near ❌ stop laparoscopic #Whipple, rapid ✅ increase #Robot Whipple. See our letter in @LancetGastroHep.
🧐#DIPLOMA2 trial Robot vs open Whipple coming up.
⏩️thelancet.com/journals/langa…
Today in @BJSurgery
*185pts DIPLOMA trial
*2.2% with positive splenic lymph nodes (station 10)
Safety of spleen-preserving left pancreatectomy further studied in the international SPLENDID study @EMIPS @MarcBesselink @Abuhilal9Abu @carolouisebruna
Interested? Let us know!
Spleen out or in when resecting PDAC in the left pancreas ? We have always done it this way ! Can we question this🤨? The debate is still ongoing, read & tell us your opinion 👍 @EAHPBA @IHPBA @EurPancClub @Aicep4 @MarcBesselink
JonyvanHilst retweeted
Spleen out or in when resecting PDAC in the left pancreas ? We have always done it this way ! Can we question this🤨? The debate is still ongoing, read & tell us your opinion 👍 @EAHPBA @IHPBA @EurPancClub @Aicep4 @MarcBesselink
JonyvanHilst retweeted
Link to the survey at the end of the tweet by @sparrelid Important topic! Please take the survey and retweet to disseminate it within the community.
@VautheyMD @ASchnitzb @RichSchulickMD @nebbia_martina @ProfW_edinsurg @AisteGulla @TELL_Starlinger @CDTzeng @AnaGleisner
Please take the survey on the use of volumetry in liver surgery by our current international @HpbKarolinska fellow @TimTransplant endorsed by @EAHPBA Scientific and Research Committee
@KarolinskaUnsju @karolinskainst @hpb_so @dr_gilgson @JorisE6 #PHLF
docs.google.com/forms/d/e/1F…
JonyvanHilst retweeted
Syst review and meta-analysis of 2 RCTs (including our PANDORINA trial) and 6 NCS with a total of 3.610 patients undergoing distal pancreatectomy ➡️ No-drain policy associated with better postop outcomes❗️Who is still draining ❓journals.lww.com/internation… @MarcBesselink @EAHPBA
1st RCT comparing #robotic vs #laparoscopic hepatectomy for liver malignancies: #ROCNROLL trial published today together with our invited comment in @LancetRH_Europe @rj_swijnenburg @tjhoogteijling
authors.elsevier.com/sd/arti…
𝟏𝐬𝐭 𝐑𝐚𝐧𝐝𝐨𝐦𝐢𝐳𝐞𝐝 𝐂𝐨𝐧𝐭𝐫𝐨𝐥𝐥𝐞𝐝 𝐓𝐫𝐢𝐚𝐥 𝐨𝐧 𝐑𝐨𝐛𝐨𝐭𝐢𝐜 𝐋𝐢𝐯𝐞𝐫 𝐑𝐞𝐬𝐞𝐜𝐭𝐢𝐨𝐧
#ROCNROLL RCT comparing Robotic vs Laparoscopic Hepatectomy for Liver Malignancies finally out
@LancetRH_Europe
👉 thelancet.com/journals/lanep…
#robotvslap #liversurgery #rct
JonyvanHilst retweeted
Please help us with this brief survey for HPB surgeons/trainees:
E-AHPBA Survey on Training for Fellows
docs.google.com/forms/d/e/1F…
Feel free to share this survey with colleagues!
@EAHPBA @ESSOnews @IHPBA @hpb_so @HpbKarolinska @MarcBesselink @UEMSSurg @dr_gilgson
Very proud of @AnoukEmmen and @nine_degraaf who both did an excellent job presenting the outcomes of the DIPLOMA2 trial @IHPBA 2024 Cape Town!
🚀 #DIPLOMA2 international RCT MIS vs open #Whipple: 1st ever presentation!
🔑 288 pts randomized (2:1) in 14 high volume European centers, 90% robot @e_mips #IHPBA24 @Abuhilal9Abu @AnoukEmmen @nine_degraaf
⏩️Primary endpoint (non-inferiority): no differences in CCI complication score ✅
⏩️1-day faster time to func recovery ✅
⏩️2-day shorter hospital stay ✅
⏩️13% less grade B/C POPF ✅
⏩️Reduced blood loss ✅
⏩️10% less wound infections ✅
⏩️More daily steps (day 14-38) ✅
JonyvanHilst retweeted
🚀🚀#DIPLOMA2 international RCT MIS vs open #Whipple: 2nd presentation! Focus on methodology #IHPBA24
🔑 Patients blinded up to day 5
🔑 Surgeons at least 60 MIPD experience
🔑 Centers at least 30 MIPD/yr prior
🔑 Randomization 2:1 to maintain skills in robot (lap) Whipple group
@e_mips #IHPBA24 @Abuhilal9Abu @AnoukEmmen @nine_degraaf
JonyvanHilst retweeted
🚀 #DIPLOMA2 international RCT MIS vs open #Whipple: 1st ever presentation!
🔑 288 pts randomized (2:1) in 14 high volume European centers, 90% robot @e_mips #IHPBA24 @Abuhilal9Abu @AnoukEmmen @nine_degraaf
⏩️Primary endpoint (non-inferiority): no differences in CCI complication score ✅
⏩️1-day faster time to func recovery ✅
⏩️2-day shorter hospital stay ✅
⏩️13% less grade B/C POPF ✅
⏩️Reduced blood loss ✅
⏩️10% less wound infections ✅
⏩️More daily steps (day 14-38) ✅
JonyvanHilst retweeted
Changing Paradigms🔝. DP🧐?? A gross term not fit for purpose in the era on percision 👋surgery.
🙏all involved experts 4 this historic 🤝on new terminology. A validation study on the way, interested ? text/like/share🙏 @BJS @EAHPBA @IHPBA @EurPancClub @YouppiePancreas @Aicep4
JonyvanHilst retweeted
God save the ... spleen! 🫘
Distal Pancreatectomy for body PDAC: is Splenectomy necessary? 🧐
🇫🇷 PSM analysis spleen preserving had ⬇️ harvested LN but ...
🐳 Less POPF and CCI
🪽 Same risk recurrence / survival
link.springer.com/article/10…
JonyvanHilst retweeted
Spread the word 👇👇‼️
@maloehr1 @gimalleo @lelecapurso @DeMadaria @pilar_acedo @RobValente83 @liveRPancSurg @UHB_HPB @MarcBesselink @RegelIvonne @AlgulLab @seifertlab @juliomayol @JulioIglGar @JuliaMayerle @albrechtneesse @ArchibugiLivia @EDominguezMunoz @AsbjornDrewes
WHO is an outstanding young #pancreatologist 🧐?
You're right it's probably YOU 🔥🤩‼️
Don't hestitate - apply for the 2️⃣0️⃣2️⃣4️⃣ YOUPPIE award TODAY 🏆
⏳Deadline March 3️⃣1️⃣st
👉europeanpancreaticclub.org/y…
@German_PancClub @pancreatitis_nl @DPCG_official
JonyvanHilst retweeted
Are you an aspiring young academic surgeon? ⭐️
European Surgical Association (ESA) mentorship program deadline April 1st 🇪🇺
&
ESA Next Generation meeting before the conference (incl networking 🙏)!
More information:
europeansurgicalassociation.…
#ESA #Leeds #May2024 #BeThere
JonyvanHilst retweeted
New research - van Bodegraven et al - Prophylactic abdominal drainage after distal pancreatectomy (PANDORINA): an international, multicentre, open-label, randomised controlled, non-inferiority trial
thelancet.com/journals/langa…
#GITwitter #SoMe4Surgery
JonyvanHilst retweeted
Is it safe to stop placing a drain after distal pancreatectomy?
➡️Today #PANDORINA non-inferiority trial 🇳🇱🇮🇹 @LancetGastroHep
✅ Yes! Not only safe, but improves overall morbidity and POPF B/C rate!
Wonderful collaboration @DPCG_official & @PancreasVerona
➡️ thelancet.com/journals/langa… – at Amsterdam, The Netherlands
🚨PANDORINA, a binational 🇳🇱🇮🇹RCT of drain 🆚 no drain in distal pancreatectomy out in @LancetGastroHep !
✅Major morbidity 20% vs 15%
✅POPF 27% vs 12%
➡️A no-drain policy is safe and reduced POPF and should be the new standard approach
@DPCG_official thelancet.com/journals/langa…
JonyvanHilst retweeted
Minimally invasive versus open pancreatoduodenectomy for pancreatic & peri-ampullary neoplasm
Read the @diploma2trial protocol in #TrialsJournal @MedicalEvidence
#ISRCTN: isrctn.com/ISRCTN27483786
@MarcBesselink @Abuhilal9Abu @nine_degraaf @JonyvanHilst
trialsjournal.biomedcentral.…