Great question.

Dr. Carlos Lopez, Head of Ortho Unity Health Toronto St. Joe’s getting retirement party for Dr. Michael Wood started The Boulevard Club. Congrats Michael on an incredible career. What a great surgeon, colleague and a true pleasure to work with. He will be missed. U of T Department of Surgery

It takes a dedicated team to do Pancreas CA pathology margin QI rounds on Friday at 4:30 after two busy HPB @ St. Joe's ORs and inpatient rounds! Great team..thank you Dr. Hakim Unity Health Toronto UofT General Surgery

Early registration for my favourite Surgery conference! Sign up and get the early-bird discount!

Looking forward to connecting with amcgmx surgeons to talk about safe cholecystectomy tonight by Zoom.

Leaving the #SAGES2024 meeting. Great content and talks. Also excited to finally meet my #SafeChole brother Eric Knauer

So many lessons, that sadly, need to be reinforced. It is important to share these experiences so others can learn. ICG, robots, etc are no replacement for meticulous techniques and adherence to principles of safe chole.

This is a must watch.

From Alex Bonte at the SAGES meeting.

If you do gallbladder surgery then watch the entire 7 minutes of this.
Take the time to sign in with a password or whatever. Watch all of it.

There are 6-7 different moments of 😱😱😱😱😱

youtu.be/gkajc_Xc-oc?si…

Ron Barbosa MD FACS Ezra Teitelbaum Eric Pauli Eric Knauer Dimitris Damaskos Technical point if anyone wants to approach this laparoscopically.

I would place pt in left lateral decubitus position and place my ports similarly to a right sided adrenalectomy. You can get up to the right diaphragm fairly easily this way.

doi.org/10.1007/978-3-…

A patient presents 3 months after laparoscopic cholecystectomy in which there were numerous spilled stones.

CT shows a phlegmon in a very superior and posterior subphrenic location (see images). The patient is moderately septic.

WWYD next?
(with permission)

Great discussion! Here's what I did: needed wire to get scope in. Stones too large to extract, so crushed + flushed into duo. CBD looked clear, but on completion IOC possible stones in hepatic ducts. WWYD now??

Eric Knauer Maggie Bosley, MD Michael J. Pucci Eric Pauli Matthew Martin, MD, FACS, McRIB

Casual Saturday at a surgical society meeting. I like it. I like it a lot.

Lap cholecystectomy in pt w h/o Roux-en-Y gastric bypass. Unfortunately cystic ductotomy avulsed when trying to milk out stones. IOC then shows CBD stones, but no obstruction. WWYD now??!?

Eric Knauer Michael J. Pucci Maggie Bosley, MD Shiva Jayaraman Alberto Isla Kevin El-Hayek, MD, MBA, FACS

Day 2 of the Update in General Surgery- hernias, acute care surgery and complications! It’s a full house with lots of interaction and controversy. #UGS2024

Getting the Update in General Surgery underway with a terrific breast cancer session.
A lot has changed since I was a resident so I’m trying to keep up.

Our own Shiva Jayaraman presents tips and tricks on how we do a lap left lateral liver resection.

Once a Toronto resident forever part of the Toronto family 🏠

Reunion with previous grads in Miami M. Carolina Jimenez David Zhang
Shiva Jayaraman MT Alice Zhu and Dr. Brittany Greene 🎉🌮🎶

Results of #PRICE2 trial presented at #AHPBA24 by Guillaume Martel: hypovolemic phlebotomy vs usual care for major hepatectomy

4⃣4⃣8⃣pts
Significant ⬇️🩸transfusion
No adverse events

New standard of care for major hepatectomy?

Results of #HELIX trial presented at #AHPBA24 by Paul Karanicolas: TXA vs placebo for hepatectomy

1⃣3⃣8⃣4⃣pts
No difference in primary outcome of🩸transfusion
But increased complications (related to VTE)

TXA not for use in hepatectomy⚠️