💥Bone mets in SI-NETs – more common than you think! 🦴25% on PET-CT 😌14% pain, 4% fracture ⏳Stage IV pts with 🦴 mets ⬇️ median survival vs without 📊>5 lesions has ⬇️ survival What's the best strategy for bone treatments in #NETs? 💭 ow.ly/GB2N50WCokB #NETSky #OncSky #MedSky #SurgSky

💭Guess what day it is? #NETs OR 🦓 with Dr Meloche-Dumas She’s focusing on NETs during surg onc fellowship. The NETs field needs more dedicated surgeons like her - watch out for what’s to come! So fun to create tailored multidisciplinary NETs rotations with UofT SurgOnc #NETsky #SurgSky #MedSky

Mesoappendix invasion not a criteria for right hemi in appendix NETs 👥4800 pts 🔬meso invasion not associated with LN+ on its own 📏size main risk factor No difference in OS appendectomy vs right hemi👌 Timely for @nanets.bsky.social guidelines! link.springer.com/article/10.1... #NETSky #SurgSky

#HPBSky Also check out the great ergonomics in surgery primer from last year 📑 🔑 at @bjsacademy.bsky.social 👏🏻 @halletjulie.bsky.social

🆕 Ergonomics in the OR is a safety imperative The OR looks choreographed—yet beneath it lie serious ergonomic hazards for the surgical team. Read more on BJS Academy ⬇️ buff.ly/7QuQvlA @halletjulie.bsky.social @bjsurgery.bsky.social #surgsky #medsky #surgery

OR under pressure⚡️ Live observations 👀 👉🏻multiple ergonomic hazards across types of surgeries ‼️poor layouts 🤸awkward postures 🏃trip risks 📟tech fails Involving all team members😷 Time to make OR safe for workers! 📝🔗 academic.oup.com/bjs/article-... #SurgSky #MedSky

Defining high-risk pancreas #NETs 496 resections 🇮🇹🇫🇷🇨🇦 Early recurrence 71% if venous thrombosis 41% if Ki 67>5% + tumor >3cm + ⬆️LN ⚠️Signs of biologically borderline-resectable NETs 🛑 before resection ➡️ start with systemic💊 🔗 journals.lww.com/annalsofsurg... #NETSky #HPBSky #PancSky #SurgSky

🎙️New data for management of #HCC What is new? What is in the works? Review this & more with Adam Yopp, Amit Singhal & Katie Kelley in new #SurgOncToday podcast 🎧 from @socsurgonc.bsky.social A real masterclass in perioperative care for HCC 🔝 #HPBsky #SurgSky #medsky #oncsky

What will my life look like after surgery? The STAYHOME tool can help with this question for older adults for cancer surgery: 🏡 individualized risk of staying home at 6 & 12 months 😷 uses preop info ✅ good discrimination & well calibrated 📝 in JAMASurgery lnkd.in/gTtRgj_e #SurgSky #OncSky

That was the last OR day with Dr Acher! Always bittersweet to see fellows go 🥹 So proud of the highly skilled, brilliant, whip-smart surgeon she is 🌟 @wiscsurgery.bsky.social, you're lucky to have her! Now, we can always dream of getting her on social media 🙃 @uoftsurgery.bsky.social

Should we chase margins intraop for PDAC? ✅Yes - R0 is key for cure ❌No - R1 reflects biology, not technical cure Great summary & sharp debate on surgical cure vs disease reality from #SSO2024 in @annsurgoncology.bsky.social between Alice Wei & David Kooby link.springer.com/article/10.1...

Sub-typing to select NAT in #PDAC? NeoPancONE 🇨🇦 #ASCO25 @ascocancer.bsky.social 👥84 resectable PDAC 💉mFOLFIRINOX NAT Median OS 34 months😀 🔬Classical vs basal sub-type main predictor EFS & OS What next 🤔: sub-type all PDAC prior to chemo? wait for more data? ascopubs.org/doi/10.1200/...

Not in Chicago but getting the updates - #ASCO25 learnings today: 😀there's an option in BRAFV600 mCRC 😀Ipi+Nivo better in MSI-h unresectable mCRC 🫤ctDNA+ still not guiding care in CC 😳CRS+HIPEC no better with chemo @oncbrothers.bsky.social got the details 👉🏻 tinyurl.com/bd75xjw7 #OncSky #MedSky

Stable OR teams contribute to better outcomes🤝✨ Each additional case done by same anesthesiologist-surgeon team 👉 ⬇️ major morbidity 🔓‼ Opportunity is knocking: ⬆️outcomes by re-organizing teams How do we do it? 🆕📝 tinyurl.com/yx44pm96 #SurgSky #MedSky #HPBSky

PRRT before surgery in #NETs? ☢️🦓 Maybe? 💭 Think about why, how to measure success, potential risks 🤔 Some key reasons to consider the approach by Jess Maxwell @mdanderson.bsky.social 👇🏻 @nanets.bsky.social #NETsky #HPBSky #SurgSky @enets.bsky.social @socsurgonc.bsky.social

#NETs in LA ⭐️🎥🌴 Reminder to debulk NETs liver metastases by Alexandra Gangi 🤩 @cedarssinai.bsky.social ➡️ mortality in NETs happens in the liver - treat it ⛔️ No to anatomic resection! 👉🏻 enucleate! #NETsky #HPBSky #SurgSky #OncSky @nanets.bsky.social

Perioperative management essentials for carcinoid syndrome 🎞️👀 sneak peek of 🗺️ international expert consensus recommendations at @essonews.bsky.social #NETs webinar today 🔹Assess for 🖤disease 🔹Identify & treat crisis fast 🔹Don't rely on octreotide! Thanks for the invite! #NETSky #HPBSky #SurgSky

New favourite slide from @drcnclarke.bsky.social on surgery for #PNETs 🟢🟠🔴 at AHPBA monthly fellows rounds @nanets.bsky.social @enets.bsky.social @socsurgonc.bsky.social #NETSky #HPBSky #PancSky #SurgSky

Symptoms & QoL are key in #NETs care New tools🧰 from @ascocancer.bsky.social for symtpom management in well-diff GEP-NETs ☑️carcinoid syndrome, heart disease, crisis & functional PNETs ☑️surgery, liver-directed therapy & systemic 🔗📝https://ascopubs.org/doi/10.1200/OP-25-00133 #NETSky #OncSky

Want to know more about surgery & functioning NETs?🤨 Join @essonews.bsky.social on May 14! 🔥Will include preview of international expert consensus recommendations for periop management of carcinoid crisis🦓🌎 Register 👇🏻👇🏻 #NETSky #SurgSky #OncSky #HPBSky

Are current wait time targets optimal? Strong work by Adom Bondzi-Simpson #AmerSurg25: wait time & survival in #CRC 🚫 diff OS if surgery <28d (traditional target) ⬆️OS if surgery <45d (new) Time to reconsider wait times to optimize cancer outcome vs resources? ⚖️🤔 📸cred @swexner.bsky.social

Re-operation for SB-NETs 👥 21 pts in 🇩🇪 ▪️Resected for residual disease - mostly mesenteric LN ▫️Incomplete prior surgery (48% as emergency) ▪️>80% disease-free at 52m median FU 🔑Post-resection ➡️ Get imaging ➡️ If residual disease: refer to NET expert tinyurl.com/upc5exfw #NETsSky #SurgSky #OncSky

The scrub cap is back for some team spirit in the OR 🏥 #StanleyCupPlayoffs #GoHabsGo Bring back the cup where it belongs! 🔵⚪️🔴 🇨🇦

🚨 Debulking of #NETs liver metastases 🦓 What? Why? When? How? The 😈 is in the details Get details in 🆕 #SurgOncToday podcast🎙️with Jessica Maxwell & Alexandra Gangi: patient selection, preop preparation & technical approach open.spotify.com/episode/2n7z... #NETSky #HPBSky #SurgSky #OncSky

🚨 #AHPBA2025 recap🎙️ Missed the meeting? Spent time at the beach🏖️? Too many sessions to pick from? Get your update in 🆕 #SurgOncToday with Ryan Ellis & Michael Lidsky: HAIP⛽️, locally advanced PDAC, PNETs, NSQIP & more! open.spotify.com/episode/3AJT... #SurgSky #HPBSky @socsurgonc.bsky.social

Congrats Adom Bondzi-Simpson & Tiago Ribeiro on #SSO2025 presentations and awards 👏🏻👏🏻 Outstanding representation of UofT surgery and well deserved recognition of your work! 🎉 #SurgSky

Reunited with some favourite #SurgOnc colleagues and friends under the Florida ☀️ for #SSO2025 Starting with board meeting - lots accomplished under Ron DeMatteo's presidency and more to come under Russ Berman's leadership 💪🆙 @socsurgonc.bsky.social #SurgSky #MedSky #HPBSky #OncSky

📣Please share your thoughts and help shaping tomorrow‘s review process. 📣 📅 The survey below is still open until tomorrow, 23/3/25 at 23:59 CET @facs.org @gio-marchegiani.bsky.social @jbmatthews.bsky.social @drneil.bsky.social @halletjulie.bsky.social

Surgical ergonomics & human factors are joining forces in Toronto next week! Join the Society of Surgical Ergonomics and HF/ES for cocktail hour: 📆March 31, 2025 ⏰6:30pm 📍Miller Tavern (Yonge street) See you there!

#HPBSky #SurgSky

That was fun #AHPBA2025! ☀️🌴🌊 Thanks Flavio Rocha & AHPBA team for a great meeting! ⏭️ now to #SSO2025 #HPBsky #SurgSky

⏪ Time to revisit: Surgical ergonomics: how and where to start? ➡️https://buff.ly/MjIrzRH A clear and concise review presenting the key principles for optimal ergonomics in the OR. @halletjulie.bsky.social #SurgSky #MedSky

MIS for liver resection - Should we? Why? How? 🤔💭 🎙️Dissecting the data & tips for uptake with the author of the first lap liver trial A Fretland and robotic expert L Melstrom in #SurgOncToday 🎧 #Hpbsky #SurgSky @socsurgonc.bsky.social podcasts.apple.com/ca/podcast/sur…

Fun work day with good music! 🎶🎸 Nothing better than music in the OR and a happy anesthesiologist - both make work better 😄

Because you can resect does not mean you should Not all NETs are the same Stefano Partelli introducing biological unresectability for PNETs at #ENETS25 👉🏻 identifying futile surgery & when preop therapy will help We have 💊options - let’s figure out how to combine with surgery! #NETsky #Medsky

🔥 from #ENETS25 - 🇨🇦 science on a big stage!💪🏻 @iacovosmichael.bsky.social using NETs organoids (my NET babies!) to test new Rx mechanisms ▪️apoptosis machinery active in G1/2 NETs ▪️BH3-mimetics + lutathera work in lab 👉🏻 New therapy to trial? #NETsky #oncSky @nanets.bsky.social

What's better than combiing Valentine's day 💖, #NETs 🦓 & Mexico 🇲🇽🌮? 😃 That's a wrap on a successful 1st @nanets.bsky.socia meeting in Latin America - thanks for the welcome in CDMX! Congrats Jaydira Del Rivero & Ismael Dominguez for coordinating!!

What to do with carcinoid crisis? 🦓 A frequent concern for patients with #NETs having surgery We put together an international 🌎🌍🌏 multidisciplinary expert consensus statement 📢 Now open for feedback! Sign-up here 🔗 surveymonkey.com/r/periopcarc... 📆 Open until March 3rd!

🆕📝Self-injury after cancer dx - does it matter? A severe sequelae of distress 😣 In 3⃣ in every 1⃣0⃣0⃣0⃣ pts ⚠️Associated with ⬆️46% hazards of deaths A critical outcome: how to better screen & care? Need more than💊 to⬆️survival 🔗https://tinyurl.com/53tmspcn More👇🏻 #MedSky #OncSky

Get to know the new CUTNETs group! Clinical care, research & training to be combined to ⬆️ surgical care of NETs 🇨🇦🇮🇹🇺🇸🇲🇽🇬🇧🇳🇴🇸🇪🇦🇹🇩🇪🇳🇱 Stay tuned for our research agenda and first collaborative studies 🦓🤝 in @bjsurgery.bsky.social 🔗 tinyurl.com/5n6e8w84 #NETSky #SurgSky #OncSky @nanets.bsky.social

In pain/discomfort after OR: get yourself anti-fatigue mats! RCT H&N surgery >3h - mat 🆚 not ⬇️ discomfort & pain in lower extremity, shoulders, neck & back 😀 Immediately postop and 24h after Simple and it works! 📝 pubmed.ncbi.nlm.nih.gov/39882505/

🚨 Applications are now open for the IHPBA Foundation Kenneth Warren Fellowship 2025-2026! 🌍 Advance your research with this prestigious opportunity. 📅 Deadline: April 30, 2025. Apply now and make an impact. For further information visit here:🔗 tinyurl.com/4j8mazk4

Fun times in Milan 🇮🇹- visiting 🍷🍝, catching up with friends, making new ones, and a little time to talk #ergonomics. Thanks everyone for the welcome! #HPBSky #SurgSky

Thrilled to listen to the incredible #GI25 keynote speaker @pamelakunzmd.bsky.social inspiring us all with her leadership in inclusive science in GI oncology! @ascopost.bsky.social @halletjulie.bsky.social @drcnclarke.bsky.social @rachnatshroff.bsky.social @nanets.bsky.social

Thrilled to announce the launch of CUTNETs 🦓 🔪, a surgical collaborative for NETs care and research! Together, we aim to unite expertise and resources in NETs surgery to ⬆️ outcomes 🇨🇦🇮🇹🇺🇸🇲🇽🇬🇧🇳🇴🇸🇪🇫🇷🇦🇹🇩🇪🇳🇱 More in Lancet Gastro Hep letter with Stefano Partelli & Massimo Falconi 🔗 tinyurl.com/yc2w7vba

Decision to transfuse🩸in surgery impacts outcomes Point-of-care Hgb often used but is it accurate? 🕵️‍♂️Prospective study by @chamogui.bsky.social 🧪1735 samples Wide variation in p-o-c Hgb ➡️ large difference vs lab ⚠️Risk of transfusion errors - lowest with HemoCue 6% tinyurl.com/2mh7dwu4

📸 day at research treat for Dr Coburn, Dr Eskander & my labs A day to celebrate incredible teamwork by those talented investigators & students 🤩 Very grateful to work with them, build off diverse perspectives, skillsets and methodologies to improve cancer care 🆙 #NETSky #HPBSky #SurgSky #OncSky

Combination therapy for #NETs Phase 2 RCT #LuCAPtrial of radiosensitizer Cape 👥72 advanced G1/2 GEP-NET ☢️RLT (177Lu-Dotatate) alone 🆚 RLT + Cape No difference ORR, PFS or OS🫤 Should we look at different population? different radiosensitizer? tinyurl.com/mr3ujhr9 #NETSky #HPBSky #OncSky

Effectiveness of Enhanced Recovery After Surgery (ERAS) Protocol 🏋️ in Pancreatic Surgery 7️⃣ RCT on #ERAS showed reduction in 🏥 LOS by 2 days and 💴 costs 🙅‍♂️ Readmission and infections similar 🫵 ERAS is more than removing NG tube 🐘 soon… www.jogs.org/article/S109... #HPBSky #PancreasSky #SurgSky

Need info on the rare acinar cell carcinoma of the pancreas (PACC)? 48% with resectable tumors and 5-yr OS following resection was 72% Outcomes of pts w/ metastatic and unresectable PACC are poor, 5-yr OS of 21%, seemingly better than PDAC. ascopubs.org/doi/pdf/10.1... #OncSky #HPBSky