Evidence Map of Pancreatic Surgery (@evidencemap) 's Twitter Profile
Evidence Map of Pancreatic Surgery

@evidencemap

Open access and always up to date primary research results in an intuitive fashion: the Evidence Map of Pancreatic Surgery

ID: 1172174628338446337

linkhttp://www.evidencemap.surgery calendar_today12-09-2019 15:46:34

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Marc Besselink (@marcbesselink) 's Twitter Profile Photo

Outcome of #Pancreatoduodenectomy in 1,402 pts ๐Ÿ‡ณ๐Ÿ‡ฑ with ISGPS-D?? = soft texture & pancreatic duct โ‰ค3 mm Overall: โœ…4.1% in-hospital mortality โœ…45.9% major morbidity, In the 30% pts who develop POPF: โš ๏ธ Mortality 6.3% vs. 3.5%; P=0.016 โš ๏ธ Major morb 88% vs. 28% P<0.001 Take

Steven D Wexner MD, PhD (@swexner) 's Twitter Profile Photo

Hand-sewn gastrojejunal anastomosis reduces delayed gastric emptying after pancreaticoduodenectomy: A single-center retrospective clinical study of 1,077 consecutive patients SURGERY Journal surgjournal.com/article/S0039-โ€ฆ

Marc Besselink (@marcbesselink) 's Twitter Profile Photo

1st RCT #robot vs #open #pancreatoduodenectomy is out: phase 2 #EUROPA trial The Lancet Reg Health-Europe ! Will be published with our invited comment Nine de Graaf ๐Ÿ”‘ No benefits robot ๐Ÿ”‘ Conclusion? Done early in the centersโ€™ learning curve โžก๏ธ 23% conversion rate ๐Ÿ”‘ Phase 3 RCTs needed:

Marc Besselink (@marcbesselink) 's Twitter Profile Photo

How do outcomes of robot๐Ÿค– vs open๐Ÿ”ช #pancreatoduodenectomy compare on a nationwide level? ๐Ÿ‡ณ๐Ÿ‡ฑ DPCG 2014-2021, 698 (8 centers) vs 698 pts (18 centers), PS matched BJS โœ…โ†”๏ธ major morb: 40.3 vs 36.2% โœ…โ†”๏ธ mortality: 4.0 vs 3.1% โœ…โ†”๏ธ POPF B/C: 24.9 vs 23.5% โ›”๏ธโฌ†๏ธ

How do outcomes of robot๐Ÿค– vs open๐Ÿ”ช #pancreatoduodenectomy compare on a nationwide level? ๐Ÿ‡ณ๐Ÿ‡ฑ <a href="/DPCG_official/">DPCG</a> 2014-2021, 698 (8 centers) vs 698 pts (18 centers), PS matched <a href="/BJSurgery/">BJS</a> 

โœ…โ†”๏ธ major morb: 40.3 vs 36.2%
โœ…โ†”๏ธ mortality: 4.0 vs 3.1%
โœ…โ†”๏ธ POPF B/C: 24.9 vs 23.5%
โ›”๏ธโฌ†๏ธ
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

Hot topic ๐Ÿ”ฅ Robot vs. Open Pancreatoduodenetomy on The Lancet Gastroenterology & Hepatology RCT ๐Ÿ‡จ๐Ÿ‡ณ 164 pts - at least 40 robot PD performed Hospital stay days ๐Ÿค– 11 vs. 13 ๐Ÿ”ช Readmission / mortality ๐Ÿ™…โ€โ™‚๏ธ same ๐Ÿค”Outcome interpretation ?! Comments?! ๐Ÿซต thelancet.com/journals/langaโ€ฆ

Hot topic ๐Ÿ”ฅ Robot vs. Open Pancreatoduodenetomy on <a href="/LancetGastroHep/">The Lancet Gastroenterology & Hepatology</a> 

RCT ๐Ÿ‡จ๐Ÿ‡ณ 164 pts - at least 40 robot PD performed 

Hospital stay days ๐Ÿค– 11 vs. 13 ๐Ÿ”ช 
 
Readmission / mortality ๐Ÿ™…โ€โ™‚๏ธ same 

๐Ÿค”Outcome interpretation ?! Comments?! ๐Ÿซต

thelancet.com/journals/langaโ€ฆ
Marc Besselink (@marcbesselink) 's Twitter Profile Photo

Second RCT ๐Ÿค– vs open๐Ÿ”ช pancreatoduodenectomy this week. This time conversion very low 4% โœ… and operation time sign shorter (!) with robot (245 vs 298min) โœ…. Primary endpoint was hospital stay: 2 days shorter โœ… ๐Ÿค– First international RCT on this topic: #DIPLOMA2 completed,

Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

Pancreatic cystic neoplasms ๐Ÿ‡ in Gastroenterology always a good news! ๐Ÿ” Incidentally discovered ๐Ÿ‘‰ Need proper assessment at baseline! ๐Ÿชก Surgery can be harm ๐Ÿ‘‰ Need for accurate patient selection! ๐Ÿ‘ด Follow-up until when ๐Ÿ‘‰ Need new for tools! > (๐Ÿงฌ) gastrojournal.org/article/S0016-โ€ฆ

Pancreatic cystic neoplasms ๐Ÿ‡ in <a href="/AGA_Gastro/">Gastroenterology</a> always a good news! 

๐Ÿ” Incidentally discovered ๐Ÿ‘‰ Need proper assessment at baseline! 

๐Ÿชก Surgery can be harm ๐Ÿ‘‰ Need for accurate patient selection! 

๐Ÿ‘ด Follow-up until when ๐Ÿ‘‰ Need new for tools! &gt; (๐Ÿงฌ)

gastrojournal.org/article/S0016-โ€ฆ
Giovanni Marchegiani (@gio_marchegiani) 's Twitter Profile Photo

Do you drain ๐Ÿ’ฆ a distal pancreatectomy?! ๐Ÿง ๐Ÿšจ Practice changing RCT The Lancet Gastroenterology & Hepatology ๐Ÿ‡ณ๐Ÿ‡ฑ ๐Ÿ‡ฎ๐Ÿ‡น 282 pts โœ‹ NO drain better outcomes! โฌ‡๏ธ Major Morbidity 15% vs. 20% โฌ‡๏ธ POPF 12% vs. 27% ๐Ÿ‘‰Drainless DP new standard! ๐Ÿ‘ˆ ๐Ÿ†“ download ๐Ÿ‘‰sciencedirect.com/science/articlโ€ฆ

Do you drain ๐Ÿ’ฆ a distal pancreatectomy?!  ๐Ÿง

๐Ÿšจ Practice changing RCT <a href="/LancetGastroHep/">The Lancet Gastroenterology & Hepatology</a> ๐Ÿ‡ณ๐Ÿ‡ฑ ๐Ÿ‡ฎ๐Ÿ‡น 282 pts

โœ‹ NO drain better outcomes! 

โฌ‡๏ธ Major Morbidity 15% vs. 20%
โฌ‡๏ธ POPF 12% vs. 27% 

๐Ÿ‘‰Drainless DP new standard! ๐Ÿ‘ˆ

๐Ÿ†“ download ๐Ÿ‘‰sciencedirect.com/science/articlโ€ฆ
Marc Besselink (@marcbesselink) 's Twitter Profile Photo

Looking forward to #IHPBA2024 #CapeTown ๐Ÿ‡ฟ๐Ÿ‡ฆ! Meeting up with old and new friends and exciting new evidence RCTs to be discussed! Incl DIPLOMA-2 trial results and newest in #pancreas #liver #biliary #cancer #surgery #robot #laparoscopy #neoadjuvant #pancreatitis โžก๏ธprogram now

Looking forward to #IHPBA2024 #CapeTown ๐Ÿ‡ฟ๐Ÿ‡ฆ!  Meeting up with old and new friends and exciting new evidence RCTs to be discussed! Incl DIPLOMA-2 trial results and newest in #pancreas #liver #biliary #cancer #surgery #robot #laparoscopy #neoadjuvant #pancreatitis

โžก๏ธprogram now
EVIglance (@eviglance) 's Twitter Profile Photo

Check out our newly designed homepage on EVIglance.com All Evidence Maps will be displayed on the EVIglance App on your iphone (apps.apple.com/de/app/eviglanโ€ฆ) or android mobile device (play.google.com/store/apps/detโ€ฆ) Please apply for your own Evidence Map!

EVIglance (@eviglance) 's Twitter Profile Photo

Happy to announce that the Evidence Map of Pancreatic Surgery Evidence Map of Pancreatic Surgery is now sponsored by Viatris the producer of CREON! viatris.com Sponsoring of maps help us to provide high quality evidence to phyicians and patients worldwide!

Happy to announce that the Evidence Map of Pancreatic Surgery <a href="/EvidenceMap/">Evidence Map of Pancreatic Surgery</a> is now sponsored by <a href="/ViatrisInc/">Viatris</a> the producer of CREON! viatris.com 
Sponsoring of maps help us to provide high quality evidence to phyicians and patients worldwide!