@CNevrez @JCOG_official @JCO_ASCO @AnnSurgOncol @OncoAlert @ASCO Yes.. spleen preserving D2plus

Anatomy of Gastrocolic Trunk and SMV .. @IHPBA @EAHPBA @AHPBA

Exposure of SMA origin , above the left renal vein during pancreatoduodenectomy @IHPBA @EAHPBA @AHPBA

@drbasant1 @IHPBA @EAHPBA @AHPBA Finding the RHA just below the CBD opening into the duodenum is rare, more commonly it runs anterior in the middle third. Dissection was tricky as it gave two posterior branches to the CBD & duodenum. Core surgical issues rarely get published these days for obvious reasons 😊

@drbasant1 @IHPBA @EAHPBA @AHPBA We do the surgery on the CT scan first 😊. However, I was uncertain about the relationship between the RHA and the CBD. The RHA was running anterior to the CBD before shifting to a posterolateral position on the right side of the CBD as it entered the liver.

Interested candidates can message me for further details.

@kesarinakha @STS_CTsurgery @thoracic @atscommunity @ShandaBlackmon Clamshell

@oncocyto @STS_CTsurgery @thoracic @atscommunity @ShandaBlackmon Germ Cell Tumor (GCT)

@Dhananjayasha19 Sure sir

@kesarinakha @IHPBA @EAHPBA @Journal_AHBPS @AHPBA In the Appleby procedure, liver supply depends on collaterals from GDA and SMA. If no GDA collaterals exist, arterial reconstruction is needed. With variant anatomy, like RHA from SMA, dominant liver supply can be preserved.

@Dhananjayasha19 Thank you, sir. I would love to discuss various surgical ideas with you. Please let me know if you ever visit Varanasi. Regards

@kesarinakha @IHPBA @EAHPBA @Journal_AHBPS @AHPBA You mean for Appleby?

@kesarinakha @IHPBA @EAHPBA @Journal_AHBPS @AHPBA In this case LHA was from CHA

RT @theliverdr: Deeply disappointed with the medical science community. I'm slowly realising that academic publishing is mostly driven by i…

@oncocyto @IHPBA @EAHPBA @HPBVerona @AHPBA We do PG in such cases( more than 1 duct or fail to identify the duct )