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E-AHPBA - HPB Insights · July 22 · 50 min

Episode 2 - Pancreas matters: Vascular reconstructions & emergencies in pancreatic surgery

During this episode we turn our focus to one of the more demanding aspects of pancreatic surgery: vascular reconstructions and intra-operative emergencies. These are moments that test not only technical ability, but judgement, preparation, and teamwork. Knowing when and how to perform vascular reconstruction - and how to respond when things don’t go to plan, can be the difference between success and catastrophe. We’re joined by the esteemed Professor Shailesh Shrikhande, former deputy director of Tata Memorial Hospital in Mumbai and past president of the APHPBA. Episode Breakdown: 00:00 Introduction to episode 05:28 Early influences: Heidelberg 15:59 Vascular reconstruction training 20:52 Navigating the complexities of arterial reconstructions 26:16 Managing vascular emergencies 34:03 Technical challenges in surgery 40:28 SMA first approach 49:48 Closing thoughts and remarks Professor Shailesh Shrikhande is a globally recognised hepatopancreatobiliary (HPB) and gastrointestinal surgical oncologist based in Mumbai, India. He is Professor of Surgical Oncology, Head of the GI and HPB Surgical Service, and Deputy Director at the Tata Memorial Centre, and is the immediate past president of the APHPBA. Internationally renowned for his expertise in complex pancreatic and gastrointestinal cancer surgery, he has trained at the Universities of Heidelberg and Bern, was the first Asian recipient of the IHPBA Kenneth Warren Fellowship, and has authored hundreds of peer-reviewed publications while making significant contributions to global HPB education and training. References: Shrikhande SV, Kleeff J, Büchler MW, Friess H. Pancreatic anastomosis after pancreaticoduodenectomy: how we do it. Indian J Surg. 2007 Dec;69(6):224-9. doi: 10.1007/s12262-007-0031-3. Epub 2008 Jan 28. PMID: 23132992; PMCID: PMC3452526. Shrikhande SV, Barreto SG, Bodhankar YD, Suradkar K, Shetty G, Hawaldar R, Goel M, Shukla PJ. Superior mesenteric artery first combined with uncinate process approach versus uncinate process first approach in pancreatoduodenectomy: a comparative study evaluating perioperative outcomes. Langenbecks Arch Surg. 2011 Dec;396(8):1205-12. doi: 10.1007/s00423-011-0824-5. Epub 2011 Jul 8. PMID: 21739303. Sanjay, P., Takaori, K., Govil, S., Shrikhande, S.V. and Windsor, J.A. (2012), ‘Artery-first’ approaches to pancreatoduodenectomy. Br J Surg, 99: 1027-1035. https://doi.org/10.1002/bjs.8763

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During this episode we turn our focus to one of the more demanding aspects of pancreatic surgery: vascular reconstructions and intra-operative emergencies. These are moments that test not only technical ability, but judgement, preparation, and teamwork. Knowing when and how to perform vascular reconstruction - and how to respond when things don’t go to plan, can be the difference between success and catastrophe. We’re joined by the esteemed Professor Shailesh Shrikhande, former deputy director of Tata Memorial Hospital in Mumbai and past president of the APHPBA. 

 

Episode Breakdown:

00:00 Introduction to episode

05:28 Early influences: Heidelberg

15:59 Vascular reconstruction training

20:52 Navigating the complexities of arterial reconstructions

26:16 Managing vascular emergencies

34:03 Technical challenges in surgery

40:28 SMA first approach

49:48 Closing thoughts and remarks

 

Professor Shailesh Shrikhande is a globally recognised hepatopancreatobiliary (HPB) and gastrointestinal surgical oncologist based in Mumbai, India. He is Professor of Surgical Oncology, Head of the GI and HPB Surgical Service, and Deputy Director at the Tata Memorial Centre, and is the immediate past president of the APHPBA. Internationally renowned for his expertise in complex pancreatic and gastrointestinal cancer surgery, he has trained at the Universities of Heidelberg and Bern, was the first Asian recipient of the IHPBA Kenneth Warren Fellowship, and has authored hundreds of peer-reviewed publications while making significant contributions to global HPB education and training.

 

References:

  1. Shrikhande SV, Kleeff J, Büchler MW, Friess H. Pancreatic anastomosis after pancreaticoduodenectomy: how we do it. Indian J Surg. 2007 Dec;69(6):224-9. doi: 10.1007/s12262-007-0031-3. Epub 2008 Jan 28. PMID: 23132992; PMCID: PMC3452526.
  2. Shrikhande SV, Barreto SG, Bodhankar YD, Suradkar K, Shetty G, Hawaldar R, Goel M, Shukla PJ. Superior mesenteric artery first combined with uncinate process approach versus uncinate process first approach in pancreatoduodenectomy: a comparative study evaluating perioperative outcomes. Langenbecks Arch Surg. 2011 Dec;396(8):1205-12. doi: 10.1007/s00423-011-0824-5. Epub 2011 Jul 8. PMID: 21739303.
  3. Sanjay, P., Takaori, K., Govil, S., Shrikhande, S.V. and Windsor, J.A. (2012), ‘Artery-first’ approaches to pancreatoduodenectomy. Br J Surg, 99: 1027-1035. https://doi.org/10.1002/bjs.8763
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