Lightnews — Scholar-powered news

Reposted by Julie Hallet, MD MSc

BJS Academy @bjsacademy.bsky.social · 19d

🆕Team design as innovation in perioperative care: the case of HPB anesthesiology
➡️https://buff.ly/U5wd2VX

"Change takes time – in all fields, including surgery... But not all improvements require new technology."

@halletjulie.bsky.social #surgery #team #HPB #medsky #surgsky

2 2

Julie Hallet, MD MSc @halletjulie.bsky.social · Aug 10

. @nanets.bsky.social @enets.org @ascocancer.bsky.social

2

Julie Hallet, MD MSc @halletjulie.bsky.social · Aug 10

💥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

2 1 3

Julie Hallet, MD MSc @halletjulie.bsky.social · Aug 8

. @nanets.bsky.social @socsurgonc.bsky.social

Julie Hallet, MD MSc @halletjulie.bsky.social · Aug 8

💭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

1 2

Julie Hallet, MD MSc @halletjulie.bsky.social · Aug 7

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

Appendiceal Neuroendocrine Tumors: Prognostic Role of Mesoappendiceal Invasion and Implications for Recommending Right Hemicolectomy versus Simple Appendectomy - Annals of Surgical Oncology

Background Current guidelines are conflicting as to whether mesoappendiceal invasion (MAI) among patients with appendiceal neuroendocrine tumors (aNETs) warrants right hemicolectomy (RHC), especially ...

link.springer.com

2

Reposted by Julie Hallet, MD MSc

Hannes Jansson @hannesjsson.bsky.social · Aug 6

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

2 3

Reposted by Julie Hallet, MD MSc

BJS Academy @bjsacademy.bsky.social · Aug 6

🆕 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

1

Julie Hallet, MD MSc @halletjulie.bsky.social · Aug 6

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

Under pressure: live observation of ergonomic challenges in the operating room

Ergonomics is the study of how people interact with their environment to improve efficiency and well-being. In the operating room (OR), poor ergonomic prac

academic.oup.com

1

Julie Hallet, MD MSc @halletjulie.bsky.social · Aug 1

. @nanets.bsky.social @enets.org @socsurgonc.bsky.social @essonews.bsky.social @ihpba.bsky.social @stefanopartelli.bsky.social

Julie Hallet, MD MSc @halletjulie.bsky.social · Aug 1

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

1 2

Julie Hallet, MD MSc @halletjulie.bsky.social · Jul 24

🎙️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

3

Julie Hallet, MD MSc @halletjulie.bsky.social · Jun 29

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

2 4

Julie Hallet, MD MSc @halletjulie.bsky.social · Jun 29

#HPBSky #SurgSky

Julie Hallet, MD MSc @halletjulie.bsky.social · Jun 29

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

1 1

Julie Hallet, MD MSc @halletjulie.bsky.social · Jun 18

#MedSky #HPBSky #SurgSky #PancSky @socsurgonc.bsky.social

Julie Hallet, MD MSc @halletjulie.bsky.social · Jun 18

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...

Great Debate: Chasing Intraoperative Neck Margins During Pancreatoduodenectomy—Beneficial or Not? - Annals of Surgical Oncology

Annals of Surgical Oncology -

link.springer.com

1 2 4

Julie Hallet, MD MSc @halletjulie.bsky.social · Jun 4

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/...

NeoPancONE: GATA6 expression as a predictor of benefit to peri-operative modified FOLFIRINOX in resectable pancreatic adenocarcinoma (r-PDAC): A multicentre phase II study.

4011Background: Modified FOLFIRINOX (mFFX) is increasingly used in the perioperative setting in r-PDAC and patients (pts) would benefit from a biomarker approach. GATA6 expression enriches for the cla...

ascopubs.org

1 2

Julie Hallet, MD MSc @halletjulie.bsky.social · May 31

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

tinyurl.com

1 1 2

Julie Hallet, MD MSc @halletjulie.bsky.social · May 28

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

1 7 17

Julie Hallet, MD MSc @halletjulie.bsky.social · May 17

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

1

Julie Hallet, MD MSc @halletjulie.bsky.social · May 17

#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

1

Julie Hallet, MD MSc @halletjulie.bsky.social · May 14

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

Julie Hallet, MD MSc @halletjulie.bsky.social · May 14

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

2

Julie Hallet, MD MSc @halletjulie.bsky.social · May 12

. @nanets.bsky.social @oncothor.bsky.social @pamelakunzmd.bsky.social @heloisasoares.bsky.social @drcnclarke.bsky.social