Derby Pancreaticobiliary & Robotic AWR Unit (@DerbyPBunit) / X

Derby Pancreaticobiliary & Robotic AWR Unit

772 posts

Derby Pancreaticobiliary & Robotic AWR Unit

@DerbyPBunit

Pancreaticobiliary, Adv Lap/Robotic & Robotic AWR Unit @UHDBTrust | Operative Videos & SurgEd | Department Leads @altaf_awan12 & @ib9994

Derby, England

youtube.com/channel/UCamKB…

Joined March 2022

Pinned
Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Apr 11
Pleased to share our latest publication in @JSHBPS Journal of HBP Sciences on the Safety and Outcomes of LCBDE in Elderly Patients. In 494 patients, outcomes in ≥70 vs <70 years were equivalent despite higher comorbidity, with ~100% duct clearance, no mortality, and similar
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Oct 11, 2023
𝗡𝗮𝗿𝗿𝗮𝘁𝗲𝗱 𝗩𝗶𝗱𝗲𝗼: 𝗘𝗺𝗲𝗿𝗴𝗲𝗻𝗰𝘆 𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗥𝗲𝗽𝗮𝗶𝗿 𝗼𝗳 𝗦𝘁𝗿𝗮𝗻𝗴𝘂𝗹𝗮𝘁𝗲𝗱 𝗢𝗯𝘁𝘂𝗿𝗮𝘁𝗼𝗿 𝗛𝗲𝗿𝗻𝗶𝗮 #FOAMed #GITwitter #MedEd #SurgEd #SoMe4Surgery
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Jan 2, 2025
Tips & Tricks for Minimally Invasive Adhesiolysis Ep #1 🔴Gentle counter traction on bowel whilst scissors dissects adhesion under tension 🔴Cold scissors 🔴Divide adhesion close to abdominal wall 🔴Include tissue from abdominal wall onto bowel ➡️Shown prior to division of
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Oct 2, 2023
𝗡𝗮𝗿𝗿𝗮𝘁𝗲𝗱 𝗩𝗶𝗱𝗲𝗼: 𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗥𝗲𝗽𝗮𝗶𝗿 𝗼𝗳 𝗣𝗲𝗿𝗳𝗼𝗿𝗮𝘁𝗲𝗱 𝗗𝘂𝗼𝗱𝗲𝗻𝗮𝗹 𝗨𝗹𝗰𝗲𝗿 #FOAMed #GITwitter #MedEd #SoMe4Surgery #SurgEd
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Jun 11, 2022
🤖 TARUP: 🔴Ventral hernias upto 5cm 🔴🤖 = Improved ergonomics for 🪡 🔴Retromuscular mesh placement facilitated by 🤖 🔴Min. peritoneal adhesions 🔴Avoids metal/plastic tackers which can ⏫ postop pain and LOS 🔴Low risk of recurrence @MISIRG1 @SAGES_Updates #robotics #hernia
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Dec 21, 2023
𝙇𝙖𝙥𝙖𝙧𝙤𝙨𝙘𝙤𝙥𝙞𝙘 𝙄𝙣𝙛𝙧𝙖𝙘𝙤𝙡𝙞𝙘 𝙉𝙚𝙘𝙧𝙤𝙨𝙚𝙘𝙩𝙤𝙢𝙮 & 𝘿𝙧𝙖𝙞𝙣𝙖𝙜𝙚 𝙤𝙛 𝙍𝙄𝙁 𝘼𝙗𝙨𝙘𝙚𝙨𝙨 Patient Presentation: 🔵10 weeks post index admission with acute GS pancreatitis 🔵Admitted with severe abdominal pain and concomitant features of sepsis
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Feb 20, 2024
𝗘𝘅𝘁𝗲𝗻𝘀𝗶𝗼𝗻 𝗼𝗳 𝗖𝗵𝗼𝗹𝗲𝗱𝗼𝗰𝗵𝗼𝘁𝗼𝗺𝘆 𝗳𝗼𝗿 𝗟𝗮𝗿𝗴𝗲 𝗖𝗕𝗗 𝗦𝘁𝗼𝗻𝗲 🔴CBD diameter key 🔴Extend choledochotomy with choledochotome 🔴CBD stone trapped in basket under slight tension and brought to choledochotomy 🔵Other options ➡️EHL ➡️Laser Lithotripsy
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Apr 12, 2024
𝗠𝗶𝗻𝗶𝗺𝗮𝗹𝗹𝘆 𝗜𝗻𝘃𝗮𝘀𝗶𝘃𝗲 𝗔𝗽𝗽𝗿𝗼𝗮𝗰𝗵 𝗶𝗻 𝗘𝗚𝗦: 𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗗𝗶𝘃𝗶𝘀𝗶𝗼𝗻 𝗼𝗳 𝗕𝗮𝗻𝗱 𝗳𝗼𝗿 𝗔𝗱𝗵𝗲𝘀𝗶𝗼𝗻𝗮𝗹 𝗦𝗺𝗮𝗹𝗹 𝗕𝗼𝘄𝗲𝗹 𝗢𝗯𝘀𝘁𝗿𝘂𝗰𝘁𝗶𝗼𝗻 🔴Previous open appendicectomy via Lanz incision 🔴Presented with CT confirmed
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Aug 19, 2025
Principles of Szabo Knot 🔴Square knot - 2 throws 🔴Slip knot - unlock by pulling in opposite directions 🔴Slide - non-closed grasper 🔴Lock 🔴Final throw Useful in: 🟢Tissue approximatiob under slight tension 🟢Deep areas i.e. OG hiatus, pelvis #MedEd #SurgEd #surgery
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Mar 25, 2022
Robotic repair of RIH 🎥 Compared to laparoscopy, we have found that robotics has: 🔴improved views 🔴better dexterity of instruments 🔴more precise dissection 🔴less physical demand on operating surgeon Any thoughts? @TeamSurgery247 @eurohernias #SurgEd #Roboticsurgery
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
May 12, 2024
𝗥𝗼𝗯𝗼𝘁𝗶𝗰 𝗘𝘅𝘁𝗲𝗻𝗱𝗲𝗱 𝗧𝗼𝘁𝗮𝗹 𝗘𝘅𝘁𝗿𝗮𝗽𝗲𝗿𝗶𝘁𝗼𝗻𝗲𝗮𝗹 (𝗲𝗧𝗘𝗣) 𝗥𝗲𝗽𝗮𝗶𝗿 𝗼𝗳 𝗦𝘂𝗽𝗿𝗮𝗽𝘂𝗯𝗶𝗰 𝗜𝗻𝗰𝗶𝘀𝗶𝗼𝗻𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 Case Selection: 🔵Midline +/- flank hernias 🔵Opportunity to perform retrorectus dissection into unilateral or bilateral
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Jun 15, 2022
Subtotal Chole + repair of cholecystoduodenal fistula: 🔴Chronic cholecystitis➡️ 🚨 structures beneath omental adhesions i.e. Duo, TC 🔴Fistulas - lap repair feasible 🔴For hostile hepatocystic🔺️➡️consider bailout techniques to avoid biliary injury @MISIRG1 @IHPBA @EAHPBA #hpb
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Jul 29, 2024
𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗙𝗲𝗻𝗲𝘀𝘁𝗿𝗮𝘁𝗲𝗱 𝗦𝘂𝗯𝘁𝗼𝘁𝗮𝗹 𝗖𝗵𝗼𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆 Patient Presentation: 🔵History of severe cholecystitis 🔵CT on index admission showed: ➡️Cholecysto-colic fistula ➡️Air locules on GB ➡️Figure 1 below 🔵Follow up CT (~4 months
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Derby Pancreaticobiliary & Robotic AWR Unit
@DerbyPBunit
Mar 11, 2024
𝗠𝗶𝗻𝗶𝗺𝗮𝗹𝗹𝘆 𝗜𝗻𝘃𝗮𝘀𝗶𝘃𝗲 𝗔𝗽𝗽𝗿𝗼𝗮𝗰𝗵 𝗶𝗻 𝗘𝗚𝗦: 𝗘𝗺𝗲𝗿𝗴𝗲𝗻𝗰𝘆 𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗖𝗵𝗼𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆 𝗮𝗻𝗱 𝗧𝗿𝗮𝗻𝘀𝗰𝘆𝘀𝘁𝗶𝗰 𝗖𝗕𝗗 𝗘𝘅𝗽𝗹𝗼𝗿𝗮𝘁𝗶𝗼𝗻 Patient Presentation: 🟢Acute cholecystitis with deranged LFTs 🟢Surgery
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