First Incision

Guest Episode with Laurence Webber


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This week's guest episode is with Dr Laurence Webber, a hepatobiliary surgeon from Western Australia.

We cover a wide range of topics including:

Practicalities of post-fellowship exam life including:
- Pathways in surgical training 
- How to get a job after surgical training
00:00 - 00:25 mins

Clinical topics including:
Colorectal liver metastases:
- What to do with disappearing liver metastases
- Chemotherapy
- Liver first?
- Liver remnant and functional assessment
- Criteria of when to resect
MRI liver and when to use gadolinium and primovist
When to operate on patient’s with HCC and cirrhosis
Anatomical factors that determine resectability of hilar cholangiocarcinoma and pancreatic cancer
Pancreatic cancer:
- Neoadjuvant chemotherapy
- Arterial resection 
- ABC of resectability of pancreatic cancer (the MD Anderson model)
- Broad steps of a Whipple’s operation
Bile duct injury
- How to avoid them
- How to identify them
- What do to with them

Disclaimer
The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.
This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.
The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.
To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. 
To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.
The information contained in this podcast has not been independently verified.

© Amanda Nikolic 2021

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First IncisionBy Amanda Nikolic

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