HPB Surgery Training Course

Lesson 1 • Cross-Sectional Imaging Anatomy

Translates anatomical knowledge to CT, MRI, and ultrasound interpretation. Bridges didactic anatomy to intraoperative and preoperative imaging use.

Lesson 2 • Biliary System Structure and Function

Examines intrahepatic and extrahepatic bile duct anatomy, gallbladder physiology, and sphincter of Oddi function. Connects biliary anatomy to common HPB pathologies.

Lesson 3 • Hepatic Physiology and Metabolic Function

Reviews hepatocyte function, portal circulation, and liver regeneration capacity. Grounds preoperative assessment in physiological principles.

Lesson 4 • Pancreatic Anatomy and Exocrine Function

Details pancreatic head, neck, body, and tail anatomy alongside ductal systems. Provides the structural basis for understanding pancreatitis and resection margins.

Lesson 1 • Anesthetic and Cardiopulmonary Risk Evaluation

Integrates cardiac, pulmonary, and renal risk assessment into HPB surgical planning. Ensures multidisciplinary clearance before high-risk procedures.

Lesson 2 • Liver Function Assessment Tools

Applies Child-Pugh, MELD scoring, and volumetric analysis to quantify hepatic reserve. Directly informs resectability decisions and complication risk.

Lesson 3 • Biliary Drainage and Decompression Planning

Evaluates indications for preoperative biliary drainage and selects appropriate modalities. Reduces cholangitis risk and optimises hepatic function before resection.

Lesson 4 • Oncological Staging and Resectability Criteria

Applies tumour staging systems and vascular involvement criteria to determine resectability. Links staging to surgical strategy and margin goals.

Lesson 1 • Parenchymal Transection Methods

Compares crush-clamp, ultrasonic dissection, bipolar sealing, and stapling for liver transection. Technique selection affects blood loss and bile leak rates.

Lesson 2 • Vascular Control and Pringle Maneuver

Teaches hepatic inflow occlusion techniques, selective clamping, and total vascular exclusion. Vascular control is essential for safe parenchymal transection.

Lesson 3 • Intraoperative Haemostasis and Bile Leak Prevention

Addresses cut-surface haemostasis, bile duct ligation, and intraoperative cholangiography. Systematic leak testing reduces postoperative complications.

Lesson 4 • Operative Positioning and Incision Selection

Covers patient positioning, incision types, and port placement for open and laparoscopic HPB surgery. Correct setup directly impacts exposure and ergonomics.

Lesson 1 • Minor Hepatic Resections

Covers wedge resection, segmentectomy, and bisegmentectomy with anatomical guidance. Minor resections form the technical basis for more complex procedures.

Lesson 2 • Laparoscopic and Robotic Hepatectomy

Applies minimally invasive approaches to hepatic resection with patient selection and technical adaptations. Reduces hospital stay while maintaining oncological equivalence.

Lesson 3 • Margin Assessment and Oncological Outcomes

Covers intraoperative frozen section, margin measurement, and re-resection decisions. Margin status is the primary determinant of long-term oncological success.

Lesson 4 • Major Hepatectomy: Right and Left

Details right and left hemihepatectomy with hilar dissection, vascular ligation, and parenchymal division. Builds on minor resection skills for larger-volume procedures.

Lesson 1 • Hilar Cholangiocarcinoma Resection

Applies Bismuth-Corlette staging to plan hilar resection with caudate lobectomy and biliary reconstruction. Achieves R0 margins in a complex anatomical zone.

Lesson 2 • Distal Cholangiocarcinoma and Ampullary Tumours

Covers surgical management of distal bile duct and ampullary malignancies via pancreaticoduodenectomy. Links biliary oncology to pancreatic resection principles.

Lesson 3 • Bile Duct Strictures and Reconstruction

Addresses benign and iatrogenic strictures with Bismuth classification and reconstruction options. Proper reconstruction prevents long-term cholangitis and cirrhosis.

Lesson 4 • Cholecystectomy and Gallbladder Disease

Reviews laparoscopic and open cholecystectomy with critical view of safety and difficult gallbladder management. Establishes the baseline biliary procedure for all HPB surgeons.

Lesson 1 • Pancreaticoduodenectomy: Whipple Procedure

Details the classic and pylorus-preserving Whipple procedure with vascular dissection and reconstruction. The most complex HPB resection requiring integrated technical mastery.

Lesson 2 • Total Pancreatectomy and Islet Autotransplantation

Addresses indications for total pancreatectomy and islet autotransplantation for chronic pancreatitis. Manages the metabolic consequences of complete pancreatic loss.

Lesson 3 • Vascular Resection and Reconstruction in Pancreatic Surgery

Teaches portal vein, superior mesenteric vein, and arterial resection with reconstruction techniques. Extends resectability to borderline and locally advanced tumors.

Lesson 4 • Minimally Invasive Pancreatic Resection

Applies laparoscopic and robotic platforms to pancreaticoduodenectomy and distal pancreatectomy. Evaluates outcomes, learning curves, and patient selection criteria.

Lesson 1 • Post-Hepatectomy Liver Failure

Defines post-hepatectomy liver failure using the 50-50 criteria and ISGLS grading. Early recognition and supportive management prevent fatal outcomes.

Lesson 2 • Postoperative Pancreatic Fistula Management

Applies ISGPF grading to classify and manage pancreatic fistula with drain management and interventional options. Fistula is the leading cause of HPB postoperative morbidity.

Lesson 3 • Enhanced Recovery and Discharge Planning

Implements enhanced recovery after surgery protocols specific to HPB procedures with nutrition, mobilization, and drain removal criteria. Reduces length of stay without increasing readmissions.

Lesson 4 • Bile Leak Detection and Treatment

Covers drain bilirubin criteria, imaging, and endoscopic or percutaneous management of postoperative bile leaks. Prompt treatment prevents biloma and sepsis.

Lesson 1 • Hepatocellular Carcinoma: Surgical Strategy

Applies Barcelona Clinic Liver Cancer staging to select resection, ablation, or transplantation for hepatocellular carcinoma. Integrates liver function with oncological goals.

Lesson 2 • Pancreatic Ductal Adenocarcinoma: Multimodal Approach

Integrates neoadjuvant therapy, surgical resection, and adjuvant chemotherapy for pancreatic ductal adenocarcinoma. Addresses borderline resectable disease with systemic and surgical sequencing.

Lesson 3 • Ablative and Interventional Oncology Techniques

Covers radiofrequency ablation, microwave ablation, and transarterial chemoembolization as surgical adjuncts. Expands treatment options for unresectable or recurrent disease.

Lesson 4 • Liver Transplantation for HPB Malignancy

Evaluates transplantation criteria for hepatocellular carcinoma, cholangiocarcinoma, and neuroendocrine metastases. Addresses allocation, bridging, and post-transplant oncological surveillance.