Behind the knife, the Surgery Podcast, where we take a behind the scenes intimate look at surgery

from leaders in the Knife. We are continuing today with

our Annals of Surgery Journal Club series with Dr. Chad Ball. Dr. Ball is a Hepadobiliar surgeon and trauma

acute care surgeon and he's an associate professor of surgery at the University of Calgary

He's also the new editor of the Canadian Journal of Surgery of Note he is the only surgeon in North America duly trained in hepatobiliary and trauma surgery,

so he's uniquely qualified to discuss

the surgical treatment of complex pancreatic disease

with us today.

Chad, welcome to the Behind the Knife, Anals of Surgery Journal Club.

Thanks for having me guys.

Is Karan here, I'll just begin with introducing this paper.

So Dr. Ball was senior author of a paper

and animals of surgery titled surgical

trans gastric necrosectomy for decoratitis,

single stage procedure for Waldorf pancreatic necrosis.

He wrote this with collaborators at Foothills Medical Center in

Calgary at Stanford and at Indiana which is where they they proceeded with this

Multisconcentr case series. They had 178 patients who had bald-off pancreatic

necrosis and all of them underwent transgastric debridement, a novel technique where

they approached the pancreatic necrosis through the stomach,

debris to dead tissue, and the established permanent drainage between that

necrotic cavity and the stomach.

...