Hepato-Pancreato-Biliary (HPB) Surgical Oncology Fellowship at the University of Toronto and Toronto General Hospital

The Toronto HPB & Transplant Fellows 2017-2018

Left to Right: Drs. Blayne A. Sayed, Graziano Oldani, Joshua Shaw, Juan Echeverri, Nathan Zilbert, Lawrence Lau, and Robin Visser (not pictured)

Welcome and thank you for your interest in the University of Toronto HPB Surgical Oncology Fellowship Program.

Every year we have the privilege of meeting some of the best and brightest graduates from top universities around the world, and each year we are challenged with the task of selecting just one to train. It’s a responsibility we take seriously, not only as the Directors, but also as educators and scientists in the field of surgical training. Of course, we are not the only ones making choices. I hope that the information on this site helps you weigh your academic options and gives you some insight into who we are, what we do, and what we have to offer. Since 1983 the Toronto HPB program has recruited, trained, and graduated over 40 surgeons; alumni that continue to shape the future of HPB surgical oncology globally. I invite you to consider how our program can help shape your future and how you, in turn, can help shape the future of HPB surgery and cancer care.

Greig_homepagePaul Greig, MD
Program Director

Distinguishing Features of the Fellowship

Clinical Experience

Hepato-Pancreato-Biliary Surgery

During the first year, the HPB and Transplant Fellowships are integrated. The AHPBA required case volumes are exceeded through:

6-8 elective HPB ORs per week (10 HPB & Transplant Surgeons)
150+ liver resections, 100+ major pancreas, 80% oncology
  • Vascular resections & reconstruction, includiing in-situ cooling
  • Laparoscopic HPB Surgery
  • Intraoperative Ultrasound
  • Pre-operative planning & volumetric measurements using Myrian software
  • 3-month assignments with HPB & Transplant surgeons for elective surgery & Surgical Oncology Clinics
  • Medical & Radiation Oncology Clinics & Multidisciplinary Tumor Boards
During the second year, the HPB Fellow focuses on: Complex HPB Surgery (Klatskins, in-situ cooling procedures, vascular resections and reconstructions, re-resections), Multidisciplinary HPB Oncology, and Clinical Research Projects.

 

Transplant

During the first year, the HPB Fellow is integrated into the Transplant Program (deceased donor organ procurement and liver transplantation):

  • Institutional volume of 200+ liver, 40-50 pancreas, 150+ kidney per year: The HPB Fellow can anticipate approximately 25 liver transplants and 50 muti-organ donors
  • Largest living donor liver transplantation program in North America (40+ per year)
  • Pediatric liver transplantation: Approximately 25 per year
  • Shared on-call responsibilities for MOT ward, donors, and liver & kidney transplantation (1:6 for each)

Education

The Fellowship program offers multiple opportunities for additional learning through:

  • SSO Seminar Series
  • HPB Conference, Hepatoma Review Board, and GI Surgical Oncology Board
  • AHPBA curriculum-based seminars
  • Surgical oncology seminars
  • Journal Club and Multidisciplinary Liver Conference (Faculty Club)
  • HPB Grand Rounds
  • Attendance at 1 meeting per year plus any meetings with presentations
  • Fellow Exchange program (second year) – Fellow’s choice of institution

Research Opportunities

For Clinical and Outcomes Research, Fellows can expect one project in the first year, and multiple projects in their second year of study. There are Basic Science opportunities for laboratory-based research on the topics of:

  • Ischemia/reperfusion
  • Genomics/proteomics
  • Dendritic cells
  • Tolerance
  • Stem cell biology

Research in education is also offered.

Lifestyle

Fellows will experience the advantages of a “large” Fellowship program with 7 to 8 Transplant and HPB Fellows:

  • Focus on the RUQ!
  • On-call scheduling and cross-coverage
  • Facilitates time off without compromising clinical experience
  • Camaraderie

Upcoming Events

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News & Announcements

Toronto Faculty, Gonzalo Sapisochin, to Hold Liver Cancer Workshop at ILCA Saturday

Dr. Gonzalo Sapisochin, Toronto Faculty, Fellow Alumnus, and Fellowship Research Director, will participate in the Single Topic Workshops session at the International Liver Cancer Association Conference in London tomorrow. The 12th Annual ILCA meeting provides a rare focus on sharing best practices and findings and advance research in the pathogenesis, prevention, and treatment of liver cancer. Dr. Sapisochin will share his expertise in Transplantation for Cholangiocarcinoma in the Surgery for Primary Liver Cancer session, 5:30 – 6:30 p.m. Saturday September 15. Further details are available at the following link:  ... read more

Toronto Presents at IHPBA 2018

Toronto Fellows and Faculty will join international colleagues at the IHPBA Conference in Geneva next week. Participants this year include Toronto HPB/Transplant Fellows Graziano Oldani, and Blayne A. Sayed as well as Fellowship Research Director, Gonzalo Sapisochin. Details are available at the following links:   Dr. Graziano Oldani – Tuesday September 4th, 2018  – Clinical Case and Discussion https://www.ihpba2018.com/post-graduate-course.html Post Graduate Course – Classification/Guideline Driven Management in HPB This course, driven by international classifications and guidelines, focuses on the management of common HPB diseases. Each topic will be presented in a structured way, detailing the rationale of treatment at various stages of the disease, and highlighting modern and new aspects. It is ideal for more junior colleagues (i.e. those still in training and younger surgeons), wishing to broaden their field of knowledge and improve daily practice. Session 4: Bile Duct 2 Moderators: Albert Chan (Hong Kong); Christian Toso (Switzerland)   Free Papers (Mini Oral) – Transplant: LDT/Basic Science – Friday September 7th, 2018 Chairs: Derek Manas (United Kingdom); Mickaël Lesurtel (France) FP26-06 – “Graft Remodelling after Transplantation of Chimeric Mouse/Rat Livers into Rats” Presenting Author: Graziano Oldani (Switzerland)   Dr. Blayne A. Sayed – HPB General  – Electronic Poster Tricks of the Trade – E-Posters are available to view throughout the congress open hours at designated workstations located in the Exhibition Hall 3 E-poster: A Technique for Decreasing Delayed Gastric Emptying in the Setting of Pancreatic Fistula Presenting Author: Blayne Amir Sayed (Canada)   Dr. Gonzalo Sapisochin – Wednesday September 5th, 2018 https://www.ihpba2018.com/meet-the-professor.html Meet the Professor – Meet the Professor breakfast sessions allow delegates to meet in a small group... read more