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

The Toronto HPB & Transplant Fellows 2018-2019

Top to Bottom, Left to Right: Drs. Christopher Shubert, Ashley Limkemann, Robin Visser, Sanju Sobnach, Blayne A. Sayed, Lawrence Lau, and Graziano Oldani

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.



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)


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.


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

« March 2018 »

Sun Mon Tue Wed Thu Fri Sat
  • There are no upcoming events.

News & Announcements

Toronto Fellowship Research Director Speaks at International Symposium in Seoul

Last week Dr. Gonzalo Sapisochin spoke in Seoul, Korea at the International Symposium in Commemoration of 5000 Living Donor Liver Transplants at the AMC (Asian Medical Centre). In addition to his talk, ‘Tailored Immunosuppression for HCC Patient – Is it Feasible?’ Dr. Sapisochin also participated in the panel discussion on LDLT for Advanced HCC.... read more

Toronto Team Welcomes Dr. Julie Leal

The Liver and Pancreas Cancer Surgery Team is pleased to welcome Dr. Julie Leal as our new Clinical Associate. Dr. Leal is a fellowship trained Hepatobiliary and Pancreatic Surgeon. She completed both medical school and general surgical residency training at the Foothills Medical Center, University of Calgary. It was here she realized a true passion for the study and management of liver, pancreas and biliary disease. As a consequence, she went on to complete a clinical research fellowship with the Hepatobiliary and Pancreatic Surgery group at Memorial Sloan Kettering Cancer Center in New York City. She then went on to complete her Hepatobiliary and Pancreatic surgery fellowship at Stanford University in California. After her time in the United States she returned to Canada and helped to set up a Hepatopancreatobiliary Service in the province of New Brunswick. She now returns to her home province of Ontario and will be a valuable addition to the HPB team at UHN. Dr. Leal’s research interests lie in the area of clinical outcomes for liver/bile duct/pancreas cancer surgery, disparities in health care delivery and health economics/policy. Welcome... read more