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 Speak at AASLD Tomorrow

Abdominal Organ Transplant Director, Dr. Markus Selzner and Dr. Gonzalo Sapisochin, Fellowship Research Director, will both participate in the “ Expanding the Boundaries for Liver Transplant Oncology” Program at the AASLD meeting in San Francisco tomorrow. Dr. Selzner will present on “Perfusion Strategies and Organ Repair: Where’s the Limit” at 8:50 AM and Dr. Sapisochin’s talk, scheduled to begin at 1:15 PM, will examine “Intrahepatic Cholangiocarcinoma or HCC-CC.” Further details are available at the following... read more

Dr. Gonzalo Sapisochin Speaks at International Transplant Congress

Toronto Faculty and Fellowship Research Director, Dr. Gonzalo Sapisochin spoke at the first International Transplant Network Congress in Kemer, Turkey last week. He presented on: “Recipient Biliary Complications” and “Long-Term Outcomes and How to Make Them Better”. The International Transplant Network (ITN) is a program offering international technical assistance and collaboration opportunities on organ donation and transplantation. Further information on the ITN Congress is available at the following link:... read more

Toronto Fellows Receive AHPBA Committee Appointments

Congratulations to Toronto Fellows Blayne A. Sayed, and Sanju Sobnach, who have both been appointed to active AHPBA committees for a 1-year term. The announcement, made yesterday, places Dr. Sayed on the Research Committee and Dr. Sobnach on the Professional Development... read more