Overview

Make HPB Tumor Board Decisions With Less Guesswork HPB surgical oncology reference, hepatobiliary surgery reference, and pancreatic cancer resectability guidance belong within reach when the case turns on one vessel, one stage, or one treatment sequence. When One Missing Detail Can Change the Whole Plan A pancreatic head mass with SMV contact. A perihilar stricture with uncertain ductal extent. A liver lesion in a cirrhotic patient. You may know the disease, but still need the decision pathway in front of you. Waiting, guessing, or hunting through scattered sources costs time at the exact moment the team needs a clear recommendation. A Decision System Built for the Way HPB Cases Are Actually Presented This clinical reference is organized around the five gates that drive HPB oncology work: imaging and workup, histology and biomarkers, staging, resectability, and treatment pathway selection. Each disease-site chapter follows that same sequence, so you can move from case facts to tumor board recommendation without rebuilding the framework every time. Inside the Reference - Disease-site algorithms for PDAC, HCC, iCCA, extrahepatic CCA, and gallbladder cancer - AJCC staging application with worked clinical examples - Pancreatic protocol CT, hepatic MRI, MRCP, PET-CT, and EUS decision use - Resectability criteria for vascular contact, FLR, portal hypertension, and fitness - NCCN, ESMO, and Asian framework comparisons where recommendations differ - Tumor board scripts, documentation templates, and completed sample cases - Cross-site treatment sequencing for neoadjuvant, adjuvant, systemic, and locoregional therapy Structured for Surgeons, Fellows, Oncologists, and Tumor Boards Every chapter is written for applied clinical use. The material covers pancreatic ductal adenocarcinoma, hepatocellular carcinoma, intrahepatic cholangiocarcinoma, perihilar and distal cholangiocarcinoma, gallbladder cancer, vascular reconstruction, postoperative complications, surveillance, and biomarker-driven treatment pathways. The focus stays on what the next decision requires. If You Are Worried It Is Too Advanced This is an advanced clinical reference, but the structure is practical. You do not need to read it from cover to cover before it becomes useful. Start with the disease site, confirm the imaging and staging inputs, then follow the numbered decision prose. Use the templates when you need a case-ready tumor board presentation. Use It Before the Next Difficult Case Clinical guidelines change, and every institution has its own protocols. This reference gives you a working structure for checking the right issue at the right time, then documenting the decision clearly. Preview the sample pages and test the format against a real case from your service. Put the Framework on Your Desk Today Add this HPB surgical oncology reference to your clinical shelf and bring a sharper decision path to your next pancreas, liver, biliary, or gallbladder tumor board. Built Around Repeatable Clinical Moves The book does not ask you to memorize a loose pile of facts. It gives you the order of operations: confirm the correct protocol image, name the staging system, measure vascular contact, test functional reserve, define fitness, then choose the treatment path. That sequence helps protect the recommendation from shortcuts that create risk. Use it to prepare for conference, teach fellows, check resectability language, compare divergent guidance, or tighten a postoperative plan. The strongest value is speed with specificity: less searching, more case-ready wording, and fewer missing inputs when the team needs a decision. Get the structure before the next hard case reaches the board this week now..

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