iiinova — where your digital self keeps evolving

Marc Besselink @marcbesselink.bsky.social · 27/09/2026

🔥 Hora est 🎓 Tesa Hendriks “The Dutch Pancreatic Cancer Audit: Improving patient outcomes in #pancreatic #surgery” @amsterdamumc.bsky.social @dpcgofficial.bsky.social 🙌 118 co-authors, 13 countries, 10 publications incl 2x Annals ans 2x @bjsurgery.bsky.social #ISGPS 🔗 dare.uva.nl/id/cff4c22b-32…

110

Reposted by Marc Besselink

🇺🇦 paul q. brussée @paulbrussee.bsky.social · 28/02/2026

„In onze eerste studie zagen we dat het voorbehandelen van patiënten zonder uitzaaiingen hun vijfjaarsoverleving verdrievoudigde naar 20 procent. Een enorme verbetering voor deze groep.” @marcbesselink.bsky.social Marcel Hobma @nrcwetenschap.bsky.social #geneeskunde www.nrc.nl/nieuws/2026/...

011

Marc Besselink @marcbesselink.bsky.social · 25/02/2026

The 2nd PI meeting #PANENCA trial: lots of enthusiasm and excellent participation! 54 /400 #Whipple pts with a pancreatic duct ≤3 mm already included ✅, 28 centers 🇳🇱🇺🇦🇮🇹🇸🇪🇳🇴🇫🇮🇧🇪🇩🇰🇨🇳 RCT on HOP bundle (hydrocortisone, octreotide and the ligamentum teres patch) to prevent complications after #Whipple

010

Reposted by Marc Besselink

Giovanni Marchegiani, MD PhD @gio-marchegiani.bsky.social · 25/01/2026

Amazing international team at the #Wirsung2026 Pancreas Conference in @hpdsurgery.bsky.social Padova Great minds - great connections - true friendship 🇮🇹🇳🇱🇯🇵🇰🇷 @marcbesselink.bsky.social

011

Marc Besselink @marcbesselink.bsky.social · 21/01/2026

So very proud of this #DIPLOMA2x2 trial team (robot vs open #Whipple 2:1 randomization)! What a group of surgeons, pathologists, and oncologists 🇳🇱🇮🇹🇸🇪🇧🇪🇩🇪🇺🇸! Now 376/413 pts randomized @e-mips.bsky.social @dpcgofficial.bsky.social @abuhilal.bsky.social @juliamenso.bsky.social

001

Marc Besselink @marcbesselink.bsky.social · 15/01/2026

Nice @eurpancreaticclub.bsky.social webinar Chronic #Pancreatitis sharing 4 multicenter trials @dpsg.bsky.social 🇳🇱 ✅ #ESCAPE: 8-yr f-up ⬆️ pain control surgery vs endoscopy ✅ #ESCOPA: European series ✅ #PANACOTTA: NEW #Robot vs open ✅ #RESCUE: NEW. endoscopy vs surgery

010

Marc Besselink @marcbesselink.bsky.social · 04/12/2025

A distinguished visit to the Department of #Surgery at @amsterdamumc.bsky.social, VUmc location! Thank you “Sinterklaas” and his helpers 🚢🥕📕 for the wise and slightly confrontational rimes for each #surgeon 🙌.

010

Reposted by Marc Besselink

United European Gastroenterology @myueg.bsky.social · 31/10/2025

Together, we’re advancing pancreatic cancer care across Europe. 🌍 Since the #PancreaticCancer Position Paper was published in May 2024, we’ve been turning its recommendations into action – improving prevention, early detection & care. 👉 Learn more: bit.ly/3JzYNiC #EUNewsline

a blue and yellow flag with yellow stars

144

Marc Besselink @marcbesselink.bsky.social · 31/10/2025

Wonderful 2nd BCIPCC meeting #Lisbon 🇵🇹 ⏩️ bcipcc.org Today included #ISGPS and #Robot #Pancreatic #Surgery sessions: ✅ #ISGPS is working on improved and simplified definitions for DGE and PPH ✅ #DIPLOMA3 trial Robot vs Lap Pancreatectomy is ongoing!

042

Marc Besselink @marcbesselink.bsky.social · 17/10/2025

Presentation of the “2025 Multi-Societal European Guideline on #PancreaticCancer” recommendations ✅Today #ESSO44 🙌 #Gothenburg 🇸🇪 ✅ Initiated by @eahpba.bsky.social #ESSO ✅ Coordinated by Laura Leeuwenburgh & Magdalena Holze @erangelova.bsky.social ⏩️ esso44.gcon.me/programme

010

Marc Besselink @marcbesselink.bsky.social · 30/09/2025

What happens when you merge two high volume centers for #pancreas #surgery? @amsterdamumc.bsky.social ❌❌❌ 500 vs 500 Whipples (pre vs post) ✅ 30-day mortality: 2.0 to 0.4%, P=0.02 ✅ failure-to-rescue: 4.9 to 1.1%, P=0.04 ✅ PPH grade B/C: 8.0 to 4.6%, P=0.027 ⏩️ journals.lww.com/annalsofsurg...

130

Marc Besselink @marcbesselink.bsky.social · 20/09/2025

#HoraEst 🎓today Nine De Graaf @amsterdamumc.bsky.social : “Minimally invasive versus open #pancreatic #surgery” ✅Collaboration @e_mips @DPCG_official ✅81 authors, 12 countries ✅8 chapters, incl #DIPLOMA2 trial in @nejm.org @lancetgastrohep.bsky.social ⏩️ hdl.handle.net/11245.1/1641...

131

Marc Besselink @marcbesselink.bsky.social · 31/08/2025

Building one regional #cancer #network with 13 hospitals for 3.5 million inhabitants (20% of cancer care in 🇳🇱): the #OncoNoVo+ collaborative approach incl regional cancer care pathways. “how we did it” with survey. ⏩️ bmccancer.biomedcentral.com/articles/10....

230

Reposted by Marc Besselink

JAMA @jama.com · 28/08/2025

"[I]t will be critical to maintain a human in the loop even as we seek to incorporate the strengths of #AI-based review in our editorial process." Read this Editorial from the editors and staff of JAMA and the JAMA Network journals. #PRC10 ja.ma/41qVq3q

A JAMA (Journal of the American Medical Association) article titled "Artificial Intelligence in Peer Review" by Roy H. Perlis et al. discusses the role and challenges of AI in the medical peer-review process.

1102

Marc Besselink @marcbesselink.bsky.social · 22/08/2025

Found that @Google #Scholar ranks medical #journals by h-index and decided to check #surgery journals, interesting! @jdimick1 Annals of Surgery 🏆 @jbdimick.bsky.social @ihpba.bsky.social ⏩️ scholar.google.com/citations?vi...

110

Marc Besselink @marcbesselink.bsky.social · 20/08/2025

The #LEOPARD2 trial changed our nationwide practice dramatically: near ❌stop laparoscopic #Whipple, rapid ✅increase #Robot Whipple. See our letter in @lancetgastrohep.bsky.social 🧐 #DIPLOMA2 trial Robot vs open Whipple coming up. @eahpba.bsky.social ⏩️ www.thelancet.com/journals/lan...

003

Reposted by Marc Besselink

BJS Academy @bjsacademy.bsky.social · 14/08/2025

Training or qualified surgeon? 🩺 Learn how to write for surgical journals, appraise literature, & understand peer review with BJS Institute 100% online. 👣 Take your next career step ➡️ buff.ly/J7Wvt4i #surgery #surgicalwriting #research

bjsacademy.com

BJS Institute

The BJS Institute provides a portfolio of accredited online surgical courses to complement BJS Academy. These are delivered by the University of Edinburgh from the Edinburgh Surgery Online team, renow...

032

Reposted by Marc Besselink

JAMA @jama.com · 10/08/2025

📌 The SPIRIT 2025 statement updates the guidelines for randomized trial protocols to enhance their completeness, transparency, and consistency, benefiting stakeholders involved in clinical research. ja.ma/4fzMVZS

Figure. SPIRIT 2025 Diagram of the Schedule of Enrollment, Interventions, and Assessments

03020

Reposted by Marc Besselink

The Lancet @thelancet.com · 25/07/2025

Organ transplantation saves lives 🫁 Yet, according to WHO, only 10% of the global need for transplants is being met. In our latest issue, a Comment introduces the ESOT transplant–Lancet Commission on Transplantation. ➡️ tinyurl.com/ccysxrux

Cover of The Lancet's July 26, 2025 issue. Quote on cover reads: "It is time to reposition transplantation not as a niche intervention, but as a strategic health system function—one that must align with global goals regarding NCDs, climate resilience, and pandemic preparedness."

0136

Marc Besselink @marcbesselink.bsky.social · 25/07/2025

Warm welcome at the 56th Japan Pancreas Society, Tokyo🇯🇵. Excellent session incl profs Shrikhande🇮🇳, Jang🇰🇷, Nagakawa and Nakamura🇯🇵 on evidence and current nationwide #Robotic #Whipple use: 🇰🇷 33% (incl lap) 🇳🇱 25% 🇮🇳 ~5% 🇯🇵 ~5% Now 4 RCTs available! @ihpba.bsky.social @eahpba.bsky.social

100

Reposted by Marc Besselink

BJS Open @bjsopen.bsky.social · 22/07/2025

Comparison of catheter wound infusion, intrathecal morphine, and intravenous analgesia for postoperative pain management in open liver resection: randomized clinical trial ➡️ doi.org/10.1093/bjso... @bjsacademy.bsky.social @bjsurgery.bsky.social

doi.org

Validate User

123

Marc Besselink @marcbesselink.bsky.social · 11/07/2025

Distribution of the NCCN stages of #PancreaticCancer ? 16,412 pts (2017-2022) 🇳🇱 👉23% primary resectable 👉 8% borderline resectable 👉 11% locally advanced 👉 58% metastatic ⏩️ academic.oup.com/bjs/article/11…

064

Reposted by Marc Besselink

Giovanni Marchegiani, MD PhD @gio-marchegiani.bsky.social · 09/07/2025

What is "Conversion surgery" 🐛➡️🦋 for upfront unresectable upper GI and HPB cancers ⁉️ 💉 Triggered by improvements in non surgical therapies 🧰 Many techniques included 🏆 Able to improve survival! 💡 All u need to know ⬇ comprehensive review in @bjsopen.bsky.social academic.oup.com/bjsopen/arti...

042

Marc Besselink @marcbesselink.bsky.social · 05/07/2025

The European Pancreatic Club 2025 meeting in #Dusseldorf 🇩🇪 was a big success. EPC is the only #European wide multidisciplinary meeting regarding only #Pancreas #Pancreatitis #PancreaticCancer ⏩️Excellent #RCTs discussed: #CASSANDRA, #DIPLOMA1, #DIPLOMA2, #PANDRA2, #ESPAC6, #ESPAC7, #SIMBA

051

Reposted by Marc Besselink

Giovanni Marchegiani, MD PhD @gio-marchegiani.bsky.social · 27/06/2025

So honored to be part of this!!! 👇🎓💪

011

Reposted by Marc Besselink

Ville Sallinen @villesallinen.bsky.social · 20/06/2025

Time flies and @bjsurgery.bsky.social / @bjsopen.bsky.social editorial assistants rotate. Huge gratitude goes to our out-going editorial assistants Yung Lee, @hansl16.bsky.social and Laura Maggino - I’ve learned a great deal from you! 🙏 Terms end, but you will be part of BJS Family forever!

065

Marc Besselink @marcbesselink.bsky.social · 20/06/2025

#Horaest 🎓 @AnoukEmmen today 🙌 “Improving outcomes in minimally invasive #pancreatoduodenectomy” incl the #DIPLOMA2 RCT. @abuhilal.bsky.social ⏩️ hdl.handle.net/11245.1/5ba777… Thank you @gio-marchegiani.bsky.social for being here with excellent discussion!

010

Reposted by Marc Besselink

Vincent Luyendijk @vincentluyendijk.bsky.social · 19/06/2025

The Most Impressive Bicycle Infrastructure in the Netherlands Chris Bruntlett compiled the following list of The Netherlands’ most impressive bicycle infrastructure. Forty unique constructions, in alphabetical order. dutchcycling.nl/knowledge/be... @dutchcycling.nl @modacitylife.com

38927

Reposted by Marc Besselink

Dutch Cycling Embassy @dutchcycling.nl · 18/06/2025

Once known as the “Kingdom of Bicycles”, China largely abandoned cycling in the 1990s, handing their streets over to the car in the name of prosperity. But in recent years, policymakers have done a stunning reversal, reallocating vast amounts of space in the name of liveability. buff.ly/S7fY4eY

06713

Marc Besselink @marcbesselink.bsky.social · 16/06/2025

Do you offer #video #consultation when explaining and consenting to major abdominal (eg #pancreas #liver #esophageal surgery? Today #VIDEOGO RCT incl 112 pts @thelancet.com DH 📎 Patient, surgeon satisfaction for video non-inferior 📎 Efficacy favored video authors.elsevier.com/sd/article/S25…

110

Reposted by Marc Besselink

Julia Menso @juliamenso.bsky.social · 15/06/2025

Pleasure to attend and present at #EAHPBA2025 Dublin incl the ongoing #DIPLOMA-2x2 trial and @tropancregistry.bsky.social Wonderful meeting, talks and colleagues! @eahpba.bsky.social @patriciopolanco.bsky.social @carobruna.bsky.social @marcbesselink.bsky.social

011

Reposted by Marc Besselink

BJS Open @bjsopen.bsky.social · 15/06/2025

Impact of feeding strategy after pancreatoduodenectomy on delayed gastric emptying and hospital stay: nationwide study ➡️ doi.org/10.1093/bjso... @bjsacademy.bsky.social @bjsurgery.bsky.social

doi.org

Validate User

123

Marc Besselink @marcbesselink.bsky.social · 15/06/2025

Surgeons Cup 2025🇳🇱 🏑All 7 universities (incl teaching centers) playing against eachother in soccer, field hockey, rowing, volleyball, tug of war etc. 🏐 Organised by Amsterdam this year. 🚣 Longstanding tradition ⚽️ Guess who won soccer ☺️ Photo: soccer team Amsterdam region 2025 chirurgencup.nl

020

Reposted by Marc Besselink

IHPBA @ihpba.bsky.social · 13/06/2025

✅An excellent E-AHPBA Congress in Dublin — great to see so many members 👏 📅 Mark your calendars for: 🌟 The 17th IHPBA World Congress 📍 Singapore | 🗓️ 28–31 October 2026 🌏 🔔 Program and speaker updates coming soon here: tinyurl.com/27w83tt5 Will we see you there?

061

Reposted by Marc Besselink

Dutch Cycling Embassy @dutchcycling.nl · 12/06/2025

For 40+ years, Gemeente Amsterdam has been working on making cycling safe, easy and enjoyable for everyone. One of their crown jewels is the underwater Amsterdam Centraal Station bike parking facilities which fit 11,000 bikes. #VC25

2331

Marc Besselink @marcbesselink.bsky.social · 12/06/2025

@eahpba.bsky.social 6 #presidents (past-present-elect) on stage. 🙌Thank you for an exciting 2-year presidency. It has been an honour! Happy and proud with Isabella Frigerio🇮🇹 as our new President-elect. The right person for the job! Congratulations Eduard Jonas🇿🇦 on the ‘25-‘27 presidency.

031

Marc Besselink @marcbesselink.bsky.social · 12/06/2025

Local chapters presidents breakfast #EAHPBA25 with the @eahpba.bsky.social Germany 🇩🇪 Zwitserland 🇨🇭 The Netherlands 🇳🇱 Czechia 🇨🇿 Austria 🇦🇹 Italy 🇮🇹 West-East Balkan 🇷🇸 🇸🇮 🇭🇷 🇧🇬 ao Spain 🇪🇸 With the new president Eduard Jonas and past presidents Ajith Siriwardena Marc Besselink

000

Reposted by Marc Besselink

Giovanni Marchegiani, MD PhD @gio-marchegiani.bsky.social · 11/06/2025

🔵 The European-African Hepato-Pancreato-Biliary Association (E-AHPBA) mentorship program is ready to take off 🛫 again! So excited to serve as a mentor also for the second edition after a previous successful journey

032

Reposted by Marc Besselink

Matthias Löhr ʚїɞ @maloehr.bsky.social · 10/06/2025

In the series #selfiewiththepresident together with @marcbesselink.bsky.social president of @eahpba.bsky.social during their #EAHPBA2025 conference! 1‘300 participants from around the 🌎 ! Representing @myueg.bsky.social and advertising #UEGW2025 in Berlin!

182

Reposted by Marc Besselink

BJS Academy @bjsacademy.bsky.social · 06/06/2025

📢 The BJS Award winner will be announced in 1 week! Follow us to find out who the second ever #BJSAward winner is. In the meantime, you can read all about our first winner Henrik Kehlet. ➡️ buff.ly/bzjbpVG 📺 Set a reminder for 13 June at 18:15 BST: 🔗 buff.ly/rADwF61 #surgsky #medsky #surgery

012

Reposted by Marc Besselink

Julie Hallet, MD MSc @halletjulie.bsky.social · 28/05/2025

Stable OR teams contribute to better outcomes🤝✨ Each additional case done by same anesthesiologist-surgeon team 👉 ⬇️ major morbidity 🔓‼ Opportunity is knocking: ⬆️outcomes by re-organizing teams How do we do it? 🆕📝 tinyurl.com/yx44pm96 #SurgSky #MedSky #HPBSky

1167

Reposted by Marc Besselink

Giovanni Marchegiani, MD PhD @gio-marchegiani.bsky.social · 27/05/2025

Postop ⬆️ amylasemia and acute pancreatitis 🧪 systematic review and meta analysis 🐳 POH predicts POPF ⚡️ PPAP causes POPF, DGE, PPH and mortality 👉 Check amylase early and get ready to mitigate 🧯postop complications! #HPBSky #SurgSky www.sciencedirect.com/science/arti...

011

Reposted by Marc Besselink

Giovanni Marchegiani, MD PhD @gio-marchegiani.bsky.social · 25/05/2025

✂️ Arterial resection and divestment 🔟 year comparative study in @bjsopen.bsky.social 🇯🇵 Analysis of 200 PDAC + artery 👗 Divestment (120 cases) most used in first 5 years 🎖️Last 5 years ⬆️ Neoadjuvant chemo + resection ⬇️ complications 👍 academic.oup.com/bjsopen/arti...

022

Reposted by Marc Besselink

Ville Sallinen @villesallinen.bsky.social · 16/05/2025

New 🇫🇮🇳🇴RCT out @jama.com/Surgery🔥 Results from antibiotics layer of the PERFECT trial: Antibiotics or no while awaiting for appendectomy for presumed uncompl appendicitis 1797 patients Perforations: 8.3% vs 8.9% Surg site infections: 1.6% vs 3.2% (p=0.03) jamanetwork.com/journals/jam...

163

Marc Besselink @marcbesselink.bsky.social · 15/05/2025

#HoraEst @ammaraj.bsky.social 🇺🇸 #PhD ceremony today in A’dam 🇳🇱 ⏩️Amazing work!! #Thesis hdl.handle.net/11245.1/d2bd0a… #PhD team: Chris Wolfgang, Jin He, Lois Daamen @amsterdamumc.bsky.social @pancpals.bsky.social @dpcgofficial.bsky.social #PancreaticCancer

042

Reposted by Marc Besselink

PANC-PALS Consortium @pancpals.bsky.social · 09/05/2025

What a pleasure to host University of Padova PANC-PALS local PI, @gio-marchegiani.bsky.social, at our HQ this week! 💜 Great discussions followed by a drink by the East River 😎 #PANCPALS @ammaraj.bsky.social

042

Reposted by Marc Besselink

Julia Menso @juliamenso.bsky.social · 09/05/2025

Initiation visit #JohnsHopkins @jhu.edu for DIPLOMA-2x2 #RCT #robot vs open #Whipple for cancer in #pancreas head 🇪🇺🇺🇸🤖 Thank you #JinHe Special to be back and proud to continue our collaboration! @carobruna.bsky.social @marcbesselink.bsky.social

032

Reposted by Marc Besselink

TF Stoop @tfstoop.bsky.social · 07/05/2025

Published in #BJC, our 🌎 study with 935 localized #pancreaticancer patients after resection, comparing preoperative FFX vs GnP: 📎FFX vs GnP not associated with OS (p=0.17) 📎Effect FFX ⬆️ if lower serum CA19.9 #tumorbiology 🚨Pragmatic RCT #chemosensitivitymarkers🔍 👉 www.nature.com/articles/s41...

041

Marc Besselink @marcbesselink.bsky.social · 25/04/2025

Professor John Cameron, living legend 👑, one of the 1st Trialists in #pancreatic #surgery: 88yr but alive and kickin’ #AmericanSurgical San Diego🇺🇸 A true leader by example, inspiration for all of us!! @hopkinsmedicine.bsky.social @eahpba.bsky.social @ihpba.bsky.social @dpcgofficial.bsky.social

040