Hepato-Pancreato-Biliary (HPB) Surgery – Theatre Practitioner Study Day

This study day is aimed at all Operating Theatre Practitioners who work within, or are preparing to work within, the robotic theatre environment. It is particularly relevant for scrub and circulating practitioners, operating department practitioners (ODPs), anaesthetic practitioners, theatre nurses, practice educators and ward staff who support patients undergoing robotic surgery. The day will also benefit staff involved in developing local robotic services or seeking to update their knowledge in line with emerging best practice in robotic-assisted surgery across the NHS.

The course will cover:

• How the HPB specialist nurse coordinates the patient journey, supports decision‑making, provides education and acts as a key link between theatre, ward and outpatient teams.
• Indications, patient selection and perioperative considerations for TPAIT, with a focus on metabolic implications, glycaemic control and multidisciplinary planning.
• Principles of minimally invasive liver resection, patient positioning, port placement, haemostasis and the implications for theatre set‑up and anaesthetic management.
• Specific challenges of HPB surgery in children, including physiology, fluid management, temperature control and the need for age‑appropriate multidisciplinary care.
• Preoperative optimisation for HPB patients, including comorbidity assessment, nutrition, anaemia management, lifestyle modification and patient education within an ERAS‑based pathway.
• Overview of the operation, anastomoses, expected operative course and critical intra‑operative steps, with emphasis on theatre workflow and anticipated complications.
• Strategies for anticipating and managing significant blood loss during major liver and pancreatic surgery, including cell salvage, transfusion protocols, coagulation management and team communication.
• Human factors, checklists, patient positioning, pressure‑area care, equipment checks and sterile technique specific to complex HPB procedures.
• Postoperative care pathways for HPB patients in SSDU/LIYU within an Enhanced Recovery After Surgery (ERAS) framework, including early mobilisation, nutrition, analgesia and discharge planning.
• Anaesthetic considerations for major liver and pancreatic surgery in both adult and paediatric patients, including monitoring, ventilation strategies, fluid and haemodynamic management.
• The principles of maintaining adequate organ perfusion during major HPB procedures, including the role of goal‑directed fluid therapy and close haemodynamic monitoring to support liver and pancreatic function.

Programme Enquiries:
– Melinda Yii, Email – melindayii@nhs.net | Tel: 020 3299 3071 (Ext 33071),
– Minija Joseph, Email: minija.joseph@nhs.net | Tel: 020 3299 8199