Abdominal Organ Transplant Fellowship at the University of Toronto and Toronto General Hospital

The Toronto Transplant & HPB Fellows 2018-2019

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

Welcome to the University of Toronto Abdominal Organ Transplant Fellowship.

Since 1983 we have been training future leaders in the field of abdominal transplantation and we have graduated more than 70 fellows to date. We are ASTS accredited for liver, pancreas, and kidney transplantation and we perform more than 200 liver and 40 pancreas transplants per year. Our transplant fellows receive unique opportunities during their training and benefit from the largest living donor liver transplant program in North America, extensive exposure to pediatric liver transplantation, a high volume pancreas transplant program, and extensive training in HPB surgery. The outstanding surgical experience is embedded in training of pre- and postoperative management of transplant patients, and an in depth academic curriculum of teaching seminars.

In addition to the clinical training we provide great opportunities for research and our clinical and basic science research groups are world leaders in their field. We are proud to train the future generation of academic transplant surgeons, who will advance the borders of our field.

Markus Selzner, MD
Program Director

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Greig_homepagePaul Greig, MD
Program Co-Director

Distinguishing Features of the Fellowship

Clinical Experience

Transplant

During the first year, the Transplant and HPB Fellowships are integrated. The ASTS required case volume are exceeded through:

Institutional volume: 200+ liver, 40-50 pancreas, 150+ kidney per year
Largest liver transplant program in North America (220 in 2014)
Largest living donor liver program in North America (60+ per year)
  • Pediatric, small intestinal and multivisceral transplant
  • Laparoscopic Living Donor Nephrectomy (40+ per year)
  • Pre-op planning & Volumetric measurements using Myrian workstations
  • Donation after Neurologic & Cardiocirculatory Death
  • Vascular access
  • Transplant Clinics

The second year focuses on complex transplant procedures: re-transplants, Living Donors & Transplants, split-liver, multiviscerals, and pediatric transplants.

Hepato-Pancreato-Biliary Surgery

During the first year, the ASTS & AHPBA required case volumes are exceeded through:

  • 6-8 elective HPB ORs per week (with 10 Transplant & HPB Surgeons)
  • 150+ liver resections, 100+ pancreaticoduodenectomies, 80% oncology
  • Laparoscopic HPB Surgery
  • 3-month assignments with HBP & Transplant surgeons and Surgical Oncology Clinics

Education

The Fellowship program offers multiple opportunities for additional learning through:

  • Fellowship Exchange Program (for Fellows in their second year)
  • Transplant and HPB Seminar Series
  • Transplant Conferences: Live Donor, Listing, and Quality
  • Multi-Organ Transplant Rounds & Invited Professors
  • Journal Clubs (offered for both HPB and Transplant)
  • HBP Conference, Hepatoma Review Board, Surgical Oncology Tumor Board

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 will be 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:

  • On-call scheduling and cross-coverage
  • Facilitates time off without compromising clinical experience
  • Camaraderie

Upcoming Events

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News & Announcements

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... read more

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