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

The Toronto Transplant & HPB Fellows 2017-2018

Back: Drs. Joshua Shaw, Paul Greig (Program Co-Director), Markus Selzner (Program Director), and Nathan Zilbert

Front: Drs. Graziano Oldani, Blayne A. Sayed, Juan Echeverri, Lawrence Lau, and Robin Visser (not pictured)

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 Faculty to Hold Liver Cancer Workshop at ILCA Saturday

Dr. Gonzalo Sapisochin, Toronto Faculty, Fellow Alumnus, and Fellowship Research Director, will participate in the Single Topic Workshops session at the International Liver Cancer Association Conference in London tomorrow. The 12th Annual ILCA meeting provides a rare focus on sharing best practices and findings and advance research in the pathogenesis, prevention, and treatment of liver cancer. Dr. Sapisochin will share his expertise in Transplantation for Cholangiocarcinoma in the Surgery for Primary Liver Cancer session, 5:30 – 6:30 p.m. Saturday September 15. Further details are available at the following... read more

Toronto Presents at IHPBA 2018

Toronto Fellows and Faculty will join international colleagues at the IHPBA Conference in Geneva next week. Participants this year include Toronto HPB/Transplant Fellows Graziano Oldani, and Blayne A. Sayed as well as Fellowship Research Director, Gonzalo Sapisochin. Details are available at the following links:   Dr. Graziano Oldani – Tuesday September 4th, 2018  – Clinical Case and Discussion https://www.ihpba2018.com/post-graduate-course.html Post Graduate Course – Classification/Guideline Driven Management in HPB This course, driven by international classifications and guidelines, focuses on the management of common HPB diseases. Each topic will be presented in a structured way, detailing the rationale of treatment at various stages of the disease, and highlighting modern and new aspects. It is ideal for more junior colleagues (i.e. those still in training and younger surgeons), wishing to broaden their field of knowledge and improve daily practice. Session 4: Bile Duct 2 Moderators: Albert Chan (Hong Kong); Christian Toso (Switzerland)   Free Papers (Mini Oral) – Transplant: LDT/Basic Science – Friday September 7th, 2018 Chairs: Derek Manas (United Kingdom); Mickaël Lesurtel (France) FP26-06 – “Graft Remodelling after Transplantation of Chimeric Mouse/Rat Livers into Rats” Presenting Author: Graziano Oldani (Switzerland)   Dr. Blayne A. Sayed – HPB General  – Electronic Poster Tricks of the Trade – E-Posters are available to view throughout the congress open hours at designated workstations located in the Exhibition Hall 3 E-poster: A Technique for Decreasing Delayed Gastric Emptying in the Setting of Pancreatic Fistula Presenting Author: Blayne Amir Sayed (Canada)   Dr. Gonzalo Sapisochin – Wednesday September 5th, 2018 https://www.ihpba2018.com/meet-the-professor.html Meet the Professor – Meet the Professor breakfast sessions allow delegates to meet in a small group... read more