
HPB Cancer Training Pathway
The ESSO Training Pathway in Hepato-Pancreato-Biliary (HPB) Cancer Surgery is designed to develop technical expertise and multidisciplinary decision-making skills through specialised courses on liver surgery, pancreatic anatomy, and advanced pancreatic procedures. Participants can choose to follow liver or pancreatic courses, or both.
What's included
In addition to the mandatory and optional courses, the pathway includes a short observership and culminates with the awarding of an ESSO Certificate of Competence, with the option to take the recommended EBSQ examination. Designed to recognise your expertise and commitment to evidence-based HPB cancer surgery, it’s the ultimate step toward excellence in surgical oncology.
Related courses
Basics of Oncology for Surgeons
Level 1
Mandatory
Annual
In person
This interactive in-person programme equips young surgeons with core knowledge and skills in surgical oncology. Organised once per year, this course provides a solid foundation in cancer biology, prevention, surgical techniques, and the role of the surgical oncologist within a multidisciplinary team. Through plenary lectures and discussion sessions, participants will explore cancer progression, early diagnosis, multimodal treatment strategies, and ethical, patient-centred care. The course also emphasizes cancer screening and prevention, with reference to the Europe's Beating Cancer Plan.
Liver pathway: Basics of Liver Surgery
Level 1
Mandatory
Annual
In person
This 2-day course is organised yearly and it covers core liver surgery topics through a blend of theoretical sessions and hands-on practice. Mornings focus on essential concepts like liver anatomy, physiology, imaging, and surgical principles, while afternoons provide practical training with virtual planning tools, ultrasound on models, and liver resection techniques. The program also includes video demonstrations, MDT case discussions, and plenary lectures, emphasizing complication management and intraoperative ultrasound use.
Pancreatic pathway: Surgical Anatomy Course on Pancreatic Cancer Surgery
Level 1
Mandatory
Annual
In person
This annual hands-on workshop offers a comprehensive update on surgical anatomy and operative techniques for pancreatic cancer treatment within an evidence-based, multidisciplinary framework. Participants engage in practical sessions using anatomical specimens, cadavers, and 3D models, supported by a pre-course e-learning module, plenary lectures, and MDT case discussions. Key topics include complication management, pancreatic cystic lesions, borderline and locally advanced pancreatic ductal adenocarcinoma (PDAC), and neuroendocrine tumours.
Liver pathway: Liver Surgery Hands-on Course
Level 2
Mandatory
Annual
In person
Organised yearly, this hands-on workshop provides an in-depth understanding of functional liver anatomy and operative techniques essential for liver tumour surgery. Participants will explore surgically relevant liver diseases, diagnostics, perioperative care, radiological interventions, and transplantation within a multidisciplinary, evidence-based setting. The course includes cadaver sessions, educational videos, a 3D anatomy atlas, case discussions, and plenary lectures. Key topics cover liver anatomy and variations, tumour biology, primary and secondary liver tumours, and practical tips for intraoperative ultrasound, vascular resection, biliary reconstruction, and advanced surgical procedures.
Pancreatic pathway: Pancreatic Cancer Surgery
Level 2
Mandatory
Annual
In person
This annual advanced course provides insight into key and controversial aspects of pancreatic cancer surgery, highlighting the latest advances in multidisciplinary management. Participants will explore innovative surgical techniques, complication management, and areas of uncertainty regarding surgical indications and timing for pancreatic neoplasms. Educational methods include plenary lectures, photo/video discussions, MDT case reviews, and hands-on 3D model workshops. Topics cover diagnosis and treatment of resectable, borderline, and locally advanced pancreatic cancer, vascular and anastomotic techniques, complication management, postoperative care, and management of IPMN and pancreatic NET.
Abdominal Surgery – Surgical Technique Hands-on Course
Level 1
Optional
Annual
In person
Organised each year, this hands-on workshop focuses on the surgical anatomy of abdominal organs and vessels, integrating practical dissection with interactive discussions on management challenges. Using specially embalmed bodies, participants will apply oncological surgical techniques, learning key pearls and pitfalls for each organ. The course includes video sessions, plenary lectures, and a pre-course 3D surgical anatomy atlas to enhance anatomical knowledge and surgical skills. Objectives cover cardiovascular access to abdominal organs and advanced oncologic surgical techniques.
Artificial Intelligence in Healthcare
Level 1
Optional
Annual
In person
Artificial Intelligence (AI) is transforming healthcare, offering tools that enhance both clinical efficiency and patient care. In this hands-on workshop which is taking place once per year, interested surgeons and radiologists will explore how AI works, learn to train models for real-world applications, and apply their medical expertise to develop practical solutions using clinical data, images, and reports.
This workshop offers a hands-on introduction to AI in medicine, covering model types, tasks, real-world use cases, and the role of clinical expertise. Participants will use Python tools to work with public datasets, analyse medical images, and create 3D organ models for surgical planning. The course includes plenary lectures and practical exercises.
Fluorescence-Guided Surgery
Level 1
Optional
Biennial
In person
Organised every 2 years, this course offers essential and advanced insights into fluorescence-guided surgery. It is focusing on tumour and lymphatic imaging, sentinel lymph node detection, visualization of vital structures (bile ducts, ureters, nerves), and tissue perfusion assessment. Participants will explore both standard and targeted imaging agents (e.g., antibody-, peptide-, nanobody-based) and gain practical experience in open, laparoscopic, and robotic settings.
Hands-on sessions using different fluorophores and imaging systems are complemented by plenary lectures on key topics, including lymphatic and tumour imaging, perfusion assessment, and intraoperative navigation of vital structures.
Related webinars
To complement your knowledge gained through the Training Pathway courses, ESSO recommends following optional webinars covering both specialty-specific and transversal topics. These webinars provide in-depth insights, may include interactive case discussions, and are designed to enhance clinical understanding and support continuous professional development.
Short-term observership
To enhance their training, candidates in the HPB Training Pathway are invited to independently arrange a short-term observership at an ESSO-approved unit for training. Lasting 1 to 3 months, this self-organised observership can include access to operating theatres, outpatient consultations, MDT meetings, and research activities. Direct clinical involvement is not anticipated.
ESSO Certificate
The ESSO Certificate of Competence is awarded upon successful completion of the full Training Pathway, including all mandatory courses, a short-term observership, and the EBSQ Examination. It recognises a surgeon’s advanced knowledge and skills in evidence-based surgical oncology within their chosen specialty.
EBSQ examination recommendation
Each year, the European Union of Medical Specialists (UEMS) organises the European Board of Surgery Qualification (EBSQ) Examination in Surgical Oncology. As part of the ESSO HPB Training Pathway, participants are invited to take this exam to complete their Training Pathway.