Hi!
Do you mind me asking who the surgeon at JH was? If not permitted, I understand.
This was my father's situation. He was scheduled for a Whipple and due to a solitary met in the liver, was no longer offered the surgery. We were all heartbroken. Instead, the surgeon did a gastric bypass and biliary bypass (so that my father could eat), and no resection. We consulted a surgeon at NYU ( who came from JH), and he said he would operate in that scenario. Unfortunately, this was after the the bypass surgeries left my father off of systemic treatment for two months, and the cancer progressed further in the liver. I am so upset to feel a surgical opportunity was there to potentially save his life. I know once considered metastatic, the standard thinking is that surgery is no longer a curative option, and that being off of systemic treatment to recover is more harmful. In this case, he had to remain off treatment to recover, regardless... so why no resection?