LAPAROSCOPIC COLORECTAL SURGERY ADVANCED COURSE

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					                                     PROGRAM
          “LAPAROSCOPIIC COLORECTAL SURGERY
          “LAPAROSCOP C COLORECTAL SURGERY
                 ADVANCED COURSE”
                  ADVANCED COURSE”
               DECE MBER 04 & 05 - 2008
               DECE MBER 04 & 05 - 2008




                      C H A IIR M A N
                      CHA RMAN                                     P R E S IID E N T
                                                                   PRES DENT
                       MH. Huang                                  J. Marescaux
               Show Chwan Memorial Hospital                IRCAD – University Louis Pasteur
                    Changhua, Taïwan                            Strasbourg, France

                                     C O U R S E D IIR E C T O R S
                                     COURSE D RECTORS
            RJ. Heald                            J. Leroy                              HS. Wu
     North Hampshire Hospital             University Louis Pasteur         Show Chwan Memorial Hospital
    Basingstoke, United Kingdom              Strasbourg, France                 Changhua, Taïwan

O B J E C T IIV E S
OBJECT VES
             To cover a broad spectrum of surgical procedures in colorectal surgery
             To provide indications for surgical treatment and discuss operative complications
             To highlight technicalities of surgical interventions through the broadcasting of live
            procedures
             To allow real time discussion between the operators and the surgeon trainees
             To provide hands-on sessions improve skills in laparoscopic surgery through the practice on
             live tissue under experts’ tutorials
             To describe postoperative clinical results and practical applications of evidence-based clinical
            medicine

E D U C A T IIO N A L M E T H O D S
EDUCAT ONAL METHODS
             Interactive theoretical and video sessions between faculty and course participants
             Live and pre-recorded operative demonstrations

FACULTY
FACULTY

       Ambrosetti, P. – Switzerland                                     Marks, J. - USA
       Barthelemy, R. - France                                          Mutter, D. – France
       Chen, W. - Taiwan                                                Okuda, J. - Japan
       Demartines, N. - Switzerland                                     Pasupathy, S – Singapore
       Forgione, A. – Italy                                             Perretta, S. - Italy
       Huscher, C. - Italy                                              Ponzano, C. - Italy
       Hsu, B. - Taiwan                                                 Rullier, E. - France
       Kwok, S. - Hong Kong                                             Salky, B. - USA
       Law, LW. – Hong Kong                                             C. Tsai – Taiwan
       Li, M. – Hong Kong                                               Watanabe, M – Japan
                                                                        Zheng, MH. – China




                                                            This program can be subject to modifications
      Thursday, December 04 - 2008
07.45 am    Registration

08.00 am    Welcome to participants and Introduction of the Faculty                      MH. Huang – HS. Wu -
                                                                                                 J. Marescaux
08.10 am    LIVE AND PRE-RECORDED OPERATIVE DEMONSTRATIONS

            Chairmen W. Chen (Taiwan) - RJ. Heald (UK) – J. Marks (USA)
            Operators C. Huscher (I) - J. Leroy (F) – M. Li (HK) - B. Salky (USA)

                          •    Sigmoidectomy
                          •    Left Colectomy
                          •    Right Colectomy
                          •    Total Mesorectal Excision for Cancer (TME)

02.00 pm    Lunch at the institute

03.00 pm    FOR OPTION A : WORKSHOP WITH EXPERTS
                             Chairmen : N. Demartines (CH) – E. Rullier (F) – B. Salky (USA)

           1.     The new anatomy discovered by laparoscopy                                              C. Ponzano – ITA
           2.     Diverticulitis of the left colonic angle                                             P. Ambrosetti – SWI
           3.     Laparoscopic Sigmoidectomy for diverticular disease                                  P. Ambrosetti – SWI
                     a.        Arterial preservation
                     b.        Section of the IMV by the lateral approach
           4.     Laparoscopic surgery for sigmoid cancer                                              M. Watanabe – JAP
           5.     Laparoscopic recto-sigmoid resection                                                 N. Demartines – JAP
                     a.        Rectum too long
                     b.        Anastomosis bubble – what’s next ?
           6.     Knacks and pitfalls of laparoscopic hemicolectomy                                         J. Okuda – JAP
           7.     Laparoscopic splenic flexure mobilization                                                W. Chen – TWN

BREAK – 15’

           8.     Laparoscopic surgery for splenic flexure cancer                                           J. Okuda – JAP
           9.     Laparoscopic treatment of acute large bowel obstruction                                 C. Huscher – ITA
           10.    Laparoscopic complicated diverticulitis with colo vaginal fistula                         B. Salky – USA
           11.    Laparoscopic resection (ileocolic) for Crohn’s disease with colocutaneous fistula         B. Salky – USA
           12.    Laparoscopic Colorectal Surgery in high risk individuals – results and indications        J. Marks – USA
           13.    Right colectomy for oesophago-coloplasty                                                C. Huscher – ITA
           14.    Complex dissections for endometriosis                                                     J. Leroy – FRA

03.00 pm    FOR OPTION B : HANDS-ON TRAINING ON LIVE TISSUE

            Chairman          D. Mutter (FRA)
            Faculty           R. Barthelemy (FRA) – A. Forgione (ITA) –  B. Hsu (TWN) - S. Kwok (HK) –
                              LW. Law (HK) - S. Pasupathy (SIN) - S. Perretta (ITA) – C. Ponzano (ITA) –
                              C. Tsai (TWN)

                          •    Operative strategy
                          •    Right ileo-caecal resection and anastomosis
                          •    Left sigmoid resection with knight anastomosis
                          •    Vascular approach

06.00 pm    END OF THE SESSION
                                                             This program can be subject to modifications
           Friday, December 05 - 2008
                                            M O R N IIN G
                                            MORN NG

08.00 am   FOR OPTION A : WORKSHOP WITH EXPERTS

                                    Chairmen : P. Ambrosetti (SWI) - RJ. Heald (UK) – J. Okuda (JAP)

           1.   Laparoscopic Rectopexy : a good operation to start with                           N. Demartines – SWI
           2.   Triple stapling with washout – possible for both laparoscopic and open surgery,           RJ. Heald – UK
                still the best method for the ultra-low cancer
           3.   Laparoscopic super low rectal resection                                                   J. Okuda – JAP
           4.   Laparoscopic low anterior resection with peranal coloanal anastomosis                      WL. Law – HK
           5.   Extended laparoscopic TME for fixed (T4) rectal cancer                                    E. Rullier – FRA
           6.   The anatomy of the recto-prostatic interface and the effects of radiation on              RJ. Heald – UK
                dissection planes

BREAK – 15’

           7.   Prone Jack knife position and excision of coccyx or part of sacrum for improved access
                to the recto prostatic interface                                                          RJ. Heald – UK
           8.   4 Directional retraction in TME – How to do?                                               J. Leroy – FRA
           9.   Why genital dysfunction after laparoscopic TME ?                                          E. Rullier – FRA
           10. Laparoscopic TATA – Sphincter preservation for the distal 3cm of the rectum                J. Marks – USA
           11. Transanal Endoscopic Microsurgery (TEM)                                            N. Demartines – SWI

08.00 am   FOR OPTION B : HANDS-ON TRAINING ON LIVE TISSUE

           Chairman          D. Mutter (FRA)
           Faculty           R. Barthelemy (FRA) – A. Forgione (ITA) –    B. Hsu (TWN) - S. Kwok (HK) –
                             LW. Law (HK) - S. Pasupathy (SIN)     S. Perretta (ITA) – C. Ponzano (ITA) –
                             C. Tsai (TWN)

                         •    Operative strategy
                         •    Right ileo-caecal resection and anastomosis
                         •    Left sigmoid resection with knight anastomosis
                         •    Vascular approach

11.00 am   BREAK
11.15 am   PLENARY SESSIONS – LECTURES
                         Chairmen : W. Chen (TAIWAN) - N. Demartines (CH) – B. Salky (USA)

11.15 am   TECHNIQUES OF RIGHT AND LEFT LAPAROSCOPIC COLECTOMY
           •    Tricks and techniques                                                                      J. Leroy – FRA
           •    Pitfall and techniques of laparoscopic right hemicolectomy                               MH. Zheng – CHI
           •    Laparoscopic left colectomy                                                               B. Salky – USA
           •    Splenic flexure : Mobilization by opening the gastro-colic ligament                      C. Huscher – ITA

12.30 pm   NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY (NOTES)
           •    An attractive or alarming new concept?                                             J. Marescaux – FRA
           •    N.O.T.E.S applied to colorectal surgery                                                 J. Leroy – FRA
           •    T.U.E.S : one trocar Sigmoidectomy in human patient                                     J. Leroy – FRA

01.00 pm   LUNCH AT THE INSTITUTE



                                                           This program can be subject to modifications
           Friday, December 05 - 2008
                                        AFTERNOON
                                        AFTERNOON
01.45 Pm   PLENARY SESSIONS – LECTURES
                                   Chairmen : M. Li (HK) – B. Salky (USA) – M. Watanabe (JAP)

1.45 pm    DIVERTICULITIS : INDICATIONS, TECHNIQUES AND OUTCOMES
           •   Indication for surgery                                                              P. Ambrosetti – SWI
           •   Functional results after elective laparoscopic sigmoid resection                       A. Forgione – ITA
           •   Acute peritonitis : laparoscopic conservative approach                                 A. Forgione – ITA

2.15 pm    INFLAMMATORY BOWEL DISEASE
           •   Laparoscopic resection in Crohn’s disease                                                   B. Salky – USA
           •   Laparoscopic coloprotectomy for inflammatory bowel disease (IBD)                            B. Salky – USA

2.45 pm    COLON CANCER
           •   Standardization of surgical technique                                                   W. Chen – TWN
           •   Laparoscopic colectomy for colonic obstruction                                           WL. Law – HK
           •   Current status of laparoscopic surgery for colorectal cancer                            J. Okuda – JAP
           •   How to prevent anastomosis leakage in laparoscopic anterior resection                   J. Okuda – JAP


3.25 pm    RECTAL CANCER
           •   The autonomic nerves of the pelvis – The anatomy of human sex                            RJ. Heald – UK
           •   Open TME – What can be learned to improve laparoscopic approach?                         RJ. Heald – UK
           •   Laparoscopic TME                                                                     M. Watanabe – JAP
           •   Knacks of laparoscopic TME                                                               J. Okuda – JAP
           •   Complications of laparoscopic rectal surgery                                           MH. Zheng – CHI
           •   Laparoscopic TME : sphincter preservation with colonic pouches                          E. Rullier – FRA

4.30 pm    CLOSING LECTURE                                                                                 RJ. Heald – UK
           Skeletons in the cupboard or “When bad things happen to good surgeons”

5.00 pm    CONCLUSION OF THE COURSE

5.00 pm    End of the course
           •   Delivery of the certificates of attendance




                                                            This program can be subject to modifications