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2020 ADVANCED COURSE
Advanced Thoracic Surgery Course - VATS and RATS
2021 ADVANCED COURSES
Video-assisted and Thoracoscopic Procedures
Robotic-assisted Thoracic Surgery

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Download registration form and send it by email
to thorax.eits@ircad.fr or by fax +33 3 88 11 90 28
CONTACT US       BY EMAIL       BY PHONE: +33 3 88 11 90 17

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If you wish to register via the registration form,
please send us an email
CONTACT US       BY EMAIL       BY PHONE: +33 3 88 11 90 17

Offline registration

Download registration form and send it by email
to thorax.eits@ircad.fr or by fax +33 3 88 11 90 28
CONTACT US       BY EMAIL       BY PHONE: +33 3 88 11 90 17
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Thoracic Surgery

20
CVS
TPPT

Advanced Thoracic Surgery Course
VATS and RATS

Advanced Course in Video-assisted and Thoracoscopic Procedures

Advanced Course in Robotic-assisted Thoracic Surgery



Please select a date

COURSE OBJECTIVES

  • To cover a broad spectrum of surgical procedures in VATS and RATS procedures
  • To provide indications for surgical treatment and discuss operative complications
  • To allow for a real-time discussion between experts and trainee surgeons
  • To provide hands-on sessions to improve skills in VATS / RATS surgery through practice on live tissue (mini-pigs) or anatomical specimens under expert tutorial
  • To describe postoperative clinical results and practical applications of evidence-based clinical medicine

EDUCATIONAL METHODS

  • Interactive theoretical and video sessions between Faculty and course participants
  • Pre-recorded operative demonstrations
  • Training on live tissue (mini-pigs) or anatomical specimens under expert tutorial

TARGET AUDIENCE

thoracic surgeons, cardio-thoracic surgeons, pediatric surgeons, general surgeons

COURSE DIRECTORS

J.M. Baste (F) - D. Gossot (F)

FACULTY PANEL

K. Amer (UK), T. Batchelor (UK), F. Becmeur (F), E. Brian (F), H. Decaluwé (B), T.L. Demmy (USA), J. Dunning (UK), M. Durand (F), R. Flores (USA), D. Gonzalez Rivas (SP), C.C Huang (TW), S. Jheon (KOR), T. Kohno (J), F. Melfi (I), C. Peillon (F), R. Petersen (DK), A. Seguin-Givelet (F), A. Sihoe (HK), S. Swanson (USA), M. Tedde (BR), P.A. Thomas (F), W. Walker (UK), J.M. Wihlm (F), H.S. Wu (TW)

COURSE OBJECTIVES

More and more surgeons are showing interest in advanced video-assisted thoracoscopic procedures, yet many of them are still unsure of how to embark on this challenging program. The aim of this course is to go into technical details, tips and tricks and to share experience with experts. As thoracoscopic surgery presents a wide range of operative possibilities, with options such as hybrid video-assisted techniques or pure endoscopic ones, international experts in these different approaches will share their experience and discuss the pros and cons of each technique. For participants interested in training, hands-on sessions on live tissue (option B), as well as initiation on robots (option B) are organized. The program does not focus on theoretical aspects of advanced thoracoscopic procedures that can be easily found in congresses, such as theoretical background of VATS, benefits and limitations of VATS, analysis of results, controversies about indications...

HIGHLIGHTS

  • Technological aspects: the course will focus on practical technological aspects such as instrumentation, energy source and tissue approximation technologies,operating room set-up, robotics. 
  • Approaches: use and location of access incisions, their benefits and limitations. 
  • Tips and tricks. 
  • Complications: one major session of the course will be devoted to the analysis and management of complications, based on videos.

TARGET AUDIENCE

This curriculum is designed to meet the requirements of experienced thoracoscopic surgeons, who are considering starting a VATS program and who seek practical and helpful information. Fellows and residents as well as thoracic surgeons with limited experience in advanced thoracoscopic procedures will also benefit from sharing their experience with experts and colleagues.

COURSE DIRECTOR

D. Gossot (FR)

FACULTY PANEL

K. Amer (UK), T. Batchelor (UK), F. Becmeur (F), E. Brian (F), H. Decaluwé (B), T.L. Demmy (USA), J. Dunning (UK), M. Durand (F), R. Flores (USA), D. Gonzalez Rivas (SP), C.C Huang (TW), S. Jheon (KOR), T. Kohno (J), F. Melfi (I), C. Peillon (F), R. Petersen (DK), A. Seguin-Givelet (F), A. Sihoe (HK), S. Swanson (USA), M. Tedde (BR), P.A. Thomas (F), W. Walker (UK), J.M. Wihlm (F), H.S. Wu (TW)

For nearly 30 years, advances in minimally invasive surgery have demonstrated several benefits for patients. Robotic surgery has emerged as the most advanced minimally invasive platform, with notable improvements over thoracoscopic surgery, including better illumination, superior dexterity, more versatile stapling technology, and improved energy devices. Over the last two decades in the evolution of robotic surgery, several techniques of practice standardization have been explored.

COURSE OBJECTIVES & HIGHLIGHTS

  • to describe the latest practices in standardization of common and complex robotic thoracic procedures
  • to provide a primer in building of robotic surgical teams
  • to emphasize non-technical skills that are important in developing a robotic thoracic program
  • to provide an opportunity for networking and interactions between trainees and experts 
  • to share ideas and experiences in developing and advancing robotic thoracic programs

EDUCATIONAL METHODS

  • Full immersion in outstanding facilities
  • Interactive theoretical and video sessions between Faculty and course participants
  • 2 half days robotic surgery training and practice on live tissue + cadavers if option C is chosen, including the latest generation of da Vinci® robotic systems

COURSE DIRECTORS

J.M. Baste (FR)
W.C. Hanna (CA)

COURSE PROGRAM

THURSDAY MARCH 25

FOR OPTION A AND OPTION B
8.00 AM Registration and welcoming of participants

8.30 AM Theoretical session
CURRENT AND FORTHCOMING TECHNOLOGIES FOR ADVANCED THORACOSCOPIC PROCEDURES
  • Current instrumentation and imaging system
  • Preoperative modelisation : concept and development
  • Preoperative modelisation : applications for VATS major pulmonary resections
  • Electromagnetic Navigation Bronchoscopy for the VATS surgeon
  • Simulation for the VATS surgeon  
  • The future operating room of the VATS surgeon
  • How the Industry will help?
VATS : ONE NAME, DIFFERENT TECHNIQUES
The rationale fundamentals for various approaches
  • Single port technique
  • Thoracoscopic anterior approach
  • Thoracoscopic posterior approach
  • Subxiphoid approach
  • Alternative techniques
12.30 PM Lunch at the Institute

1.30 PM Video session
TIPS AND TRICKS
  • Exposure
  • Vascular control
  • Fissure and parenchymal division
FOR OPTION B (Option A: end of afternoon free)
2.30 PM Pre Lab Video Session:
Pre-surgical marking for segmentectomies using ENB

3.00 PM Practical session: TRAINING ON LIVE TISSUE (PIGS)
VATS procedures:
  • Completion of the fissure
  • Incision and open of the mediastinal pleura overlying the left lung hilum
  • Dissection of the common pulmonary vein and cranial lobar vein
  • Division of the cranial lobar vein with endo-GIA autostaplers or Ligasure
  • Dissection and division of the cranial lobar bronchus with linear autostaplers
  • Dissection of the pulmonary arteries one by one and division them with linear autostaplers or vessel-sealing devices
  • Left caudal Lobectomy.
  • Initiation to robotic surgery
  • Initiation to Electromagnetic Navigation Bronchoscopy with superDimension
6.30 PM End of session for OPTION B

FRIDAY MARCH 26

FOR OPTION A AND OPTION B
7.45 AM Evaluation of the previous day

8.00 AM Video session
THORACOSCOPIC LOBECTOMIES: HOW I DO IT?
Main technical steps and tricks with different standpoints
- Lower lobectomies
- Right Upper lobectomy
- Left Upper lobectomy
- Middle lobectomy
- Lymph node dissection

12.30 PM Lunch at the Institute

1.30 PM Video session
THORACOSCOPIC THYMECTOMIES
  1. Left approach
  2. Right approach
  3. Bilateral approach
  4. Subxiphoid
  5. The robotic surgeon standpoint
  6. Repairing the phrenic nerve
FOR OPTION A
2.30 PM Video session
Advanced procedures and/or unusual cases

FOR OPTION B
2.30 PM Practical session
TRAINING ON LIVE TISSUE (PIGS)
VATS procedures:
  • Completion of the fissure
  • Incision and open of the mediastinal pleura overlying the left lung hilum
  • Dissection of the common pulmonary vein and cranial lobar vein
  • Division of the cranial lobar vein with endo-GIA autostaplers or Ligasure
  • Dissection and division of the cranial lobar bronchus with linear autostaplers
  • Dissection of the pulmonary arteries one by one and division them with linear autostaplers or vessel-sealing devices
  • Left caudal Lobectomy.
  • Initiation to robotic surgery
  • Initiation to Electromagnetic Navigation Bronchoscopy with superDimension
5.00 PM End of session for OPTION A

6.30 PM End of session for OPTION B

8.00 PM Dinner in honor of the participants

SATURDAY MARCH 27

FOR OPTION A AND OPTION B
7.45 AM Evaluation of the previous day

8.00 AM Theoretical session
ROBOTIC THORACIC SURGERY
  • Principles
  • Lobectomies
  • Mediastinal tumors
DEBATES: robotic and thoracic surgery: pros & cons

TROUBLESHOOTING COMPLICATIONS: DESCRIPTION, MANAGEMENT AND PREVENTION
  • My complications: how many? what happened? how I did manage it? which lesson?
12.00 PM
Lunch-buffet at the institute
End of course
Delivery of certificates of attendance
Program may be subject to modifications

THURSDAY SEPTEMBER 9


FOR OPTION B AND OPTION C
7.45 AM Registration and welcoming of participants

8.00 AM Didactic lectures
  • History and Development of Robotic Surgery
  • Robotic Anatomic Lung Resection
    • Review of Literature
    • Standard Robotic Lobectomy (5 lobectomies)
    • Segmentectomy and Complex Image-Guided Segmental Resection
    • Advanced and Complex Procedures: Sleeve Resections, Pancoast Tumors
  • Robotic Resection of Anterior Mediastinal Tumors
    • Review of Literature
    • Thymectomy for Myasthenia Gravis
    • Thymectomy for Early-Stage Thymoma
    • Thymectomy for Advanced-Stage Thymoma
12.30 PM Lunch at the institute

FOR OPTION B AND OPTION C
1.30 PM Hands-on training on live tissue (mini-pigs)

Two to three trainees paired with an expert on a training robot to perform pulmonary lobectomy and thymectomy

6.00 PM End of the session

8.00 PM Dinner in honor of the participants

FRIDAY SEPTEMBER 10


FOR OPTION B AND OPTION C
7.45 AM Evaluation of the previous day

8.00 AM Didactic lectures
  • Robotic Resection of Middle and Posterior Mediastinal Tumors
  • Robotic Esophagectomy: different approaches
  • Robotic Training
    • Technical skills
    • Educational and Evaluation Models
  • Safety and Performance Measurement
    • Non-Technical Skills in Robotic Surgery
    • Data Collection and Quality Improvement Initiatives
    • CRM in Robotic Surgery
  • Research and Innovation in Robotic Thoracic Surgery
    • Medico-economic evaluation
    • New instruments and Future Innovations
    • New and Emerging Robotic Platforms
12.30 PM Lunch at the institute

FOR OPTION B
1.30 PM Hands-on training on live tissue (mini-pigs)

FOR OPTION C
1.30 PM Hands-on training on cadavers

Two to three trainees paired with an expert on a training robot to perform pulmonary lobectomy and thymectomy

6.00 PM End of the course
Delivery of certificates of attendance

Program may be subject to modifications