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Video-assisted and Thoracoscopic Procedures
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to thorax.eits@ircad.fr or by fax +33 3 88 11 90 28
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Course accreditation
An application has been made to the UEMS EACCME
for CME accreditation of this event

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Thoracoscopic Surgery

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.

Please select a date

Advanced Course in Video-assisted and Thoracoscopic Procedures

TARGET AUDIENCE

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

The course will focus on :
- Technological aspects (instrumentation, energy source, operating room set-up, robotics..)
- Approaches,  use and location of access incisions, their benefits and limitations.
- All major pulmonary resections including segmentectomies and advanced procedures (all procedures are described step by step by 2 experts using different techniques)
- Tips and tricks
- Analysis and management of complications

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 (F)

GUEST FACULTY

K. Amer (UK), JM. Baste (F), 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), N. Santelmo (I), A. Sihoe (HK), L. Soler (F), S. Swanson (USA), M. Tedde (BR), P.A. Thomas (F), W. Walker (UK), H.S. Wu (TW)

THURSDAY APRIL 4

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 APRIL 5

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 APRIL 6

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