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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.
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2021 ADVANCED COURSES
Video-assisted and Thoracoscopic Procedures
Robotic-assisted Thoracic Surgery
Offline registration
Download registration form and send it by emailto 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
Offline registration
Download registration form and send it by emailto 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
Thoracic Surgery
Advanced Course in Video-assisted and Thoracoscopic Procedures
Advanced Course in Robotic-assisted Thoracic Surgery
Please select a date
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)
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?
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
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
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
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
- Left approach
- Right approach
- Bilateral approach
- Subxiphoid
- The robotic surgeon standpoint
- 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
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 B7.45 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?
Lunch-buffet at the institute
End of course
Delivery of certificates of attendance
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
- Review of Literature
- 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
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
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