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2022 ADVANCED COURSES
Video-assisted Thoracic Surgery - VATS and RATS
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
Course accreditation
An application has been made to the UEMS EACCME
for CME accreditation of this event

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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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Thoracic Surgery

Advanced Course in Video-assisted Thoracic Surgery - VATS and RATS

Advanced Course in Robotic-assisted Thoracic Surgery



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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

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 DIRECTORS

D. Gossot (FR) - J.M. Baste (FR) - P.E. Falcoz (FR)

FACULTY PANEL

K. Amer (GB) - T. Batchelor (GB -  F. Becmeur (FR) - G. Boddaert (FR) - E. Brian (FR) - H. Decaluwé (BE) - T.L. Demmy (US) - J. Dunning (GB) - M. Durand (FR) - R. Flores (US) - D. Gonzalez Rivas (ES) - M. Grigoroiu (RO) - C.C Huang (TW) - S. Jheon (KR) - T. Kohno (JP) - F. Melfi (IT) - C. Peillon (FR) - R. Petersen (DK) - K. Pfeuty (FR) - A. Seguin (FR) - A. Sihoe (HK) - S. Swanson (US) - M. Tedde (BR) - P.A. Thomas (FR) - W. Walker (GB) - J.M. Wihlm (FR) - H.S. Wu (TW) - K. Zannis (FR)

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)

FACULTY

I. Bouabdallah (FR) - J. Dunning (GB) - D. Gossot (FR) - D. Oh (US) - P.B. Pages (FR) - G. Veronesi (IT) - K. Yasufuku (CA)

COURSE PROGRAMME

THURSDAY MARCH 24

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

8.05 AM Theoretical session
CURRENT AND FORTHCOMING TECHNOLOGIES FOR ADVANCED THORACOSCOPIC PROCEDURES
  1. Electromagnetic bronchial navigation for surgeons    
  2. Current instrumentation and imaging systems    
  3. Forthcoming instrumentation and imaging systems    
  4. Preoperative modelisation: applications for major pulmonary resections
CURRENT AND FORTHCOMING TECHNOLOGIES FOR ROBOTICALLY ASSISTED PROCEDURES
Different approaches : Pro and Cons
  1. Single port thoracoscopic approach     
  2. Multiport anterior thoracoscopic approach     
  3. Multiport Thoracoscopic posterior approach     
  4. Subxyphoid Thoracoscopic approach     
  5. Alternate and less usual approaches     
  6. Robotically assisted
Post-operative management at the time of Minimally invasive techniques
  1. Chest tube management
  2. RAAC  for VATS and RATS
  3. Pain management: Open vs VATS vs RATS
1.00 PM Lunch at the Institute

2.00 PM Video session
TIPS AND TRICKS
  • Exposure
  • Vascular control
  • Fissure and parenchymal division
FOR OPTION B AND OPTION C
3.00 PM Practical session
TRAINING ON LIVE TISSUE (MINI-PIGS)

VATS procedures
  1. Fissure completion
  2. Incision and opening of the mediastinal pleura overlying the left lung hilum
  3. Dissection of the common pulmonary vein and cranial lobar vein
  4. Division of the cranial lobar vein with linear autostaplers or vessel-sealing devices
  5. Dissection and division of the cranial lobar bronchus with linear autostaplers
  6. Dissection of the pulmonary arteries one by one and dividing them with linear autostaplers or vessel-sealing devices
  7. Left caudal lobectomy
6.30 PM End of session

FRIDAY MARCH 25

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

8.00 AM Lecture
Introduction to sublobar resections

8.30 AM Video session
VATS and RATS lobectomies
Main technical steps and tricks with different standpoints
  1. Lower lobectomy
  2. Right upper lobectomy
  3. Left upper lobectomy  
  4. Middle lobectomy
  5. Two “easy” segmentectomies: lingulectomy / S6
  6. Complex segmentectomies
  7. Lymph node dissection   
12.00 PM Lunch at the Institute

1.00 PM Video session
VATS and RATS thymectomies
Main technical steps and tricks with different standpoints
  1. Thoracoscopic left approach
  2. Thoracoscopic bilateral approach
  3. Thoracoscopic subxyphoid approach
  4. Robotic approach       
FOR OPTION B
2.00 PM Practical session
TRAINING ON LIVE TISSUE (MINI-PIGS)

VATS procedures
  1. Fissure completion
  2. Incision and opening of the mediastinal pleura overlying the left lung hilum
  3. Dissection of the common pulmonary vein and cranial lobar vein
  4. Division of the cranial lobar vein with linear autostaplers or vessel-sealing devices
  5. Dissection and division of the cranial lobar bronchus with linear autostaplers
  6. Dissection of the pulmonary arteries one by one and dividing them with linear autostaplers or vessel-sealing devices
  7. Left caudal lobectomy
FOR OPTION C
2.00 PM Practical session
TRAINING ON LIVE TISSUE (MINI-PIGS) AND SIMULATORS

RATS procedures
Development of technical skills in RATS : from basics skills and procedural skills using virtual simulation to live model with LUL and lymphadenectomy in pig model

5.30 PM End of session

8.00 PM Dinner in honor of the participants

SATURDAY MARCH 26

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

8.30 AM Theoretical session
Advanced techniques and technologies
  1. Training on animal model
  2. Training on cadaver model
  3. Simulation for the VATS surgeon
  4. Preventing and simulating complications (conference)
Troubleshooting complications in VATS and RATS surgery: description, management and prevention
  1. Lessons learned from a european survey
  2. My complications: how many? What did occur? How I did manage it? Which lesson?
12.00 PMLunch at the institute
End of course
Delivery of certificates of attendance
Programme may be subject to modifications

THURSDAY SEPTEMBER 8


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

1.30 PM Hands-on training on live tissue (mini-pigs) and simulators

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 9


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
    • Surgical CRM (crisis resource management) 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

1.30 PM Hands-on training on live tissue (mini-pigs) and simulators

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

Programme may be subject to modifications