Laparoscopic General Surgery Intensive Course

2019, January 28 - February 01

COURSE OBJECTIVES

  • to provide the basic knowledge required for safe use of laparoscopic surgery
  • to describe all technical (instruments, trocars, energy sources...) and physiology principles of laparoscopic surgery
  • to critically review the most common laparoscopic surgical procedures
  • to learn or improve laparoscopic skills by repeatedly practicing suturing, knots tying and surgical procedures during hands-on sessions


UNIVERSITY DIPLOMA - optional

Evaluation through theoretical exams and practical tests at the end of the Intensive Course session leads to the delivery of a "University Diploma in Laparoscopic Surgery" awarded by the University of Strasbourg.

The course registration fees do not include the Strasbourg University Diploma registration (optional).
University Diploma registration fees: approx. 430 €.
Payment must be done exclusively on the spot by cash in Euros only. Credit card payment is not accepted.

Monday

8.45 am Registration and welcoming of participants

EQUIPMENT
× Operating theater / choice of equipment
× The laparoscopic cart: insufflator - light source - camera
× Conventional and new laparoscopic instrumentation
× Energy sources: electrosurgery - ultrasonic dissection - thermofusion
× An integrated concept: “intelligent” OP room

BASIC PRINCIPLES OF LAPAROSCOPIC SURGERY
× Operative room organization
× Pneumoperitoneum
× Trocars - Exposure
× Sutures and Knots
× Anastomotic devices

LAPAROSCOPY FOR ABDOMINAL EMERGENCIES

1.00 pm Lunch at the Institute

2.00 pm OPTION 1 : TRAINING ON LIVE TISSUE (MINI-PIGS)
× Basic principles: insufflation - positioning of trocars - open laparoscopy - exposure - dissection - stapling - stitching and suturing
× Small bowel resection and anastomoses
× Gastrojejunostomy
× Cholecystectomy

OPTION 2 : LAPAROSCOPIC SUTURE TRAINING
× In auditorium : basics of laparoscopic suturing and demo
× In experimental lab :
- Evaluation of skills
- Training on dry boxes and ex-vivo tissues

6.30 pm End of session

Evening free

Tuesday

7.45 am Evaluation of the previous day

8.00 am
LIVE SURGERY : TAPP &TEP INGUINAL HERNIA REPAIR

LAPAROSCOPIC HERNIA REPAIR

× Rationale of the laparoscopic approach and open surgical techniques
× Ventral and incisional hernia : current techniques

LAPAROSCOPIC BILIARY SURGERY
× Cholecystectomy
× CBD Stone: principles of management
× Acute cholecystitis
× Complications and prevention of bile duct injuries

1.00 pm Lunch at the Institute

2.00 pm TRAINING ON LIVE TISSUE (MINI-PIGS)
× TAPP Inguinal hernia repair
× Dissection of the common bile duct
× Choledocotomy
× Roux-en-Y choledoco-jejunostomy
× Splenectomy

6.30 pm End of session

Evening free

Wednesday

7.45 am Evaluation of the previous day

8.00 am
LIVE OR PRE-RECORDED OPERATIVE DEMONSTRATIONS
(depending on cases)

1.00 pm Lunch at the Institute

2.00 pm TRAINING ON LIVE TISSUE (MINI-PIGS)
× Stapled gastrojejunostomy
× Roux-en-Y choledoco-jejunostomy
× Hiatoplasty and fundoplication
× Dissection of the hepatic pedicle
× Initiation training in robotic surgery

6.30 pm End of session

Evening free

Thursday

7.45 am Evaluation of the previous day

8.00 am
FOREGUT SURGERY
Antireflux
× Antireflux procedures for GERD
× Management of complications
× ParaEsophageal hernia repair

Gastric Neoplasia
× Gastrectomy for cancer
× Submucosal tumors

Achalasia
× Laparoscopic Heller myotomy
× Per Oral Endoscopic Myotomy (POEM)

COLORECTAL SURGERY
× Surgical techniques, tips and tricks in left and right colectomy for benign and malignant diseases
× Total Mesorectal Excision in rectal cancer
× Transanal TME
× Transanal Endoscopic Microsurgery (TEM)

1.00 pm Lunch at the Institute

2.00 pm TRAINING ON LIVE TISSUE (MINI-PIGS)
PRACTICAL EVALUATION :

× University Diploma Practical Evaluation
× Free choice of previously performed procedures
× Initiation training in robotic surgery

6.30 pm End of session

8.00 pm Dinner in honor of participants

Friday

7.45 am
PROFICIENCY TEST
For surgeons having applied for the University Diploma
× Multiple Choice Questionnaire for the University Diploma (Université de Strasbourg UDS)

8.45 am Evaluation of the previous day (for all participants)

9.00 am
FUTURE OF MINIMALLY INVASIVE SURGERY

ENDOCRINE SURGERY
× Thyroidectomy
× Parathyroidectomy
× Adrenalectomy

BARIATRIC and METABOLIC SURGERY
× Tailored approach: gastric banding, sleeve gastrectomy and gastric bypass
× Management of common and difficult complications
× Metabolic surgery

1.30 pm Lunch at the Institute

2.30 pm
FLUORESCENCE IMAGING GUIDED SURGERY : THE AUGMENTED EYE

SPLENIC SURGERY
× Indications
× Techniques and technologies in total and partial splenectomy

PANCREATIC SURGERY
× Indications and surgical techniques in benign and malignant pancreatic diseases

LIVER SURGERY
× Indications and surgical techniques in benign and malignant liver diseases

COMPLICATIONS-CLINICAL CASES
× Interactive session

4.30 pm
End of the seminar
Delivery of the certificates of attendance
Delivery of the University diplomas for the successful candidates
Program may be subject to modifications