Laparoscopic and Transanal Colorectal Supermaster Course

2020, June 04 - 06
1. Course Registration
3190 €
1980 €
1090 €
2. Hotel accommodation
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Including 3 nights in the HARAS HOTEL****, breakfast and city tax:

2020, June 03
2020, June 06
in a


Bookings are made on a first-come, first-served basis.
In case of unavailability, we shall make our best to reaccommodate you in a nearby hotel of equal standard
Deadline for hotel bookings is 10 days before the course. After that point, IRCAD cannot guarantee room availability.
Including 3 nights in the HARAS HOTEL****, breakfast and city tax:

2020, June 03
2020, June 06
in a


Bookings are made on a first-come, first-served basis.
In case of unavailability, we shall make our best to reaccommodate you in a nearby hotel of equal standard
Deadline for hotel bookings is 10 days before the course. After that point, IRCAD cannot guarantee room availability.
Total price:
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COURSE OBJECTIVES

The course will be focused on the treatment of colorectal cancer patients with the following objectives:
  • To improve surgical and oncological outcomes in colorectal surgery
  • To learn about modern technologies for preoperative diagnosis and planning
  • To learn about new technologies for intraoperative navigation and manipulation
  • To improve multimodal colorectal cancer treatment
  • To undertake hands-on practice on pelvic trainer, live tissue (mini-pigs) and anatomical specimens in the experimental lab


COURSE DIRECTOR

J. Marescaux (F - RW)

FACULTY PANEL

P. Ambrosetti CH. - R. Barthelemy FR. - M. Chand UK. - P. Chasserant FR. - G. Choi KOR. - F. Corcione I. - A. Forgione I. - R. J. Heald UK. - M. Ito JAP. - S.-H. Kim KOR. - D. Koh SGP. - A. Melani BR. - J. Okuda JAP. - E. Parra Davila USA. - L. Romagnolo BR. - E. Rullier FR. - B. Salky USA. - X. Serra Aracil SP. - P. Sylla USA.



THURSDAY

7.45 am Registration and welcoming of participants

8.00 am
LIVE AND PRE-RECORDED OPERATIVE DEMONSTRATIONS

  • Right colectomy
  • Total mesorectal excision (TME) for rectal cancer
  • Sigmoid resection for sigmoiditis
  • Robotic right colectomy

12.00 pm Lunch at the Institute

1.00 pm

FOR OPTION A

"SURGICAL TIPS AND TRICKS"  VIDEOS COMMENTED BY THE FACULTY
Discussion around short presentations of difficult or particular cases, pitfalls and technical details of colorectal surgery through pre-recorded operative demonstrations.

FOR OPTION B

TRAINING ON LIVE TISSUE (MINI-PIGS)
  • Operative strategy
  • Right ileo-caecal resection and anastomosis
  • Left sigmoid resection with end to end Knight-Griffen anastomosis
  • Vascular approach
FOR OPTION C

TRAINING ON PELVIC TRAINER & LIVE TISSUE FOR TRANSANAL APPROACH
  • Local resection
  • Purse-string sutures
  • Transanal TME
6.00 pm End of session / Evening free

FRIDAY

7.45 am Evaluation of the previous day

8.00 am

FOR OPTION A

"SURGICAL TIPS AND TRICKS"  VIDEOS COMMENTED BY THE FACULTY
Discussion around short presentations of difficult or particular cases, pitfalls and technical details of colorectal surgery through pre-recorded operative demonstrations.

FOR OPTION B

TRAINING ON LIVE TISSUE (MINI-PIGS)
  • Operative strategy
  • Right ileo-caecal resection and anastomosis
  • Left sigmoid resection with end to end Knight-Griffen anastomosis
  • Vascular approach
FOR OPTION C

TRAINING ON ANATOMICAL SPECIMENS FOR TRANSANAL APPROACH
  • Local resection
  • Purse-string sutures
  • Transanal TME
1.00 pm Lunch at the Institute

2.00 pm

THEORETICAL SESSION / FOR OPTION A, B and C

VIDEO SESSION 1: LAPAROSCOPIC COLECTOMY: TECHNICAL PEARLS
  • Laparoscopic right colectomy
  • Understanding the splenic flexure – embryology is the key once again
  • Laparoscopic left colectomy and sigmoid resection: standard steps for benign and malignant diseases
  • Metallic stent for right or left side obstructing cancer: impact on oncological outcomes
  • Transverse colectomy with total mesocolic excision for cancer
  • Colorectal surgery in the morbidly obese
  • Q&A
SESSION 2: LAPAROSCOPIC COLONIC RESECTION FOR BENIGN DISEASE
  • Diverticular disease: no, the elective surgeon is not dead!
  • Functional outcomes in symptomatic colonic diverticular disease: preoperative, intraoperative, and postoperative issues
  • Laparoscopic management of complex fistulas in Crohn's disease
  • Combined Laparoscopic and Endoscopic Surgery (CELS) for the resection of benign colonic polyps unresectable using conventional colonoscopy
  • Management of rectal prolapse
  • Q&A
SESSION 3: LAPAROSCOPIC PROCTECTOMY: TECHNICAL PEARLS
  • Lessons learned from open TME
  • 6-step approach for laparoscopic TME
  • Sphincter-saving approaches during laparoscopic TME
  • Recent changes in laparoscopic anus-preserving operation for rectal cancer
SESSION 4: ROBOTIC TME
  • Robotics for rectal cancer: more than a fantastic toy, especially for superobese patients
  • Tips and tricks in robotic TME
6.00 pm End of session

8.00 pm Dinner in honor of Participants and Faculty

SATURDAY

7.45 am Evaluation of the previous day

8.00 am
THEORETICAL SESSION / FOR OPTION A, B and C

SESSION 5: TRANSANAL ENDOSCOPIC SURGERY (TES)

  • TES toolkit, preparation and technical steps
  • Essential surgical anatomy and step-by-step procedures in performing TaTME
  • Transanal endoscopic surgery for giant and huge rectal adenomas
  • The evolution of advanced transanal surgery from TAMIS to TaTME

SESSION 6: DEBATES
  • What is the best approach for Total Mesorectal Excision (TME)?
    • Laparoscopic TME is superior to open TME
    • Robotic TME is superior to laparoscopic TME
    • TaTME will replace both
  • Complete clinical response following neoadjuvant treatment for rectal cancer
    • Watch and Wait
    • Local excision and/or radical resection
  • One-port surgery: a less invasive approach
    • Pros
    • Cons
  • Segmental resections for the treatment of endometriosis
    • Pros
    • Cons
SESSION 7: PREVENTING AND MANAGING INTRAOPERATIVE AND POSTOPERATIVE COMPLICATIONS
  • Management of intraoperative complications
  • Laparoscopic treatment of postoperative bleeding, leak, occlusion and all misery
  • Bleeding from the pre-sacral region
  • Local recurrence – an avoidable complication?
  • Complicate acute fistulas - How to manage?
  • Management of anastomotic leak
  • Management of chronic anastomotic leaks, fistulas and sinuses
  • Pitfalls and major complications during TaTME
SESSION 8: LATEST TRENDS IN LAPAROSCOPIC COLORECTAL SURGERY
  • Augmented Reality and Stereotactic Navigation in pelvic surgery
  • New developments in endoluminal robotic platforms
  • Robotic TaTME: the next step
  • Digital smart apps for outcome prediction and postoperative management
12.30 pm
CLOSING LECTURE
  • Skeletons in the cupboard: when bad things happen to good surgeons
1.00 pm Lunch at the Institute

2.00 pm End of course / Delivery of certificates of attendance
Program may be subject to modifications