RECTAL CANCER MEETING LISBON
RECTAL CANCER MEETING
1ST INTERNATIONAL EDITION
Treatment of rectal cancer has recently undergone huge scientific and technological advances!
LISBON
The amazing technological evolution in radiotherapy and endoscopic transanal local excision techniques is now challenging
radical surgery, including total mesorectal excision (TME), as an unavoidable solution. The newborn concepts of Complete
Response and Organ Preservation may revolutionize the treatment of rectal cancer: they promise satisfactory oncological
results with much better quality of life outcomes!
1ST INTERNATIONAL EDITION
Hereupon, radical surgery with strict adherence to the original idea of TME as first described by Bill Heald for over 35 years,
is still the gold standard for the treatment of rectal cancer. But also in this field, major technological developments have
happened, in particular with the advent and expansion of minimally invasive surgery: conventional laparoscopy, single port
laparoscopy, transanal endoscopic surgery, robotic surgery and a variety of combinations of these. This has allowed a clear
improvement of quality of life outcomes in patients undergoing radical surgery, not jeopardizing oncologic results –
which, on the contrary, show also a trend to improve.
ROBOTIC TME
TRANSANAL
NEW TECHNIQUES
RT AND ORGAN PRESERVATION
LIVE SURGERY
For the new robotic surgery systems, the challenging concept of interposing a digital interface between the surgeon
and the patient opens up technical development prospects where the sky is the limit!
In the Rectal Cancer Meeting Lisbon 2015, a very special emphasis shall be given to minimally invasive surgery techniques
(endoscopic, laparoscopic, robotic, transanal) and to the current role of radiotherapy in Organ Preservation and as
a potentially curative option. In the second day, there will be a Live Robotic Surgery session.
The Rectal Cancer Meeting Lisbon 2015 shall be an exclusive forum driven by the aspiration of spread cutting edge
technical evolution on the subject of rectal cancer. And we aim to bring together the most experienced and renowned
experts of the world in a high quality, state-of-the-art conference.
We are very happy to welcome you in Lisbon!
Carlos Vaz
Seon-Hahn Kim
COURSE DIRECTORS
CARLOS VAZ (PT) | SEON-HAHN KIM (KR)
SECRETARIAT: TERESA MOREIRA PIRES
[email protected]
REGISTRATION
FEE:
250€ PHYSICIANS
150€ RESIDENTS AND OTHER PROFESSIONALS
VENUE: HOSPITAL DA LUZ
Avenida Lusíada, 100 – Lisboa, Portugal
LINK:
www.advita.pt/gesnet/cursos/Rectal-Cancer-Meeting-Lisbon
TEL: +351 217 104 400
www.hospitaldaluz.pt
FACULTY
AMJAD PARVAIZ (PT) | ANTÓNIO SETÚBAL (PT) | ARMANDO MELANI (BR) | BILL HEALD (PT) | CARLOS CARVALHO (PT)
CARLOS FERREIRA (PT) | CARLOS VAZ (PT) | CÉSAR RESENDE (PT) | COSTA PEREIRA ( PT) | DAVID SERRA (PT)
EMILIO VICENTE LÓPEZ (SP) | FILIPE COSTA (PT) | FILOMENA PINA (PT) | FRANCISCO MASCARENHAS (PT)
IAN JENKINS (UK) | JOÃO GÍRIA (PT) | JOÃO REBELO DE ANDRADE (PT) | JOSÉ ANTÓNIO PEREIRA (PT)
JOSÉ COSTA MAIA (PT) | JOSÉ DAMIÃO FERREIRA (PT) | KRIS MAES (PT) | KRZYSZTOF BUJKO (PL) | LUÍS GARGATÉ (PT)
MARCOS GÓMEZ RUIZ (SP) | NUNO ABECASSIS (PT) | PAOLO SAMMARTINO (IT) | PAULO MIRA (PT)
PAULO ROQUETE (PT) | PEDRO PINTO MARQUES (PT) | PETER CHRISTENSEN (DK) | SAM ATALLAH (USA)
SEON-HAHN KIM (KR) | SUSANA OURÔ (PT) | TÂNIA RODRIGUES (PT) | TÉ VUONG (CA) | YOSHIHARU SAKAI (JP)
www.hospitaldaluz.pt
LISBON
25-26
JUN 2015
RECTAL CANCER MEETING LISBON
RECTAL CANCER MEETING
1ST INTERNATIONAL EDITION
Treatment of rectal cancer has recently undergone huge scientific and technological advances!
LISBON
The amazing technological evolution in radiotherapy and endoscopic transanal local excision techniques is now challenging
radical surgery, including total mesorectal excision (TME), as an unavoidable solution. The newborn concepts of Complete
Response and Organ Preservation may revolutionize the treatment of rectal cancer: they promise satisfactory oncological
results with much better quality of life outcomes!
1ST INTERNATIONAL EDITION
Hereupon, radical surgery with strict adherence to the original idea of TME as first described by Bill Heald for over 35 years,
is still the gold standard for the treatment of rectal cancer. But also in this field, major technological developments have
happened, in particular with the advent and expansion of minimally invasive surgery: conventional laparoscopy, single port
laparoscopy, transanal endoscopic surgery, robotic surgery and a variety of combinations of these. This has allowed a clear
improvement of quality of life outcomes in patients undergoing radical surgery, not jeopardizing oncologic results –
which, on the contrary, show also a trend to improve.
ROBOTIC TME
TRANSANAL
NEW TECHNIQUES
RT AND ORGAN PRESERVATION
LIVE SURGERY
For the new robotic surgery systems, the challenging concept of interposing a digital interface between the surgeon
and the patient opens up technical development prospects where the sky is the limit!
In the Rectal Cancer Meeting Lisbon 2015, a very special emphasis shall be given to minimally invasive surgery techniques
(endoscopic, laparoscopic, robotic, transanal) and to the current role of radiotherapy in Organ Preservation and as
a potentially curative option. In the second day, there will be a Live Robotic Surgery session.
The Rectal Cancer Meeting Lisbon 2015 shall be an exclusive forum driven by the aspiration of spread cutting edge
technical evolution on the subject of rectal cancer. And we aim to bring together the most experienced and renowned
experts of the world in a high quality, state-of-the-art conference.
We are very happy to welcome you in Lisbon!
Carlos Vaz
Seon-Hahn Kim
COURSE DIRECTORS
CARLOS VAZ (PT) | SEON-HAHN KIM (KR)
SECRETARIAT: TERESA MOREIRA PIRES
[email protected]
REGISTRATION
FEE:
250€ PHYSICIANS
150€ RESIDENTS AND OTHER PROFESSIONALS
VENUE: HOSPITAL DA LUZ
Avenida Lusíada, 100 – Lisboa, Portugal
LINK:
www.advita.pt/gesnet/cursos/Rectal-Cancer-Meeting-Lisbon
TEL: +351 217 104 400
www.hospitaldaluz.pt
FACULTY
AMJAD PARVAIZ (PT) | ANTÓNIO SETÚBAL (PT) | ARMANDO MELANI (BR) | BILL HEALD (PT) | CARLOS CARVALHO (PT)
CARLOS FERREIRA (PT) | CARLOS VAZ (PT) | CÉSAR RESENDE (PT) | COSTA PEREIRA ( PT) | DAVID SERRA (PT)
EMILIO VICENTE LÓPEZ (SP) | FILIPE COSTA (PT) | FILOMENA PINA (PT) | FRANCISCO MASCARENHAS (PT)
IAN JENKINS (UK) | JOÃO GÍRIA (PT) | JOÃO REBELO DE ANDRADE (PT) | JOSÉ ANTÓNIO PEREIRA (PT)
JOSÉ COSTA MAIA (PT) | JOSÉ DAMIÃO FERREIRA (PT) | KRIS MAES (PT) | KRZYSZTOF BUJKO (PL) | LUÍS GARGATÉ (PT)
MARCOS GÓMEZ RUIZ (SP) | NUNO ABECASSIS (PT) | PAOLO SAMMARTINO (IT) | PAULO MIRA (PT)
PAULO ROQUETE (PT) | PEDRO PINTO MARQUES (PT) | PETER CHRISTENSEN (DK) | SAM ATALLAH (USA)
SEON-HAHN KIM (KR) | SUSANA OURÔ (PT) | TÂNIA RODRIGUES (PT) | TÉ VUONG (CA) | YOSHIHARU SAKAI (JP)
www.hospitaldaluz.pt
LISBON
25-26
JUN 2015
PROGRAM
RECTAL CANCER MEETING LISBON
1ST INTERNATIONAL EDITION
COURSE DIRECTORS
CARLOS VAZ (PT)
SEON-HAHN KIM (KR)
FACULTY
25 JUNE 2015
8:00AM REGISTRATION
8:20AM WELCOME
SOME BASICS
Chairs: Carlos Carvalho (PT) | José Damião Ferreira (PT)
8:30AM Rectal cancer treatment at Hospital da Luz: a multidisciplinary
team approach, centered and guided by the oncologist
Tânia Rodrigues (PT)
8:45AM Local staging of rectal cancer
› The role of high-resolution MRI
Luís Gargaté (PT)
› The role of EUS
Pedro Pinto Marques (PT)
9:05AM Surgical anatomy for TME: the japanese concept
Yoshiharu Sakai (JP)
9:20AM Prevention and management of anastomotic leaks:
what else can we do?
Carlos Vaz (PT)
AM
9:35 Quality of life: evaluating outcomes after rectal cancer surgery.
What should we search for? What does really matter for the
patient (not for the surgeon)?
Peter Christensen (DK)
AM
9:50 Discussion
10:15AM Coffee break
TME: NEW TOOLS AND TECHNIQUES IMPROVING THE
ORIGINAL IDEA
Chairs: Marcos Gómez Ruiz (SP) | Costa Pereira (PT)
10:45AM Laparoscopic TME: lessons learned
Ian Jenkins (UK)
11:00AM Robotic TME: lessons learned from an experience over 400 cases
Robotic APE: when and how?
Seon-Hahn Kim (KR)
AM
11:30 Transanal minimally invasive surgery for total mesorectal
excision (TAMIS-TME). Details of technique. The role of robotics
Sam Atallah (USA)
AM
11:45 Transanal endoscopic operation (TEO): from polypectomy to full
TME. Details of technique. The role of robotics
Armando Melani (BR)
12:00PM Raising up a continent to robotic colorectal surgery
as a standard of care: EARCS – a European academy for the
teaching of robotic TME
Amjad Parvaiz (PT)
PM
12:15 Initial experience with robotic TME at Hospital da Luz:
our first 50 cases
Carlos Vaz (PT)
12:25PM Robotic colorectal surgery: clarifying the issue of costs;
the manager’s point of view
Filipe Costa (PT)
PM
12:35 Discussion
26 JUNE 2015
1:00PM OPENING CERIMONY
Isabel Vaz (PT) | José Roquette (PT)
Carlos Vaz (PT) Seon-Hahn Kim (KR)
VIDEO SESSION
Chairs: Emílio Vicente López (SP)
Carlos Ferreira (PT)
1:15PM Lunch
Presenters: Ian Jenkins (UK) | Amjad Parvaiz (PT)
Sam Atallah (USA)| Armando Melani (BR)
Yoshiharu Sakai (JP) | Marcos Gómez Ruiz (SP)
Seon-Hahn Kim (KR)
LOCAL EXCISION: TRANSANAL
ENDOSCOPIC APPROACHES
Chairs: Armando Melani (BR) | João Gíria (PT)
2:30PM Traditional endoscopy. Beyond polypectomy:
EMR and ESD
David Serra (PT)
PM
2:45 Transanal endoscopic surgery (TES):
TEM, TAMIS and TEO
Sam Atallah (USA)
PM
3:00 Discussion
ADVANCED RECTAL CANCER
Chairs: Paulo Mira (PT) | João Rebelo de Andrade (PT)
José António Pereira (PT)
3:15PM Beyond TME: extramesorectal resections
for locally invasive tumors
Ian Jenkins (UK)
3:35PM Synchronous hepatic metastases of rectal cancer:
when and how to treat?
José Costa Maia (PT)
PM
3:55 Discussion
4:25PM Coffee break
TRENDS AND CONTROVERSIES
Chairs: Nuno Abecassis (PT) | César Resende (PT)
4:40PM Intraoperative complementary approach at Hospital da Luz:
the role of the urologist
Kris Maes (PT)
PM
4:50 Intraoperative complementary approach at Hospital da Luz:
the role of the gynecologist
António Setúbal (PT)
5:00PM Stereotactic navigation for TAMIS-TME:
image guided pelvic surgery
Sam Atallah (USA)
PM
5:15 Proactive management (“prophylactic” use of HIPEC and more)
in patients at high risk for peritoneal metastases
Paolo Sammartino (IT)
PM
5:30 Distal margin of less than 1cm: how far can we go?
Seon-Hahn Kim (KR)
5:45PM Discussion
6:15PM Short videos presentation (from 3 to 5 min)
on problem-solving issues:
› How to laparoscopically or robotically mobilize the splenic
flexure?
› Tips to keep the surgical field dry in a robotic or laparoscopic
TME after CRT
› How to proceed anteriorly with low rectal dissection in men?
› How to circumferentially dissect through in the mesorectum
in high or mid rectal resection?
› How to divide low rectum using endostapler?
› How to re-laparoscopically manage anastomotic leakage?
› How to manage when rectal stump is disrupted during
anastomosis?
› Technical tips during transanal TME
› And more…
7:30PM Adjourn
THE ROLE OF RADIOTHERAPY
IN ORGAN PRESERVATION
Chairs: Filomena Pina (PT)
Francisco Mascarenhas (PT)
8:30AM Radiation therapy in rectal cancer: the state of art for organ
preservation
Krzysztof Bujko (PL)
AM Endorectal High Dose Rate Brachytherapy in organ preservation
8:45
for rectal cancer
Té Vuong (CA)
9:05AM Options for managing “Complete Response” after
chemoradiation
Susana Ouro (PT)
AM Discussion
9:15
MASTER LECTURE
9:45AM The impact of the Complete Response phenomenon
on management decisions
Bill Heald (PT)
10:15AM Coffee break
10:30AM LIVE SURGERY
Robotic low anterior resection of the rectum – Seon-Hahn Kim
Chairs: Bill Heald (PT) | Yoshiharu Sakai (JP)
Paulo Roquete (PT)
4:00
PM
Closure
AMJAD PARVAIZ COLORECTAL SURGERY, CHAMPALIMAUD FOUNDATION (LISBON, PT)
ANTÓNIO SETÚBAL GYNECOLOGY, HOSPITAL DA LUZ (LISBON, PT)
ARMANDO MELANI COLORECTAL SURGERY, DIRECTOR OF IRCAD BRAZIL (BARRETOS, BR)
BILL HEALD COLORECTAL SURGERY, CHAMPALIMAUD FOUNDATION (LISBON, PT)
CARLOS CARVALHO MEDICAL ONCOLOGY, CHAMPALIMAUD FOUNDATION (LISBON, PT)
CARLOS FERREIRA GENERAL AND HBP SURGERY, HOSPITAL DA LUZ (LISBON, PT)
CARLOS VAZ GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ (LISBON, PT)
CÉSAR RESENDE GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ (LISBON, PT)
COSTA PEREIRA GENERAL AND COLORECTAL SURGERY, CENTRO HOSPITALAR TÂMEGA
E SOUSA (PENAFIEL, PT)
DAVID SERRA GASTROENTEROLOGY, HOSPITAL DA LUZ LISBON (LISBON, PT)
EMILIO VICENTE LÓPEZ GENERAL AND COLORECTAL SURGERY, HOSPITAL SANCHINARRO
(MADRID, SP)
FILIPE COSTA HOSPITAL MANAGEMENT, HOSPITAL DA LUZ (LISBON, PT)
FILOMENA PINA RADIOTHERAPY, HOSPITAL DE SANTA MARIA (LISBON, PT)
FRANCISCO MASCARENHAS RADIOTHERAPY, HOSPITAL DA LUZ (LISBON, PT)
IAN JENKINS COLORECTAL SURGERY, ST. MARK’S HOSPITAL (LONDON, UK)
JOÃO GÍRIA GENERAL AND COLORECTAL SURGERY, HOSPITAL CUF INFANTE SANTO (LISBON, PT)
JOÃO REBELO DE ANDRADE GENERAL AND HBP SURGERY, HOSPITAL DA LUZ (LISBON, PT)
JOSÉ ANTÓNIO PEREIRA GENERAL AND HBP SURGERY, HOSPITAL DA LUZ (LISBON, PT)
JOSÉ COSTA MAIA GENERAL AND HBP SURGERY, C.H. SÃO JOÃO (PORTO, PT)
JOSÉ DAMIÃO FERREIRA GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ
(LISBON, PT)
KRIS MAES UROLOGY, HOSPITAL DA LUZ (LISBON, PT)
KRZYSZTOF BUJKO RADIOTHERAPY, MARIA SKLODOWSKA-CURIE MEMORIAL CANCER CENTER
(WARSAW, PL)
LUÍS GARGATÉ RADIOLOGY, HOSPITAL DA LUZ (LISBON, PT)
MARCOS GÓMEZ RUIZ GENERAL AND COLORECTAL SURGERY, HOSPITAL DE VALDECILLA
(SANTANDER, SP)
NUNO ABECASSIS GENERAL AND ONCOLOGICAL SURGERY, INSTITUTO PORTUGUÊS
DE ONCOLOGIA DE LISBOA (LISBON, PT)
PAOLO SAMMARTINO GENERAL AND COLORECTAL SURGERY, AZIENDA POLICLINICO
UMBERTO I, UNIVERSITÀ DEGLI STUDI DI ROMA “LA SAPIENZA” (ROMA, IT)
PAULO MIRA GENERAL AND HBP SURGERY, HOSPITAL DR. JOSÉ DE ALMEIDA (CASCAIS, PT)
PAULO ROQUETE GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ (LISBON, PT)
PEDRO PINTO MARQUES GASTROENTEROLOGY, HOSPITAL DA LUZ (LISBON, PT)
PETER CHRISTENSEN COLORECTAL SURGERY, AARHUS UNIVERSITY HOSPITAL (AARHUS, DK)
SAM ATALLAH COLORECTAL SURGERY, FLORIDA HOSPITAL (ORLANDO, USA)
SEON-HAHN KIM COLORECTAL SURGERY, KOREA UNIVERSITY HOSPITAL (SEOUL, SK)
SUSANA OURÔ GENERAL AND COLORECTAL SURGERY, HOSPITAL BEATRIZ ÂNGELO (LOURES, PT)
TÂNIA RODRIGUES MEDICAL ONCOLOGY, HOSPITAL DA LUZ (LISBON, PT)
TÉ VUONG RADIOTHERAPY, JEWISH GENERAL HOSPITAL (MONTREAL, CA)
YOSHIHARU SAKAI COLORECTAL SURGERY, KYOTO UNIVERSITY HOSPITAL (KYOTO, JP)
PROGRAM
RECTAL CANCER MEETING LISBON
1ST INTERNATIONAL EDITION
COURSE DIRECTORS
CARLOS VAZ (PT)
SEON-HAHN KIM (KR)
FACULTY
25 JUNE 2015
8:00AM REGISTRATION
8:20AM WELCOME
SOME BASICS
Chairs: Carlos Carvalho (PT) | José Damião Ferreira (PT)
8:30AM Rectal cancer treatment at Hospital da Luz: a multidisciplinary
team approach, centered and guided by the oncologist
Tânia Rodrigues (PT)
8:45AM Local staging of rectal cancer
› The role of high-resolution MRI
Luís Gargaté (PT)
› The role of EUS
Pedro Pinto Marques (PT)
9:05AM Surgical anatomy for TME: the japanese concept
Yoshiharu Sakai (JP)
9:20AM Prevention and management of anastomotic leaks:
what else can we do?
Carlos Vaz (PT)
AM
9:35 Quality of life: evaluating outcomes after rectal cancer surgery.
What should we search for? What does really matter for the
patient (not for the surgeon)?
Peter Christensen (DK)
AM
9:50 Discussion
10:15AM Coffee break
TME: NEW TOOLS AND TECHNIQUES IMPROVING THE
ORIGINAL IDEA
Chairs: Marcos Gómez Ruiz (SP) | Costa Pereira (PT)
10:45AM Laparoscopic TME: lessons learned
Ian Jenkins (UK)
11:00AM Robotic TME: lessons learned from an experience over 400 cases
Robotic APE: when and how?
Seon-Hahn Kim (KR)
AM
11:30 Transanal minimally invasive surgery for total mesorectal
excision (TAMIS-TME). Details of technique. The role of robotics
Sam Atallah (USA)
AM
11:45 Transanal endoscopic operation (TEO): from polypectomy to full
TME. Details of technique. The role of robotics
Armando Melani (BR)
12:00PM Raising up a continent to robotic colorectal surgery
as a standard of care: EARCS – a European academy for the
teaching of robotic TME
Amjad Parvaiz (PT)
PM
12:15 Initial experience with robotic TME at Hospital da Luz:
our first 50 cases
Carlos Vaz (PT)
12:25PM Robotic colorectal surgery: clarifying the issue of costs;
the manager’s point of view
Filipe Costa (PT)
PM
12:35 Discussion
26 JUNE 2015
1:00PM OPENING CERIMONY
Isabel Vaz (PT) | José Roquette (PT)
Carlos Vaz (PT) Seon-Hahn Kim (KR)
VIDEO SESSION
Chairs: Emílio Vicente López (SP)
Carlos Ferreira (PT)
1:15PM Lunch
Presenters: Ian Jenkins (UK) | Amjad Parvaiz (PT)
Sam Atallah (USA)| Armando Melani (BR)
Yoshiharu Sakai (JP) | Marcos Gómez Ruiz (SP)
Seon-Hahn Kim (KR)
LOCAL EXCISION: TRANSANAL
ENDOSCOPIC APPROACHES
Chairs: Armando Melani (BR) | João Gíria (PT)
2:30PM Traditional endoscopy. Beyond polypectomy:
EMR and ESD
David Serra (PT)
PM
2:45 Transanal endoscopic surgery (TES):
TEM, TAMIS and TEO
Sam Atallah (USA)
PM
3:00 Discussion
ADVANCED RECTAL CANCER
Chairs: Paulo Mira (PT) | João Rebelo de Andrade (PT)
José António Pereira (PT)
3:15PM Beyond TME: extramesorectal resections
for locally invasive tumors
Ian Jenkins (UK)
3:35PM Synchronous hepatic metastases of rectal cancer:
when and how to treat?
José Costa Maia (PT)
PM
3:55 Discussion
4:25PM Coffee break
TRENDS AND CONTROVERSIES
Chairs: Nuno Abecassis (PT) | César Resende (PT)
4:40PM Intraoperative complementary approach at Hospital da Luz:
the role of the urologist
Kris Maes (PT)
PM
4:50 Intraoperative complementary approach at Hospital da Luz:
the role of the gynecologist
António Setúbal (PT)
5:00PM Stereotactic navigation for TAMIS-TME:
image guided pelvic surgery
Sam Atallah (USA)
PM
5:15 Proactive management (“prophylactic” use of HIPEC and more)
in patients at high risk for peritoneal metastases
Paolo Sammartino (IT)
PM
5:30 Distal margin of less than 1cm: how far can we go?
Seon-Hahn Kim (KR)
5:45PM Discussion
6:15PM Short videos presentation (from 3 to 5 min)
on problem-solving issues:
› How to laparoscopically or robotically mobilize the splenic
flexure?
› Tips to keep the surgical field dry in a robotic or laparoscopic
TME after CRT
› How to proceed anteriorly with low rectal dissection in men?
› How to circumferentially dissect through in the mesorectum
in high or mid rectal resection?
› How to divide low rectum using endostapler?
› How to re-laparoscopically manage anastomotic leakage?
› How to manage when rectal stump is disrupted during
anastomosis?
› Technical tips during transanal TME
› And more…
7:30PM Adjourn
THE ROLE OF RADIOTHERAPY
IN ORGAN PRESERVATION
Chairs: Filomena Pina (PT)
Francisco Mascarenhas (PT)
8:30AM Radiation therapy in rectal cancer: the state of art for organ
preservation
Krzysztof Bujko (PL)
AM Endorectal High Dose Rate Brachytherapy in organ preservation
8:45
for rectal cancer
Té Vuong (CA)
9:05AM Options for managing “Complete Response” after
chemoradiation
Susana Ouro (PT)
AM Discussion
9:15
MASTER LECTURE
9:45AM The impact of the Complete Response phenomenon
on management decisions
Bill Heald (PT)
10:15AM Coffee break
10:30AM LIVE SURGERY
Robotic low anterior resection of the rectum – Seon-Hahn Kim
Chairs: Bill Heald (PT) | Yoshiharu Sakai (JP)
Paulo Roquete (PT)
4:00
PM
Closure
AMJAD PARVAIZ COLORECTAL SURGERY, CHAMPALIMAUD FOUNDATION (LISBON, PT)
ANTÓNIO SETÚBAL GYNECOLOGY, HOSPITAL DA LUZ (LISBON, PT)
ARMANDO MELANI COLORECTAL SURGERY, DIRECTOR OF IRCAD BRAZIL (BARRETOS, BR)
BILL HEALD COLORECTAL SURGERY, CHAMPALIMAUD FOUNDATION (LISBON, PT)
CARLOS CARVALHO MEDICAL ONCOLOGY, CHAMPALIMAUD FOUNDATION (LISBON, PT)
CARLOS FERREIRA GENERAL AND HBP SURGERY, HOSPITAL DA LUZ (LISBON, PT)
CARLOS VAZ GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ (LISBON, PT)
CÉSAR RESENDE GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ (LISBON, PT)
COSTA PEREIRA GENERAL AND COLORECTAL SURGERY, CENTRO HOSPITALAR TÂMEGA
E SOUSA (PENAFIEL, PT)
DAVID SERRA GASTROENTEROLOGY, HOSPITAL DA LUZ LISBON (LISBON, PT)
EMILIO VICENTE LÓPEZ GENERAL AND COLORECTAL SURGERY, HOSPITAL SANCHINARRO
(MADRID, SP)
FILIPE COSTA HOSPITAL MANAGEMENT, HOSPITAL DA LUZ (LISBON, PT)
FILOMENA PINA RADIOTHERAPY, HOSPITAL DE SANTA MARIA (LISBON, PT)
FRANCISCO MASCARENHAS RADIOTHERAPY, HOSPITAL DA LUZ (LISBON, PT)
IAN JENKINS COLORECTAL SURGERY, ST. MARK’S HOSPITAL (LONDON, UK)
JOÃO GÍRIA GENERAL AND COLORECTAL SURGERY, HOSPITAL CUF INFANTE SANTO (LISBON, PT)
JOÃO REBELO DE ANDRADE GENERAL AND HBP SURGERY, HOSPITAL DA LUZ (LISBON, PT)
JOSÉ ANTÓNIO PEREIRA GENERAL AND HBP SURGERY, HOSPITAL DA LUZ (LISBON, PT)
JOSÉ COSTA MAIA GENERAL AND HBP SURGERY, C.H. SÃO JOÃO (PORTO, PT)
JOSÉ DAMIÃO FERREIRA GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ
(LISBON, PT)
KRIS MAES UROLOGY, HOSPITAL DA LUZ (LISBON, PT)
KRZYSZTOF BUJKO RADIOTHERAPY, MARIA SKLODOWSKA-CURIE MEMORIAL CANCER CENTER
(WARSAW, PL)
LUÍS GARGATÉ RADIOLOGY, HOSPITAL DA LUZ (LISBON, PT)
MARCOS GÓMEZ RUIZ GENERAL AND COLORECTAL SURGERY, HOSPITAL DE VALDECILLA
(SANTANDER, SP)
NUNO ABECASSIS GENERAL AND ONCOLOGICAL SURGERY, INSTITUTO PORTUGUÊS
DE ONCOLOGIA DE LISBOA (LISBON, PT)
PAOLO SAMMARTINO GENERAL AND COLORECTAL SURGERY, AZIENDA POLICLINICO
UMBERTO I, UNIVERSITÀ DEGLI STUDI DI ROMA “LA SAPIENZA” (ROMA, IT)
PAULO MIRA GENERAL AND HBP SURGERY, HOSPITAL DR. JOSÉ DE ALMEIDA (CASCAIS, PT)
PAULO ROQUETE GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ (LISBON, PT)
PEDRO PINTO MARQUES GASTROENTEROLOGY, HOSPITAL DA LUZ (LISBON, PT)
PETER CHRISTENSEN COLORECTAL SURGERY, AARHUS UNIVERSITY HOSPITAL (AARHUS, DK)
SAM ATALLAH COLORECTAL SURGERY, FLORIDA HOSPITAL (ORLANDO, USA)
SEON-HAHN KIM COLORECTAL SURGERY, KOREA UNIVERSITY HOSPITAL (SEOUL, SK)
SUSANA OURÔ GENERAL AND COLORECTAL SURGERY, HOSPITAL BEATRIZ ÂNGELO (LOURES, PT)
TÂNIA RODRIGUES MEDICAL ONCOLOGY, HOSPITAL DA LUZ (LISBON, PT)
TÉ VUONG RADIOTHERAPY, JEWISH GENERAL HOSPITAL (MONTREAL, CA)
YOSHIHARU SAKAI COLORECTAL SURGERY, KYOTO UNIVERSITY HOSPITAL (KYOTO, JP)
PROGRAM
RECTAL CANCER MEETING LISBON
1ST INTERNATIONAL EDITION
COURSE DIRECTORS
CARLOS VAZ (PT)
SEON-HAHN KIM (KR)
FACULTY
25 JUNE 2015
8:00AM REGISTRATION
8:20AM WELCOME
SOME BASICS
Chairs: Carlos Carvalho (PT) | José Damião Ferreira (PT)
8:30AM Rectal cancer treatment at Hospital da Luz: a multidisciplinary
team approach, centered and guided by the oncologist
Tânia Rodrigues (PT)
8:45AM Local staging of rectal cancer
› The role of high-resolution MRI
Luís Gargaté (PT)
› The role of EUS
Pedro Pinto Marques (PT)
9:05AM Surgical anatomy for TME: the japanese concept
Yoshiharu Sakai (JP)
9:20AM Prevention and management of anastomotic leaks:
what else can we do?
Carlos Vaz (PT)
AM
9:35 Quality of life: evaluating outcomes after rectal cancer surgery.
What should we search for? What does really matter for the
patient (not for the surgeon)?
Peter Christensen (DK)
AM
9:50 Discussion
10:15AM Coffee break
TME: NEW TOOLS AND TECHNIQUES IMPROVING THE
ORIGINAL IDEA
Chairs: Marcos Gómez Ruiz (SP) | Costa Pereira (PT)
10:45AM Laparoscopic TME: lessons learned
Ian Jenkins (UK)
11:00AM Robotic TME: lessons learned from an experience over 400 cases
Robotic APE: when and how?
Seon-Hahn Kim (KR)
AM
11:30 Transanal minimally invasive surgery for total mesorectal
excision (TAMIS-TME). Details of technique. The role of robotics
Sam Atallah (USA)
AM
11:45 Transanal endoscopic operation (TEO): from polypectomy to full
TME. Details of technique. The role of robotics
Armando Melani (BR)
12:00PM Raising up a continent to robotic colorectal surgery
as a standard of care: EARCS – a European academy for the
teaching of robotic TME
Amjad Parvaiz (PT)
PM
12:15 Initial experience with robotic TME at Hospital da Luz:
our first 50 cases
Carlos Vaz (PT)
12:25PM Robotic colorectal surgery: clarifying the issue of costs;
the manager’s point of view
Filipe Costa (PT)
PM
12:35 Discussion
26 JUNE 2015
1:00PM OPENING CERIMONY
Isabel Vaz (PT) | José Roquette (PT)
Carlos Vaz (PT) Seon-Hahn Kim (KR)
VIDEO SESSION
Chairs: Emílio Vicente López (SP)
Carlos Ferreira (PT)
1:15PM Lunch
Presenters: Ian Jenkins (UK) | Amjad Parvaiz (PT)
Sam Atallah (USA)| Armando Melani (BR)
Yoshiharu Sakai (JP) | Marcos Gómez Ruiz (SP)
Seon-Hahn Kim (KR)
LOCAL EXCISION: TRANSANAL
ENDOSCOPIC APPROACHES
Chairs: Armando Melani (BR) | João Gíria (PT)
2:30PM Traditional endoscopy. Beyond polypectomy:
EMR and ESD
David Serra (PT)
PM
2:45 Transanal endoscopic surgery (TES):
TEM, TAMIS and TEO
Sam Atallah (USA)
PM
3:00 Discussion
ADVANCED RECTAL CANCER
Chairs: Paulo Mira (PT) | João Rebelo de Andrade (PT)
José António Pereira (PT)
3:15PM Beyond TME: extramesorectal resections
for locally invasive tumors
Ian Jenkins (UK)
3:35PM Synchronous hepatic metastases of rectal cancer:
when and how to treat?
José Costa Maia (PT)
PM
3:55 Discussion
4:25PM Coffee break
TRENDS AND CONTROVERSIES
Chairs: Nuno Abecassis (PT) | César Resende (PT)
4:40PM Intraoperative complementary approach at Hospital da Luz:
the role of the urologist
Kris Maes (PT)
PM
4:50 Intraoperative complementary approach at Hospital da Luz:
the role of the gynecologist
António Setúbal (PT)
5:00PM Stereotactic navigation for TAMIS-TME:
image guided pelvic surgery
Sam Atallah (USA)
PM
5:15 Proactive management (“prophylactic” use of HIPEC and more)
in patients at high risk for peritoneal metastases
Paolo Sammartino (IT)
PM
5:30 Distal margin of less than 1cm: how far can we go?
Seon-Hahn Kim (KR)
5:45PM Discussion
6:15PM Short videos presentation (from 3 to 5 min)
on problem-solving issues:
› How to laparoscopically or robotically mobilize the splenic
flexure?
› Tips to keep the surgical field dry in a robotic or laparoscopic
TME after CRT
› How to proceed anteriorly with low rectal dissection in men?
› How to circumferentially dissect through in the mesorectum
in high or mid rectal resection?
› How to divide low rectum using endostapler?
› How to re-laparoscopically manage anastomotic leakage?
› How to manage when rectal stump is disrupted during
anastomosis?
› Technical tips during transanal TME
› And more…
7:30PM Adjourn
AMJAD PARVAIZ COLORECTAL SURGERY, CHAMPALIMAUD FOUNDATION (LISBON, PT)
ANTÓNIO SETÚBAL GYNECOLOGY, HOSPITAL DA LUZ (LISBON, PT)
ARMANDO MELANI COLORECTAL SURGERY, DIRECTOR OF IRCAD BRAZIL (BARRETOS, BR)
BILL HEALD COLORECTAL SURGERY, CHAMPALIMAUD FOUNDATION (LISBON, PT)
CARLOS CARVALHO MEDICAL ONCOLOGY, CHAMPALIMAUD FOUNDATION (LISBON, PT)
CARLOS FERREIRA GENERAL AND HBP SURGERY, HOSPITAL DA LUZ (LISBON, PT)
CARLOS VAZ GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ (LISBON, PT)
CÉSAR RESENDE GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ (LISBON, PT)
COSTA PEREIRA GENERAL AND COLORECTAL SURGERY, CENTRO HOSPITALAR TÂMEGA
E SOUSA (PENAFIEL, PT)
DAVID SERRA GASTROENTEROLOGY, HOSPITAL DA LUZ LISBON (LISBON, PT)
EMILIO VICENTE LÓPEZ GENERAL AND COLORECTAL SURGERY, HOSPITAL SANCHINARRO
(MADRID, SP)
FILIPE COSTA HOSPITAL MANAGEMENT, HOSPITAL DA LUZ (LISBON, PT)
FILOMENA PINA RADIOTHERAPY, HOSPITAL DE SANTA MARIA (LISBON, PT)
FRANCISCO MASCARENHAS RADIOTHERAPY, HOSPITAL DA LUZ (LISBON, PT)
IAN JENKINS COLORECTAL SURGERY, ST. MARK’S HOSPITAL (LONDON, UK)
JOÃO GÍRIA GENERAL AND COLORECTAL SURGERY, HOSPITAL CUF INFANTE SANTO (LISBON, PT)
JOÃO REBELO DE ANDRADE GENERAL AND HBP SURGERY, HOSPITAL DA LUZ (LISBON, PT)
JOSÉ ANTÓNIO PEREIRA GENERAL AND HBP SURGERY, HOSPITAL DA LUZ (LISBON, PT)
JOSÉ COSTA MAIA GENERAL AND HBP SURGERY, C.H. SÃO JOÃO (PORTO, PT)
JOSÉ DAMIÃO FERREIRA GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ
(LISBON, PT)
KRIS MAES UROLOGY, HOSPITAL DA LUZ (LISBON, PT)
KRZYSZTOF BUJKO RADIOTHERAPY, MARIA SKLODOWSKA-CURIE MEMORIAL CANCER CENTER
(WARSAW, PL)
LUÍS GARGATÉ RADIOLOGY, HOSPITAL DA LUZ (LISBON, PT)
MARCOS GÓMEZ RUIZ GENERAL AND COLORECTAL SURGERY, HOSPITAL DE VALDECILLA
(SANTANDER, SP)
NUNO ABECASSIS GENERAL AND ONCOLOGICAL SURGERY, INSTITUTO PORTUGUÊS
DE ONCOLOGIA DE LISBOA (LISBON, PT)
PAOLO SAMMARTINO GENERAL AND COLORECTAL SURGERY, AZIENDA POLICLINICO
UMBERTO I, UNIVERSITÀ DEGLI STUDI DI ROMA “LA SAPIENZA” (ROMA, IT)
PAULO MIRA GENERAL AND HBP SURGERY, HOSPITAL DR. JOSÉ DE ALMEIDA (CASCAIS, PT)
PAULO ROQUETE GENERAL AND COLORECTAL SURGERY, HOSPITAL DA LUZ (LISBON, PT)
PEDRO PINTO MARQUES GASTROENTEROLOGY, HOSPITAL DA LUZ (LISBON, PT)
PETER CHRISTENSEN COLORECTAL SURGERY, AARHUS UNIVERSITY HOSPITAL (AARHUS, DK)
SAM ATALLAH COLORECTAL SURGERY, FLORIDA HOSPITAL (ORLANDO, USA)
SEON-HAHN KIM COLORECTAL SURGERY, KOREA UNIVERSITY HOSPITAL (SEOUL, SK)
SUSANA OURÔ GENERAL AND COLORECTAL SURGERY, HOSPITAL BEATRIZ ÂNGELO (LOURES, PT)
TÂNIA RODRIGUES MEDICAL ONCOLOGY, HOSPITAL DA LUZ (LISBON, PT)
TÉ VUONG RADIOTHERAPY, JEWISH GENERAL HOSPITAL (MONTREAL, CA)
YOSHIHARU SAKAI COLORECTAL SURGERY, KYOTO UNIVERSITY HOSPITAL (KYOTO, JP)
RECTAL CANCER MEETING LISBON
RECTAL CANCER MEETING
1ST INTERNATIONAL EDITION
Treatment of rectal cancer has recently undergone huge scientific and technological advances!
LISBON
The amazing technological evolution in radiotherapy and endoscopic transanal local excision techniques is now challenging
radical surgery, including total mesorectal excision (TME), as an unavoidable solution. The newborn concepts of Complete
Response and Organ Preservation may revolutionize the treatment of rectal cancer: they promise satisfactory oncological
results with much better quality of life outcomes!
1ST INTERNATIONAL EDITION
Hereupon, radical surgery with strict adherence to the original idea of TME as first described by Bill Heald for over 35 years,
is still the gold standard for the treatment of rectal cancer. But also in this field, major technological developments have
happened, in particular with the advent and expansion of minimally invasive surgery: conventional laparoscopy, single port
laparoscopy, transanal endoscopic surgery, robotic surgery and a variety of combinations of these. This has allowed a clear
improvement of quality of life outcomes in patients undergoing radical surgery, not jeopardizing oncologic results –
which, on the contrary, show also a trend to improve.
ROBOTIC TME
TRANSANAL
NEW TECHNIQUES
RT AND ORGAN PRESERVATION
LIVE SURGERY
For the new robotic surgery systems, the challenging concept of interposing a digital interface between the surgeon
and the patient opens up technical development prospects where the sky is the limit!
In the Rectal Cancer Meeting Lisbon 2015, a very special emphasis shall be given to minimally invasive surgery techniques
(endoscopic, laparoscopic, robotic, transanal) and to the current role of radiotherapy in Organ Preservation and as
a potentially curative option. In the second day, there will be a Live Robotic Surgery session.
The Rectal Cancer Meeting Lisbon 2015 shall be an exclusive forum driven by the aspiration of spread cutting edge
technical evolution on the subject of rectal cancer. And we aim to bring together the most experienced and renowned
experts of the world in a high quality, state-of-the-art conference.
We are very happy to welcome you in Lisbon!
Carlos Vaz
Seon-Hahn Kim
COURSE DIRECTORS
CARLOS VAZ (PT) | SEON-HAHN KIM (KR)
SECRETARIAT: TERESA MOREIRA PIRES
[email protected]
REGISTRATION
FEE:
250€ PHYSICIANS
150€ RESIDENTS AND OTHER PROFESSIONALS
VENUE: HOSPITAL DA LUZ
Avenida Lusíada, 100 – Lisboa, Portugal
LINK:
www.advita.pt/gesnet/cursos/Rectal-Cancer-Meeting-Lisbon
TEL: +351 217 104 400
www.hospitaldaluz.pt
FACULTY
AMJAD PARVAIZ (PT) | ANTÓNIO SETÚBAL (PT) | ARMANDO MELANI (BR) | BILL HEALD (PT) | CARLOS CARVALHO (PT)
CARLOS FERREIRA (PT) | CARLOS VAZ (PT) | CÉSAR RESENDE (PT) | COSTA PEREIRA ( PT) | DAVID SERRA (PT)
EMILIO VICENTE LÓPEZ (SP) | FILIPE COSTA (PT) | FILOMENA PINA (PT) | FRANCISCO MASCARENHAS (PT)
IAN JENKINS (UK) | JOÃO GÍRIA (PT) | JOÃO REBELO DE ANDRADE (PT) | JOSÉ ANTÓNIO PEREIRA (PT)
JOSÉ COSTA MAIA (PT) | JOSÉ DAMIÃO FERREIRA (PT) | KRIS MAES (PT) | KRZYSZTOF BUJKO (PL) | LUÍS GARGATÉ (PT)
MARCOS GÓMEZ RUIZ (SP) | NUNO ABECASSIS (PT) | PAOLO SAMMARTINO (IT) | PAULO MIRA (PT)
PAULO ROQUETE (PT) | PEDRO PINTO MARQUES (PT) | PETER CHRISTENSEN (DK) | SAM ATALLAH (USA)
SEON-HAHN KIM (KR) | SUSANA OURÔ (PT) | TÂNIA RODRIGUES (PT) | TÉ VUONG (CA) | YOSHIHARU SAKAI (JP)
www.hospitaldaluz.pt
LISBON
25-26
JUN 2015