Scientific Program
November 19th to 21st
Sheraton WTC São Paulo
Av. das Nações Unidas, 12.559 - São Paulo
www.ficare.com.br
Dear colleagues
From November 19th to 21st, FICARE 2015 will be
the stage of the largest forum on Rectal Cancer
in Latin America which will take place in the WTC
Sheraton Hotel in São Paulo, Brazil! Get ready for
hot debates among outstanding world specialists
in each topic.
What is the role for the Robot? What are the latest outcomes in laparoscopic TME
and MRI? Is Transanal Endoscopic Microsurgery going to be used for TME? Is the
Prone-Jack knife position and extra-levator rectal resection the new standard for
all APRs? Neoadjuvant CRT or Chemotherapy alone? Advances in molecular
biology and many more updates in rectal cancer will the focus of this year’s edition
of FICARE.
Check out the incredible line up of international faculty! Their presence will certainly
make this a memorable event in Latin America!
Get ready for days of intense scientific activity, mixed with pleasant social activities
and the opportunity to see friends and international guests again.
Welcome and enjoy!
Angelita Habr-Gama
President
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Thursday, November 19th
08:00
09:00
Registration/Opening Announcements
Opening Lecture:
30 Years of TME: What have I Taught and What have I Learned?
Bill Heald
Presenter: Angelita Habr-Gama
Thursday, November 19th
12:30
14:00
Outcomes after TME
Moderator: Fábio Campos
Cyllindrical Abdominal Perineal Excision Is it really (always) necessary?
Anastomic techniques - Is there anything new?
Ronan O’Connell
Handling the surgical specimen - What has to be in the path report?
Mariana Berho
Discussion
Rodrigo Gomes / Juan Carlos Patron Uriburu / Roberto L. Kaiser Jr
14:45
How Can MRI orient the surgical procedure in rectal cancer?
Gina Brown (UK)
President: Adriana Diéguez
15:10
Neoadjuvant Corner
Moderator: Rob Glynne-Jones
Break
Exhibit visit
Selective Use of Neoadjuvant CRT
Bruce Minsky
Video Session: Surgical Tips and Avoiding Pitfalls
Moderator: Steven Wexner
The meaning of high dose in sterilizing rectal cancer
Vincenzo Valentini
Standarzing Laparoscopic TME
Yves Panis
Robotic Total Mesorectal Excision: Tips to get started...
Martin Weiser
High dose rate endorectal brachytherapy: Challenges and opportunities.
From neoadjuvant to radical modality for patients with rectal cancer
Te Vuong
Transanal Total Mesorectal Excision: Where can it go wrong...??
Greg Wynn
Contact radiation therapy: long-term data
Jean-Pierre Gerard
Discussion
Antonio Rocco Imperiale / Armando Melani / Fabio Leiro
11:50
Avoiding RT! Chemotherapy alone followed by surgery in rectal cancer
Daniel Chang
Ultimate Fighting in Rectal Cancer
Discussion
Patricia Bailão Aguilar / Diana Tait / Sergio Faria
Do we really improve TME with the Robot?
Moderator: Dieter Hahnloser
No
Steven Wexner
Yes
Alessio Pigazzi
Discussion
Gustavo Rossi / Reinan Ramos / Henrique Fillman
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Discussants:
Angelita Habr-Gama
Rodrigo Perez
Arceu Scanavini / Guilherme Pagin São Julião
Ana Gales
Yes
Torbjorn Holm
Discussion
Antonio Lacerda / Hélio Moreira Jr. / Guillermo Rosato / Renato Pinho
11:00
No
Rob Madoff
Complications in Colorectal Surgery
What if I end up with a positive resection margin?
Yves Panis
Bowel Dysfunction after Rectal Cancer Surgery - Is it really bad?
Soren Laurberg
10:30
Lunch - Symposium
Perioperative Complications in Colorectal Surgery - Interactive Case Discussion
(Lunch boxes will be served)
November 19 – 12:30h
MSD Satellite Symposium
Great Debates in Rectal Cancer I
Moderator: Bill Heald
Clinical cases interactive discussion
16:30
Break
17:00
Assessment of Response to CRT
Moderator: Diana Tait
Clinical Assessment and the role of biopsies
Fraser Smith
Is there still place for Endorectal Ultrassound
Sthela Regadas
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Thursday, November 19th
The role of TEMS in assessment of response
Chris Cunningham
Discussion
Maria Cristina Sartor / Lusmar Veras / Jorge Arias
18:00
Friday, November 20th
08:00
Overview of Trials with Organ Preservation for Rectal cancer
Jean-Pierre Gerard
Tumor Regression by Radiology & Pathology
The role of mrTRG in assessment of response and ultimate management
Gina Brown
Interval between CRT and assessment of response: 6 or 12 weeks? Or longer
deferral?
Gina Brown
Functional MR imaging - the Future...
Regina Beets-Tan
Extending the interval between CRT and surgery...
Martin Weiser
Discussion
Ronaldo Salles / Magda Profeta da Luz / Paulo Mauricio Chagas Bruno
Is any TRG system really useful? Which one?
Mariana Berho
09:00
Discussion
Maria Regina Vianna / Cinthia Ortega / Ruy Galves
19:00
19:30
Rectal Cancer after Neoadjuvant CRT
Moderator: João Aguiar Pupo Neto
Great Debates in Rectal Cancer II
Is Local Excision justified in rectal cancer following CRT?
Moderator: Chris Cunningham
Lecture
From no radiation and more surgery to more radiation and less surgery in
rectal cancer management: The History of Neoadjuvant Therapy in Rectal Cancer
Bruce Minsky
President: Icaro Thiago de Carvalho
No
Ronan O’ Connell
Yes
Geerard Beets
WELCOME COCKTAIL
Discussion
Mauro Pinho / Daniel Damin / Carlos Vaccaro
Transanal Total Mesorectal Excision
Moderator: Sergio Araújo
Better option
John Marks
Welcome Cocktail
Thursday - 19:30
No need
Martin Weiser
Casual Welcome Reception
Discussion
Ramon Mendes / Miguel Angelo Pedroso / Mauricio J. de Matos e Silva
Vivaldi Room - WTC Convention
Center
10:30
Break
11:00
Video Session: The difficult problems!
Moderator: Rob Madoff
Difficult TME
Yves Panis
Complications of Robotic Surgery
Alessio Pigazzi
Peritonial entry during TEM
John Marks
Laparoscopic lateral node dissection
Tsuyoshi Konishi
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Friday, November 20th
Friday, November 20th
Discussion
Renato Lupinacci / Nicolas Rotholtz / Alejandro Barrera
12:00
Lunch Symposium
Transanal Total Mesorectal Excision Symposium
13:30
Complete Clinical Response:
Watch & Wait after a cCR?
Moderator: Carlos Carvalho
Yes
Bruce Minsky
No
Rob Glynne-Jones
Predicting Complete Response to CRT
Rodrigo Perez
Radiological Assessment of a CR
Regina Beets-Tan
14:30
17:00
Recurrent Rectal Cancer
Moderator: Paulo Hoff
Surgical Management of Recurrent Rectal Cancer
Torbjorn Holm
November 20 – 12:00h
Satellite Symposium
How much more RT can we give?
Daniel Chang
Transanal Total Mesorectal Excision Symposium
Moderator: Gustavo Rossi / Rodrigo Perez
Is chemotherapy effective?
Cathy Eng
Why transanal TME? – Albert Wolthuis
Equipment – What do I need for a taTME? John Marks
Technique – Chris Cunningham
Pitfalls and avoiding major complications… Greg Wynn
Discussion
Recurrence after TEM
Chris Cunningham
Recurrence after Watch & Wait
Geerard Beets
Discussion
Lavoisier Fragoso D’Albuquerque / Artur Malzyner / Yoram Weissberger
Discussion
Jorge Sabbaga / Fernanda Caparelli / Diana Tait
18:30
Bringing Centers of Excellence to Center Stage in Rectal Cancer Management
Steven Wexner
Watch & Wait
Moderator: Carlos Augusto Martinez
19:00
Happy Hour Satellite Symposium
WORKSHOP
The Maastricht Experience
Geerard Beets
Friday, November 20th
The MSKCC Experience
Martin Weiser
16:00 - 18:00
MRI in Rectal Cancer
International Watch & Wait Database
Nuno Figueiredo
Gina Brown
The Royal Marsden NHS Foundation Trust
Surrey, UK
Discussion
Guilherme Cotti Cutait / Victor Seid
Friday – 19:00h
NOVADAQ Happy Hour Satellite Symposium
New technologies in preventing anastomotic leaks - Fluorescence
imaging for the assessment of bowel perfusion. Understanding and
avoiding anastomotic leaks
Failed methods of preventing leaks.
Ronan O’Connell
Why do anastomosis fail - An overview of the
healing process.
Mariana Berho
15:20
Past, Present and Future of rectal Cancer Management in the Era of Organ-Preservation
Angelita Habr-Gama
President: Fabio Campos
15:50
Break
16:20
The Role of Fluorescence Imaging in preventing anastomotic
leaks.
Steven Wexner
Molecular Biology at Bedside - Liquid Biopsies
Moderator: Jorge Sabbaga
Discussion
Liquid biopsies for the monitoring of tumor response to CRT
Anamaria Camargo
Liquid Biopsies for the monitoring of response to Chemotherapy
Cathy Eng
Q&A
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Saturday, November 21th
07:30
Simposium Satellite (A light breakfast will be served)
08:30
Problems... When things go wrong
November 21 – 7:30h
WL GORE Satellite Symposium
The colon will not reach the pelvis...
Ronan O’Connell
Advantages of BioA technology in the use of
perineal and abdominal wound closure
Complications after TEM
Chris Cunningham
Treatment of Bowel Dysfunction after TME
Soren Laurberg
Discussion
10:00
Abdominal Perineal Excision – The Rationale
for the extra-levator approach. Torbjorn Holm
Perineal Closure – The use of Flaps.
Torbjorn Holm
Perineal Closure – The use of Meshes.
Guilherme Pagin São Julião
Discussion
Live Surgical Procedures
Discussants: Afonso Sousa / Arceu Scanavini / Francisco Sérgio Regadas Olival Oliveira Jr /
Oscar Tavella / Claudio Saddy R. Coy
08:00
Saturday, November 21th
08:00 - 11:00h
Radiation Oncology Workshop
President
Secretary General
Treasurer
Angelita Habr-Gama
Rodrigo Perez
Carlos Eduardo Jacob
Organizing Committee
President: Joaquim Gama-Rodrigues
Carlos Buchpiguel, SP
Guilherme Pagin São Julião, SP
Scientific Committee
Ana Carolina Pereira de Sousa, SP
Ariel Kann,SP
Artur Malzyner, SP
Carlos Augusto Martinez, SP
Carlos W. Sobrado, SP
Carmen Ruthe Manzione, SP
Cinthia Ortega, SP
Desidério Kiss, SP
Eduardo de Paula Vieira, RJ
Fábio Guilherme Campos, SP
Discussion
Pelvic anatomy subsites relevant for Radiation Oncologists.
Vincenzo Valentini
Discussion
Tumor penetration in the mesorectum – Implications for the
radiation therapy regimen. Jean-Pierre Gerard
Discussion
Break
Indications for Neoadjuvant CRT. Rob Glynne Jones
Chemotherapy without radiation as neoadjuvant treatment
for rectal cancer. Does it work? Cathy Eng
Discussion
Metastatic Rectal Cancer
Radiation therapy first. Rob Glynne-Jones
Chemotherapy first. Cathy Eng
Discussion
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Icaro Thiago de Carvalho, SP
Jorge Sabbaga, SP
José Marcio N. Jorge, SP
Lavoisier F. D’Albuquerque, SP
Luis Fernando Mileo, SP
Luiz A. Carneiro D’Albuquerque, SP
Manuela V. Sapucahy, SP
Maria Cristina Sartor, PR
Maria José F. Vieira, SP
Maria Regina Vianna, SP
Maristela Gomes de Almeida, SP
Mounib Tacla, SP
Patrícia Bailão Aguilar, SP
Rodrigo Oliveira, SP
Ruy Galves, SP
Sérgio E. A. Araujo, SP
Venâncio Avancini F. Alves, SP
Viviane Rawet, SP
Yoram Weissberger, SP
Guest Faculty
Albert Wolthuis
University Hospital Leuven
Leuven, Belgium
Alessio Pigazzi
University of California, Irvine
Orange, USA
Bruce Minsky
The University of Texas
M.D. Anderson Cancer Center
Houston, USA
Tailoring the delineation of pelvic structures according to
tumor presentation. Vincenzo Valentini
Igor Proscurshim, SP
Paulo Roberto Arruda Alves, SP
Carlos Carvalho
Champalimaud Clinical Centre
Lisbon, Portugal
Cathy Eng
The University of Texas
M.D. Anderson Cancer Center
Houston, USA
Chris Cunningham
Churchill Hospital Oxford
Oxford, UK
Daniel Chang
Stanford University
Medical Center
Stanford, USA
Diana Tait
The Royal Marsden NHS
Foundation Trust
Surrey, UK
Dieter Hahnloser
University Hospital Lausanne
Lausanne, Switzerland
Fraser Smith
The Royal Liverpool and Broadgreen
University Hospitals NHS Trust
Liverpool, UK
Geerard Beets
Maastrich University
Medical Center
Maastricht, The Netherlands
Gina Brown
The Royal Marsden NHS
Foundation Trust
Surrey, UK
Greg Wynn
The ICENI Centre,
Colchester General Hospital
Colchester, UK
Jean Pierre Gerard
Antoine-Lacassagne
Cancer Centre
Nice, France
John Marks
Lankenau Medical Center
Wynnewood, USA
Mariana Berho
Cleveland Clinica Florida
Florida, USA
Martin Weiser
Memorial Sloane-Kettering
Cancer Center
New York, USA
Nuno Figueiredo
Champalimaud Clinical Centre
Portugal
Regina Beets Tan
Maastrich University
Medical Center
Maastricht, The Netherlands
Richard Heald
Pelican Cancer Foundation
Basingstoke, Hampshire, UK
Rob Glynne-Jones
Mount Vernon Centre for
Cancer Treatment
London, UK
Robert D. Madoff
University of Minnesota
Minneapolis, USA
Ronan O’Connell
University College Dublin,
St Vincent’s University Hospital
Dublin, Ireland
Soren Laurberg
Aarhus University
Aarhus, Denmark
Steven Wexner
Cleveland Clinica Florida
Florida, USA
Te Vuong
Jewish General Hospital,
McGill University
Montreal, Canada
Torbjorn Holm
Karolinska Universitetsjukhuset
Stockholm, Sweden
Vincenzo Valentini
Università Cattolica S. Cuore
Roma, Italy
Yves Panis
Hôpital Beaujon,
Clichy France
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Organization
Supported by
Endorsing Societies and Institutions
Sociedade Brasileira de Coloproctologia
ACESP Associação de Coloproctologia do Estado de São Paulo
Sociedade Brasileira de Radioterapia
Sociedade Brasileira de Radiologia
Sponsored by
GIMED