PROGRAM ADDVVAANNCCEEDD COOUURRSSEE IINN COOLLOORREECCTTAALL SUURRGGEERRYY AAPPRRIILL 1100 & & 1111,, 22001155 CCHHAAIIRRM MAANN Henrique Prata Director General Hospital de Cancer de Barretos PPRRREEESSSIIIDDDEEENNNTTT DDIIIRRREEECCCTTTOOORRR Jacques Marescaux Armando Melani President, IRCAD University of Strasbourg, France Hospital de Cancer de Barretos Brazil O OBBJJEECCTTIIVVEESS To cover a broad spectrum of surgical procedures in colorectal surgery To provide indications for surgical treatment and discuss operative complications To highlight technicalities of surgical interventions through the broadcasting of live procedures To allow real time discussion between the operators and the surgeon trainees To provide hands-on sessions to improve skills in laparoscopic surgery through practice on live tissue under experts‘ tutorials To describe postoperative clinical results and practical applications of evidence-based clinical medicine. EEDDUUCCAATTIIOONNAALL M MEETTHHOODDSS Interactive theoretical and video sessions between faculty and course participants Live and pre-recorded operative demonstrations FFAACCUULLTTYY Patrick Ambrosetti (Switzerland) Frederic Bretagnol (France) Nicolas Demartines (Switzerland) Angelita Habr-Gama (Brazil) Joël Leroy (France) Jacques Marescaux (France) John Marks (USA) Armando Melani (Brazil) Nicolas Rotholtz (Argentina) Sergio Nahas (Brazil) Joao De Aguiar Pupo-Neto (Brazil) Feza Remzi (USA) Miguel Pedroso (Brazil) TTRRAAIINNEERRSS Carlos Véo (Brazil) Marcos Denadai (Brazil) Roberto Luiz Kaiser Júnior (Brazil) José Alfredo Reis Júnior (Brazil) Mônica Vieira Pacheco (Brazil) Mario Abedrapo (Chile) Sthela Regadas (Brazil) Hélio Moreira Júnior (Brazil) André Da Luz Moreira (Brazil) Francisco Sérgio Regadas (Brazil) Univaldo Sagae (Brazil) Carlos Ramón S. Mendes (Brazil) José Ciongoli (Brazil) Magda Maria Profeta da Luz (Brazil) Olival de Oliveira Junior (Brazil) Roberta Lages das Mercês (Brazil) Juan Carlos Reyes (Colombia) Marcelo Rodrigues Borba (Brazil) This programme may be subject to modifications or cancellations for timing reasons Laparoscopic Colorectal Surgery Advanced Course Friday, April 10 - 2015 07.45 am 08.00 am Shuttle-bus Hotel – AMITS Registration Welcome – Introduction of faculty members J. Marescaux A. Melani 08.00 am LIVE AND PRE-RECORDED OPERATIVE DEMONSTRATIONS Chairmen: N. Demartines (Switzerland) – F. Remzi (USA) –S. Nahas (Brazil) Operators: J. Leroy (France) - J. Marks (USA) - A. Melani (Brazil) – Upon patient availability Operative Cases: 02.00 pm Rectosigmoidectomy Right Colectomy Single Port Sigmoidectomy Total Mesorectal Excision for Cancer (TME) Lunch at the Institute 03.00 pm OPTION B: TRAINING ON LIVE TISSUE Chairman: A. Melani Trainers: Carlos Véo – Marcos Denadai – Roberto Luiz Kaiser Júnior – José Alfredo Reis Júnior Mônica Vieira Pacheco – Mario Abedrapo – Sthela Regadas – Hélio Moreira Júnior André da Luz Moreira – Francisco Sérgio Regadas – Univaldo Sagae – Carlos Ramón S. Mendes – José Ciongoli – Magda Maria Profeta da Luz – Olival de Oliveira Júnior – Roberta Lages das Mercês – Juan Carlos Reyes – Marcelo Rodrigues Borba Operative Strategy Right ileo-caecal resection and anastomosis Left sigmoid resection with Knight-Griffen anastomosis Vascular approach 03.00 pm OPTION A: VIDEO SESSIONS – TIPS & TRICKS Chairmen: P. Ambrosetti (Switzerland) - F. Bretagnol (France) – J. Pupo-Neto (Brazil) 06.00 pm Discussion around short presentations of difficult or particular cases, pitfalls and technical details of colorectal surgery by watching pre-recorded operative demonstrations. End of session Shuttle-bus AMITS – Hotel This programme may be subject to modifications or cancellations for timing reasons Laparoscopic Colorectal Surgery Advanced Course Saturday, April 11 - 2015 Shuttle-bus Hotel – AMITS 08.00 am OPTION B: TRAINING ON LIVE TISSUE Chairman: A. Melani Trainers: Carlos Véo – Marcos Denadai – Roberto Luiz Kaiser Júnior – José Alfredo Reis Júnior Mônica Vieira Pacheco – Mario Abedrapo – Sthela Regadas – Hélio Moreira Júnior André da Luz Moreira – Francisco Sérgio Regadas – Univaldo Sagae – Carlos Ramón S. Mendes – José Ciongoli – Magda Maria Profeta da Luz – Olival de Oliveira Júnior – Roberta Lages das Mercês – Juan Carlos Reyes – Marcelo Rodrigues Borba Operative Strategy Right ileo-caecal resection and anastomosis Left sigmoid resection with knight anastomosis Vascular approach 08.00 am OPTION A: VIDEO SESSIONS – TIPS & TRICKS Chairmen: N. Demartines (Switzerland) - A. Habr-Gama (Brazil) – F. Remzi (USA) 11.00 am Discussion around short presentations of difficult or particular cases, pitfalls and technical details of colorectal surgery by watching pre-recorded operative demonstrations. Break 11.15 am PLENARY SESSIONS Chairmen: 11.15 am P. Ambrosetti (Switzerland) - J. Marks (USA) - S. Nahas (Brazil) TECHNIQUES OF RIGHT AND LEFT LAPAROSCOPIC COLECTOMY 11.45 pm Call for a better harmonization of the surgical technics Colectomy for diverticulitis – indications and controversies Natural Orifice Specimen Extraction (N.O.S.E.) after colectomy P. Ambrosetti – 10’ A. Habr-Gama – 10’ J. Leroy – 10’ INFLAMMATORY BOWEL DISEASES 12.45 pm J. Leroy – 15’ A. Melani – 10’ DIVERTICULITIS : INDICATIONS, TECHNIQUES AND OUTCOMES 12.20 pm Tips and tricks for right and left colectomy Transverse colon : a safe approach Severe Endometriosis: what to do? Inflammatory bowel diseases Lunch at the Institute This programme may be subject to modifications or cancellations for timing reasons J. Leroy – 10’ F. Remzi – 15’ Laparoscopic Colorectal Surgery Advanced Course Saturday, April 11 - 2015 01.30 pm PLENARY SESSIONS Chairmen: N. Demartines (Switzerland) – J. Leroy (France) - A. Melani (Brazil) 01.30 pm RECTAL CANCER TRANSANAL ENDOSCOPIC MICROSURGERY (TEM) TEM : Ancestor of NOTES but still very useful Local treatment of rectal cancer TEM and Endoluminal surgery Cylindrical abdomino-perineal resection N. Demartines – 10’ F. Bretagnol – 10’ J. Marks – 10’ A. Habr-Gama – 10’ LAPAROSCOPIC TOTAL MESORECTAL EXCISION (TME) Steps of the procedure J. Leroy – 15’ LAPAROSCOPIC ABDOMINO-PERINEAL RESECTION (APR) 02.45 pm J. Marks – 10’ A. Melani – 10’ N. Demartines – 10’ A. Melani – 10’ J. Leroy – 10’ A. Melani – 10’ Principles of anastomotic techniques and management of its complications What to do when the pouch surgery goes wrong The Dindo Clavien classification of complications: what you always wanted to know Ureteral injuries: aetiology, management and prevention Complication after laparoscopic ileocectomy for Crohn’s disease F. Remzi – 10’ F. Remzi – 10’ N. Demartines – 10’ J. Leroy – 10’ P. Ambrosetti – 10’ CLOSING LECTURE 05.30 pm NOTES colorectal surgery : is there a future ? Single port surgery for colorectal cancer o I am in favor ! o I am against ! From three ports to single port laparoscopic Sigmoidectomy with N.O.S.E. : new step to N.O.T.E.S. Transanal Rectal Surgery with TEO platform: from polypectomy to full TME Comments from a beginner in robotic colorectal surgery WHEN EXPERTS FACE DIFFICULT SITUATIONS & COMPLICATIONS 05.10 pm J. Leroy – 10’ NEW TRENDS 04.00 pm Pre-peritoneal terminal colostomy Enhanced recovery after surgery (ERAS): better than Fast track even in laparoscopy End of session Shuttle-bus AMITS – Hotel This programme may be subject to modifications or cancellations for timing reasons N. Demartines – 20’ Laparoscopic Colorectal Surgery Advanced Course PROGRAM FOR OPTION A - WORKSHOPS Friday, April 10 - 2015 03.00-06.00 pm OPTION A: VIDEO SESSIONS – TIPS & TRICKS Chairmen: P. Ambrosetti (Switzerland) - F. Bretagnol (France) – J. Pupo-Neto (Brazil) Left colectomy VL : step by step Elective laparoscopic surgery for DD : how we do it ? Laparoscopic surgery for colovaginal fistula When does a hand-assisted approach make sense? Laparoscopic Hartmann reversal : technical considerations Total colectomy by single port S. Nahas – 10’ P. Ambrosetti – 10’ P. Ambrosetti – 10’ J. Pupo Neto – 10’ J. Leroy – 10’ A. Melani – 10’ 15’ BREAK Tips and tricks of J pouch surgery Combined resections liver metastasis and colorectal surgery Outcomes of single incision laparoscopic colorectal surgery: for who and when ? Tips and tricks to prevent failure after colorectal anastomosis Approaches for splenic flexure release Right colonic laparoscopic wedge resection with colonoscopic assistance F. Remzi – 10’ A. Melani – 10‘ J. Marks – 10’ J. Leroy – 10’ J. Marks – 10’ J. Leroy – 10’ Saturday, April 11 - 2015 08.00-11.00 am OPTION A: VIDEO SESSIONS – TIPS & TRICKS Chairmen: N. Demartines (Switzerland) - A. Habr-Gama (Brazil) – F. Remzi (USA) Obesity and laparoscopic colorectal surgery: what is different? Voluminous right pararectal lipoma : laparoscopic approach Perineal incisional hernia after laparoscopic APR Colorectal anastomosis: test and pitfalls Amputation or intersphincteric resection: major differences in strategy Sphincter preservation and low colorectal anastomosis S. Nahas – 10’ J. Leroy – 10’ J. Leroy – 10’ N. Demartines – 10’ N. Demartines – 10’ S. Nahas– 10’ 15’ BREAK Laparoscopic reoperation for complications of laparoscopic colorectal surgery Ventral rectopexy for prolapsus Retro-rectal tumors Laparoscopy Rectopexy: a teaching operation ? Endoscopic features of complete clinical response after CRT TEM for rectal tumor This programme may be subject to modifications or cancellations for timing reasons S. Nahas – 10’ F. Bretagnol – 10’ F. Bretagnol – 10’ N. Demartines – 10’ A. Habr-Gama – 10’ A. Habr-Gama – 10’