From Pituitary to Skull Base course

Transcription

1 DIPARTIMENTO DI SCIENZE BIOMEDICHE E NEUROMOTORIE From Pituitary to Skull Base course November 27 th, 30 th, 2017 Istituto delle Scienze Neurologiche Ospedale Bellaria, Bologna Under the auspices of Chairman Giorgio Frank Course Directors Diego Mazzatenta Ernesto Pasquini

2 AIM DESCRIPTION The workshop that we are presenting is organized by the Center for Endoscopic Skull Base Surgery of Bologna, with the participation of internationally renowned surgeons. Ours is a mixed group of ENT surgeons and Neurosurgeons, and since 1998 our activity has been focusing on Transnasal Endoscopic Skull Base Surgery. It has been one of the pioneer centers for this technique with a wide experience in this field. The transnasal endoscopic surgery was initially used for the endosellar lesions such as pituitary adenomas, but now, the indications have been expanded to the extrasellar pathologies such as craniopharyngiomas, meningiomas, chordomas etc. Besides the excellent results however, there are limitations and complications, which we need to be aware of and to be able to manage. To begin this kind of surgery, it is not sufficient to be able to use the endoscope and to know the anatomy of the skull base. These aspects can be covered by participating in one of the numerous endoscopic dissection courses that are now held all over the world and that we highly recommend. Our course is ambitious to be different and attempts to transfer our patrimony of knowledge of this pathology and of this technique, that we have gathered over the years. With us in the operating theatre, you will be able to observe tips and tricks (from the position of the patient, to how the team is positioned, to the instruments of support that we use) that help us to simplify the surgery. We are at the 16 th edition of our workshop and we can state that the formula has proven to be successful. We are proud to count among our past students and supporters some of the best endoscopic skull base surgeons worldwide. We look forward to meeting you in Bologna.

3 MONDAY NOVEMBER 27 TH, 2017 INSTITUTE OF NORMAL HUMAN ANATOMY 8,30 Registration 9,00 Welcome and introduction E. Pasquini, L. I. Cocco, L. Manzoli A. MIDLINE CORRIDORS 9,20 Introduction of skullbase anatomy Anatomy school of University of Bologna 9,40 lnstrumentation and technological supports L. Milanese 10,00 Surgical midline endoscopic anatomy: a. Standard and supradiaphragmatic approaches D. Mazzatenta b. Transcribriform approach E. Pasquini 10,40 HANDS ON DISSECTION 13,00 Light lunch 14,00 Surgical midline endoscopic anatomy for transclival and CVJ approaches E. Pasquini 14,30 HANDS ON DISSECTION 16,00 Open coffee 17,30 End of daily session

4 TUESDAY NOVEMBER 28 TH, 2017 INSTITUTE OF NORMAL HUMAN ANATOMY 8,30 Faculty panel: critical evaluation of the first day of work B. LATERAL CORRIDORS Surgical lateral endoscopic anatomy: 8,45 Transethmoidal corridor approaches (EPS) G. Frank 9,00 Transmaxillary approaches E. Pasquini 9,15 Transorbital approaches M. Zoli 9,30 HANDS ON DISSECTION 13,00 Light lunch 14,00 Plastic repair techniques E. Pasquini 14,30 HANDS ON DISSECTION 17,30 Faculty panel: final remarks 18,00 Visit to anatomical museum

5 WEDNESDAY - NOVEMBER 29 TH, 2017 IRCCS ISNB 7,45 Registration 8,00 Welcome address P. Cortelli, C. Sturiale 8,20 Workshop presentation G. Frank PITUITARY ADENOMAS Facilitator: G. Frank 8,40 Transsphenoidal approach for pituitary adenomas: indications, surgical strategy M. Bettag 9,00 Transplanumtranstuberculum approach for pituitary adenomas: indications and limits E. Laws 9,20 Endoscopic endonasal approach to the cavernous sinus E. Knosp 9,40 Post operative endocrinological management M. Faustini-Fustini 10,00 OPERATING ROOM: FIRST PROCEDURE 11,00 Coffee Break CRANIOPHARYNGIOMAS Facilitator: E. Laws 11,30 Endoscopic endonasal approach for craniopharyngiomas D. Mazzatenta 11,50 Hypothalamic sequelae in craniopharyngioma surgery L. Sambati 12,10 Neuroradiological work up: what are the news? A. Bacci MENINGIOMAS Facilitator: W. Van Furth 12,30 The world upside: anterior skull base meningiomas P. Cappabianca 12,50 Posterior fossa meningiomas D. Mazzatenta 13,10 Complex skull base meningiomas: endoscopic endonasal vs open approaches S. Froelich 13,00 Lunch 14,30 OPERATING ROOM: SECOND PROCEDURE SKULLBASE CHORDOMAS Facilitator: E. Pasquini 15,30 Surgical management of clivus chordoma S. Froelich 15,50 Clival chordoma radical resection: navigation, I.O. CT scan, or anatomy? W. Van Furth 16,10 The new frontiers of radiotherapy A. Iannalfi 16,30 Open Coffee EXPANDED APPROACHES TO SKULL BASE: CLINICAL SERIES Facilitator: E. Knosp 16,30 Endoscopic Endonasal Odontoidectomy: clinical results. Pro/contra F. Zenga 16,50 Infratemporal fossa & Meckel s cave: clinical series E. Pasquini 17,10 Transorbital approach for lateral orbital decompression: case series P. Locatelli 17,30 End of session 20,30 Social dinner

6 THURSDAY - NOVEMBER 30 TH, 2017 IRCCS ISNB 8,00 Lectio Magistralis Introduction: P. Cappabianca and G. Frank THE ROLE OF NEW TECHNOLOGIES IN CLINICAL SETTING E. Laws MONITORING IN ENDOSCOPIC ENDONASAL SURGERY Facilitator: M. Bettag 8,30 Operative monitoring during endoscopic endonasal surgery. My own experience and literature review N. Saeki 8,50 3D endoscopy advantages and limits F. Doglietto 9,10 Back to the future: because I use the 2D HD endoscope G. Lasio 9,30 IOM: how and when can help the surgeon F. Pastorelli, M. Zoli 10,00 OPERATING ROOM: THIRD PROCEDURE 10,30 Coffee Break COMPLICATIONS AND POSTOPERATIVE MANAGEMENT Facilitator: E. Pasquini 11,00 a. Surgical complications role of interventional neuroradiologist L. Cirillo b. Surgical management of complications M. Zoli c. Endocrinological complications F. Guaraldi 11,40 CSF leak management P. Castelnuovo 12,30 Lunch 13,00 OPERATING ROOM: FOURTH PROCEDURE A CHALLENGING CASE OF MINE 14,00 Clinical cases videos M. Bettag, E. Knosp, F. Zenga, G. Lasio ROUND TABLE: UNEXPECTED COMPLICATIONS. NOW WHAT TO DO? 15,00 Clinical cases videos N. Saeki, W. Van Furth, F. Doglietto, M. Zoli 15,30 Open Coffee 16,30 Results & Final Conclusion D. Mazzatenta, E. Pasquini

7 FACULTY AFFILIATIONS Antonella Bacci Neuroradiology Department Istituto delle Scienze Neurologiche di Bologna, Italy Martin Bettag Krankenhaus der Barmherzigen Brüder Trier, Germany Anna Maria Billi Professor of Anatomy Department of Biomedical and NeuroMotor Sciences (DiBiNeM), University of Bologna, Italy Paolo Cappabianca Division of Neurosurgery, University of Naples, Italy Paolo Castelnuovo Professor of Otorhinolaryngology Department of Biotechnology and Life Sciences (DBSV), University of Insubria-Varese, Italy Luigi Cirillo Neuroradiology Department Istituto delle Scienze Neurologiche di Bologna, University of Bologna, Italy Lucio Ildebrando Cocco Professor of Anatomy Department of Biomedical and NeuroMotor Sciences (DiBiNeM), University of Bologna, Italy Pietro Cortelli Professor of Neurology Department of Biomedical and NeuroMotor Sciences (DiBiNeM), University of Bologna, and IRCCS Istituto delle Scienze Neurologiche di Bologna, Italy Francesco Doglietto Unit of Neurosurgery Department of Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Italy Marco Faustini-Fustini Pituitary Unit Istituto delle Scienze Neurologiche di Bologna, Italy Giorgio Frank Pituitary Unit, Division of Neurosurgery Istituto delle Scienze Neurologiche di Bologna, Italy

8 FACULTY AFFILIATIONS Sebastien Froelich Department of Neurosurgery, Lariboisière Hospital, University of Paris VII-Diderot, France Federica Guaraldi Pituitary Unit Department of Biomedical and NeuroMotor Sciences (DiBiNeM) and Istituto delle Scienze Neurologiche di Bologna, Italy Alberto Iannalfi Radiotherapy Fondazione CNAO, Pavia, Italy Engelbert Knosp Department of Neurosurgery, Medical University Vienna, Austria Giovanni Lasio Department of Neurosurgery Istituto Clinico Humanitas, Milan, Italy Edward Laws Department of Neurosurgery, Brigham and Women s Hospital, Harvard Medical School, USA Davide Locatelli Professor di Neurosurgery Neurosurgery Unit, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy Lucia Manzoli Professor of Anatomy Department of Biomedical and NeuroMotor Sciences (DiBiNeM), University of Bologna, Italy Diego Mazzatenta Pituitary Unit, Department of Biomedical and NeuroMotor Sciences (DiBiNeM), University of Bologna, and IRCCS Istituto delle Scienze Neurologiche di Bologna, Italy Laura Milanese Pituitary Unit, Neurosurgical Division IRCCS Istituto delle Scienze Neurologiche di Bologna, Italy

9 FACULTY AFFILIATIONS Ernesto Pasquini Chairman of Otorhinolaryngology Division of Otorhinolaryngology, Bellaria Hospital, Bologna, Italy Francesca Pastorelli Division of Neurology IRCCS Istituto delle Scienze Neurologiche di Bologna, Italy Naokatsu Saeki Department of Neurological Surgery Chiba University, Japan Luisa Sambati Division of Neurology Department of Biomedical and NeuroMotor Sciences (DiBiNeM), University of Bologna, and IRCCS Istituto delle Scienze Neurologiche di Bologna, Italy Carmelo Sturiale Chairman of Neurosurgery Neurosurgery Department, IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy Wouter Van Furth Department of Neurosurgery, Leiden University, The Netherlands Francesco Zenga Division of Neurosurgery Department of Neuroscience University of Torino, Italy Matteo Zoli Pituitary Unit, Neurosurgical Division Department of Biomedical and NeuroMotor Sciences (DiBiNeM) and Istituto delle Scienze Neurologiche di Bologna, Italy

10 HOW TO REACH US INSTITUTE OF NORMAL HUMAN ANATOMY UNIVERSITY OF BOLOGNA BY PLANE From Bologna airport. Take BLQ bus to via dei Mille, take bus 28 to Istituto di Anatomia Normale. BY BUS From via dei Mille (City center) Take bus 28 to Ospedale Bellaria. BY TRAIN Take bus 36 to Ospedale Bellaria, in front of the train station. BY CAR From the tangenziale. Take the exit 13 to via Emilia Levante and follow direction. From A14 (autostrada). Take San Lazzaro exit to via Emilia Levante and follow direction. University of Bologna IRCCS ISNB BY PLANE From Bologna airport. Take BLQ bus to the railway station, take bus 36 to Ospedale Bellaria. BY BUS From Piazza Cavour (City center) Take bus 90 to Ospedale Bellaria. BY TRAIN Take bus 36 to Ospedale Bellaria, in front of the railway station. BY CAR From the tangenziale. Take the exit 13 to via Emilia Levante and follow direction. From A14 (autostrada). Take San Lazzaro exit to via Emilia Levante and follow direction. Railway station Airport

11 REGISTRATION FEES 4 days 2 days, anatomy dissection 2 days, live surgery REGISTRATION FEES only anatomy dissection 1500 only live surgery 850 whole course - 4 days 2100 Italian VAT 22% to be added to the above fees The first two days of Anatomy Dissection will take place at the Institute of Normal Human Anatomy of the University of Bologna, via Irnerio 48, Bologna. While the following two days of Live Surgery will be performed at the IRCCS Institute of Neurological Sciences of Bologna, via Altura 3, Bologna. ORGANISING SECRETARIAT MZ CONGRESSI SRL Member of the MZ International Group Via C. Farini, Milano Tel. 02/ Fax 02/ barbara.zorzi@mzcongressi.com

12 A cura di Comunicazione e Relazioni con il cittadino - Azienda USL di Bologna