The Report of ESTS School of Thoracic Surgery February 25 March 1, 2009 Antalya, Turkey

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1 The Report of ESTS School of Thoracic Surgery February 25 March 1, 2009 Antalya, Turkey

2 ESTS School of Thoracic Surgery Committee Director of Education: G Rocco, Naples, Italy Antalya School Director: S Halezeroglu, Istanbul, Turkey Syllabus organizer: R Berrisford, Exeter, UK Secretary General : D Van Raemdonck, Leuven, Belgium Members: P De Leyn, Leuven, Belgium and G Massard, Strasbourg, France

3 Participants 1. Austria: 1 2. Belgium: 2 3. Bulgaria: 1 4. Germany: 6 5. Hungary: 1 6. N. Ireland: 3 7. Romania: 1 8. Slovenia: 1 9. Spain: Turkey: UAE: 1

4 Teachers Nr of lectures Nr of days Berrisford R, UK 10 3 De Groot M, S. Africa 8 4 Halezeroglu S, Turkey 6 5 Molins L, Spain 5 2 Rice T, USA 11 5 Rocco G, Italy 7 2 Toker A, Turkey 4 3 Van Raemdonck D, Belgium 5 2

5 25th February 2009 Opening Remarks Difficult pulmonary infections in the immunocompromised patient Uniportal VATS - video/case discussion Emphysema - LVRS Emphysema - intracavitary drainage Use of tissue sealants in lung surgery Emphysema - endoscopic treatment Anaesthesia for thoracic surgery Extended resection for lung cancer Mediastinal tumours and cysts Myaesthenia Gravis & Thymectomy Guidelines review Lung transplantation - state of the art Bronchopleural fistula: occurance and management Clinical cases Principles of tracheal surgery Multimodality treatment of pancoast tumours Berrisford Van Raemdonck Rocco Van Raemdonck Berrisford Rocco Van Raemdonck Berrisford Rocco Van Raemdonck Rice Rocco Van Raemdonck Rocco Rocco Toker Rocco

6 26th February 2009 How I do it: Uniportal VATS Staging algorythm and proposed TNM staging for NSCLC Investigation and management of the solitary pulmonary nodule Giant hiatal hernia Staging of oesophageal cancer Oesophageal injury including rupture Fitness for resection: limitations of spirometry Segmentectomy - indications, techniques Advances in parenchyma preserving treatments for lung cancer Bronchiectasis and destroyed lung Management of haemoptysis Airway injury Management of solitary extrapulmonary metastases in NSCLC Followup of lung cancer patients Palliation of airway diseases - tracheobronchial stenting Rocco Halezeroglu De Groot Berrisford Rice De Groot Berrisford Alper Toker Berrisford De Groot Alper Toker De Groot Berrisford Rice Berrisford Penetrating chest injuries Clinical cases De Groot Rice

7 27th February 2009 Parapneumonic and postoperative empyema Risk Stratification for lung resection De Groot Berrisford Open oesophagectomy - How I do it Minimally invasive oesophagectomy - How I do it Management of complications after oesophagectomy Rice Berrisford Rice Risk Stratification for lung resection Radiotherapy as part of multimodality treatment Hiatal hernia and reflux disease Afternoon visit to Antalya Berrisford Alper Toker Rice

8 28th February 2009 Screening for lung cancer - where are we at? Patient safety in surgical practice Fundamentals of interpreting papers Surgery for fungal and mycobacterial lung diseases Hydatid lung disease Certainty theory Achalasia - key points Adjuvant and neoadjuvant chemotherapy for lung cancer - Fundamentals Principles of tracheal surgery How to do cases - all remaining teachers bring cases/video Management of chest wall injury Chest Wall tumours - principles and practice Operative options for chest wall deformity Diaphragm surgery Pneumothorax surgery Molins Halezeroglu Rice De Groot Halezeroglu Rice Rice Molins Toker Molins De Groot Halezeroglu Molins De Groot Molins

9 1st March 2009 Mediastinal goitre Halezeroglu Anatomy, Embryology and Congenital pulmonary conditions Rice Management of pulmonary metastases Halezeroglu How to do it cases Examination Answering exam questions Closing remarks Halezeroglu Rice, De Groot, Halezeroglu Halezeroglu

10 Overwiev Events Nr Sessions 23 Lectures 55 Case discussions 3 Exam 1 Evaluation of the exam 1 Coffe break 19 Special Dinner (teachers & participants) 2 Optional city tour 1

11 Examination at the beginning of the Course 60 MCQs Neoplastic: 15 Pleural:7 Airway-bullous-preop:7 Operative approaches: 7 Trauma: 4 Mediastinum: 4 Inflammatory: 3 Others: 17 Correct answers by the participants: 51%

12 Examination at the end of the Course 76 MCQs (2 questions or answers were found debatable and removed) Neoplastic: 17 Upper GI:10 Inflammatory: 9 Airway-bullous-preop:9 Trauma: 7 Mediastinum: 5 Others: 17 Correct answers by the participants: 79%

13 Progression Pre-course exam: 51% correct Post-course exam:79% correct Progression: 55%

14 Sessions

15 Sessions

16 Lecturing & Moderating

17 Coffe breaks An important time for friendships and communiction among the lecturers and participants

18 Breakfast A strong brakfast is certainly needed for such a heavy programme

19 Evening chat Social issues only, please!

20 Dinners Good dining has always been one of the major characteristics of a good surgeon!

21 Participants Survey Results Questions The amount of time allotted to the lectures was reasonable 4.2 Mean mark* (over 5) The information in most of the lectures were useful for me 4.5 I did not have important language problem to understand the lectures I could find help for my questions/problems 4.3 I had chance to establish friendship with colleagues from another country I will recommend my colleagues to attend this course 4.8 My overall impression in this course is positive * 1: Strongly disagree, 2: Diasgree, 3: Undecided, 4: Agree, 5:Strongly agree

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