PROGRAMME. Henrique Prata. Director General Hospital de Amor - Barretos. Armando MELANI Scientific Director
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1 PROGRAMME Henrique Prata Director General Hospital de Amor - Barretos Jacques MARESCAUX President, IRCAD University of Strasbourg, France Armando MELANI Scientific Director IRCAD Latin America Armando MELANI Scientific Director IRCAD Latin America To provide the basic knowledge required for clinical applications To describe all the basic principles (instruments, materials, equipments) and present the most used basic laparoscopic techniques Hands-on training sessions to learn or improve performance of basic technical tasks in laparoscopic surgery such as intra-corporeal suturing and knots tying techniques, two-hands coordination for dissection, safe use of energy in laparoscopy To describe results and potential complications of laparoscopic procedures Interactive theoretical and video sessions between faculty and course participants Live and pre-recorded operative demonstrations Luis G.Romagnolo (Brazil) Department of Oncological Surgery - Low Digestive System Hospital de Amor Barretos Armando MELANI (Brazil) Bernard DALLEMAGNE (Belgium) Bruno PEREIRA (Brazil) Jacques MARESCAUX (France) Juverson TERRA (Brazil) Luis G. C. ROMAGNOLO (Brazil) Luis Poggi (PERU) Marcelo CUNHA (Brazil) Marcelo FURTADO (Brazil) Michel VIX (France) videoconference Paulo BERTOLUCCI (Brazil) videoconference Raphael ARAÚJO (Brazil) Danilo Kanno (Brazil) Diego BURGARDT (Brazil) Fernando FELIPPE (Brazil) Guilherme ACCORSI (Brazil) João Paulo RIPARDO (Brazil) José BENTO (Brazil) José CIONGOLI (Brazil) Marcel DOMENICONI (Brazil) Marco SANCTIS (Brazil) Rafael IZAR (Brazil)
2 Monday, February 11 th 2019 Participants Shuttle Bus : Hotel IRCAD Faculty Shuttle Bus : Hotel IRCAD am Welcome to participants Chairmen : J. Ciongoli / F. Felippe am EQUIPMENT B. Dallemagne Laparoscope- camera light source Insufflators, instruments Surgical energy devices: electrosurgery, ultrasounds am COFFEE BREAK am BASIC PRINCIPLES L. Romagnolo Operating room setup Methods of access to the peritoneal cavity Trocars caracteristics - risks safe manipulation Physiology of the pneumoperitoneum am TISSUE APPROXIMATION-HEMOSTASIS P. Bertolucci videoconference Laparoscopic suturing and knotting methods Principles of mechanical stapling Techniques-devices and tricks for hemostasis pm Laboratory rules E. Belmonte (IRCAD team) pm LUNCH EXPERIMENTAL LABORATORY DRY LAB pm Pre-lab session Demonstration of the exercises to be performed (sutures in black box) - Auditorium All faculty Practical exercises in the laboratory (surgical exercises intended to practice, ergonomics, suture, knots and management of instrumentals) pm End of the session 2
3 Tuesday, February 12 th 2019 Chairmen : J. Ciongoli / R. Araujo am LAPAROSCOPIC BILIARY SURGERY LIVE OPERATIVE DEMONSTRATIONS Laparoscopic Cholecystectomy J. Terra Cholecystectomy Basic principles PRE-RECORDED OPERATIVE DEMONSTRATIONS Laparoscopic cholecystectomy for Acute cholecistitis Laparoscopic partial/sub-total cholecystectomy B. Dallemagne L. Poggi am COFFEE BREAK am Bile Ducts Surgery Modern management of CBD stones Bile duct injuries - Incidence, risk factors, diagnosis and prevention - Management and outcome R. Araújo PRE-RECORDED OPERATIVE DEMONSTRATIONS Laparoscopic Common bile duct exploration B. Dallemagne pm LUNCH EXPERIMENTAL LABORATORY - Practice on Live Tissue pm Pre-lab session Procedures discriptions (Auditorium) All faculty Basic principles : insufflation - positioning of trocars - open laparoscopy Clips - staples - laparoscopic sutures - knots - surgitie Small bowel resection (endogia - intracorporeal suture - surgitie) Small bowel dissection and anastomoses Hand-sewn gastro-jejunostomy Cholecystectomy pm End of the session 3
4 Wednesday, February 13 th 2019 Chairmen : B. Dallemagne / M. Cunha am MINIMALLY INVASIVE SURGERY: NEXT STEPS J. Marecaux am INGUINAL HERNIA REPAIR LIVE or PRE-RECORDED OPERATIVE DEMONSTRATIONS Laparoscopic approach of hernia repair : TAPP M. Furtado am COFFEE BREAK Role of laparoscopy in specific clinical conditions: recurrent hernia, strangulated hernia. TAPP hernia repair: tips & tricks Rationale of the laparoscopic approach for inguinal hernia repair B. Dallemagne M. Furtado M. Furtado am INCISIONAL and VENTRAL HERNIA PRE-RECORDED OPERATIVE DEMONSTRATIONS Laparoscopic incisional hernia repair M. Furtado Indications, mesh repair, suture repair, component separation repair, emergencies am EMERGENCIES: GASTRIC PERFORATION Modern management of gastric perforation: open-laparoscopic or conservative Laparoscopic approach for gastric perforation EMERGENCIES: APPENDICITIS Modern management of acute apendicitis: surgery vs conservative therapy Technique(s) of laparoscopic appendectomy B. Pereira pm LUNCH EXPERIMENTAL LABORATORY - Practice on Live Tissue pm Pre-lab session Procedures discriptions (Auditorium) TAPP inguinal hernia repair Ventral hernia repair Gastrointestinal-anastomosis Small bowel resection-anastomoses All faculty pm End of the session 4
5 Thursday, February 14 th 2019 Chairmen : M. Domeniconi / D. Kanno am COLORECTAL SURGERY LIVE OPERATIVE DEMONSTRATION Sigmoidectomy A. Melani am COFFEE BREAK am Basic principles of colorectal surgery: patient preparation-or setup-energy tools. Right colectomy: anatomy-based resection M. Domeniconi Sigmoidectomy: anatomy-based resection A. Melani Introduction to Total Mesorectal Excision (TME) A. Melani pm EMERGENCIES: ACUTE SIGMOIDITIS Current medical and surgical approaches M. Domeniconi pm SPLENIC SURGERY pm LUNCH Indications and surgical techniques: anterior and posterior approaches Laparoscopic approach for gastric perforation F. Felippe EXPERIMENTAL LABORATORY - Practice on Live Tissue pm Pre-lab session Procedures discriptions (Auditorium) Small bowel resection-anastomoses Right colectomy Sigmoidectomy Splenectomy All faculty pm End of the session 5
6 Friday, February 15 th 2019 THEORETICAL DAY Chairmen : TBD am ESO-GASTRIC SURGERY LIVE or PRE-RECORDED OPERATIVE DEMONSTRATIONS Antireflux surgery or Esophageal Myotomy for achalasia B. Dallemagne am COFFEE BREAK am Antireflux and hiatal hernia surgery B. Dallemagne Techniques of anastomoses after gastrectomy F.Felippe Management of submucosal tumors (GIST) F.Felippe Principles and techniques of gastrectomy for cancer F.Felippe VIDEO SESSION CLINICAL CASES Discussion pm LUNCH pm BARIATRIC and METABOLIC SURGERY pm HBP SURGERY Tailored approach: gastric banding, sleeve gastrectomy & gastric bypass Management of common and difficult complications Metabolic surgery An overview of the current role of laparoscopy M. Vix (videoconference) R. Araújo pm CONCLUSIONS AND END OF THE SEMINAR pm Delivery of the certificates of attendance Participants Shuttle Bus : IRCAD Airports and Hotel Faculty Shuttle Bus : IRCAD Airports and Hotel 6
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