4th ESSO Advanced Course on the Management of Colorectal Liver Metastases
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1 4th ESSO Advanced Course on the Management of Colorectal Liver Metastases October 2016 BORDEAUX (FR)
2 4 th ESSO Advanced Course on the Management of Colorectal Liver Metastases Chairs Serge Evrard, Professor of Surgery, Digestive Tumours Unit, Institut Bergonié/University of Bordeaux, FR Thomas Gruenberger, Professor and Chairman, Department of Surger I, Rudolfstiftung Hospital Vienna, AT Graeme Poston, Consultant Hepatobiliary Surgeon, Divisional Medical Director and Chairman of the Division of Surgery, University Hospital Aintree (UHA), Liverpool, UK Faculty Members Peter Naredi, Professor of Surgery and Chairman of the Department of Surgery, Sahlgrenska Academy, University of Gothenburg, SE Michel Rivoire, Professor of Surgery, Co-ordinator of the Department of Surgery, Centre Régional Léon Bérard, Lyon, FR Theo Ruers, Professor of Surgery, Head of the Division of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam, NL Stefan Stättner, Medical University Innsbruck, Salzburg, AT Guido Torzilli, Full Professor of Surgery, Humanitas University, School of Medicine; Chairman of the Department of Surgery, Director of the Division of Hepatobiliary & General Surgery, Humanitas Research Hospital, IRCCS, Milan, IT Invited speakers Grégoire Desolneux (IB) Véronique Vendrely (CHU Bordeaux) Jean Palussière (IB) Hervé Trillaud (CHU Bordeaux)
3 Aim of the Course The advanced course will provide an answer to the following questions: How do I manage the patient s preoperative assessment? How do neoadjuvant or induction chemotherapy impact on our approach to CRMs? How do I use and optimise ultrasound guided CRM surgery? Do I clamp the pedicle or not? How do I transect the liver parenchyma? How should biology impact surgical strategy? How do I manage very large CRMs? How do I practice intraoperative radiofrequency ablation? How do I manage a two-stage procedure? How do I manage missing metastases? How do I manage the primary tumour with synchronous CRMs? Do I know the place of the other regional therapies or targeted radiotherapies? Educational Methods Multidisciplinary approach Plenary lectures, workshops Live transmission of liver procedures Video discussions Ideal advanced course candidate Senior resident (last two years of training) Junior consultant surgeon (within five years of board certification) Experienced consultant surgeon Course Venue Institut Bergonié Université de Bordeaux 229 cours de l Argonne BORDEAUX FRANCE Accommodation For accommodation please contact the Education Coordinator
4 Application procedure To apply for this course go to (Courses and Masterclasses) Participation fee Registration fee is 650 for members and 800 for non-members. The fee includes the registration in the course, catering during the course and a social dinner. Accreditation An application for accreditation has been submitted to the European Accreditation Council for CME (EACCME) of the European Union of Medical Specialists (UEMS). Course Coordination Ana Galán Education Coordinator European Society of Surgical Oncology . ana.galan@essoweb.org
5 Programme 08:00-08:30 Registration 08:30-08:45 Welcome Monday 10 th October 08:45-08:55 Video introducing how to manage complex metastases S. Evrard 08:55-10:15 Session 1: liver anatomy and radiology 08:55-09:20 Surgical Anatomy and prognostic factors for surgery for colorectal liver metastases 09:20-09:45 Liver imaging in advanced colorectal cancer J. Palussière 09:45-10:15 Intra-operative assessment of the liver G. Torzilli 10:15-10:30 Coffee break 10:30-13:30 Session 2: live demonstration (including videos) of resection techniques and intraoperative and ablation Lunch during session 13:30-13:45 Coffee break 13:45-14:05 Clamping and pre-conditioning P. Naredi 14:05-14:30 Kellyclasia 14:30-14:50 Ablation (RFA/microwave) T. Ruers 14:50-15:10 Anatomical versus non-anatomical resection and the margin issue G. Désolneux 15:10-16:10 Free discussion: Live debreafing, technical issues, etc Coffee during discussion 16:10-18:10 Session 3: integrated multidisciplinary management of colorectal liver metastases 16:10-16:55 Integrating chemotherapy and surgery, the role for neoadjuvant and adjuvant therapy / Induction therapy / Toxicity of chemo 16:55-17:25 Percutaneous ablation (RF, Microwave) H. Trillaud 17:25-17:50 Targeted bead therapies 17:50-18:10 Targeted radiotherapies V. Vendrely
6 Tuesday 11 th October 08:00-09:40 Session 4: problems in the management of colorectal liver metastases (including videos where appropriate) 08:00-08:20 Very large metastases: the hanging liver maneuvers M. Rivoire 08:20-08:40 Missing metastases P. Naredi 08:40-09:00 Two-stage procedures M. Rivoire 09:00-09:20 Multi-resections US guided G. Torzilli 09:20-09:40 Liver failure T. Gruenberger 09:40-10:00 Coffee break 10:00-13:00 Session 5: second live operation and operative videos (all faculty) Intraoperative US: exploration, biopsy guiding, Contrast enhancement, Videos, Resection techniques and intraoperative RF, Portal ligation, Two-stage, Re-hepatectomy Lunch during session 13:00-13:15 Coffee break 13:15-14:00 Session 6: Free session Presentation of The RAID study, the CLIMB study and SURCARE S. Stättner 14:00-15:30 Session 7 : Strategies 14:00-14:30 Synchronous resection of primary and metastatic liver disease: the issues, operable primary and operable liver; operable primary but inoperable liver; inoperable primary with operable liver; inoperable primary and liver disease 14:30-15:00 Initially inoperable liver disease that becomes resectable after chemotherapy T. Gruenberger 15:00-15:30 Plea for the parenchymal sparing approach to treat CRLM S. Evrard
7 ESSO is grateful for the continuous support of its corporate sponsors The advanced course is supported by: European Society of Surgical Oncology (ESSO) Avenue E. Mounier 83 B 1200 Brussels Tel: +32 (0) Fax : +32 (0) info@essoweb.org Website :
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