INTERNATIONAL HEPATO-PANCREATO-BILIARY ASSOCIATION (IHPBA), INDIAN CHAPTER 6TH CERTIFICATE COURSE IN HEPATO-PANCREATO-BILIARY SURGERY

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Day 1-28 th August 2013 Liver TS Ravikumar, Goro Honda, R Surendran, V Sitaram, George Kurien Swatee Halbe, Biju Pottakkat, Vibha Naik, Deepak Barathi 1 Surgical quality and safety Inaugural lecture 2 Segmental anatomy of the liver- Couinaud and beyond 3 Aberrant liver segmentations Pictorial images essay 4 Interpretation of liver function tests in health and disease and guidelines 5 Basic techniques and interpretation of hepatobiliary Basic radiology ultrasonography 6 CT, MR and liver lesions- Protocols and diagnosis Basic radiology 7 Liver parenchymal transection technique- How to select 8 Ultrasonic surgical dissector aspirator Equipment demonstration 9 Liver hemangioma, adenoma and focal nodular hyperplasia(fnh) - Expectant and resectional strategies 10 Parenchyma preserving hepatectomies Operative surgery 11 Management of hydatid cyst- Open/laparoscopic/Percutaneous aspiration injection and reaspiration(pair)- Evidence to practice 12 Liver resection in cirrhosis Case discussion 13 Hepatocellular carcinoma- Patient and lesion selection for transarterial chemoembolisation (TACE) and Radioembolisation 14 Radiofrequency ablator Equipment demonstration 15 Right hepatectomy Video lecture 16 Liver retractor systems Equipment demonstration 17 Perioperative optimisation for liver resection 18 Laparoscopic anatomical hepatectomies Video essay 19 Metastatic liver disease- Management options 20 Carcinoma rectum with liver metastases Case discussion

Day 2-29 th August 2013 Hepatitis, Portal Hypertension, Liver Transplantation, Trauma Mohammed Rela, Subash Gupta, Goro Honda, Peush Sahni, SK Mathur George Kurien,, Paari Vijayaraghavan, TD Yadav, Deepak Barathi 1 Techniques of vascular control in liver surgery Operative surgery 2 Viral hepatitis B and C- What a surgeon needs to know 3 Rational use of blood and blood products for major hepatobiliary Guidelines operations 4 Donor evaluation protocol for liver transplantation Guidelines 5 Recipient hepatectomy Operative surgery 6 3D Liver work station Equipment demonstration 7 Critical operative steps in liver graft implantation Video lecture 8 Complications of liver resection and management 9 Laparoscopic left lateral sectionectomy Operative surgery 10 4 D ultrasound with intraoperative, liver probes Equipment demonstration 11 Portal hypertension- diagnosing the etiology 12 Portal fibrosis with extrahepatic portal vein obstruction (EHPVO) Case discussion 13 Current role of portosystemic shunt operations 14 Doppler for portal circulation Applied radiology 15 Gastroesophageal devascularisation Operative surgery 16 Splenorenal shunt and its variants Video lecture 17 Portal biliopathy 18 Portal hypertension- Liver, spleen, varices, veins, artery and stones Pictorial images essay 19 Management of blunt liver trauma Guidelines 20 Hepatic vein trauma Case discussion

Day 3-30 th August 2013 Gall bladder and bile ducts P Jagannath, VK Kapoor, Peush Sahni, Avinash Supe, SS Sikora, Vikram Kate TD Yadav, Biju Pottakkat, Jagadeesh Singh, Dhanapathi Halanaik 1 Cholecystectomy in difficult situations- Acute cholecystitis, Mirizzi Syndrome, Cirrhosis and Portal Hypertension 2 Clinical approach to gall bladder polypoid lesions 3 Technique of safe laparoscopic cholecystectomy Operative surgery 4 Cholecystectomy related bile leak- What next? 5 Classifications of bile duct injury and strictures- merits and pitfalls 6 Gall stones with CBD stones-what next? Guidelines 7 Hepatolithiasis and atrophy hypertrophy complex of liver Case discussion 8 Recurrent post cholecystectomy bile duct stricture Case discussion 9 Surgery for Choledochal cyst-techniques and tips Operative surgery 10 Laparoscopic common bile duct exploration Video lecture 11 Algorithmic approach to management decisions in gall bladder Guidelines cancer 12 Extended resectability criteria in gall bladder cancer Guidelines 13 Hilar cholangiocarcinoma- Evaluation and techniques of resection Video lecture 14 Strategies and techniques of high bilioenteric anastomosis Operative surgery 15 Percutaneous transhepatic biliary drainage and stenting- Indications and techniques 16 Segmentectomy 4B/5- How to perform Operative surgery 17 Endoscopic ultrasound Equipment demonstration 18 Malignant Hilar strictures Pictorial images essay 19 Nuclear scintigraphy/spect/spect-ct in hepatobiliary conditions Applied radiology 20 Flexible choledochoscope Equipment demonstration

Day 4-31 th August 2013 Pancreas RA Sastry, H Ramesh, P Jagannath, SS Sikora, Shailesh Shrikhande, Thomas Alexander RK Singh, Jagadeesh Singh, Biswajit Dubashi, Shyama Prem 1 Interpretation of Magnetic resonance cholangio-pancreatogram Basic radiology (MRCP) 2 Diagnosis and severity scoring in acute pancreatitis 3 Interventions in necrotising pancreatitis- timing and options 4 Pancreatic pseudocyst- Natural history, Selecting patients for intervention and timing of intervention 5 Extrapancreatic necrosis (EXPN) Case discussion 6 Chronic pancreatitis- Who benefits from operation and guidelines 7 Surgical procedures for chronic pancreatitis- Conventional and unconventional approaches 8 Frey s procedure Video lecture 9 Biliary stricture in chronic pancreatitis 10 Chronic pancreatitis, biliary stricture, inflammatory mass in tail Case discussion 11 Extended resectability options in carcinoma pancreas 12 Technique of Uncinate resection Operative surgery 13 Managing pancreatic stump after pancreatoduodenectomy Operative surgery 14 Neoadjuvant and adjuvant therapeutic options in pancreatic cancer 15 Complications of pancreatoduodenectomy- presentation, definition and management 16 Cholangioscopy Equipment demonstration 17 Tumor markers and their relevance in HPB malignancies 18 Inflammatory head mass of pancreas Case discussion 19 Endoscopic interventions in pancreas- Indications and techniques 20 Cysts and rare tumors of pancreas Pictorial images essay

Day 5-1 st September 2013 Minimally invasive surgery and miscellaneous C Palanivelu, Shailesh Shrikhande, V Vaithiswaran, Dhanapathi Halanaik 1 Application of laparoscopic ultrasound in HPB conditions 2 How to perform abdominal lymphadenectomy Operative surgery 3 Techniques of laparoscopic mobilization of the proximal and distal Operative surgery pancreas 4 Laparoscopic splenectomy Video lecture 5 Optimisation of parenteral nutrition 6 Laparoscopic cystogastrostomy Video lecture 7 Positron Emmission Tomography (PET) in HPB malignancies Applied radiology 8 Specialized surgical instruments in HPB Surgery Equipment demonstration Certificate examination Correspondence Biju Pottakkat Organizing Secretary 6th Certificate Course in HPB Surgery Dept. of Surgical Gastroenterology, 4th floor, Superspeciality Block, JIPMER, Puducherry, India-605006; Ph- 91-413-229 7362/7363; Mobile- 91-9486267363 Email- hpbcoursejipmer@gmail.com http://jipmer.edu.in/announcements/certificate-course-in-hepato-pancreato-biliary-surgery/ http://www.ihpba.org/uploads/2013-07-02_ihpbaindia_brochure.pdf http://ihpbaindia.org/pdf/2013/brochure.pdf