Chairs Jakub Kenig, Jagiellonian University Medical College, Kraków (PL) Riccardo A. Audisio, Whiston Hospital, University of Liverpool, Liverpool, (UK) Tomasz Grodzicki, Jagiellonian University Medical College, Kraków, (PL) Honorary chair Wojciech Nowak, Rector of the Jagiellonian University Medical College, Kraków (PL) Faculty members Andrzej Budzynski, Jagiellonian University Medical College, Kraków (PL) Jerzy Gasowski, Jagiellonian University Medical College, Kraków (PL) Stanislaw Klek, General and Oncology Surgery Unit, Stanley Dudrick's Memorial Hospital, Skawina (PL) Jaroslaw Kuzdzal, Department of Thoracic Surgery, Jagiellonian University Collegium Medicum, Krakow (PL) Silvio Monfardini, Istituto Palazzolo, Fondazione Don Gnocchi, Milan (IT) Piotr Richter, Jagiellonian University Medical College, Kraków (PL) Siri Rostoft, Institutt for klinisk medisin, Oslo University, Oslo (NO) Harm Rutten, Catharina Ziekenhuis, Eindhoven (NL) Jacek Sobocki, Department of General Surgery and Clinical Nutrition, Medical University of Warsaw (PL) Piotr Walega, Jagiellonian University Medical College, Kraków (PL) Juergen Weitz, University Hospital Carl Gustav Carus of the Technical University, Dresden (DE) Jaroslaw Woron, Jagiellonian University Medical College, Kraków (PL) Piotr Wysocki, Department of Oncology, Jagiellonian University Medical College, Krakow (PL) Wojciech Wysocki, MSC Memorial Institute of Oncology, Kraków (PL)
Programme Thursday 21st September Hands-on Workshop on Transanal Endoscopic Operations in the elderly (J. Kenig, P. Walega) 9.00-9.10 Welcome and Introduction 9.10-9.20 Indications for transanal operations in the elderly 9.20-9.30 Overview of Instrumentation 9.30-9.50 Technique of transanal operations & Tips and tricks 9.50-12.00 Hands-on training on isolated animal organs together with video case presentations 12.00-13.00 Lunch Perioperative management of elderly patients 13.00 13.15 Welcome and introduction J. Kenig, T. Grodzicki 13.15 13.35 Definition of old age in surgery and changes in the body associated with aging that have influence on surgery J. Gasowski 13.35 13.55 The goal of Surgical treatment in the elderly different for the surgeon and the patient? R. Audisio 13.55 14.15 Frailty, sarcopenia, geriatric syndromes in the surgical patients J. Kenig 14.15 15.15 Workshop session: Perioperative management of elderly patients with cancer 15.15 15.45 Coffee break Patients on anticoagulation before and after surgery, patients with chronic kidney disease, polypharmacy J. Woron
15.45 16.15 Qualification for an elective surgery in the elderly current status of preoperative assessment in the elderly S. Rostoft 16.15 17.30 Workshop session: Frailty screening and comprehensive geriatric assessment Presentations of different frailty screening scores (G8, VES-13, acga, GFI, TRST), fried frailty criteria, geriatric assessment tools (ADL, I-ADL, CDT, BOMC, MMS, MOCA, GDS, CCS, CIRS-G, satarianos-index, GDS, MOS-SSS, PACE) along with the practical exercises. S. Rostoft 17.30 17.50 Multimodal treatment of frail elderly patients with cancer is it possible? S. Monfardini 17.50 18.30 MDT case based discussion session Sarcoma (W. Wysocki) Friday 22nd September Practical approach to cancer treatment in the elderly 09.00 09.10 Introduction and objectives of the day MDT case-based discussion sessions 09.10 09.50: Breast cancer (R. Audisio) 09.50 10.30: Oesophageal cancer (J. Kuzdzal) 10.30 10.50 Coffee break 10.50 11.30: Gastric cancer (J. Sobocki) 11.30-12.10: Pancreatic cancer (J. Weitz) 12.10 12.30 Colorectal cancer in the elderly H. Rutten
12.30 13.30 Lunch MDT case-based discussion sessions 13.30 14.10: Colon cancer (J. Kenig) 14.10 14.50: Rectal cancer (H. Rutten) 14.50 15.10 Cytoreductive surgery and HIPEC in the elderly P. Richter 15.10 15.30 Treatment of metastatic disease in the eldery P. Wysocki 15.30 15.50 Coffee break 15.50 16.10 Advanced laparoscopic operations in the elderly A. Budzynski 16.10 16.50 MDT case-based discussion session Liver cancer (A. Budzynski) 16.50 17.10 Tips and tricks in surgical oncology. Strategies to modify the perioperative risk P. Walega, J. Kenig Saturday 23rd September Postoperative complications, prevention and their management 08.00 08.10 Introduction and objectives of the day Postoperative complicatons 08.10 08.40: Medical (cardiological, respiratory, neurological, psychiatric) (T. Grodzicki) 08.40 09.10: Management of complications in pancreatic surgery in the elderly (J. Weitz) 09.10 09.40: Management of complications in the upper and lower GI surgery (J. Sobocki) 09.40 10.00 Coffee break
Improving the postoperative results 10.00 10.20: Pre and postoperative nutritional intervention in the elderly (S. Klek) 10.20 11.00: Prehabilitation and rehabilitation (R. Audisio) 11.00 11.15 Elderly cancer patient undergoing emergency surgery preoperative assessment, possibilities of treatment J. Kenig 11.15 12.00 Workshop session Difficult cases submitted by the participants. Take home messages. Collaboration network All faculty