Agenda

General Surgery Agenda

April 11-12, 2010

Sunday Colon and Rectal WRS- April 11

700-900 am                   General Program

Robotic’s ABC / Different types of robots Advantages/Disadvantages

Robotic Surgery Troubleshooting

What are the most frequent problems

Collisions and Movements

BREAK

Bariatric Session

Morning Session 

905-1030           Live Case: Gastric Bypass: Ante-colic, ante-gastric technique

1030-1040         BREAK

1040-1100         Patient positioning, docking and robot positioning, trocar placement /  Two arms vs Three arms / Role of the assistant

1100-1120         Essential skills / Essential Elements of Developing a Robotic Bariatric Program

1120-1140         Learning Curve/ Advantages/ Challenges of Robotic Gastric Bypass

1140-1200         Panel Discussion/ Question and Answer

1200-100pm      LUNCH

 

Bariatric Session

Afternoon Session (Techniques:Trocar placement / Key elements of surgery / Instruments used / Advantages/disadvantages of robotic technique) 

 

100-130pm      Gastric Bypass: Retro-colic, Retro-gastric technique

130-200pm      Gastric Bypass: Single quadrant technique

200-220pm      Question and Answer

220-235pm       BREAK

235-305pm       Sleeve Gastrectomy

3:05-335pm      Biliopancreatic Diversion w Duodenal Switch

335-405pm       Revisions

405-420pm       BREAK

420-515pm       VIDEO Session/ Question and Answer

Upper GI/Solid organ/ Single port

Single port:

915-930am                 Where is it today? Current platforms, instruments and techniques

930-945am                 Where is it going? Current platforms, instruments and techniques (Designated Speaker from Intuituitive)

945-1000am               Best organs to target discussion

1000-1015am             BREAK

1015-10.55am            Robotic Gastrectomy with lymph node dissection

1055-1135am             Robotic Distal Esophagectomy

1135-12pm                 Robotic Palliative Procedures

1200-100pm               BREAK

100-130pm                 Robotic GERD / Paraesophageal Hernia

130-200pm                 Robotic Splenectomy

200-230pm                 Robotic Adrenalectomy

230-330pm                 Robotic incisional hernia repair

330-345pm                 BREAK

345-545pm                 Free Videos

Monday Colon and Rectal WRS - April 12

 

600-650am                    Registration and breakfast

 

650-700am                    General remarks and announcements

 

700-715am                    Current evidence and future of robotic colorectal surgery

715-730am                    Learning curve from open and laparoscopy to robotic colorectal surgery

 

730-900am                    RIGHT COLECTOMY

Procedure steps:

Trocar and instruments

Docking, Position of assistant at the table

Dissection Inferior, Medial, Lateral

Vessels da Vinci clips, sealing devices, staples

Anstomosis intracorporeal (suture vs staple vs hybrid), extracorporeal

Extration Transvaginal, Abdominal Wall

730-800am                    Right shoulder docking / Inferior /i clips on vessels / Intracorporeal dissection and                                                    anastomosis

800-830am                    Three arm technique / Suture ligation / Extra-corporeal anastomosis

830-900am                    Replicating the laparoscopic technique / Medial to lateral or lateral to medial?

 

900-930                         Tips and tricks for right colon

                                      QUESTIONS AND ANSWER

BREAK

1000-1130pm                LEFT COLECTOMY/SIGMOID

Procedure steps:

Trocar and instruments

Docking, Position of assistant at the table

Dissection Medial, Lateral

Vessels da Vinci clips, sealing devices, staples

Splenic flexure mobilization hybrid, laparoscopic, total robotic

Anastomosis intracorporeal (suture vs staple vs hybrid), extracorporeal

Extration Transvaginal, Abdominal Wall

1000-1100am Two dock approach / Right shoulder, spin patient, left hip / Three arm technique / Minimal ports

1030-1100am Points to discuss:Universal Left Set-up. Does it work?

1100-1130am Points to discuss: LAR Set up for Left Colon same approach as in LAR procedure ? / how would                                                          surgeon use his technique for left or sigmoid

1130-1200pm             Tips and tricks for right colon

                                    QUESTIONS AND ANSWER

1200-100pm                  LUNCH

100-315pm                    LOW ANTERIOR RESECTION

Procedure steps:

Trocar and instruments

Docking, Position of assistant at the table

Dissection Medial, Lateral

Vessels da Vinci clips, sealing devices, staples

Splenic flexure mobilization hybrid, laparoscopic, total robotic

Anastomosis intracorporeal (suture vs staple vs hybrid), extracorporeal

Extration Transvaginal, Abdominal Wall, Transrectal

100-145pm                   Full robotic left hip / clips for vessels / Extra-corporeal extraction / Lap transaction / Lap                                          anastomosis.

145-230pm                  Hybrid / Dock between legs (at angle) / Lap for splenic flexure only / Robot starting at IMA                                       (for nerve dissection) / Robot  for medial to lateral Trans-vaginal or transanal extraction /                                         Double-purse string / Single staple

230-315pm                  Hybrid / Left hip / Robotic transaction / Robotic anastomosis

315-345pm                  Tips and tricks for right colon

                                     QUESTIONS AND ANSWER

345-415pm                   BREAK

415-430pm                   ROLARR  STUDY

430-530pm                   Complications of Colon and Rectum Robotic Surgery

 

Note: Every effort will be made to adhere to the agenda; however, changes may occur.