Agenda
General Surgery Agenda
April 11-12, 2010
Sunday, April 11, 2010 WRS-General Surgery
7:00 – 9:00 am Welcome/ General Program:
· Robotics’ ABC
· Different Types of Robots Da Vinci
· Robotic Surgery Troubleshooting
· What are the most frequent problems?
· Collisions and Movements
9:00 – 9:05 am BREAK
Bariatric Session—Morning Session
9:05 – 10:30 am Live Case: Gastric Bypass: Ante-colic, ante-gastric technique
10:30 – 10:40 am BREAK
10:40 – 11:00 am Patient Positioning
· Docking & Robot Positioning
· Trocar Placement—Two Arms vs. Three Arms
· Role of the Assistant
11:00 -11:20 am Essential Skills / Essential Elements of Developing a Robotic Bariatric Program
11:20 – 11:40 am Learning Curve/ Advantages/ Challenges of Robotic Gastric Bypass
11:40 – 12:00 pm Panel Discussion/ Question and Answer
12:00 – 1:00 pm LUNCH
Bariatric Session Afternoon Session
Techniques: Trocar Placement / Key Elements of Surgery / Instruments Used / Advantages/Disadvantages of Robotic Technique
1:00 – 1:30 pm Gastric Bypass: Retro-colic, Retro-gastric technique
1:30 – 2:00 pm Gastric Bypass: Single quadrant technique
2:00 – 2:20 pm Question and Answer
2:20 – 2:35 pm BREAK
2:35 – 3:05pm Sleeve Gastrectomy
3:05 – 3:35 pm Biliopancreatic Diversion w Duodenal Switch
3:35 – 4:05 pm Revisions
4:05 – 4:20 pm BREAK
4:20 – 5:15 pm Pearls: Complication & Unusual Cases Teaching Points
Upper GI / Solid Organ / Single Port / Hernia
9:05 – 9:15 am Single Port: Where is it today? Current platforms, instruments and techniques
9:15 – 9:30 am Single Port Technique : Yonsei experience
9:30-9:45 am Alternative Access Sites for Better Aesthetics Sites
9:45 – 10:00 am Single Port: Where is it going? Current platforms, instruments and techniques
10:00 – 10:15 am Question and Answer Session/ Break
10:15 – 10:30 am Robotic Gastrectomy with lymph node dissection
10:30 – 11:00 am Robotic Distal Esophagectomy
11:00 -11:30 am Transgastric Robotic Approach for Gastric Esophagel Approach
11:30 – 12:00 pm Question and Answer Session/ Break
12:00 -1:00 pm Lunch
1:00 -1:30 pm Robotic Adrenalectomy: Posterior & Anterior Approach
1:30 -2:00 pm Robotic Splenectomy
2:00 -2:15 pm Question and Answer Session/ Break
2:15 -2:45 pm Robotic Surgery and Tile Pro—Distant Teaching Platforms
2:45 – 3:15 pm Robotic GERD / Paraesophageal Hernia
3:15 – 3:30 pm Question and Answer Session/ Break
3:30 – 4:00 pm Robotic Incisional Hernia Repair
4:00 – 4:30 pm Robotic Palliative Procedures
4:30 – 4:45 pm Question and Answer Session
4:45 – 5:45 pm Pearls: Complication & Unusual Cases Teaching Points
Hepatobiliary/Pancreas
Morning Session
9:05 - 9.30 am Laparoscopic Liver Resections: Limits, Indication & State of the art
9.30 – 9.45 am Technical Peculiarities of Robotics in Liver Surgery
9.45 – 10.00 am Peculiarities of Robotics in Complex Biliary Surgery
10.00 – 11.00 am Right Hepatectomy – Step by Step
11.00 – 11.20 am Robot Assisted Left Segments
11.20 – 12.00 pm Pearls: Complication & Unusual Cases Teaching Points
Afternoon Session
1:00 – 1:30 pm Laparoscopic Pancreatectomies – State of the Art
1:30 – 3:00 pm The Whipple Procedure – The Way I do It
3:00 – 3:30 pm Distal Spleno- Pancreatectomy
3:30 – 4:00 pm Distal Pancreatectomy with Spleen Preservation
Monday April 12, 2010 WRS- General Surgery-Colon and Rectal
6:00 – 6:50 am Registration & Breakfast
6:50 – 7:00 am Welcome/ General Remarks & Announcements
7:00 – 7:15 am Current Evidence & Future of Robotic Colorectal Surgery
7:15 – 7:30 am Learning Curve From Open & Laparoscopy to Robotic Colorectal Surgery
7:30 – 9:00 am RIGHT COLECTOMY
Procedure Steps: Trocar & Instruments Docking
Position of Assistant at the Table
Dissection Inferior, Medial, Lateral Vessel Clips,
Sealing devices
Staples
Anstomosis Intracorporeal (Suture vs. Staple vs. Hybrid)
Extracorporeal
Extraction Transvaginal
Abdominal Wall
7:30 – 8:00 am Right Shoulder Docking / Inferior / Clips on Vessels Intracorporeal Dissection Anastomosis
8:00 – 8:30 am Three Arm Technique / Suture Ligation / Extra-corporeal Anastomosis
8:30 – 9:00 am Replicating the Laparoscopic Technique—Medial to Lateral or Lateral to Medial?
9:00 – 9:30 am Tips and Tricks for Right Colon
9:30 – 10:00 am QUESTIONS AND ANSWER / BREAK
10:00 -11:30pm LEFT COLECTOMY/SIGMOID
Procedure steps: Trocar & Instruments Docking
Position of Assistant at the Table
Dissection Medial, Lateral Vessels Clips
Sealing Devices
Staples
Splenic Flexure Mobilization (Hybrid, Laparoscopic, Total Robotic)
Anastomosis Intracorporeal (Suture vs. Staple vs. Hybrid)
Extracorporeal
Extraction Transvaginal
Abdominal Wall
10:00 -10:30 am Two Dock Approach: Right Shoulder, Spin Patient, Left Hip / Three Arm Technique / Minimal Ports
10:30 – 11:00 am Universal Left Set-up. Does it work?
11:00 -11:30 am LAR Set up for Left Colon: Same Approach as in LAR procedure? / How Would Surgeon Use His Technique for Left or Sigmoid
11:30 – 12:00 pm QUESTIONS AND ANSWER / Tips and Tricks for Left Colon
12:00 – 1:00 pm LUNCH
1:00 – 3:15 pm LOW ANTERIOR RESECTION
Procedure steps:
Trocar & 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
Extraction Transvaginal
Abdominal Wall
Transrectal
1:00 – 1:45 pm Full Robotic Left Hip / Clips for Vessels / Extra-Corporeal Extraction / Lap Transaction / Lap Anastomosis
1:45 – 2:30 pm 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
2:30 – 3:15 pm Hybrid / Left hip / Robotic Transaction / Robotic Anastomosis
3:15 – 3:45 pm QUESTIONS AND ANSWER/ Tips and Tricks for Lower Anterior Resection
3:45 – 4:15 pm BREAK
4:15 – 4:30 pm Single Port Colectomy: Yonsei Experience
4:30 – 4.45 pm ROLARR STUDY
4.45- -5.30 pm Pearls: Complication & Unusual Cases Teaching Points
5:30 pm Session Adjourn
Note: Every effort will be made to adhere to the agenda; however, changes may occur.
