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.