EAES course on Advanced Laparoscopic GI Surgery Course. Riyadh, Saudi Arabia January 2015
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1 EAES course on Advanced Laparoscopic GI Surgery Course Riyadh, Saudi Arabia January 2015 The European Association for Endoscopic Surgery and King Khalid University Hospital, Riyadh, Saudi Arabia Course Directors: Course Faculty: Dr. Ahmad Nassar, United Kingdom Professor Omar AlObaid, Saudi Arabia Professor Abe Fingerhut, France Professor Jack Jakimowicz, The Netherlands Dr. Ahmad Nassar, United Kingdom Professor Omar AlObaid, Saudi Arabia Dr. Fahad Bamihrez, Saudi Arabia Sponsors: KARL STORZ GMBH & CO. KG COVIDIEN
2 EAES Advanced Laparoscopic GI Surgery Course January 2015 Day 1 Advanced Skills and General GI 10 January 2015 OPENING REMARKS 08:30 Registration 08:45 Welcome Prof. Omar AlObaid 08:55 Introduction/objectives of the course Dr. Ahmad Nassar 09:00-09:20 Ergonomics, safety and prevention of errors Prof. Abe Fingerhut 09:20-09:30 Access techniques; efficiency and adhesiolysis Dr. Ahmad Nassar 09:30-09:40 Introduction to laparoscopic suturing Prof. Jack Jakimowicz 09:40-10:10 Discussion and coffee break 10:10-10:30 Practical 1: Introduction to intra-corporeal knotting; demonstration of various methods 10:30-11:00 Practical 2: Extra corporeal ties, intra-corporeal ligation 11:10-12:00 Practical 3: Needle manipulation and handling bite placement, secure knotting 12:00-13:00 Prayers/ lunch 13:00-13:10 Introduction to anastomosis and stapling techniques Prof. Abe Fingerhut 13:10-14:30 Practical 4: Continuous suturing, gastroenterostomy; side to side. bowel anastomosis; end to end 14:30-14:40 Laparoscopic repair of perforated DU Prof. Abe Fingerhut 14:40-15:00 The place of laparoscopy in gastric and oesophageal cancer surgery Prof. Jack Jakimowicz 15:00-15:15 Prayers/coffee 15:15-15:45 Practical 5: Laparoscopic repair perforated DU 15:45-16:00 Difficult cholecystectomy techniques Dr. Ahmad Nassar 16:00-16:15 Prevention of complications in biliary surgery Dr. Ahmad Nassar 16:15-17:00 Practical 6: Selected video session or suture practice
3 Day 2: Laparoscopic Bile Duct Exploration 11 January :00-09:10 Introduction to instruments and other equipment. How to handle the choledochoscope Dr. Ahmad Nassar 09:10-09:20 Intraoperative cholangiography; methods, interpretation and the pros and cons? Prof. Abe Fingerhut 09:20-09:30 Intraoperative cholangiography, practical tips Prof. Jack Jakimowicz 09:30-09:40 Transcystic exploration; indications, methods, pitfalls Dr. Ahmad Nassar 09:40-10:30 Practical 1: Cholangiography; cannulation, catheters, clamps vs. free cannula 10:30-10:45 Coffee break 10:45-12:00 Practical 2: Trans-cystic exploration; basket trawling, Image-guided basket exploration, choledochoscopy, transcystic tube drainage 12:00-13:00 Prayers/ lunch 13:00-13:15 Choledochotomy exploration; decision making and techniques/ biliary drainage techniques Dr. Ahmad Nassar 13:15-14:30 Practical 3: Choledochotomy exploration; site, size, optimal use of choledochoscope, stone extraction and recovery 14:30-14:50 Biliary drainage; pros and cons, types and techniques Prof. Abe Fingerhut 14:50-15:00 Postoperative management and protocols Dr. Ahmad Nassar 15:00-15:15 Prayers/ coffee break 15:15-16:30 Practical 4: Choledochotomy, stone removal, placement of transcystic tubes and T-tubes and suturing choledochotomy 16:30-17:00 Discussion: Selected videos; difficult explorations, impacted stones, stents, biliary drainage
4 Day 3: Anti-reflux and Bariatric Surgery 12 January :00-09:15 Laparoscopic anti-reflux surgery, an overview Prof. Abe Fingerhut 09:15-10:00 Practical 1: Tumbled square knot, suturing tissue approximation methods, stapler demo vale knot 10:00-10:30 Anti-reflux procedures: Nissen fundoplication Prof. Jack Jakimowicz Toupet/partial wrap Prof. Abe Fingerhut Watson s procedure Dr. Ahmad Nassar 10:30-11:00 Discussion and coffee break 11:00-12:00 Practical 2: Laparoscopic fundoplication (subject to available models) or suture practice 12:00-13:00 Prayers/ lunch :15 Covidien presentation 13:15-13:30 Bariatric surgery; rationale and selection n of procedures Prof. Jack Jakimowicz :45 Bariatric surgery; evolution and results - Prof. Abe Fingerhut :00 Technical aspects and tips for sleeve gastrectomy Dr. Fahad Bamihrez 14:00-14:15 14:15-15:00 Emergency steps in managing bariatric surgery complications - Dr. Fahad Bamihrez Practical 3: Demo of various procedures, prosthesis (subject to available models and instruments) or video demos: How I do it. 15:00-15:15 Prayers/ tea break 15:15-16:30 Practical 4: fundoplication/suture practice 16:30-17:00 Practical 5: selected video session/ discussion 17.00
5 Day 4 Laparoscopic Colorectal Surgery 13 January :00-09:15 General considerations, indications, contraindications, complications Prof. Abe Fingerhut 09:15-09:25 09:25-09:35 Electric coagulation and other energy sources Prof. Jack Jakimowicz Appendicectomy/ Meckel s diverticulectomy Dr. Ahmad Nassar 09:35-10:45 Practical 1: Port placement, skeletonisation exercises, appendicectomy, suture revision, loop placement 10:45-11:00 Coffee break 11:00-11:15 Laparoscopic colon surgery for benign disease Prof. Abe Fingerhut 11:15-11:30 Colostomy/ Ileostomy Prof. Abe Fingerhut 11:30-12:00 Practical 2: Walking the intestine, methods of exteriorisation, safety checks 12:00-13:20 Prayers and lunch 13:20-13:35 Tips and tricks: laparoscopic sigmoid resection Prof. Omar AlObaid 13:35-13:45 Hand-assisted colonic surgery - Prof. Abe Fingerhut 13:45-14:30 Practical 3; Ileostomy and colostomy formation : :00 Different approaches to right hemicolectomy Prof. Omar AlObaid My techniques: left hemicolectomy and low anterior resection - Prof. Abe Fingerhut 15:00-15:15 Prayers/ tea break 15:15-16:30 Practical 4: anastomosis techniques, stapling tips, extra and intra-corporeal hand-sutured 16:30 Discussion, selected video session
6 Day 5 LIVE SURGERY Miscellaneous/ Solid Organ Surgery/ Assessment 14 January :00-10:15 LIVE surgery: Bile duct exploration Dr. Ahmad Nassar 10:15-10:30 Coffee break 10:30-12:00 LIVE surgery: right hemicolectomy - Prof. Omar AlObaid 12:00-13:00 Prayers and lunch :20 KARL STORZ laparoscopy instrumentations and units 13:20-15:00 LIVE surgery: laparoscopic sleeve resection - Dr. Fahad Bamihrez 15:00-15:30 New concepts: NOTES: Single incision surgery; pros and cons current status Prof. Abe Fingerhut & Prof. Jack Jakimowicz 15:30-15:45 Prayers/ coffee break 15:45-16:00 Laparoscopy for pancreatic disorders, necrosectomy for acute pancreatitis, distal pancreatectomy Prof. Abe Fingerhut 16:00-16:15 Incisional hernia repair Prof. Jack Jakimowicz 16:15-16:30 16:30 Laparoscopic splenectomy Dr. Ahmad Nassar Closure Prof. Omar AlObaid
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