SAGES Hands-on Courses
- Hands-on Laparoscopic Colon Course
- Hands-on Digital Course: Surgeon in the Digital Age Series
- Pediatric Fellows Hands-on Course: Advanced Pediatric MIS for Fellows in Pediatric Surgery
STI 2005: SAGES Technology Initiative
STI '05 is a mechanism to bring new and emerging technologies to the front of the annual meeting, as well as the attention of the society. During Surgical Spring Week, STI '05 includes the Wednesday afternoon Digital Course, Saturday Emerging Technologies Session Lunch, and the Technology Pavilion. New this year, located outside the exhibit hall, the Technology Pavilion is somewhat of a hybrid of the Learning Center and Exhibit Hall. It will allow both start-up and established companies to display their technology, staffed by R&D personnel.
Hands-on Laparoscopic Colon Course
Wednesday April 13, 2005
7:30 AM - 5:00 PM
Course Chair: John Marks, MD
Course Co-Chair: Kirk Ludwig, MD
Description:
At a time of heightened interest in minimally invasive colorectal
surgery following the publication of the COSSTG Trial establishing laparoscopic
colectomy as an equivalent treatment for patients with colon cancer,
this course will address the indications, credentialing and performance of
laparoscopic colectomy. The course will appeal to practicing surgeons, residents
and fellows interested in minimally invasive colorectal surgery.
The morning didactic portion will involve experts
in the field discussing the role of laparoscopy in the treatment of benign
disease and colorectal cancer. Emphasis will be placed on aspects of the
technical performance of the
procedure. The identification of problem areas for the performance of right
and left colectomy and strategies to combat these will be focused upon. Lecturers
will offer an overview of approaches but focus on their personal strategies
to avoid and overcome intraoperative challenges during the performance of
laparoscopic colectomy.
The afternoon portion will consist of a human cadaver laboratory session,
providing instruction in laparoscopic techniques for colon resection. The
application of RF to rectal sphincter will also be demonstrated. 1:3 faculty:
student ratio at the lab stations. Maximum 60 participants.
Objectives:
At the conclusion of this course, attendees will be able to:
- List the proper indications for minimally invasive colorectal procedures.
- Outline and organize the room set-up and instrumentation necessary for performance of a laparoscopic right and left colectomy.
- Restate relevant anatomy and
predict problem areas and their solutions for the performance of a right
and
left laparoscopic colectomy. - Outline a laparoscopic right colectomy.
- Outline a laparoscopic left colectomy.
| Program Outline: | ||
|---|---|---|
| 7:30 AM - 12:00PM | Morning Lectures | |
| 7:30 - 7:35 | Welcome/Introduction John Marks, MD | |
| Indications: | ||
| 7:35 - 7:50 | Role of Laparoscopic Surgery In Inflammatory Bowel Disease | Barry Salky, MD |
| 7:50 - 8:05 | Role of Laparoscopic Surgery In Diverticulitis | Morris Franklin, MD |
| 8:05 - 8:20 | Basic Science of the Laparoscopic Treatment of Colon Cancer | Richard L. Whelan, MD |
| 8:20 - 8:35 | COSSTG Trial/ Clinical Status of Laparoscopic Treatment of Colon Cancer. What Questions Remain? | Heidi Nelson, MD |
| 8:35 - 8:50 | Credentialing for the Performance of Laparoscopic Colectomy for Benign and Malignant Disease |
Steven Wexner, MD |
| 8:50 - 9:05 | Basic Training/ Educational Strategies | James Rosser, MD |
| Operative Strategies: | ||
| 9:05 - 9:20 | Surgical Anatomy: Major Vessels, Embryologic Fusion Planes, and Related Organs | Kirk Ludwig, MD |
| 9:20 - 9:35 | Room Organization, Instrumentation, And Port Placement- R and L Colon Professor’s Preference and Other Options |
Tonia Young-Fadok, MD |
| 9:35 - 9:55 | Laparoscopic Right Colectomy | Dennis Fowler, MD |
| 9:55 - 10:25 | Break | |
| 10:25 - 10:45 | Laparoscopic Left Colectomy | Cristiano Huscher, MD |
| 10:45 - 11:00 | Medial to Lateral vs. Lateral to Medial pros/cons How and Why I do it | Jeffrey Milsom, MD |
| 11:00 - 11:15 | The Role of the Hand | Peter Marcello, MD |
| 11:15 - 11:30 | Strategies to Address Problem Areas: Middle Colics, Splenic Flexure and the Deep Pelvis | Joel Leroy, MD |
| 11:30 - 11:45 | Rectal Cancer | John Marks, MD |
| 11:45 - 12:00 | Transanal Endoscopic Microsurgery | Gerhard Buess, MD |
| Tentative Radiofrequency treatment of the rectal sphincter for the treatment of incontinence | TBA | |
| 12:00 - 1:00 | Lunch (for lab participants only) | |
| 1:00 - 5:00PM | Afternoon Lab | |
| 12:45 - 1:15 | Overview of lab: Right Colon Review | John Marks, MD |
| 1:15 - 3:00 | Lab Work- Right Colon | |
| 2:45 - 3:15 | Q and A Right Colon | All Faculty |
| Left Colon Review | John Marks, MD | |
| 3:15 - 4:45 | Lab Work Left Colon | |
| 4:45 - 5:00 | Q and A Left Colon | All Faculty |
SAGES gratefully acknowledges educational grants from AutoSuture & Valleylab – Divisions of Tyco Healthcare, Microline, Olympus America, Stryker Endoscopy, Surg RX & Karl Storz Endoscopy (in-kind) in support of this course.
Hands-on Digital Course: Surgeon in the Digital Age Series
Understanding
Your Video System
What are you going to do if the lights go out?
Wednesday April 13, 2005
1:00 PM - 5:00 PM
Chair: Steve Schwaitzberg, MD
Description:
This is a combination didactic and “hands on” course. Most members
of SAGES perform some type of “Video Controlled Surgery” be it
laparoscopically or by flexible endoscopic techniques. This course is designed
to teach attendees the “ins and outs” of modern video laparoscopic
and flexible systems from “end to end” that will allow the participants
to perform routine intra-operative troubleshooting as well as take full advantage
of the capabilities their system possesses. In the “hands on portion” participants
will put together systems from components and troubleshoot video systems
from our gallery of (intentionally) malfunctioning video systems that highlight
many common operating problem scenarios that plague surgeons and nurses (usually
after medical engineering has gone home for the day). Maximum 50 participants.
Objectives
At the completion of the course the attendee should be able to:
- Understand how rigid and flexible telescope function.
- Understand the different types of analogue and digital video formats and the connectors/cables that go with them into and flexible or laparoscopic video system.
- Understand the different methods by which these video signals may be recorded, the pro’s and con’s of each and the media/equipment required to accomplish the task.
- Understand the most common problems that occur to flexible endoscopic/laparoscopic systems in terms of lighting, image quality, image capture, and the “no picture scenario”.
- Construct the basic endoscopic systems from their components.
- Evaluate actual malfunctioning video systems and make the corrective action necessary to “fix” the problem.
| Program Outline: | ||
|---|---|---|
| 1:00 - 1:10 | Introduction | |
| 1:10 - 1:35 | How do Videoscopes, Fiberscopes and Laparoscopes work? | TBA |
| 1:35 - 2:00 | Following the electrons from the patient to the screen, printer, DVD, Network and across the country | Patrick Reardon, MD |
| 2:00 - 2:25 | Video Formats for display, video recording and still photography - Which one(s)are right for me? |
Daniel Herron, MD |
| 2:25 - 3:00 | “The lights are out and nobody’s home in medical engineering.” Common trouble shooting problems in laparoscopy and flexible endoscopy that the surgeon/nurse can fix |
Steven Schwaitzberg, MD |
| 3:00 - 5:00 | Hands on trouble shooting stations | |
SAGES gratefully acknowledges educational grants in support of this course from Karl Storz Endoscopy, Olympus America & Stryker Endoscopy.
Pediatric Fellows Hands-on Course:
Advanced Pediatric MIS for Fellows in Pediatric Surgery
Wed. & Thurs., April 13 & 14, 2005
Wed.: 1:00 PM - 5:30 PM (lectures) and
Thurs.: 7:30 AM - 12:00 PM (lab)
Course Chair: Marc Levitt, MD
Description:
This will be a course geared specifically to fellows in pediatric surgery.
Advanced minimally invasive techniques for the key cases in their specialty
will be described with a case-oriented approach, emphasizing the key steps,
pearls, and pitfalls. Facilitated discussion rather than a lecture format
will be utilized. An animate laboratory utilizing these techniques will
be an important adjunct to the educational experience. At the conclusion
of this course, the attendees will be better prepared to perform advanced
pediatric thoracoscopic and laparoscopic cases which they may see in their
routine practice. In addition, the course will help identify areas of pediatric
MIS in which additional focused training may be required. The lectures
will take place Wednesday afternoon, followed by the lab session Thursday
morning.
This course is by invitation only. Interested pediatric fellows should contact their program directors for registration information.
Objectives:
- To understand the elements of set-up of advanced pediatric surgery MIS cases
- To understand the key steps, pearls, and pitfalls for the following
operations:
–Bariatric surgery
–Pancreatic resections
–Nissen fundoplication
–Pyloromyotomy
–Pull-through for Hirschsprung’s and Imperforate anus
–Pulmonary resection
–Biliary procedures
–Robotic surgery
–Esophageal atresia
–Intestinal resections
–Splenectomy
| Program Outline: | ||
|---|---|---|
| 1:00 PM | Welcome and Introductions: Set-up of Advanced MIS cases | Marc A. Levitt, MD |
| Case oriented approach, key steps, pearls, pitfalls, and facilitated discussion for: | ||
| 1:30 PM | A bariatric case | Thomas H. Inge, MD |
| 1:45 PM | A pancreatic lesion | Mark L. Wulkan, MD |
| 2:00 PM | Gastroesophageal reflux | Whit Holcomb, MD |
| 2:15 PM | Discussion | |
| 2:30 PM | Pyloric stenosis | Timothy D. Kane, MD |
| 2:45 PM | Pull-through procedure | Keith Georgeson, MD |
| 3:00 PM | A pulmonary lesion | Steve Rothenberg, MD |
| 3:15 PM | Break | |
| 3:30 PM | A choledochal cyst | Craig Albanese, MD |
| 3:45 PM | A robotic procedure | Michael Irish, MD |
| 4:00 PM | A patient with esophageal atresia | Thom Lobe, MD |
| 4:15 PM | Break | |
| 4:30 PM | A small intestinal problem | John Waldhausen, MD |
| 4:45 PM | A patient in need of a splenectomy | Raleigh Thompson, MD |
| 5:00 PM | Challenging Mystery Cases | Carroll Harmon, MD |
| 5:15 PM | Question & Answer Session | All Faculty |
SAGES gratefully acknowledges educational grants from AutoSuture & Valleylab – Divisions of Tyco Healthcare, W.L. Gore & Associates, Inc., Stryker Endoscopy and Karl Storz Endoscopy in support of this course.