IPEG Hands-on Course
The 3rd International Symposium on Robotically-Assisted
Pediatric Surgery
Lab:
Tuesday, April 25, 2006, 8:00 am - 6:00 pm
Lecture: Wednesday, April 26, 2006, 1:00 pm - 5:00 pm
At the Hilton Anatole Hotel, Dallas, Texas
Course Co-Directors: Michael Irish, MD and John Meehan, MD
Course Description:
In recent years, applications of robotic technology have been realized by surgeons of both adult and pediatric patients. Several pediatric centers worldwide have become active in the investigation and utilization of robotic surgical systems and have recognized its benefits, challenges and the future potential of this technology in pediatric patients. We have therefore organized The 3rd International Symposium on Robotically-Assisted Pediatric Surgery with a comprehensive didactic session and a “hands-on experience” animal lab to objectively discuss the current robotic experience of pediatric general surgeons and pediatric urologists and to educate both current users and those interested in learning more about pediatric robotically-assisted surgery.
Course Goals & Objectives
The participants in this course will have the opportunity to:
- learn about and understand the technology of robotically-assisted surgery,
- understand the limitations as well as the present and future applications of surgical robotics,
- learn case-specific operating room set-up, strategies for trocar placement, robot docking, and operative techniques,
- participate in a hands-on, surgeon-proctored, animal lab with a robotic surgical system,
- learn and understand steps toward implementation of a successful robotic surgery program,
- learn about applications of surgical robotics in adult patients.
Course Faculty: (To Be Announced)
Tuesday Lab Session Outline:
Participants will be divided into 12 groups of 3 surgeons and assigned a session time. Each group will be proctored by one faculty member, and will have 2 hours at a robotics station. Pigs at each station will be prepared for upper abdominal surgical procedures and/or urologic procedures including (but not limited to): Cholecystectomy, Common bile duct dissection, Choledochojejunostomy, Pyloroplasty, Fundoplication, Jejunojejunostomy, Pyeloplasty, Nephrectomy
Participants will have the opportunity to perform procedures both in the role of the operating (robotic console) surgeon, and as the assistant (bedside) surgeon.
Skills with which the participant should become proficient are:
Bedside Assistant
- Optimal patient positioning for robotically-assisted procedures
- Optimal trocar placement for robotically-assisted procedures
- Robotic arm docking
- Instrument exchanges
- Assisting with procedures using conventional laparoscopic
instruments and technique
Console Surgeon - System Calibration and set-up
- System customization and settings
- Camera and instrument selection
- Robotic surgical techniques (dissection, tissue manipulation, suturing)
Group Schedule
| Session# | Time | Robot Station & Groups | ||
|---|---|---|---|---|
| Station A | Station B | Station C | ||
| 1 | 8:00 - 10:00 | Group 1 | Group 2 | Group 3 |
| 2 | 10:30 - 12:30 | Group 4 | Group 5 | Group 6 |
| 3 | 1:00 - 3:00 | Group 7 | Group 8 | Group 9 |
| 4 | 3:30 - 5:30 | Group 10 | Group 11 | Group 12 |
Lecture Session - Wednesday, April 26, 2006
Each of the faculty will be asked to present information about their institution’s experience as well as providing a case presentation.
Introduction
- Institution
- Length of time the robotic system has been in use
- Number of pediatric surgeons using the system
Institution-specifics in establishing a pediatric robotics program
- Certification
- Obtaining robotic privileges
- Training ancillary staff (nurses/technicians)
Experience
- Number of cases performed
- Types of procedures performed
- Complications
Case Presentation
- Case presentation
–Patient positioning
–Trocar Placement - Case video
Conclusions
Question & answers
IPEG gratefully acknowledges a generous educational grant in support of this course from Intuitive Surgical.
IPEG/SAGES 2006 Pediatric Fellows Hands-on Course
Tuesday, April 25, 2006 – Lectures:
3:00 pm - 6:45 pm
Wednesday, April 26, 2006 – Lab: 1:00 pm - 5:00 pm
Pediatric Fellows
Hands-On Course Chairman: Timothy Kane, MD;
Associate Course Chairman: Holger
Till, MD
Description of Course:
This one-day course is designed specifically for fellows in pediatric surgery or pediatric surgeons interested in managing more complex pediatric cases using minimally invasive techniques. During the first half of the program, lecturers will present an overview of established approaches in the specialty of pediatric surgery but will focus on their personal strategies in using more advanced techniques in the management of complex or difficult cases. The format is an interactive type in which case presentations are accompanied by group discussion and question and answer sessions. An animate laboratory in which to utilize and demonstrate these techniques comprises the second half of the program. In the laboratory experience, attendees will practice the skills necessary to perform advanced pediatric MIS procedures. After completing the course, attendees will be better prepared to recognize and manage complex situations in pediatric thoracoscopic and laparoscopic surgery. This course will also help identify areas in pediatric MIS in which additional training may be useful.
Objectives:
- Attendees will understand the elements which comprise advanced pediatric MIS cases
- Surgeons will be able to predict potential problem areas during the performance of advanced pediatric MIS cases
- Surgeons
will be able to understand the indications, key steps, and potential problem
areas for the following pediatric MIS operations:
– Laparoscopic after open operations
– Giant spleens
– Redo Nissen fundoplication
– Bariatric surgery
– Pancreaticobiliary procedures
– Pulmonary resections
– Neonatal procedures
– Esophageal atresia
– Adrenal lesions
– Robotic operations
(This course is by invitation only.)
| Course Schedule: | ||
|---|---|---|
| Tuesday, April 25, 2006 3:00 pm - 6:45 pm | ||
3:00 pm |
Welcome and Introductions Scope of the course |
Timothy D. Kane, MD |
| 3:05 - 3:55 pm | Foreguet Session | |
| – Redo Antireflux operations – Short Esophagus – Esophageal Artesia |
Panelists: Klaas (N) M.A. Bax, MD, Keith Georgeson, MD, George Holcomb, MD, Thom Lobe, MD, Gordon A. MacKinlay, MD, Steven Rothenberg, MD | |
| 3:55 - 4:40 pm | Thoracic Session | |
| – Lobectomy – Lung Biopsy – Aortopexy – Esophageal strictures |
Panelists: Klaas (N) M.A. Bax, MD, Thomas Inge, MD, Timothy Kane, MD, Thom Lobe, MD, Gordon A. MacKinlay, MD, Steven Rothenberg, MD, Mark Wulkan, MD |
|
| 4:40 - 5:25 pm | Solid Organ Session | |
| – Spleen (giant) – Adrenal – Kidney – Pancreas |
Panelists: Mac Harmon, MD, George Holcomb, MD, Andrew Hong, MD, Azad
S. Najmaldin, MD, Raleigh Thompson, MD, Mark Wulkan, MD |
|
| 5:25 - 6:10 pm | Hindgut Session | |
| – Difficult pull-through – Hirschsprungs disease – Imperforate anus – Urology |
Panelists: Keith Georgeson, MD, Jacob C. Langer, MD, Marc Levitt, MD,
Azad S. Najmaldin, MD, Holger Till, MD |
|
| 6:10 - 6:35 pm | 3-5 interesting cases brought by attendees and presented to group | |
| 6:35 - 6:45 pm | Final Question and Answer Session | |
| Wednesday, April 26, 2006, 1:00 - 5:00 pm Laboratory Session |
||
| 1:00 - 5:00 pm | Animate lab 12-15 tables with 2 or 3 fellows per table | |
| – Laparoscopic procedures – Thoracoscopic procedures |
Faculty: Klaas (N) M.A. Bax, MD, Keith Georgeson, MD, Mac Harmon, MD, George Holcomb, MD, Andrew Hong, MD, Thomas Inge, MD, Timothy Kane, MD, Jacob C. Langer, MD, Marc Levitt, MD, Thom Lobe, MD, Gordon A. MacKinlay, MD, Azad S. Najmaldin, MD, Steven Rothenberg, MD, Raleigh Thompson, MD, Holger Till, MD, Mark Wulkan, MD | |
IPEG gratefully acknowledges
a generous educational grant in support of this course from
Karl Storz Endoscopy America, Inc and Stryker Endoscopy