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SAGES Hands-on Courses & Panels

Endolumenal Surgery for GERD and Barrett’s Esophagus Hands-On Course

Wednesday, April 18, 2007
12:00 PM - 5:00 PM

Chair: William Richards, MD Co-Chair: Leena Khaitan, MD

This course aims to update the GI surgeon on the latest endolumenal surgical techniques for the treatment of GERD and Barrett’s esophagus. There are considerable controversies in this area: Are they safe and effective? Which one should be used today and what are the indications? Which techniques should the surgeon adopt now?

Barrett’s esophagus is another area of considerable controversy. Several new techniques have been developed to ablate Barrett’s without incisions. Are they safe and effective? Which Barrett’s patients should be treated? And what should be the follow-up on these patients? Can they be applied to Barrett’s with high grade dysplasia? Long term, will they really reduce the transformation of Barrett’s to cancer? Lab space is limited.

Objectives:

Participants will be able to:

Schedule
12:00 PM What Are the Endolumenal Treatments for GERD Currently Available?
Edward Lin, MD
12:10 PM Case Scenario Audience Poll
 
12:15 PM Medical Therapy Should Be Recommended to this Patient
Alfonso Torquati, MD
12:21 PM Surgery Should Be Recommended to this Patient
Patrick Reardon, MD
12:27 PM Endolumenal Therapy Should Be Offered to This Patient
Charles Filipi, MD
12:33 PM Case Scenario Audience Poll
 
12:38 PM Endolumenal Therapies Are Not Safe for Patients
Michael Edye, MD
12:45 PM Endolumenal Therapies are Very Safe and in Fact May Be Safer than Surgery
Michael Holzman, MD
12:52 PM Case Scenario Audience Poll
 
12:57 PM Endolumenal Procedures Work for Patients
Samer Mattar, MD
1:04 PM Endolumenal Teatments Do Not Work for Patients
Michael Edye, MD
1:11 PM Case Scenario Audience Poll
 
1:15 PM How to Tailor Your Endolumenal Treatment to the Patient and the Development of the SAGES Guidelines for Endolumenal Treatments
David Earle, MD
1:25 PM Panel Discussion
 
1:40 PM Case Scenario Audience Poll
 
1:45 PM Endoscopic Mucosal Resection
Steven DeMeester, MD
1:55 PM Endoscopic Mucosal Ablation with Radiofrequency Energy


C. Daniel Smith, MD
2:05 PM Panel Discussion  
2:15 PM Break  
2:30 PM Hands-On Lab  

RF treatment of the GE junction for GERD (3 Stations) Lab Instructors

Kevin Wasco, MD
Rami Lutfi, MD
Michael Holzman, MD

Endoscopic full thickness plication for treatment of GERD (3 Stations) Lab Instructors

Alfonso Torquati, MD
Edward Lin, MD
Robert Fanelli, MD

Endoscopic suturing of the GE junction for treatment of GERD (3 Stations) Lab Instructors

Charles Fillipi, MD
W. Scott Melvin, MD
Debbie Youngelman, MD

Endoscopic mucosal resection (EMR) (3 Stations) Lab Instructors

Steven DeMeester, MD
Jeffrey Marks, MD
Jeffrey Hazey, MD

RF ablation of Barrett’s (3 Stations) Lab Instructors

Leena Khaitan, MD
Richard Nguyen, MD
C. Daniel Smith, MD

Reoperative MIS Surgery Panel

Wednesday, April 18, 2007
12:00 PM - 2:00 PM

Chair: Fredrick Brody, MD, MBA

This course provides expert advice regarding reoperative laparoscopic surgery. The lecturers will discuss their operative approach regarding abdominal access, port placement, technical pearls, and indications for open conversion in patients with prior open or laparoscopic procedures. All presentations are practical with clinical presentations accompanied by short video clips. There will be enough time for discussion and questions from participants. Finally, these presentations will allow participants to expand their clinical armamentarium for patients with prior surgical incisions.

Objectives:

At the conclusion of this session, participants will be able to:

Schedule
12:00 PM Introduction Fredrick Brody, MD, M.B.A.
12:05 PM Laparoscopic Re-Op Anti-Reflux Michael Holzman, MD
12:20 PM Laparoscopic Re-Op Inguinal Hernia Dmitry Oleynikov, MD
12:35 PM Laparoscopic Re-Op Incisional Hernia Bruce Ramshaw, MD
12:50 PM Q & A  
1:00 PM Laparoscopic Re-Op Bariatric Surgery Michael Tarnoff, MD
1:15 PM Laparoscopic Re-Op Pediatric Surgery Todd Ponsky, MD & Steven Rothenberg, MD
1:30 PM Laparoscopic Re-Op Colon Surgery John Marks, MD
1:45 PM Q & A  


SAGES/SLS Approaches to Solid Organ Resection Panel

Wednesday, April 18, 2007
2:00 PM - 4:00 PM

Chair: Gerald Fried, MD

This session will explore controversies in surgical treatment for surgery of the spleen, adrenal gland, and donor nephrectomy.

Objectives:

At the conclusion of this session, participants will be able to differentiate between the options for the surgical approach to management of disorders of the spleen, adrenals, and donor nephrectomy, and to cite the published evidence and technical options. This will enable surgeons to make an optimal choice when approaching solid organs for minimally invasive resection.

Schedule
2:00 PM Introduction Gerald Fried, MD
  Clinical Scenario: Management of a Large Adrenal Mass
2:06 PM Case Presentation Simon Bergman, MD
2:11 PM Laparoscopic Management Quan-Yang Duh, MD
2:19 PM Open Management Michael Brunt, MD
2:27 PM Rebuttal Quan-Yang Duh, MD
2:32 PM Rebuttal Michael Brunt, MD
2:37 PM Q & A  
  Clinical Scenario: Laparoscopic Live Donor Nephrectomy
2:44 PM Case Presentation Simon Bergman, MD
2:49 PM The Preferred Option is Laparoscopic Right Donor Nephrectomy Jaap Bonjer, MD
2:57 PM The Preferred Option is Laparoscopic Left Donor Nephrectomy Brian Dunkin, MD
3:05 PM Rebuttal Jaap Bonjer, MD
3:10 PM Rebuttal Brian Dunkin, MD
3:15 PM Q & A  
  Clinical Scenario: Splenectomy for Massive Splenomegaly
3:22 PM Case Presentation Simon Bergman, MD
3:27 PM The Laparoscopic Approach Is Superior Demetrius E.M. Litwin, MD
3:35 PM Open Splenectomy Is the Preferred Option Liane S. Feldman, MD
3:43 PM Rebuttal Demetrius E.M. Litwin, MD
3:48 PM Rebuttal Liane S. Feldman, MD
3:53 PM Q & A  

SAGES and Rural Surgery Panel

Wednesday, April 18, 2007
4:00 PM - 6:00 PM

Chair: Thomas Broughan, MD

This symposium is an exploration of rural surgery and how SAGES can come to serve the needs of practicing rural surgeons.

Objectives:

At the conclusion of this session, participants will be able to:

Schedule
4:00 PM Introduction Thomas Broughan, MD
4:05 PM Rural General Surgeons: Demographics and Manpower Dana Christian Lynge, MD
4:20 PM Profile of the Rural Surgeon: SAGES and the Rural Surgeon L. William Traverso, MD
4:35 PM ACS Rural Surgery Committee Charles Rinker, MD
4:50 PM Challenges Facing Rural Surgeons Peter Hedberg, MD
5:05 PM Rural Surgery and Surgical Education Randall Zuckerman, MD
5:20 PM OHSU/Grant’s Pass Rural Surgical Rotation John Hunter, MD
5:35 PM Q & A  

Masters Common Bile Duct Hands-On Course

Thursday, April 19, 2007
7:00 AM - 5:30 PM

Chair: James “Butch” Rosser, MD
Co-Chair: Richard Vazquez, MD

This master’s level course will cover all aspects necessary for the minimally invasive management of common bile duct stones. It will feature pre-course preparation that will assist in efficiently covering all pertinent materials. The
students will have to demonstrate their command of the materials presented during the course with computer-assisted interactive challenges and quizzes. Metrics will be generated to document the transfer of knowledge and skill objectives. The laboratory will review in intricate detail the execution of all skill sets and technique algorithms necessary to competently offer this treatment option to patients. The master’s level laboratory practicum will feature the establishment of intracorporeal suturing techniques, the most difficult task that surgeons face in the minimally invasive environment. At the conclusion of the program, participants who perform with distinction will be acknowledged with awards during a special ceremony.

So, if you think that you have the “right stuff”, step up and take on this challenge that will open a new chapter in your laparoscopic armamentarium.

Objectives:

Attendees will:

Schedule
7:00 AM Introduction James “Butch” Rosser, MD (Moderator)
7:10 AM Minimally Invasive Approach to Common Bile Duct Stone Extraction: Taking Back the High Ground
William Traverso, MD
7:25 AM Biliary Tree Anatomy: The Part Where to Start
Michael Brunt, MD
7:40 AM Post-Tutorial Anatomy Test
 
7:55 AM Overview of Laparoscopic Cholecystectomy Technique: Let’s Get This Right First
Richard Vazquez, MD
8:15 AM Cholangiographic Imaging and Interpretation: It Is Not as Easy as You Think
Bruce MacFadyen, MD
8:35 AM Laparoscopic Ultrasound
Maurice Arregui, MD
8:50 AM Break
 
9:05 AM ERCP and Biliary Tract Stones: Current Approaches and the Way It Should Be Gary Vitale, MD
9:25 AM Intra-Corporeal Suturing Techniques: The Heart of It All James “Butch” Rosser, MD
9:45 AM Post-Tutorial Test: Suturing Technique Algorithm  
10:05 AM Laparoscopic Common Bile Duct Exploration Instrumentation: You Are What You Have John Flowers, MD
10:20 AM Laparoscopic Trans-Cystic Common Bile Duct Exploration Technique Algorithm Mark Watson, MD
10:45 AM Laparoscopic Common Bile Duct Exploration by Choledochotomy Technique Algorithm
Morris Franklin, MD
11:10 AM Post-Tutorial Test: CBD Exploration Technique Algorithm
 
11:30 AM Management of Common Bile Duct Stones: How to Get It Done in the Community Setting Roswell, New Mexico  
12:00 PM Clinical Cases: What Would the Experts Do (Panel)
 
12:30 PM Lunch (for lab participants only)
 
Section A
1:30 PM Suturing Trial, Suturing Algorithm Review, and Box Training
 
1:50 PM Cholangiogram and Imagining Interpretation
 
2:10 PM Equipment Review
 
2:30 PM Break
 
Section B
2:40 PM Transcystic Duct Exploration
 
3:10 PM Cholecystoenterostomy Box Training  
3:40 PM Suturing Exercises and Final Suturing Exam
 
Section C
4:10 PM OCCESS Exam and Expert Discussion  
4:40 PM Cholecystoenterostomy  
5:10 PM Common Duct Exploration with Choledochotomy  

Additional Lab Instructors:

Eugene Cho, MD
Terrence Fullum, MD
Patrick Reardon, MD
Samuel Szomstein, MD
Donald Wenner, MD

Hand Assisted Laparoscopic Colorectal Surgery
Hands-On Course

Thursday, April 19, 2007
7:45 AM - 4:30 PM

Chair: Peter Marcello, MD
Co-Chair: Tonia Young-Fadok, MD

Location: Medical Education & Research Institute of Nevada, 874 American Pacific Drive, Suite 120, Henderson, NV

This one-day course is designed for general and colon/rectal surgeons and residents familiar with laparoscopic techniques, who wish to expand their skills to laparoscopic intestinal surgery. The course will emphasize intestinal anatomy as it relates to laparoscopic resection, oncologic principles of laparoscopic intestinal resection, bowel mobilization and devascularization, extracorporeal and intracorporeal anastomoses, stoma creation, and hand access laparoscopic technique.

The afternoon portion will consist of a human cadaver laboratory session, providing instruction in laparoscopic techniques for colon resection. 1:3 faculty:student ratio at the lab stations.

Shuttles will be provided to/from the offsite lab and Paris Las Vegas. Space is limited.

Objectives:

At the conclusion of this session, participants will be able to:

Schedule
7:45 AM Bus departs from the hotel  
8:15 AM Registration & Continental Breakfast
 
8:30 AM Introduction
Peter Marcello, MD
Tonia Young-Fadok, MD
8:42 AM Patient Positioning/ Equipment
Matthew Mutch, MD
8:54 AM Laparoscopic Right Colon Resection
Mark Whiteford, MD
9:06 AM Laparoscopic Right Colon Resection Video
Jay Redan, MD
9:18 AM Complications and cancer
Eric Weiss, MD
9:30 AM Hands-On Practice - Cadaver Lab, Right and Transverse
 
12:00 PM Lunch and Lecture
 
12:00 PM Hand-Assisted Laparoscopy
Thomas Read, MD
12:30 PM Laparoscopic Sigmoid Resection Video
Sang Lee, MD
1:15 PM Hands-On Practice - Cadaver Lab, Left Colectomy
 
4:00 PM Adjournment & Wrap Up, Fill Out Evaluations
  
4:30 PM Bus returns to the hotel/Convention Center  

Additional Lab Instructors, in addition to lecture faculty: B. Todd Heniford, MD & Matthew Albert, MD

SAGES/IPEG Panels
Bringing Advanced Pediatric MIS To Your Hospital

Thursday, April 19, 2007
1:00 PM - 3:30 PM

Chairs: Steven Rothenberg, MD & Mark Wulkan, MD

This course will outline the steps, personnel, and issues involved with creating an advanced pediatric MIS center. This will include developing a business plan, enlisting appropriate personnel, identifying and targeting the appropriate equipment, and how to approach advanced procedures in neonates and infants. This will provide a blue print for the development of an advanced center for pediatric surgeons.

Objectives:

After this session, participants should be able to:

Schedule
1:00 PM Developing a Business Plan for Bringing Advanced MIS to a Pediatric Center Madeleine Roberson
1:15 PM Q & A
  
1:20 PM Bringing Your OR Staff up to Speed for Advanced MIS and Meeting the Surgeons Ever-Changing Needs and Demands Kathryn Hayes, RN, Aletta Harris, RN
1:40 PM Q & A
 
1:45 PM Anesthesia Issues with Advanced MIS in Infants and Children: Myths and Truths
Randall Clark, MD
2:00 PM Q & A
  
2:05 PM Equipment Needs for Advanced MIS in Neonates and Children: Soup to Nuts!
Mark Wulkan, MD
2:20 PM Q & A
  
2:25 PM Approaching Advanced Neonatal Cases: Where to Start, How to Proceed
Timothy Kane, MD
2:40 PM Trouble Shooting: Gaining an Edge Keith Georgeson, MD, Steven Rothenberg, MD
3:00 PM Q & A  

Pediatric Mystery Cases Panel

Thursday, April 19, 2007
3:30 PM – 5:00 PM

Chairs: Marc Levitt, MD & Carroll "Mac" Harmon, MD

Intriguing cases will be presented, audience interaction encouraged, and an interactive computerized response system utilized to facilitate the discussion of several mystery pediatric cases.

Objectives:

At the conclusion of this event, the attendee will be able to identify technical issues and creative minimally invasive options in selected pediatric surgery cases that impact outcome.

Schedule
3:30 PM A Biliary Case
3:45 PM A Case of Abdominal Pain
4:00 PM A Thoracic Case
4:15 PM A Case of Reflux Disease
4:30 PM A Colorectal Case
4:45 PM Q & A

Surgeon in the Digital Age Hands-On Course:
Speech Recognition Technology for the Surgeon

Friday, April 20, 2007
7:00 AM - 11:00 AM

Chair: Daniel Herron, MD
Co-Chair: Patrick Reardon, MD

The 2007 Surgeon in the Digital Age Course focuses on Speech Recognition Technology for the Surgeon. The course includes both didactic and hands-on sections and provides a broad overview of the many clinically relevant uses of speech recognition such as equipment control, telecommunications, and document generation (dictation systems). Each course participant will learn to use current professional-level speech recognition software (Dragon Systems Naturally Speaking 9.0 Medical Version) to generate both free-form and templated documents such as operative notes.

During this session, participants will be presented with ways:

Objectives:

At the conclusion of this course, participants will be able to incorporate speech recognition technology into their daily surgical practice.

Schedule
7:00 AM Introduction
7:05 AM A Brief History of Speech Recognition
7:15 AM Overview of Current Uses of Speech Recognition in Surgery
7:30 AM Potential Advantages of Speech Recognition
7:40 AM Workstation Speech Recognition Demonstration
8:00 AM Importance of Grammatical Models
8:05 AM Differences Between Conversational and PC-Directed Speech
8:15 AM Break
8:30 AM Guided Training of Individual Speech Files
9:00 AM Explanation of User Options & Recommended Settings
9:15 AM Speech Recognition Exercises
10:00 AM Creation of Simple Speed Phrase (Voice Macro) for Standard Surgical Procedure Note
10:10 AM Examples of Voice Commands for Workflow Simplification
10:20 AM Didactic: Discussion of Guidelines for Voice-Friendly Template Designs
10:30 AM Discussion of Other Capabilities
10:45 AM How to Save User Files to Provided USB Drive
10:50 AM Conclusion
10:55 AM Raffle: 2 Copies of Dragon Systems Software

Invited Faculty

Gregory Findlay
Daniel Herron, MD
Michael Marohn, MD
Patrick Reardon, MD
Steven D. Schwaitzberg, MD

SAGES/ASBS Reoperative Bariatric Surgery Panel –
Mastery of Laparoscopic Bariatric Surgery: Reoperations and Revisions

Friday, April 20, 2007
7:30 AM - 9:30 AM

Chair: Ninh Nguyen, MD
Co-Chair: Michel Gagner, MD

This symposium provides a comprehensive technical overview of techniques for the management of late bariatric complications and for revisional surgery. Now that more than 140,000 bariatric operations are being performed each year in the United States, bariatric surgeons are beginning to see bariatric patients exhibiting late complications or poor weight loss requiring operative intervention. This program is intended to teach practicing bariatric surgeons, general surgeons, physician assistants, surgical residents, and allied health professionals about the work-up and patient selection for reoperative and revisional surgery. Additionally, this program addresses the various types of revisional procedures, and delves into the technical aspects of reoperative and revisional surgery. This symposium will feature an engaging dialogue accompanied by video clips of reoperative surgeries, as they are performed by world-renowned experts in the field of bariatric surgery.

Objectives:

Upon completion of this activity, participants should be able to:

Schedule
7:30 AM Introduction Ninh Nguyen, MD and Michel Gagner, MD
7:35 AM Fundamentals of Revisional and Reoperative Bariatric Surgery Michael Sarr, MD
7:55 AM Gastric Bypass: Late Complication, Bowel Obstruction
Thomas Inge, MD
8:10 AM Gastric Bypass: Late Complication, Marginal Ulcer
Ninh Nguyen, MD
8:20 AM Gastric Bypass: Increase Restriction for Poor Weight Loss Kelvin Higa, MD
8:35 AM Gastric Bypass: Increase Malabsorption for Poor Weight Loss Robert Brolin, MD
8:50 AM Vertical Banded Gastroplasty: Conversion to Bypass Sayeed Ikramuddin, MD
9:00 AM Gastric Banding: Conversion to Sleeve, Bypass or DS Michel Gagner, MD
9:15 AM Q & A

SAGES/AHS Hernia Debates Panel

Friday, April 20, 2007
7:30 AM - 9:00 AM

Chair: L. Michael Brunt, MD
Co-Chair: Michael Kavic, MD

In this session, experts will debate current controversies in the management and repair of inguinal and incisional hernias. Each debate will begin with a case presentation and panelists will then present the best evidence available to support their management approach. Audience participation will be included in the program. The session will conclude with a panel discussion of difficult cases.

Objectives:

At the conclusion of this session, participants will be able to:

Schedule
Asymptomatic Inguinal Hernia: Watchful Waiting vs. Elective Repair
7:30 AM The Case for Watchful Waiting Robert Fitzgibbons, MD
7:40 AM The Case for Elective Repair Michael Holzman, MD
Open vs. Laparoscopic Incisional Hernia Repair
7:50 AM The Case for Open Repair
David Earle, MD
8:00 AM The Case for Laparoscopic Repair
Bruce Ramshaw, MD
8:10 AM Evidence-Based Assessment of Laparoscopic vs. Open Approaches David Flum, MD
Mesh Options for Incisional Hernia Repair
8:20 AM Role of Synthetic Meshes
Brent Matthews, MD
8:30 AM Role of Biologic Meshes
Scott Helton, MD
8:40 AM Panel Discussion/Difficult Cases

Endolumenal Panel

Friday, April 20, 2007
9:00 AM - 11:00 AM

Chair: Brian Dunkin, MD
Co-Chair: Gary Vitale, MD

This two-hour session will emphasize the value of flexible endoscopy to the surgeon’s practice. Surgical experts in endolumenal therapies will illustrate how these procedures are replacing surgery in many instances and will also describe how many surgical procedures can be enhanced by flexible endoscopy.

Objectives:

Attending participants will be able to:

Schedule
9:00 AM Introduction Brian Dunkin, MD
9:05 AM Management of GI Bleeding: Diagnosis and Tools of the Trade John Mellinger, MD
9:20 AM Therapeutic Upper Endoscopy for Neoplasia and Barrett’s: EMR and Mucosal Ablation C. Daniel Smith, MD
9:35 AM Intraoperative Endoscopy: Improving Surgical Outcomes Robert Fanelli, MD
9:50 AM Endoscopic Management of Surgical Complications Jose M. Martinez, MD
10:05 AM Endolumenal Treatment for GERD: What Is the Latest? Edward Lin, MD
10:20 AM Endolumenal Treatment for Obesity
William Richards, MD
10:35 AM Future of Surgical Endoscopy: NOTES and Intralumenal Resection Jeffrey Marks, MD
10:45 AM Q & A

SAGES/AHPBA Panel
Contemporary Issues and Outcomes: Hepatic Tumor Ablation

Friday, April 20, 2007
10:30 AM - 12:15 PM

Chair: David Iannitti, MD

Tumor ablation has rapidly become a popular treatment option for patients with hepatic malignancies. Experts in the fields of radio-frequency and microwave ablation will be discussing important contemporary issues for these treatment modalities. Long-term outcome data for patients with hepatocellular carcinoma and metastatic colorectal cancer will be critically reviewed.

Objectives:

Attendees will:

Schedule
10:30 AM Introduction David Iannitti, MD
10:35 AM Physics of Ablation Robert Martin, Jr., MD
10:45 AM Limitations of Ablation
Scott Helton, MD
10:55 AM Long-Term Outcomes for CRC Mets
Anton Bilchik, MD, PhD
11:10 AM Long-Term Outcomes for HCC
Hon K. Poon, MD
11:25 AM Microwave: Physics and UK Experience
David Lloyd, MD
11:40 AM Microwave: The US Experience David Iannitti, MD
11:50 AM New Technologies and Future Direction
Michael A. Choti, MD, MBA

Career Development Seminar: The Bricks and Mortar of Academic Career Development--A Small-Group Symposium for SAGES Residents, Fellows, and Junior Faculty

Friday, April 20, 2007
2:30 AM - 5:30 PM

Chair: Blair Jobe, MD

The purpose of this symposium is to provide participants with an overview of the most poignant issues currently encountered in academic surgery, and to provide practical strategies for maximizing success in this milieu. In addition, this symposium will serve as a primer for residents and fellows considering an academic career, and to provide tips on how to best prepare prior to embarking
on to the interview circuit.

Objectives:

At the conclusion of this session, participants will be able to:

Schedule
9:00 AM Introduction Blair Jobe, MD
9:05 AM You’ve finished your training and landed your first academic position: Ready, Set, Go!
Brent Matthews, MD
9:20 AM The “Triple Threat” in 2007: The Essentials of Building a Promotion and Tenure Dossier Gregory Stiegmann, MD
9:40 AM Defining Success along the Hierarchy: Expectations of the Dean, Chair, and Division Chief John Hunter, MD
9:55 AM The Reality of Successful Research in Academic Surgery: “Pay for your time or squeeze it in?” Jeffrey Matthews, MD
10:15 AM Developing a National Identity: Is it important and how do I start? David Rattner, MD
10:30 AM Balancing an Academic Career with your Family and Personal Life Jo Buyske, MD,
Daniel Deziel, MD
10:55 AM Perceptions of a Career Academician: The Past, Present, and Future
Frederick Greene, MD
11:10 AM Q & A
  
11:20 AM Topic-Based Breakout Sessions