SAGES Hands-on Courses & Panels
Laparoscopic Colorectal Hands-On Course ** Offsite Lab
Wednesday, April 22, 2009
1:00 PM - 5:00 PM
*Separate registration fee
Chair: Tonia Young-Fadok, M.D.; Co-Chair: Sonia Ramamoorthy, M.D.
This half-day practical cadaver lab course is designed for general and colorectal surgeons, fourth year or chief residents and MIS or colorectal fellows. All applicants should be familiar with advanced laparoscopic techniques and wish to expand their skills in laparoscopic colon and rectal surgery. Techniques for bowel mobilization, vessel division, and intra- and extracorporeal anastomoses will be taught with an emphasis on oncologic principles. The course will emphasize common alternative approaches including lateral-to-medial, medial-to-lateral, and hand-assisted techniques, to facilitate resection of the entire intra-abdominal colon and the rectum.
Requirements:
- All participants will be required to submit a letter from their Department Chair or Program Director, confirming that it is anticipated they can reasonably expect to perform at least 20 laparoscopic colorectal cases annually following this course.This letter must be sent to the attention of Yumi Hori (Fax: 310-437-0585 or Email: yumi@sages.org) at the time of registration. If the letter is not received, your space in this course may be given to the next eligible attendee.
- Participants will be asked to complete a pre-meeting questionnaire to ascertain their learning needs. A post-meeting questionnaire will also be distributed 3-6 months after the course to determine adoption of techniques.
Objectives:
At the conclusion of this session, participants will be able to:
- Discuss multiple approaches to mobilization, resection and anastomosis of the right and left colon
- List techniques, tips and tricks for total mesorectal dissection of the rectum
- Understand the principles in laparoscopic colorectal surgery for both benign and malignant disease
Schedule
| 1:00 PM | Introduction | Tonia Young-Fadok, M.D. & Sonia Ramamoorthy, M.D. |
| 1:05 PM | Laparoscopic, Lateral-to-Medial Techniques for Right and Left Colon and Rectum | Tonia Young-Fadok, M.D. |
| 1:20 PM | Hand-Assist, Medial-to-Lateral Techniques for Right and Left Colon and Rectum | Peter Marcello, M.D. |
| 1:35 PM | Right Colectomy Techniques | |
| Left Colectomy Techniques | ||
| Rectal Dissection Techniques | ||
| 4:30 PM | Question and Answer Session | |
Lab Instructors
George Chang, M.D.
Jonathan Efron, M.D.
Daniel Geisler, M.D.
Peter Marcello, M.D.
John Park, M.D.
Mark Whiteford, M.D.
Conor Delaney, M.D.
Matthew Kalady, M.D.
Steve Hunt, M.D.
Matthew Mutch, M.D.
Laurence Yee, M.D
SAGES acknowledges generous educational grants in support of this course from Applied Medical, Covidien and Ethicon Endo-Surgery, Inc.
Endolumenal/NOTES® Hands-On Course
Wednesday, April 22, 2009
1:00 PM - 5:00 PM
*Separate registration fee
Chair: W. Scott Melvin, M.D.; Co-Chair: Robert Hawes, M.D.
This will be a multiple station hands-on course that will allow a technical experience in a variety of endolumenal procedures and technology. This will also include an introduction to NOTES® and specifically, transvaginal and transgastric peritoneal access. The latest endolumenal tissue fixation devices, energy application devices and intraluminal stents will be included. Participants should have basic endoscopic skills and be willing to try new procedures and use new technology.
Objectives:
At the conclusion of this session, participants will be able to:
- Experience the use of modern endolumenal techniques for energy ablation (Argon plasma coagulation, heater probe, BICAP, etc.) and stent placement
- Compare techniques for Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD)
- Recognize the principles of endolumenal tissue fixation
- Evaluate and practice transgastric and transvaginal approaches to peritoneal access (Natural Orifice Translumenal Endoscopic Surgery)
Schedule
| 1:00 PM | Introduction | W. Scott Melvin, M.D. & Robert Hawes, M.D. |
| Stations | ||
| Barrett’s Ablation | Vic Velanovich, M.D. & V.K. Sharma, M.D. | |
| Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD) | Robert Pompa, M.D. & Thadeus Trus, M.D. | |
| Endoscopic Fundoplication for GERD | Kevin Reavis, M.D. & William Kelley, M.D. | |
| Endoscopic Revision for Failed Gastric Bypass | Dean Mikami, M.D. & Christopher Thompson, M.D. | |
| Intraluminal Stents: Placement and Removal, Colonic and Esophageal | Jeffrey Marks, M.D. & John Marks, M.D | |
| Energy Ablation: Argon Plasma Coagulation, Heater Probe, BICAP, Etc. | Jose Martinez, M.D. & Klaus Thaler, M.D. | |
| NOTES® Gastric Closure | Jeffrey Hazey, M.D. & Eric Hungness, M.D. | |
| NOTES® Transvaginal Closure & Transcolonic Closure | Garth Jacobsen, M.D. & Patricia Sylla, M.D. | |
SAGES acknowledges generous educational grants in support of this course from Boston Scientific, Covidien, CSA Medical, Inc. and Karl Storz Endoscopy-America
FLS Hands-On Course: Train the Trainers & Proctors
Wednesday, April 22, 2009
12:30 PM - 5:00 PM
*Separate registration fee
Chair: E. Matthew Ritter, M.D.; Co-Chair: Nathaniel Soper, M.D.
This course is designed for those responsible for introducing FLS into the curriculum of their surgical training programs, and those primarily responsible for the daily implementation of that training. Optimally, both the surgeon in charge of FLS training and the individual designated as the future FLS proctor would attend the course together, but this pairing is not a requirement. Participants should already be familiar with the FLS program content as this will not be extensively reviewed. The course will feature a very brief FLS overview of the design and validation of FLS but will focus on the nuts and bolts of integrating FLS into the institution’s surgical training curriculum. Speakers will identify logistical needs to make the FLS systems functional, and relay practical and proven strategies for maximizing resident training with the FLS curriculum gained over several years of extensive experience. The majority of the course will be hands on and take participants through the setup and troubleshooting of the FLS trainer box and computer based exam, the correct setup and execution of each of the FLS training tasks, and the scoring process required to administer official FLS examinations. After completion of the course, those wishing to become Official FLS Test Proctors will have the opportunity to gain additional experience by administering FLS tests to SAGES meeting attendees during the subsequent days of the SAGES meeting under the guidance of a certified FLS Proctor Trainer. Those who successfully complete this additional proctored training will be certified as Official FLS Test Proctors. (Note: No one will be certified as an Official Test Proctor by only attending the course.)
Objectives:
At the conclusion of this course, participants will be able to:
- Discuss the rationale behind the development of the FLS program
- Describe the basic content of FLS and the process used to validate the FLS program
- Identify the logistical requirements of space, equipment, and personnel needed to implement FLS into their training curriculum
- Integrate proven FLS training strategies into their training curriculum
- Demonstrate correct assembly and troubleshooting of all components of the FLS Training Box
- Discuss proper setup and equipment needed for each of the 5 FLS Manual Skills tasks
- Identify allowable and non-allowable performance techniques for each of the 5 Manual Skills tasks
- Demonstrate correct setup and administration of the FLS computer based didactic test
- Correctly administer and score an FLS Manual Skills test
- Identify the material and information to be sent to the FLS Program office for formal evaluation and scoring
Schedule
| 12:30 PM | Registration | |
| 1:00 PM | FLS: Brief Background/Validation/Content Overview | Nathaniel Soper, M.D. |
| 1:20 PM | What Do You Need for FLS Training and Testing? (Equipment/Support) | E. Matthew Ritter, M.D. |
| 1:40 PM | Optimal Training Strategies for Didactic Content and Manual Skills | Daniel J. Scott, M.D. |
| 2:00 PM | Break | |
| 2:15 PM | FLS – The Setup: From Out of the Box to Functional Benchtop | Elisabeth Pimentel |
| 2:45 PM | Skills Testing Administration Review/Demo | Lisa Jukelevics |
| 3:15 PM | Skills Test Scoring Review/Demo | Inga Brissman |
| 3:30 PM | Didactic Test Administration/Demo | Carla Bryant |
| 3:45 PM | Proctoring Practice | All Faculty |
SAGES acknowledges generous educational grants in support of this course from Covidien and Karl Storz Endoscopy-America
Laparoscopic Foregut Surgery Hands-On Course **Offsite Lab
Thursday, April 23, 2009
1:00 PM - 5:00 PM
*Separate registration fee
Chair: Brant K. Oelschlager, M.D.; Co-Chair: Leena Khaitan, M.D.
This course will consist of a hands-on cadaver laboratory session in which participants will receive instruction by experts in laparoscopic esophageal and gastric surgery, including safe dissection of the hiatus, creation of various fundoplications, Heller myotomy, and hiatal hernia repair, including complex hiatal repair with mesh placement. Participants will have the opportunity to use a variety of surgical devices used in these procedures for hemostasis, suturing, stapling, and various meshes. Lab stations will have a 1:3 faculty: participant ratio. Participants will also be exposed to the various equipment for esophageal function testing including high resolution manometry.
Objectives:
By the end of this session, participants will be able to:
- Technically describe how to safely perform laparoscopic foregut surgery
- Describe proper patient positioning and port placement for laparoscopic foregut operations
- List the key steps and operative sequencing for laparoscopic fundoplications, hiatal hernia repair, and Heller myotomy.
- Review various approaches for both straightforward and complex situations in hiatal hernia repair
- Utilize greater understanding, exposure, and performance of foregut operations to improve patient safety and outcomes
- Discuss esophageal motility disorders and the technology available to diagnose these disorders
Schedule
1:00 PM Hands-On Lab (Instructor:Participant Ratio 1:3)
Faculty
Roger Tatum, M.D.
Deron Tessier, M.D.
Edward Lin, M.D.
William Laycock, M.D.
Gina Adrales, M.D.
Michael Holzman, M.D.
Raymond Onders, M.D.
Lily Chang, M.D.
Ashley Vernon, M.D.
Fredrick Brody, M.D.
Thomas Watson, M.D.
Steven P. Bowers, M.D.
SAGES acknowledges a generous educational grant in support of this course from Karl Storz Endoscopy-America.
Advanced Laparoscopic Techniques Hands-On Course:
From Reduced Port and Single Incision to Hand Assist and Other Advanced Techniques
Thursday, April 23, 2009
1:00 PM - 5:00 PM
*Separate registration fee
Chair: Daniel J. Scott, M.D.; Co-Chair: Paul G Curcillo II, M.D.
This course will consist of a hands-on animate porcine lab in which participants will receive instruction by experts in various advanced techniques in laparoscopic surgery, including single incision laparoscopic cholecystectomy, laparoscopic anastomosis creation, and hand-assisted splenectomy and nephrectomy. Participants will have the opportunity to use a variety of energy sources, suturing techniques, stapling devices, and novel devices for single incision minimal access surgery including articulating instruments and access ports. Lab stations will have a 1:3 faculty to participant ratio.
Objectives:
At the conclusion of this session, participants will be able to:
- Enhance their technical ability to perform single incision laparoscopic procedures
- Develop skills for hand-assisted operations, laparoscopic energy sources and suturing
- Understand key steps in creating anastomoses laparoscopically
Schedule
| 1:00 PM | Introduction | Daniel J. Scott, M.D. & Paul Curcillo, M.D. |
| 1:05 PM | Single Incision Cholecystectomy | |
| 2:05 PM | Single Incision Lap Band or Nissen | |
| 3:05 PM | Lap Gastrojejunostomy | |
| 4:05 PM | HALS Splenectomy & Nephrectomy w/Energy Sources | |
Box-trainer Suturing Stations (Concurrent with Each Segment)
Faculty:
Animate Stations:
Homero Rivas, M.D.
Michael Albrink, M.D.
Santiago Horgan, M.D.
Alex Rosemurgy, M.D.
Eric Hungness, M.D.
Guillermo Dominguez, M.D.
Garth Jacobsen, M.D.
Abhay Rane, M.S.
Shawn Tsuda, M.D.
William Richardson, M.D.
Benjamin Poulose, M.D.
Michael Rosen, M.D.
Ninh Nguyen, M.D.
Andrew Gumbs, M.D.
Casey Graybeal, M.D.
Marc Bessler, M.D.
Prashanth Rao, M.D.
Suturing Stations:
Allan Okrainec, M.D.
Arsalla Islam, M.D.
Gregory Mancini, M.D.
Melina Vassiliou, M.D.
Simon Bergman, M.D.
SAGES acknowledges generous educational grants in support of this course from Applied Medical, Covidien and Karl Storz Endoscopy-America.