Bariatric surgery has caused a new boom in the field of laparoscopic indications. Is the approach justified ? Are all patients candidates ? Which operation must be chosen ? Participants will understand the several laparoscopic approaches of bariatric surgery, having the opportunity to view different live cases in the operating room : gastric bypass, sleeve gastrectomy, duodenal switch, and biliopancreatic diversion. Two courses will be only developed on reoperations (redo) for failed or complicated procedures.
• Review common guidelines in bariatric surgery.
• Show different procedures, tailored to the patients needs.
• Show techniques and strategies to reduce operative time and postoperative complications.
• Comment on tricks and pitfalls in the different procedures.
• Choose a new bariatric procedure in case of failed or complicated previous surgery.
• Manage early and late postoperative complications.
Although minimal invasive surgery is offering many advantages to both the surgeon and the patient, the use of laparoscopy remains challenging in the management of gynaecological malignancies. Both endometrial and uterine cervical cancer can be treated by laparoscopy at their early stages. Surgical indications, general principles of laparoscopic surgery, and specific applications to gynaecologic oncolgy will be discussed during this course. These topics will be illustrated by live demonstrations.
Course objectives :
selection of patients for surgery
installation of the patient and surgical setting for complex procedures
teaching pelvic anatomy and retroperitoneal dissection
the use of different surgical energies
new technologies applicable to complex gynecologic dissection (3D vision, image guided surgery)
With the era of the new laparoscopic reduced port surgery, laparoscopy can appear less invasive if the number of the abdominal incisions is reduced. The umbilicus represents a well-healed natural scar allowing access to the peritoneal cavity through a single incision. The main advantage of the single-incision approach is the “scarless surgery” with an obvious cosmetic result, and other benefits. Hence the standard laparoscopic procedures can be performed with this technique.
• Show classical laparoscopic procedures usually reduced by 4, 5 trocars performed through a single-incision in the umbilicus or suprapubically.
• Review different instruments.
• Memorize the tricks of this approach.
This session tackles a number of questions and issues, including whether laparoscopic colectomy should be performed in all cancer patients, and what to do in the case of total mesorectal excision (TME). The course also addresses the question of whether or not trocar site recurrences are a myth, and what the approach for a benign disease should be. Participants observe live left hemicolectomy, right hemicolectomy and TME being carried out.
• Review the anatomy of the region in the context of a laparoscopic approach.
• Give general strategies for laparoscopic colorectal surgery.
• Teach best practices and avoidance of pitfalls in the various procedures.
• Explain potential long-term functional problems and how to avoid them.
500 € for Surgeons -- 300 € for Nurses
Course Chairs: G-B. Cadiere, J. Himpens, A. Lacy, G. Dapri
Recent developments in endoluminal and transluminal procedures suggest that, in the near future, general surgeons will need to be well grounded in flexible endoscopy.
This course gives the possibility to haven an endoscopic approach to the pathology of the upper gastrointestinal tract : gastroesophageal reflux disease, bariatric surgery and early gastric cancer.
• Describe the technique to treat the GERD by endoluminal fundoplication (EsophyX), and to reduce the gastric volume (StomaphyX).
• Practice an endoscopic suture
• Show the benefits and results of this new approach.