This practical course will help you discover the latest technological advances in robotic surgery for the management of lung cancer through:
- CRM - Crisis Ressource Management (live case simulation)
- pre-operative planning (with 3D imaging) and marking (virtual bronchoscopy and mini-probe)
- use of new robotic tools: X platform, Robotic Stapler, FireFly, Tile Pro, Energy with fusion (Intuitive Surgical)
- 3 simulation plateforms will be at the disposal of the trainees for them to test in live the Pr Baste 's tips and tricks
One of the problems of minimal invasive thoracic surgery is major intraoperative complication, especially in RATS. To address this safety concern, we started developing new tools 3 years ago with the aim of improving operative safety and using a multidisciplinary approach.
One of the main aspects of preventing and managing major complications is based on simulation with team resource management, acute stress management and the development of non-technical skills.
This part of the course will draw on the expertise of different specialists: an anesthesiologist, a radiologist, a human factor expert from aviation, a psychologist, a specialist in communication and of course a surgeon.
Thursday March 7th
14:00 Opening Session
14:15 General Introduction - New context in Surgical Safety
Non-Tech Skills and Tool kits for team training and working: (Human factors, crisis management, team training, Crew resource management, enhanced performances, check list, stress (JM Baste)
14:30 Operative Safety, The anesthesiologist’s point of view (A Lefevre)
14:50 Operative Safety, the Surgeon point of view: Cognitive simulation(3D), Cognitive tools (check lists, 3D reconstructions…) (JM Baste)
15:30 Acute stress management and performance during operative complications (JM Coq)
16:00 Human Factors and Operative Room Audit (STAN Institute)
16:30 Briefing In Situ Simulation - Team Training: Objectives
17:00 Scenario of Robotic RUL with the whole team and all the different surgical steps. Uncontrolled bleeding or major desaturation? Crisis management (JM Baste – A Lefevre)
17:45 Debriefing: Surgeon, anesthesiologist, consultants, participants (evaluation scale for NOTS, stress management) STAN Institute will lead the debriefing
18:45 End of the session
Friday March 8th
8:00 Robotic 4-arm technique for lung resection (JM Baste)
8:40 Presentation of pre-operative marking using virtual bronchoscopy and Radial EBUS (by videoconference in theatre) (S Lachkar)
9:00 Live Case Segmentectomy with operative planning and operative assisting using 3D model (Visible patient-Therapixel technology)
13:00 Live Case of Robotic lobectomy with the robotic stapler X Platform
16:00 General debriefing focusing on the technical and non-technical parts of this course
17:00 End of the session
Options for reaching Rouen from Paris:
- By train: you can reach Gare St Lazare by metro (not a direct line, €2) or by taxi (approx. €50) and then take a train to Rouen (approx. €25). There is a departure every hour or so, travel takes around 90min. You will then need a taxi from Rouen station to the hotel (approx. €15).
- Taxi service: a taxi can pick you up at the airport and take you directly to your hotel. Cost is €180 (€360 for a round trip). Travel takes around 90min.
- Renting a car from the airport
Closest recommended hotels:
33 Boulevard Gambetta, 76000 Rouen, France
Located on hospital campus
from 65€ /night
+33 2 35 07 96 96
12 Avenue Aristide Briand, 76000 Rouen, France
5 minutes walk from the University Hospital
from 102€ /night
+ 33 2 35 52 42 32
Angle rue St Nicolas/Rue Croix de Fer, 76000 Rouen, France
15 min walk to the hospital
from 101€ /night
+33 2 35 52 69 52
15 Pl. de la Pucelle, 76000 Rouen, France
Located down town
from 187€ /night
+33 2 35 14 50 50
It would be even better if all the doctors in the operation theatre simulation would speak in english. the program was excellent.Have already adopted Dr Baste s technique for robotic lobectomy at our institute for our last 2 lobectomies.