This practical course will help you discover the latest technological advances in robotic assisted surgery for the management of lung cancer and mediastinal lesion.
We will focus on two main aspects of the robotic-assisted surgical system platform: a technical part and a second part that will emphasize the role of human factors and the team to perform safe and efficient procedures.
Technical aspects:
Non-technical Aspects:
One of the problems of minimal invasive thoracic surgery is major intra-operative complications, especially in RATS. To address this safety concern, we started 5 years ago to develop new tools 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 course will draw on the expertise of different specialists: an anaesthesiologist, a radiologist, a human factor expert from aviation, a psychologist, a physiotherapist, a specialist in communication and of course a thoracic surgeon.
- Image-assisted surgery: pre-operative planning, virtual reality
- Operative security: team training and crew resource management
- Pre-operative markings using: virtual bronchoscopy and mini-probes
- Tips and Tricks in complex cases
- 3D planning reconstruction
Live case observation, Simulation, Video, Lectures
Thoracic Surgeons
Technical Aspects - references
Chaari Z, Montagne F, …Baste JM Midterm survival of imaging-assisted robotic lung segmentectomy for non-small-cell lung cancer..Interact Cardiovasc Thorac Surg. 2021 Montagne F, Guisier F, Venissac N, Baste JM The Role of Surgery in Lung Cancer Treatment: Present Indications and Future Perspectives-State of the Art..Cancers (Basel). 2021
For more:
Non-Technical Aspects - references
Rinieri, P., Selim, J., Le Guillou, V., & Baste, J. M. (2020). Crisis checklist (Code Red) for the management of cardiac arrest during minimally invasive thoracic surgery: case report. Journal of cardiothoracic surgery, 15(1), 173.
Jean-Marc Baste.et al Implementation of simulation-based crisis training in robotic thoracic surgery: how to improve safety and performance? JTD 2020 doi: 10.21037/jtd-2020-epts-03
Thursday June 30th
13:00 ***Lunch***
Opening Session
General Introduction - New context in Surgical Safety and Performance in the era of Robotic Surgery
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)
Operative Safety, the anaesthesiologist’s point of view (JM Selim, MM Dusseaux, A Lefèvre)
Operative Safety, the Surgeon's point of view: Cognitive simulation (3D), Cognitive tools (check lists, 3D reconstructions…), Vascular complications management (JM Baste)
Acute stress management and performance during operative complications (O Lefetz)
16:00 ***Coffee Break***
Briefing In Situ Simulation - Team Training: Objectives
Scenario of Robotic LUL with the whole team and all the different surgical steps. Uncontrolled bleeding or major desaturation? Crisis management (JM Baste)
Debriefing: Surgeon, anaesthesiologist, consultants, participants (evaluation scale for NOTS, stress management).
End of the session
Friday July 1st
Opening
Robotic 4-arm technique for lung segmentectomies - Dr Ilies Bouabdallah "live" from Marseille
Presentation of pre-operative marking using virtual bronchoscopy and Radial EBUS (by videoconference in theatre) (S Lachkar)
Live Case Robotic-assisted Segmentectomy with operative planning and operative assisting using 3D model (Visible Patient)
Robotic Segementectomy Pr Pages “live” from Dijon
Live Case of Segementetcomy or standardized lobectomy: Robotic-assisted lobectomy with Da Vinci X surgical system and SureForm
Prehabilitation and RAAC protocol (F Boujibar)
Training in robotic surgery: 10 years of experience (G Mordojovich)
General debriefing focusing on the technical and non-technical parts of this course
End of course
Brit Hotel Relais des 2 Rivières
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
20 rue Marie Curie
76000 Rouen, France