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New Technologies & NoTech Processes for Safety and Performance - Special Focus on Robotic Segmentectomies and image-assisted surgery


1 335,00 €


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20 rue Marie Curie, 76000, Rouen, France

Medical Training Center Rouen

4.7

· 344 Avis

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À propos

27 places par session

Anglais

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:

  • Da Vinci X surgical system, Intuitive
  • 4-Arm Standardised lung resection
  • Image assisted using Visible Patient® 3D reconstruction used in conjunction with TilePro (Intuitive) mode on the X system
  • Firefly infrared technology
  • SureForm
  • Different Energy modalities
  • Stapling Strategies (SureForm, Intuitive)
  • Capnothorax using Airseal

Non-technical Aspects:

  • Human factors
  • Cognitive tools (Robotic check-list, Crisis Check-list)
  • Team Training
  • Stress Management
  • Crisis Resource Management (CRM) using multidisciplinary team simulation
  • Surgical education and prehabilitation

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.

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

Thursday June 30th 

13:00  ***Lunch***

14:00  Opening Session

14:15  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)

14:30  Operative Safety, the anaesthesiologist’s point of view (JM Selim, MM Dusseaux, A Lefèvre)

14:50  Operative Safety, the Surgeon's point of view: Cognitive simulation (3D), Cognitive tools (check lists, 3D reconstructions…), Vascular complications management (JM Baste)

15:30  Acute stress management and performance during operative complications (O Lefetz)


16:00 ***Coffee Break***


16:30  Briefing In Situ Simulation - Team Training: Objectives 

17:00  Scenario of Robotic LUL with the whole team and all the different surgical steps. Uncontrolled bleeding or major desaturation? Crisis management (JM Baste)

17:45  Debriefing: Surgeon, anaesthesiologist, consultants, participants (evaluation scale for NOTS, stress management).

18:45  End of the session

 

Friday July 1st

7:45    Opening

8:00    Robotic 4-arm technique for lung segmentectomies - Dr Ilies Bouabdallah "live" from Marseille

9:00    Presentation of pre-operative marking using virtual bronchoscopy and Radial EBUS (by videoconference in theatre) (S Lachkar)

9:30    Live Case Robotic-assisted Segmentectomy with operative planning and operative assisting using 3D model (Visible Patient)

12:00 Robotic Segementectomy Pr Pages “live” from Dijon

14:00 Live Case of Segementetcomy or standardized lobectomy: Robotic-assisted lobectomy with Da Vinci X surgical system and SureForm

16:00  Prehabilitation and RAAC protocol (F Boujibar)

16:30 Training in robotic surgery: 10 years of experience (G Mordojovich)

17:00  General debriefing focusing on the technical and non-technical parts of this course


End of course

Ce que vous allez apprendre

Tips and Tricks in complex cases


Pre-operative markings using: virtual bronchoscopy and mini-probes


3D planning reconstruction


Operative security: team training and crew resource management


Image-assisted surgery: pre-operative planning, virtual reality

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Intervenants

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Prof. Jean-Marc Baste Thoracic General Surgeon, MD, PhD, CHU Rouen, France
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Prof. Pierre-Benoît Pagès Chirurgie thoracique et cardio-vasculaire
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Dr. Ilies Bouabdallah Chef de Service Chirurgie Thoracique, Hôpital Saint Joseph, Marseille, France
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Dr. Gerardo Mordojovich Fellow International de Chirurgie Robotique
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Jean Selim Anesthésie - réanimation
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Antoine Lefevre-Scelles Anesthésie - réanimation
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Public cible

L’évènement est à destination des praticiens ou spécialités ci-dessous :

Chirurgie thoracique et cardio-vasculaire

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  • New Technologies & NoTech Processes for Safety and Performance - Special Focus on Robotic Segmentectomies and image-assisted surgery

  • New Technologies & NoTech Processes for Safety and Performance - Special Focus on Robotic Segmentectomies and image-assisted surgery

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Appréciation générale

4.7 · 3 Avis

Connaissances acquises

 

5.0

Organisation

 

4.3

Pédagogie

 

4.7

Recommandation

 

4.7

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