15th International Workshop in Robotic Surgery for Southeastern Europe
Director of Studies: N. I. Nikiteas
Scientific Advisory Committee Chairman: Members:
Prof. Prof. Prof. Prof.
K. Konstantinidis Th. Diamantis E. Georgiou G. Kouraklis
Educational Committee General Surgery: Urology: Gynaecology:
P. Antonakis A. Ploumidis V. Hatzirafail
TRAINING PROGRAMME Introduction The training program of this robotic workshop is divided in two sections. In the first section there are lectures customized according to the surgical specialty of the trainees. The second section focuses on hands-on training in the robotic theatre and includes an introduction to the robotic theatre setup and training on essential and procedural skills. Each trainee has a unique identifier, A1 to A6. In the timetable that follows group members can find all scheduled training sessions for them. The appendixes A, B, C and D include a detailed list of the specific tasks that will be covered in the Introduction to the robotic theatre, the Essentials skills, the Procedural skills, and the Simulation training respectively.
TIMETABLE Monday October 15th 2012 08:00 – 08:30
Welcome and visit to the Training Center, Plusmedica presentation
(Groups A & B) 08:30 - 09:00
Introduction to the robotic theatre and presentation of the Da Vinci robotic system
09:00 – 11:30
Essential skills – Simulation training
11:30 – 12:00
Break
12:00 – 12:25
Lecture Topic: Robotics in rectal surgery Speaker: N. Nikiteas
12:25 – 12:50
Lecture Topic: Robotic prostatectomy Speaker: V. Mygdalis
12:50 - 13:15
Lecture Topic: Robotic benign gynaecology Speaker: V. Hatzirafail
13:15 – 13:40
Lecture Topic: Robotics in gynaecological malignancies. Speaker: Al. Tserkezoglou
13:40 – 14:05
Lecture Topic: Robotic nephrectomy Speaker: A. Ploumidis
14:05 – 14:30
Lecture Topic: Robotics in upper GI surgery Speaker: K. Konstantinidιs
14:30 – 14:55
Lecture Topic: Robotic colon resection Speaker: H. Pappis
Group A Tuesday October 16th 2012 08:00 - 11:50
Procedural Skills (A1, A2, A3) Assistance (A4, A5, A6)
11:50 – 12:30
Lunch Break
12:30 – 15:00
Procedural Skills (A4, A5, A6) Assistance (A1, A2, A3)
Wednesday October 17th 2012 08:00 - 11:50
Procedural Skills (A1, A2, A3) Assistance (A4, A5, A6)
11:50 – 12:30
Lunch Break
12:30 – 15:00
Procedural Skills (A4, A5, A6) Assistance (A1, A2, A3)
END OF COURSE FOR GROUP A
APPENDICES
APPENDIX A – INTRODUCTION TO THE ROBOTIC THEATRE •
System presentation in OR without and with porcine model
•
Docking and draping
•
At the
•
Urgent system removal simulation
end of dissection Undocking the system from the animal Undraping, compacting and shut-down of the system System storage Post-op management of instruments and accessories
APPENDIX B – ESSENTIAL SKILLS* # A B C D E
*
Task Camera Navigation Ring Placement Cutting Star/Circle Needle Driving Knot Tying
Sessions & Time 10 points – 5min 1x10 – 5min (5 Right hand, 5 Left hand) 1x1 & 1x1 – 5min Forehand x3 & Backhand x3 - 10min 3x3 - 10min
The trainees who have attended the Robotic course of Euroclinic are eligible to skip this part of training
APPENDIX C – PROCEDURAL SKILLS FOR GENERAL SURGEONS*
Anatomical dissection Esophagus Sigmoid colon – Descending colon Bladder Anastomoses Gastrojejunal anastomosis Entero-enteric anastomosis Ileocolic anastomosis Ileocystic anastomosis Bladder-urethral anastomosis Vessels Splenic artery Gastroepiploic artery Iliac arteries (L-R) Renal arteries (L-R) Inferior mesenteric artery Hepatoduodenal ligament Surgical procedures Cholecystectomy Distal gastrectomy Fundoplication Left colectomy Nephrectomy
*
All trainees should complete at least one task of each category
APPENDIX C – PROCEDURAL SKILLS FOR GYNAECOLOGISTS*
Anatomical dissection Uterus Ovaries Bladder - Urethra Anastomoses Entero-enteric anastomosis Vessels Iliac arteries (L-R) Ovarian arteries (L-R) Uterine arteries (L-R) Surgical procedures Oophorectomy Paraortic lymph node dissection Nephrectomy *
All trainees should complete at least one task of each category
APPENDIX C – PROCEDURAL SKILLS FOR UROLOGISTS*
Anatomical dissection Kidney Adrenal Bladder - Urethra
Anastomoses Ileocystic anastomosis Bladder-urethral anastomosis
Vessels Iliac arteries (L-R) Renal arteries (L-R) Ovarian arteries (L-R) Surgical procedures Oophorectomy Paraortic lymph node dissection Nephrectomy *
All trainees should complete at least one task of each category
APPENDIX D – SIMULATION TRAINING Procedural skills EndoWrist manipulation Camera control Needle driving Energy and dissection
FACULTY Nikiteas Nikolaos Director of Studies, Associate Professor of Surgery, University of Athens General Surgery
•
Konstantinidis Konstantinos Director of General, Laparoscopic and Robotic Surgery of Athens Medical Center
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Pappis Harilaos Director, 3rd Surgical Department, Hygeia Hospital
Urology •
Mygdalis Vassilios Urologist, General Air Force Hospital
•
Ploumidis Antonios Director, Department of Urology of Athens Medical Center
Gynaecology •
Hatzirafail Vassiliki Director of Gynaecological Department, Euroclinic, Athens
•
Tserkezoglou Aliki Gynaecologic Oncologist Euroclinic, v. director of “Ag. Savas” oncologic hospital of Athens