The programme for the 2 day workshops is shown below:  

Advanced Prostatectomy Workshop  - Thursday 2nd February 2012

The prospective time table is at the lower part of this page. Attendees can receive 6 CME points for this workshop.

The prostatectomy workshop will utilise local experts for the faculty. The workshop will involve a moderated live case followed by interactive video discussion with detailed step-by-step analysis. There will be point-counter-point discussions initiated by the faculty on how to optimise techniques and improve outcomes. Video presentations will be of the faculty’s own pre-recorded material.

TOPICS

• Planning the operation: using prostate mapping template biopsies and multiparametric MRI
• Assistant - different approaches and requirements
• Port site positions
• Ergonomic robotics
• Bladder neck dissection - normal / post TURP / median lobe
• Vas and seminal vesicle dissection - thermal / athermal
• Control of pedicle - assistant or robotic Hem-O-Lok, vascular tie, suture
• Nerve sparing approaches - antegrade/retrograde
• Grades of nerves sparing (I-IV):  intra, inter, extra fascial, non-nerve sparing
• Optimising apical dissection - minimising (+) margins; DVC ligated/not ligated
• Full functional urethral length preservation
• Reconstruction - bladder neck, posterior, anterior
• Anastomosis - techniques / barb, no barb / 6, 9 o’clock
• Bladder neck plication to funnel bladder neck

Postop operative histology

• Video playback and outcome analysis

Complications

• Recognising  and dealing with complications - anastomosis / bowel
• Dealing with difficult situation

  Partial Nephrectomy Workshop Friday 3rd February 2012

The Time Table is shown at the bottom of this page.   Attendees can receive 6 CME points for this workshop.

The partial Nephrectomy Workshop will be led by an acknowledged international expert faculty invitee Dr Sam Bhayani. The workshop will involve interactive video discussion with detailed step-by-step explanation of partial nephrectomy. It would be suitable for robotic surgeons, trainees and theatre staff from centres considering starting or consolidating their partial nephrectomy service. The interactive video discussion will be followed by a moderated live case demonstration.

            TOPICS

            Case selection

            Theatre setup and patient positioning

            Port positioning

                        Medial / lateral approach

                        2 arms, 3 arms

                        Assistant

            Step-by-step analysis of technique and approach

                        Isolation of vessels

                        Segmental vessels

                        Mobilisation of the kidney

                        Identification of lesion

                        Intraoperative ultrasound

                        Intraoperative flouresence

                        Delineation of lesion

                        Robotic / assistant bulldog clips

                        Partial nephrectomy

                        Haemostasis

                        Renorraphy

                        Haemostatic agents

                        Specimen extraction

            Anaesthetic consideration

                        Fluid regime

                        Optimising renal perfusion

            Management of Complications

                        Bleeding per operative / post operative

                        Urinary leak