2nd Advanced Course on the Management of Colorectal Liver Metastases - Bordeaux

Cet événement aura lieu du 15 au 17 octobre 2012 à Bordeaux.

Faculty

Serge Evrard, Professor of Surgery, Digestive Tumours Unit, Institut Bergonié/University of Bordeaux, Bordeaux, France

Thomas Gruenberger, Head of the Hepatobiliary Service, Department of General Surgery, Medical University of Vienna, Vienna, Austria

Peter Naredi, Professor of Surgery, Chairman of the Department of Surgery, Umea University Hospital, Umea, Sweden

Graeme Poston, Consultant Hepatobiliary Surgeon, Divisional Medical Director and Chairman of the Division of Surgery, University Hospital Aintree (UHA), Liverpool, UK

Michel Rivoire, Professor of Surgery, Co-ordinator of the Department of Surgery, Centre Régional Léon Bérard, Lyon, France

Theo Ruers, Professor of Surgery, Head of the Division of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands

Invited Speakers

Grégoire Désolneux, Surgical Oncologist, Institut Bergonié, Bordeaux, France

Véronique Vendrely, Radiation Oncologist, University Hospital, Bordeaux, France

Jean Palussière, Radiologist, Department of Medical imaging, Institut Bergonié, Bordeaux, France

Aim of the Advanced Course

The advanced course will provide an answer to the following questions:

How do I manage the patient’s preoperative assessment?
How do neoadjuvant or induction chemotherapy impact on our approach to CRMs?
How do I use and optimise ultrasound guided CRM surgery?
Do I clamp the pedicle or not?
How do I transect the liver parenchyma?
Do I prefer anatomical to non anatomical resections?
How do I manage very large CRMs?
How do I practice intraoperative radiofrequency ablation?
How do I manage a two-stage procedure?
How do I manage missing metastases?
How do I manage the primary tumour with synchronous CRMs?
Do I know the place of the other regional therapies or targeted radiotherapies?

Programme

Monday 15 October

08:15-08:45 : Registration
08:45-09:00 : Welcome
09:00-09:10 : Video introducing how to manage complex metastases, Serge Evrard

09:10-10:30 : Session 1: liver anatomy and radiology
09:10-09:35 : Surgical anatomy of the liver, Graeme Poston
09:35-10:00 : Liver imaging in advanced colorectal cancer (including PET and volumetric assessment), Jean Palussière
10:00-10:30 : Intra-operative assessment of the liver, Thomas Gruenberger

10:30-11:00 Coffee break

11:00-13:00 : Session 2: liver resection techniques and intraoperative ablation (including videos)
11:00-11:20 : Clamping and pre-conditioning, Peter Naredi
11:20-11:40 : Kellyclasia, Graeme Poston
11:40-12:00 : CUSA/RFA, Thomas Gruenberger
12:00-12:20 : Ablation (RFA/microwave), Theo Ruers
12:20-12:40 : Anatomical versus non-anatomical resection and the margin issue, Grégoire Désolneux
12:40-13:00 : Discussion

13:00-14:00 Lunch

14:00-17:00 : Session 3: first live operation + operative videos (all faculty)
Intraoperative US: exploration, biopsy guiding, RF guiding, Contrast enhancement IOUS, Videos, Resection techniques and intraoperative RF, Portal ligation, Two-stage, re-hepatectomy

Surgeons
OP1: Graeme Poston
OP2: Michel Rivoire
General discussion (all faculty)

Tuesday 16 October

08:30-10:10 : Session 4: integrated multidisciplinary management of colorectal liver metastases
08:30-09:15 : Integrating chemotherapy and surgery, the role for neoadjuvant and adjuvant therapy / Induction therapy / Toxicity of chemo, Graeme Poston
09:15-09:45 : Percutaneous ablation (RF, Microwave), Jean Palussière 09:00-09:10
09:45-10:10 : Targeted bead therapies, Graeme Poston
10:10-10:30 : Targeted radiotherapies, Véronique Vendrely

10:30-11:00 Coffee break

11:00-14:00 : Session 5: second live operation and operative videos (all faculty)
Intraoperative US: exploration, biopsy guiding, Contrast enhancement, Videos, Resection techniques and intraoperative RF, Portal ligation, Two-stage, Re-hepatectomy

Surgeons
OP1: Thomas Gruenberger
OP2: Serge Evrard

Lunch during session between 12:00 - 14:00

14:00-15:40 : Session 6: problems in the management of colorectal liver metastases (including videos where appropriate)
14:00-14:20 : Very large metastases: the hanging liver maneuvers, Michel Rivoire
14:20-14:40 : Missing metastases, Peter Naredi
14:40-15:00 : Two-stage procedures, Michel Rivoire
15:00-15:20  : Intra-operative ablation in critical situations, Serge Evrard
15:20-15:40 : Liver failure, Thomas Gruenberger

15:40-16:00 Coffee break

16:00-17:30 Session 7 : case presentations: Management of complications (all faculty)

Wednesday 17 October

08:30-10:10 Session 8 : strategies
08:30-09:00 Synchronous resection of primary and metastatic liver disease: the issues, operable primary and operable liver; operable primary but inoperable liver; inoperable primary with operable liver; inoperable primary and liver disease, Graeme Poston
09:00-09:30 Rectum or liver first, Theo Ruers
09:30-10:00 Initially inoperable liver disease that becomes resectable after chemotherapy, Thomas Gruenberger
10:00-10:10 Discussion

10:10-10:30 Coffee break

10:30-12:00 Session 9 : case presentations and discussions on on-going trials (all faculty)

12:00 Conclusion, certificate of attendance