Management of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) after Cytoreductive Surgery (CRS) 19-21 M A R C H 2015 HAMBURG EUROPEAN SCHOOL OF PERITONEAL SURFACE ONCOLOGY Management of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) after Cytoreductive Surgery (CRS) Course directors Chair: Beate Rau, Charité Campus Mitte, Berlin, DE Co-Chair: Marcello Deraco, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, IT Experts in the field Dario Baratti MD, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, IT Tom Cecil MD, Basingstoke and North Hampshire Hospital, Basingstoke, UK Olivier Glehen MD, Centre Hospitalier Lyon-Sud, Pierre Bénite, Lyon, FR Gabriel Glockzin MD, University of Regensburg, Regensburg, DE Santiago González-Moreno MD, MD Anderson Cancer Center, Madrid, ES Ludwig K. Groebler MD, European Surgical Institute (ESI), Hamburg, DE Jens Hartmann DVM, AKH, Celle DE Maik Kilian MD, Charité Campus Mitte, Berlin, DE Christhardt Köhler MD, Charité Campus Mitte, Berlin, DE Shigeki Kusamura MD, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, IT Massimo Milione MD, Institute of Pathology, Fondazione IRCCS Istituto Nationale Tumori, Milano, IT Jörg Pelz MD, University of Wuerzburg, Wuerzburg, DE Pompiliu Piso MD, St. John of God Hospital, Regensburg, DE Paolo Proto, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, IT Horst-Geunter Rau, Amperklinikum, Dachau, DE Pascal Rousset MD, Centre Hospitalier Lyon-Sud, Pierre Bénite, Lyon, FR Paul H. Sugarbaker MD, Washington Cancer Center, Washington, US Peter Thuss-Patience MD, Charité Campus Virchow-Klinikum, Berlin, DE Kurt Van der Speeten MD, Ziekenhuis Oost-Limburg, Genk, BE Florent Wallet MD, Centre Hospitalier Lyon-Sud, Pierre Bénite, Lyon, FR Victor J. Verwaal MD, The Netherlands Cancer Institute, Amsterdam, NL Aim of the Advanced Course The ESSO Advanced Course “Management of HIPEC after CRS” aims to discuss evidence-based clinical decision-making in the management of primary and secondary peritoneal cancer and will offer a multidisciplinary programme combining both practical aspects and theoretical problems. Technical and clinical approaches will be revisited and updated. Presentations will include the state of the art and latest advancements, videos with tips and tricks by the experts in the field, and case reports. Participants will perform cytoreductive surgery in small groups in the wet lab using several new technical devices with supervision by the experts. Therefore the workshop is limited to a small number of participants (first come – first serve). Ideal Advanced Course Candidate • Senior residents (last two years of training) • Experienced consultant surgeons • Good in English, written and spoken Educational Methods • • • • • • • Interdisciplinary approach Plenary lectures Workshops Video discussions Case reports Hands on: several operations procedures in the operating room Textbook and Video Atlas edited by Paul Sugarbaker offered by FARGO (Foundation for Applied Research in Gastrointestinal Oncology) Partnerships ESSO acknowledges the collaboration of the European Surgical Institute (ESI) and the Berufsverband der Deutschen Chirurgen (BDC). Course Venue European Surgical Institute Hummelsbütteler Steindamm 71 D - 22851 Norderstedt Tel. +49 (0)40-52 97 32 15 Website: www.esi-online.de Course Accommodation Steigenberger Hotel Treudelberg Hamburg Lemsahler Landstraße 45 D-22397 Hamburg Tel. +49 40 608 22 0 Fax +49 40 608 22 8888 Website: www.treudelberg.com Course coordination Ana Galán European Society of Surgical Oncology (ESSO) Email. [email protected] Application Procedure Application must include: • Complete Application Form, available at www.essoweb.org (education/projects & courses) • Short CV (maximum 2 pages) • Applications must be sent by e-mail to [email protected] Participation fee The participation fee is 800 EUR for members and 950 EUR for non-members. It includes the registration to the 2-day course, 2-nights accommodation, coffee breaks and lunches and a social dinner. Accreditation An application for accreditation has been submitted to the European Accreditation Council for CME (EACCME) of the European Union of Medical Specialists (UEMS). Programme Thursday 19 March 14:00-14:50 Introduction Beate Rau 14:50-16:50 Treatment principles for peritoneal surface malignancies: surgical approach and clinical-pathological pathway Chairs Beate Rau - Marcello Deraco 14:50-15:20 Techniques of cytoreductive surgery with peritonectomy procedures (CRS) Paul Sugarbaker 15:20-15:35 Pharmacology of different techniques of Intraperitoneal drug administration; role of heat and carriers Kurt van de Speeken 15:35-15:50 HIPEC: different techniques and role of intra abdominal pressure Shigeki Kusamura 15:50-16:05 Clinical diagnostic pathway for PSM Dario Baratti 16:05-16:20 Pathological diagnostic pathway for PSM Massimo Milione 16:20-17:00 Coffee Break 17:00-18:45 Perioperative Management Chairs 17:00-17:15 17:15-17:30 17:30-17:45 Paul Sugarbaker - Tom Cecil OR personnel safety related to HIPEC Jörg Pelz Preoperative staging in peritoneal metastases: necessary and nice to have (morphologic exams and peritoneal carcinomatosis) Pascal Rousset To speak the same language: PCI, CCR and PSS Gabriel Glockzin 17:45-18:00 Perioperative management of CRS and HIPEC: view of anaesthesiologist Paolo Proto 18:00-18:15 Prevention and management of postoperative general complications Florent Wallet 18:15-18:30 Prevention and management of postoperative surgical complications related to CRS and HIPEC 18:30-18:45 Maik Kilian How to start a new center for the treatment of PSM Shigeki Kusamura Friday 20 March 08:30-17:30 Operation room: hands on Tutors Dario Baratti, Tom Cecil, Marcello Deraco, Olivier Glehen, Gabriel Glockzin, Santiago González-Moreno, Jens Hartmann, Christhardt Köhler, Maik Kilian, Shigeki Kusamura, Jörg Pelz, Pompiliu Piso, Beate Rau, Horst-Geunter Rau, Paul Sugarbaker, Kurt Van Der Speeten, Vic Verwaal 08:30-08:40 Preparation for the hands on: anatomical structure in animal 08:40-08:50 Ludwig K. Groebler Debreefing from human to animal Beate Rau Right upper abdomen • Right abdominal wall 08:40-11:05 • Interenteric • Right diaphram arcus tendineum • Resection gastric surface • Bursa omentalis • Splenectomy • Pancreatic tail resection 11:05-11:25 Coffee Break Left upper abdomen • Left abdominal wall 11:25-12:30 • Left diaphram arcus tendineum • Resection of serosal surface of bowel mesenterium • Hepatoduodenal ligament • Cholecystectomy • Resection of small bowel • Triangle ligament • Morrison pouch 12:30-13:30 Lunch Pelvic • Resection of omentum 13:30-14:30 • Resection of serosal surface of bowel • Resection of peritoneal surface of the bladder • Lymph node preparation central mesenterical route 14:30-15:00 Coffee Break 15:00-15:30 Devices HIPEC open and devices HIPEC close 16:00-17:30 Discussion with the experts1 Saturday 21 March 2015 08:30-10:40 Frequent indications and systemic treatment Chairs Pompiliu Piso - Santiago González-Moreno 08:30-08:50 Pseudomyxoma peritonei (particularities of CRS, HIPEC and CCR score) 08:50-09:10 09:10-09:30 09:30-09:50 09:50-10:10 Tom Cecil Malignant peritoneal mesothelioma and primay peritoneal carcinoma (particularities of CRS, HIPEC and CCR score) Marcello Deraco Peritoneal metastases from ovarian cancer (particularities of CRS, HIPEC and CCR score) Christhardt Köhler Peritoneal metastases from gastric cancer (particularities of CRS, HIPEC and CCR score) Santiago González-Moreno Peritoneal metastases from colorectal cancer (particularities of CRS, HIPEC and CCR score) Vic Verwaal 10.10-10.30 Treatment options in peritoneal metastases from gastrointestinal origin: the medical oncology point of view Peter Thuss-Patience 10.30-10.40 Ongoing clinical trials on G.I. cancer Olivier Glehen 10:40-11:10 Coffee Break 11:10-13:00 Selection is the key ! Case reports (Videos) Chairs Christhardt Köhler - Marcello Deraco 11:10-11:30 Selection criteria for CRS and HIPEC 11:30-11:45 11:45-12:00 12:00-12:15 12:15-12:30 12:30-13:00 Pompiliu Piso Case 1 (PCI, SCORE, strategy, prognosis) Colorectal Cancer Vic Verwaal Case 2 (PCI, SCORE, strategy, prognosis) Ovarian Cancer Christhardt Köhler Case 3 (PCI, SCORE, strategy, prognosis) Mesothelioma Dario Baratti Case 4 (PCI, SCORE, strategy, prognosis) Gastric Cancer Jens Hartmann Conclusions and end of the course ESSO is grateful for the continuous support of its corporate sponsors The advanced course is supported by: pantone vollton coated 1805 European Society of Surgical Oncology (ESSO) Avenue E. Mounier 83 B 1200 Brussels Tel: +32 (0)2 5373106 Fax : +32 (0) 5390374 Email : [email protected] Website : www.essoweb.org
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