February 2010

Friday full day

Master Class

  

Accreditation

Language

On Thursday evening, a welcome drink is offered at the bar of hotel “Le Méridien”.

On Friday the scientific programme is divided in two parts and is enhanced with video material:

Morning sessions Pyeloplasty: The technique step by step
Afternoon sessions Partial nephrectomy

After the Class on Friday evening a Belgian dinner will take place at Dr. Mottrie’s home in the town of Aalst.

Session 1: General

08.00 – 09.40
  • Introduction
  • Renal anatomy: Vascularisation & Pyelocaliceal system
  • Warm ischemia: What is acceptable?
  • Methods for measuring renal function: accuracy, applicability and clinical relevance in partial nephrectomy
  • Access: Retro, Trans, Transmesocolic
  • OR set up and patient positioning
09.40 – 10.10: Refreshment break

Session 2: Pyeloplasty: The technique step by step

10.10 – 12.30
  • Access to UPJ: Trans, Retro, Transmesocolic
  • Trocar placement: 3- or 4-arm da Vinci
  • Technique step-by-step
    • Freeing of UPJ, ureter, pelvis
    • Incision & resection
    • Crossing vessel
    • JJ placement
    • Anastomosis: Running, Interrupted…
  • Tips, tricks & trouble shooting, e.g.
    • Holding stitches
    • Intrarenal pelvis
    • Freeing of kidney, ureter: how far?
    • Resection of UPJ?
    • Polar artery
    • What if adhesions, traction, redo?
    • Complications …
    • Postoperative care
    • Is there place for other technique than Anderson-Hynes
12.30 – 13.30: Lunch break

Session 3: Partial nephrectomy: Procedure step by step

13.30 – 15.30
  • Patient set-up & trocar placement
  • Freeing of hilus
  • Freeing of kidney & tumour
  • Clamping of vessels: Satinsky, bull-dogs, tourniquet, artery and/or vein
  • Tumourexcision: Depth of resection, Enucleation, Enucleoresection, Heminephrectomy
  • Renorrhaphy
15.30 – 16.00: Refreshment break

Session 3 (continued): Partial nephrectomy: Tips & tricks & trouble shooting

16.00 – 16.30
  • Are thrombogenic agents useful?  Which ones?
  • Surgical bolster
  • Must defect be closed?
  • Separate closure of calyx mandatory
  • Clips?: Lapro-ty, Hemolok, Size?
  • What if: Bleeding, Adhesions of perirenal fat, Multiple tumours…
16.30 – 18.00: Full case video

ACCREDITATION

European Continuing Medical Education Accreditation Points
UEMS_logo The Master Class in Robotic Surgery on the Upper Urinary Tract is accredited by the European Board of Urology for 6 hours of European CME credits.
The EBU works according to the quality standards of the European Accreditation Council for Continuing Medical Education (EACCME).Both the EBU and the EACCME are the institutions of the European Union of Medical Specialists (UEMS), www.uems.net.		 EBU_logo

All CME events accredited by the EBU have the EACCME endorsement. The EBU/EACCME CME Credits are recognized by National Accreditation Authorities.

Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.

All CME activities approved by the EBU/EACCME are valid for recognition by the American Medical Association towards the Physician’s Recognition Award (PRA). To convert EACCME credit to AMA PRA Category 1 CreditTM, physicians (MDs, DOs or equivalent international degree) should apply to the AMA (www.ama-assn.org).

Participants who hold EACCME membership should bring their personal membership card. Attendance will be controlled at the Registration Desks.
RIZIV/INAMI accreditation has been applied for.

Language

English is the official Master Class language.