INTERNATIONAL TRAINING COURSE IN ADVANCED

LAPAROSCOPIC COMMON BILE DUCT SURGERY

ORGANISED BY:

Hepato-Pancreato-Biliary Unit

General Surgery Department

Joan XXIII University Hospital of Tarragona

November 19th-21st 2019Joan XXIII University Hospital of Tarragona

Venue: Hospital Universitari Joan XXIII4 Dr. Mallafrè Guasch43005-TarragonaSpain

AIM OF THE COURSEThe course is designed for consultant surgeons, general surgery senior trainees and theatrenurses with special interest in the laparoscopic approach for common bile duct stones. Itaims to provide participants with the theoretical and practical basis for the initiation of alaparoscopic programme for the treatment of choledocholithiasis. The course will includeaspects such as intraoperative cholangiography, intraoperative ultrasound, laser lithotripsy,use of transcystic and transcoledocal choledochoscopy, laparoscopic dissection and sutureof the bile duct. Handling and optimal use of choledocosope will be emphasised.

The course will be divided in three parts:

1. Live retransmission of a surgical intervention with the possibility of interaction betweenthe surgical team and the participants.2. Theory. The diagnostic and therapeutic protocols based on current evidence will beexplained. The different management options for the patients with choledocholithiasis andconcomitant cholelithiasis will also be summarised.3. Real practice in a pelvitrainer with an animal model, including the use of intraoperativecholedochoscopy and ultrasound, extraction of bile duct stones and laparoscopiccholedocorraphy.

SCIENTIFIC COMMITTEEDirector: Dr. Rosa JorbaCo-director: Dr. Robert Memba

Organising committee:

HPB UnitDr. Laia EstalellaDr. Mihai PavelDr. Èrik LlàcerDr. Mar AchalandabasoDr. Miriam Abellán

General Surgery DepartmentDr. Jordi VadilloDr. Manel CastelloteDr. Carles OlonaDr. Jordi ElviraDr. Ricard SalesDr. Jordi EscuderDr. Francesc FeliuDr. Aleidis CaroDr. Beatriz EspinaDr. Alba Díaz

Gastroenterology DepartmentDr. Joan Carles QuerDr. Albert PardoDr. Silvia MontoliuDr. Belén Ballesté

Anesthesiology DepartmentDr. Judith SaludesDr. Eva FerreresDr. Luis Carrillo

REGISTRATIONTo register, please click the following link: https://intcourselapcbdsurg.wordpress.com

For any queries, please contact:planta3.hj23.ics@gencat.cat

Choose between calendar options: A, B or C (limited places).

Option A: Tuesday 19th Lectures + Hands-on lab / Wednesday 20th Live surgery. Option B: Wednesday 20th Live surgery + Lectures / Thursday 21st Hand-on lab.Option C: Wednesday 20th Live surgery + Lectures.

Fees: Course material, and all meals are included in options A and B. Business lunch and coffee break are included in option C.

For doctors (option A or B):• Non-IHPBA/EAHPBA members: 600 euros.• IHPBA/EAHPBA members: 500 euros.• Trainees: 300 euros.

For nurses (option A or B):• 200 euros.

Option C:• 100 euros

Places will be filled by strict order of registration

Radiology DepartmentDr. Joan Pere VivesDr. Helena BoixaderaDr. Mònica LariosDr. Roger BarrancoDr. Joana Valcárcel

NursesPilar BeguiristainLluisa HerranzBlanca CarroVerónica SierraAmèlia GironésAnna VallverdúAlicia MolinéPatricia BonacheTeresa Maria MuñozMargarita PiPilar Fortuny

SecretaryCristina Batet

PROGRAMME OPTION A

8:30-9:00h .- Documentation.

9:00:9:15h .- Presentation and welcome to the course. R. Jorba.

9:15-11:30h.- Theoretical concepts for the multidisciplinary management ofcholedocholithiasis.

• Preoperative diagnosis. J. Vives.• Intraoperative diagnosis. M. Achalandabaso.• The role of endoscopic ultrasound for the diagnosis. A. Pardo.• Endoscopic treatment for choledocholithiasis difficult to remove.

S. Montoliu.• Anesthetic considerations of interest during surgery. L. Carrillo, E.

Ferreres.• Nurse procedures and choledochoscopy management. B. Carro, V.

Sierra.• Results of HJ23. E. Llàcer.• Cost-benefit evidence: 1 stage vs 2 stages. R. Jorba.• Protocol for the management of choledocholithiasis and

concomitant cholelithiasis in HJ23. R. Memba.• Clinical case discussion. M. Abellán.

11:30-12:00h .- Coffee break.

12:00-13:00h .- Instructions for the surgical skills laboratory in the animalmodel. R. Jorba.

13:00-14:00h .- Lunch break.

14:00-18:30h .- Experimental (Hands-on) surgery with animal model inpelvitrainer.

20:00:22:00h .- Business dinner .

9:15-9:45h .-Presentation and discussion of the clinical case. L.Estalella.

9:45-13:45h .- LIVE SURGERY (cholecystectomy + laparoscopic bileduct exploracion). R. Jorba, R. Memba, J. Saludes, P. Beguiristain, Ll.Herranz. Chairs: M. Pavel, J. Vadillo.

13:45-14:00h .- Closure.

14:00-15:00h .- Business lunch.

November 19th (Tuesday) November 20th (Wednesday)

9:30-14:00h .- Experimental (Hands-on) surgery with animal model inpelvitrainer.

14:00:15:00h .- Business lunch .

9:00:9:15h . - Presentation and welcome to the course. R. Jorba.

9:15-9:45h .- Presentation and discussion of the clinical case. L. Estalella.

9:45-13:45h .- LIVE SURGERY (cholecystectomy + laparoscopic bile ductexploracion). R. Jorba, R. Memba, J. Saludes, P. Beguiristain, Ll. Herranz.Chairs: M. Pavel, J. Vadillo.

13:45-14:00h.- Closure.

14:00-15:00h .- Business lunch.

15:00-17:15h.- Theoretical concepts for the multidisciplinary management ofcholedocholithiasis.

• Preoperative diagnosis. J. Vives.• Intraoperative diagnosis. M. Achalandabaso.• The role of endoscopic ultrasound for the diagnosis. A. Pardo.• Endoscopic treatment for choledocholithiasis difficult to remove. S.

Montoliu.• Anesthetic considerations of interest during surgery. L. Carrillo, E.

Ferreres.• Nurse procedures and choledochoscopy management. B. Carro, V.

Sierra.• Results of HJ23. E. Llàcer.• Cost-benefit evidence: 1 stage vs 2 stages. R. Jorba.• Protocol for the management of choledocholithiasis and

concomitant cholelithiasis in HJ23. R. Memba.• Clinical dase discussion. M. Abellán.

17:15-17:45h .- Coffee break.

17:45-18:45h.- Instructions for the surgical skills laboratory in the animalmodel. R. Jorba.

20:00-22:00h .- Business dinner.

PROGRAMME OPTION B November 20th (Wednesday) November 21st (Thursday)

9:00:9:15h . - Presentation and welcome to the course. R. Jorba.

9:15-9:45h .- Presentation and discussion of the clinical case. L. Estalella.

9:45-13:45h .- LIVE SURGERY (cholecystectomy + laparoscopic bile ductexploracion). R. Jorba, R. Memba, J. Saludes, P. Beguiristain, Ll. Herranz.Chairs: M. Pavel, J. Vadillo.

13:45-14:00h.- Closure.

14:00-15:00h .- Business lunch.

15:00-17:15h.- Theoretical concepts for the multidisciplinary management ofcholedocholithiasis.

• Preoperative diagnosis. J. Vives.• Intraoperative diagnosis. M. Achalandabaso.• The role of endoscopic ultrasound for the diagnosis. A. Pardo.• Endoscopic treatment for choledocholithiasis difficult to remove. S.

Montoliu.• Anesthetic considerations of interest during surgery. L. Carrillo, E.

Ferreres.• Nurse procedures and choledochoscopy management. B. Carro, V.

Sierra.• Results of HJ23. E. Llàcer.• Cost-benefit evidence: 1 stage vs 2 stages. R. Jorba.• Protocol for the management of choledocholithiasis and

concomitant cholelithiasis in HJ23. R. Memba.• Clinical dase discussion. M. Abellán.

17:15-17:45h .- Coffee break.

PROGRAMME OPTION C November 20th (Wednesday)

FLIGHT OPTIONS

Barcelona airportReus airport

CAR PARK

Free-parking in the circled zone.Toll Parking in Dr. Mallafré street (underground) and GuillemOliver street.

RECOMMENDED ACCOMODATIONHotel SB Express TarragonaPlaça Corts Catalanes, 4. 43005 Tarragona

Hotel SB Ciutat de TarragonaPlaça de la Imperial Tàrraco, 5. 43005 Tarragona

OFFICIAL SPONSORS

The oficial language of the course will be English.