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14th International Workshop in Robotic Surgery for Southeastern Europe

Director of Studies: N. I. Nikiteas Scientific Advisory Committee Chairman: Prof. K. Konstantinidis Members: Prof. Th. Diamantis

Prof. E. Georgiou Prof. G. Kouraklis

Educational Committee General Surgery: P. Antonakis Urology: A. Ploumidis Gynaecology: V. Hatzirafail

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TRAINING PROGRAMME Introduction The training program of this robotic workshop is divided in two sections. In the first section there are lectures customized according to the surgical specialty of the trainees. The second section focuses on hands-on training in the robotic theatre and includes an introduction to the robotic theatre setup and training on essential and procedural skills. Each trainee has a unique identifier, A1 to A6. In the timetable that follows group members can find all scheduled training sessions for them. The appendixes A, B, C and D include a detailed list of the specific tasks that will be covered in the Introduction to the robotic theatre, the Essentials skills, the Procedural skills, and the Simulation training respectively.

TIMETABLE Monday July 9th 2012 08:00 – 08:10 Introduction - Experimental - Research Center ELPEN

A. Papalois 08:10 – 08:40 Abdominal anatomy of the swine

A. Zacharioudaki 08:40 – 08:50 Plusmedica presentation 09:00 - 09:30 Introduction to the robotic theatre and presentation of

the Da Vinci robotic system 09:30 – 12:30 Essential skills – Simulation training 12:30 – 13:30 Lunch Break 13:30 – 14:00 Lecture

Topic: Robotics in rectal surgery Speaker: N. Nikiteas

14:00 – 14:30 Lecture

Topic: Robotic colon resection Speaker: H. Pappis

14:30 – 15:00 Lecture

Topic: Robotics in upper GI surgery Speaker: K. Konstantinides

15:00 – 15:30 Lecture Topic: Intracorporeal urinary diversion after robotic radical cystectomy: It is feasible? Speaker: I. Coman

15:30 – 16:00 Lecture

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Topic: What is left to say about classical laparoscopy in uro-oncology? Speaker: Nicolae Crișan

16:30 – 17:00 Lecture Topic: Robotic nephrectomy Speaker: A. Ploumidis

17:00 – 17:30 Lecture

Topic: Robotic prostatectomy Speaker: K. Stravodimos

18:00 – 18:30 Lecture

Topic: Robotic incisional hernia repair Speaker: N. Nikiteas

16:30 – 17:00 Lecture

Topic: Robotic bariatric surgery Speaker: Th. Diamantis

17:00 – 17:30 Lecture

Topic: Robotic cystectomy Speaker: K. Konstantinides

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Tuesday July 10th 2012 08:00 - 12:00 Procedural Skills (A1, A2, A3) Assistance (A4, A5, A6) 12:00 – 13:00 Lunch Break 13:00 – 17:00 Procedural Skills (A4, A5, A6) Assistance (A1, A2, A3)

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Wednesday, July 11th 2012 08:00 - 12:00 Procedural Skills (A1, A2, A3) Assistance (A4, A5, A6) 12:00 – 13:00 Lunch Break 13:00 – 17:00 Procedural Skills (A4, A5, A6) Assistance (A1, A2, A3) END OF COURSE

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APPENDICES APPENDIX A – INTRODUCTION TO THE ROBOTIC THEATRE

• System presentation in OR without and with porcine model • Docking and draping

• At the end of dissection

Undocking the system from the animal Undraping, compacting and shut-down of the system System storage Post-op management of instruments and accessories

• Urgent system removal simulation

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APPENDIX B – ESSENTIAL SKILLS* # Task Sessions & Time A Camera Navigation 10 points – 5min B Ring Placement 1x10 – 5min (5 Right hand, 5 Left hand) C Cutting Star/Circle 1x1 & 1x1 – 5min D Needle Driving Forehand x3 & Backhand x3 - 10min E Knot Tying 3x3 - 10min * The trainees who have attended the Robotic course of Euroclinic are eligible to skip this part of training

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APPENDIX C – PROCEDURAL SKILLS FOR GENERAL SURGEONS* Anatomical dissection Esophagus Sigmoid colon – Descending colon Bladder Anastomoses Gastrojejunal anastomosis Entero-enteric anastomosis Ileocolic anastomosis Ileocystic anastomosis Bladder-urethral anastomosis Vessels Splenic artery Gastroepiploic artery Iliac arteries (L-R) Renal arteries (L-R) Inferior mesenteric artery Hepatoduodenal ligament Surgical procedures Cholecystectomy Distal gastrectomy Fundoplication Left colectomy Nephrectomy *All trainees should complete at least one task of each category

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APPENDIX C – PROCEDURAL SKILLS FOR GYNAECOLOGISTS* Anatomical dissection Uterus Ovaries Bladder - Urethra Anastomoses Entero-enteric anastomosis Vessels Iliac arteries (L-R) Ovarian arteries (L-R) Uterine arteries (L-R) Surgical procedures Oophorectomy Paraortic lymph node dissection Nephrectomy *All trainees should complete at least one task of each category

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APPENDIX C – PROCEDURAL SKILLS FOR UROLOGISTS* Anatomical dissection Kidney Adrenal Bladder - Urethra Anastomoses Ileocystic anastomosis Bladder-urethral anastomosis Vessels Iliac arteries (L-R) Renal arteries (L-R) Ovarian arteries (L-R) Surgical procedures Oophorectomy Paraortic lymph node dissection Nephrectomy *All trainees should complete at least one task of each category

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APPENDIX D – SIMULATION TRAINING

Procedural skills EndoWrist manipulation Camera control Needle driving Energy and dissection

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FACULTY Nikiteas Nikolaos Director of Studies, Associate Professor of Surgery, University of Athens General Surgery

• Diamantis Theodoros Associate Professor of Surgery, University of Athens, “Laikon” General Hospital

• Konstantinides Konstantinos

Director of General, Laparoscopic and Robotic Surgery of Athens Medical Center

Urology

• Prof. Dr. Ioan Coman Professor and Chairman of Urology Clinic, City Hospital of Cluj Napoca

• Konstantinides Konstantinos Professor of Urology, University of Athens, “Laikon” General Hospital

• Stravodimos Konstantinos

Assistant Professor of Urology, University of Athens, “Laikon” General Hospital

• Dr. Nicolae Crisan

Attending Urologist, Urology Clinic, City Hospital of Cluj Napoca

• Ploumidis Antonios Director, Department of Urology of Athens Medical Center

Gynaecology

• Hatzirafail Vassiliki Director of Gynaecological Department, Euroclinic, Athens

• Tserkezoglou Aliki

Gynaecologic Oncologist Euroclinic, v. director of “Ag. Savas” oncologic hospital of Athens

Veterinary Surgery

• Argyro Zacharioudaki, DVM Veterinarian, Experimental – Research Center ELPEN

TRAINING COORDINATOR Apostolos Papalois, PhD Director, Experimental – Research Center ELPEN

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EXPERIMENTAL – RESEARCH CENTER ELPEN STAFF

• Apostolos Papalois, PhD, Director • Argyro Zacharioudaki, DVM, Department of Veterinary Medicine • Anais Ghiatas, MSc, Department of Scholarships and International Affairs • Eleftheria Karampela, MSc, Medical Department • Maria Karamperi, Department of Laboratory Support • Kalliopi Tsarea, Department of Nursing • Antonios Karaiskos, Technical Department and Multimedia • Stergios Gerakis, Department of Animal Facilities • Evripides Gerakis, Department of Animal Facilities • Charikleia Vidopoulou, Auxiliary Staff