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ESO-ESSO Masterclass in Colorectal Cancer Surgery

30 ESCO credits

12.02.2011  -  17.02.2011

Cascais, Portugal

MASTERCLASS

Colon/colorectal cancer

Description

Chair: T. Wiggers, NL – L. Påhlman, SE – K. Havenga, NL

 

AIMS AND OBJECTIVES
Based on knowledge of total mesocolon and total mesorectal surgery and imaging before the operation, after the Masterclass participants will be able to answer the 10 following questions:

1. Is screening to be implemented?
2. How does staging influence clinical decision making?
3. Which information may influence treatment choices?
4. Where do I damage the autonomic nerve plexus?
5. How and when can I minimize the procedure?
6. How do I position the patient for the perineal phase and perform a wide  
    excision for low rectal cancers?
7. How do I deal with the loss of a pelvic floor after a wide perineal resection 
    and how do I correct a perineal hernia?
8. How do I estimate the need of a defunctioning colostomy and how do I 
    treat leakage of the anastomosis?
9. How do I treat a patient with colorectal cancer and synchronous liver 
    metastases?
10. How do I balance the advantages and disadvantages of adjuvant
      treatment (numbers needed to treat)?


TEACHING FORMAT
The Masterclass offers plenary lectures regarding state-of-the-art clinical evaluation and treatments with reference to clinical guidelines and which will conclude in take-home messages.
Workshop sessions in small groups will be organised in areas of decision making in complex cases.
Furthermore, participants will deliver case presentations within small groups and discuss these with the chairmen and the faculty.
All participants will reside at the course venue and participation is compulsory throughout the course.
The Masterclass will be entirely in English and fluency in English is necessary for admission.


THE MASTERCLASS IS:
• A 5-day residential educational event
• Full immersion
• Clinically-oriented
• Multidisciplinary
• An international faculty of top experts will contribute to the programme

General information

FOR FURTHER INFORMATION PLEASE CONTACT 
Carine Lecoq  
ESSO Administrator  
Avenue E. Mounier 83,
1200 Brussels, Belgium 
ph: +32 2 5373106
fx: +32 2 5390374
e-mail:
carine.lecoq@essoweb.org
www.essoweb.org


ACCREDITATION
Application for CME recognition will be submitted to the Accreditation Council for Oncology in Europe.

Faculty list

FACULTY

G. Baatrup, Haukeland University Hospital, Department of Surgery, Section of Colorectal Surgery, Bergen, NO
H. Becker, Georg-August-University, Department of General Surgery, Göttingen, DE
G. Beets, Academic Hospital Maastricht, Department of Surgery, Maastricht, NL
R. Beets-Tan, Academic Hospital Maastricht, Department of Radiology, Maastricht, NL
A. Bembenek, Hannover Regional Clinic, Department of Visceral Surgery, Hannover, DE
J.F. Bosset, Jean Minjoz Hospital Centre, Department of Radiation Therapy, Besançon, FR

J. Burn, Institute of Human Genetics, Newcastle University, Centre for Life, Newcastle upon Tyne, UK
M. DeRuiter, Leiden University Medical Center, Department of Anatomy and Embryology, Leiden, NL
K. Havenga, University Medical Centre Groningen, Department of Surgery, Groningen, NL
T. Holm, Karolinska University Hospital, Department of Surgery, Stockholm, SE
B. Moran, Basingstoke & North Hampshire Foundation Trust, Department of Colorectal Cancer, Basingstoke, UK
L. Påhlman, University Hospital Uppsala, Department of Surgical Sciences, Section of Surgery, Uppsala, SE
G. Poston, Aintree University Hospital, Department of Surgery, Liverpool, UK
N. Scott, St. James's University Hospital, Department of Histopathology, Leeds, UK
D. Sebag-Montefiore, University of Leeds , Leeds Cancer Centre, Department of Clinical Oncology, Leeds, UK
E. Tiret, Saint-Antoine Hospital, Centre for Digestive Surgery, Paris, FR
T. Wiggers, University Medical Centre Groningen, Department of Surgery, Groningen, NL

Programme

12 February

 16:00

Arrivals and airport transfers                                                                                   
Registration               

 20:00

Welcome dinner                                                                                                                 

 

13 February

  8:30

Lecture The history of colorectal cancer surgery
T. Wiggers, NL - K. Havenga, NL

  9:00

Workshop sessions, participants will rotate among:
 
  • Decisions based on imaging modalities 
    and treatment
      
    T. Wiggers, NL
  • Cadaver demonstration: 
    Compartments, spaces and pelvic floor 
    M. DeRuiter, NL
  • Cadaver demonstration:
    Autonomic nerves: Seven times at risk
     
    K. Havenga, NL
  • Practicum reading MRI 
    R. Beets-Tan, NL

 10:30

Coffee break

 11:00

Workshop sessions, continuation
 13:00Lunch

 14:00

Symposium Factors influencing decision making
 Genetic syndrome, FAP, Lynch 
J. Burn, UK
 

Age and co-morbidity 
T. Wiggers, NL

 Staging based on high-quality imaging 
R. Beets-Tan, NL
 15:30Coffee break
 16:00Lecture Genetic and epigenetic analysis of sporadic colon cancer -                  
Decision in treatment 
J. Burn, UK
 16:30Group sessions Case presentations by the participants
 19:00Dinner 

 

14 February

  8:30

Lecture Pathology: CRM and regression after chemoradiation 
N. Scott, UK

  9:00

Workshop sessions, participants will rotate among:
 
  • Endoluminal ultrasound 
    G. Baatrup, NO
  • Positioning and technique of a wide perineal resection 
    T. Holm, SE
  • Filling, reconstruction and perineal hernia’s 
    K. Havenga, NL
  • The sentinel node in colorectal cancer 
    A. Bembenek, DE

 10:30

Coffee break

 11:00

Workshop sessions, continuation
 13:00Lunch

 14:00

Symposium Is less possible?
 Indications for TEM 
G. Baatrup, NO
 Laparoscopic resections 
L. Påhlman, SE
 Ultralow resections 
E. Tiret, FR
 15:30Coffee break
 16:00Lecture Quality of life after rectal surgery 
E. Tiret, FR
 16:30Group sessions Case presentations by the participants
(participants play the role of the representatives of the different disciplines)
 19:00Dinner 

 

15 February

  8:30

Lecture Fields, beams and schedules in radiation oncology 
J.F. Bosset, FR

  9:00

Workshop sessions, participants will rotate among:
 
  • Stapling techniques 
    K. Havenga, NL
  • Screening 
    L. Påhlman, SE
  • Early detection and treatment of leakage 
    T. Holm, SE
  • Stoma’s: Colostomy, ileostomy, timing of closure 
    G. Beets, NL

 10:30

Coffee break

 11:00

Workshop sessions, continuation
 13:00Lunch

 14:00

Symposium Quality and organisation of care     
 Value of a multidisciplinary team 
B. Moran, UK
 Follow-up: Evidence and optimalisation 
K. Havenga, NL
 The colorectal audit 
T. Wiggers, NL - L. Påhlman, SE
 15:30Coffee break
 16:00Lecture Response after chemoradiation on imaging                              
G. Beets, NL
 16:30Group sessions Case presentations by the participants
 18:30Transfer to Cascais and free dinner

 

16 February

  8:30

Lecture Systematic review and meta-analyses 
T. Wiggers, NL

  9:00

Symposium Numbers needed to treat
Lectures and clinical debate by the participants with comments of experts: 
J.F. Bosset, FR - D. Sebag-Montefiore, UK - H. Becker, DE

  9:00

Neoadjuvant radiation therapy:

 
  • Is indicated in (almost) all cases 
    Selected participant 
  • Presents with major morbidity 
    Selected participant
  • Discussion

 10:30

Coffee break

 11:00

Adjuvant chemotherapy in rectal cancer 
 
  • Should be offered like in colon cancer 
    Selected participant
  • Is not proven to be efficacious 
    Selected participant
  • Discussion
 13:00Lunch
 14:00Symposium Advanced cases
 HIPEC 
B. Moran, UK
 Advanced rectal cancer 
T. Wiggers, NL
 Liver surgery after neo-adjuvant chemotherapy 
G. Poston, UK
 15:30Coffee break
 16:00Lecture Radical mesocolon and mesorectal resections 
H. Becker, DE
 16:30Group sessions Case presentations by the participants
 19:00Dinner

 

17 February

  8:30Lecture Chemotherapy including biologicals 
D. Sebag-Montefiore, UK

 

Workshop sessions on protocols:                                                                   

 
  • Treatment algorithm of patients with primary 
    cancer and distant metastases
  • Treatment algorithm of patients with locally advanced 
    rectal cancer
    Experts:  K. Havenga, NL -D. Sebag-Montefiore, UK -G. Poston, UK

  9:00

Making a protocol in four groups (two groups on each of the protocols)

 10:00

Presentation of the first protocol by the two groups with
comments of the experts (first workshop) 

 11:00Coffee break
 11:30Presentation of the second protocol  by the two groups
with comments of the expert (second workshop) 
 12:30Closing remarks and presenting test results 
T. Wiggers, NL
 13:00Airport transfers and departures