Advanced Minimal Access Upper GI Surgery
By Apollo Simulation Centre
Description
The field of minimal access surgery has grown remarkably over the past two decades. MAS has several benefits over the traditional approach like a shorter hospital stay, less analgesic use and better cosmetic outcomes. However, it may also cause some unexpected complications. So, MAS should be approached with great caution and practice. This blended learning program on ‘Advanced Minimal Access Upper GI (aMAS Upper GI)’ will aid you to learn the evidence based principles and perform better surgeries. Hands-on experience in our ASC will help hone your skills thereby minimizing the complications. This program is specially designed to meet the needs of both beginners and experienced in the field where the basic yet very important topics like ergonomic principles, various dissection and tissue approximation techniques, and anaesthetic considerations are included along with other advanced topics like specific laparoscopic procedures in field of upper gastrointestinal surgery.
CME Credits
ASC will be applying for certification as a comprehensive Accredited Education Institute by Tamilnadu MGR Medical University. Once accredited, the credit points will be added to all courses conducted through ASC.
Resolution of conflicts of interest (COI)
Of note, apart from the instruments shown in the sessions, at ASC and for invited speakers, there is no motivation to promote any specific brand related to any medical device company and participants can use any other brands of their choice.The ASC industrial and research partners declare that they are never committed to the elaboration and running organization of the programs or in the choice of experts. Course Faculty members and Healthcare professionals declare that they are fully committed to maintaining professional autonomy and independence in relations with the medical device Industry.
Learning Outcomes
- Perform various dissection and tissue approximation tasks as per evidence based surgical principles.
- Understand the complications associated with minimal access surgery and their prompt management
- Acquire expert knowledge on recent advances in various Minimal access upper GI procedures
- Gain knowledge on proper and safe use of laparoscopic instruments and its regular maintanance.
- Improve performance significantly through simulation experience and advanced assessment
- Improve non-technical skills, such as surgical team set-up, resource management, setting up of the unit, etc
Offers
Curriculum
Online Course Module
All didactic lectures will be available as online modules for candidates interested in online-only certification and to all onsite course participants to prepare for the contact course well in advance. All the required theory knowledge will be learnt through this web platform. There will a Q&A section available after each lecture to interact with the faculty for any additional doubts to be clarified.
| S.No | Topic | Faculty | Comment |
|---|---|---|---|
| ESSENTIAL | |||
| 1 | Introduction to Laparoscopy | Dr. Prasanna Kumar | History and Development |
| 2 | Basic Ergonomic Principles | Dr. Raj Palaniappan | Ergonomics of setup & access |
| 3 | Laparoscopic Instruments | Dr. Prem Balachandran | Image chain, Lap Trolley |
| 4 | Energy sources | Dr. Venkat Subraminaim | Electrosurgery, Ultrasonics |
| 5 | Tissue Approximation | Dr. Raj Palaniappan | Sututing, Staplers, Glue |
| 6 | Access Techniques | Dr. Muralidharan | Pneumoperitoneum creation |
| 7 | Equipment Maintanance | Dr. Nikhilesh Krishna | Safety, Sterilisation, Storage |
| 8 | Troubleshooting | Dr. Raj Palaniappan | Tips to ovecome difficulties |
| 9 | Anaesthetic Considerations | Dr. Elayaraja SM | ERAS, Specific considerations |
| 10 | Robotic Surgery | Dr. Sudeepta Kumar | Instrumentation to OR set up |
| SPECIALITY | |||
| 11 | Upper GI Anatomy & Radiology | Dr. TG Balachander | Esophagus, Stomach, Duodenum |
| 12 | Surgery for Reflux & Hiatus Hernia | Dr. Ramkumar K | Nissen, Toupet Fundoplicartions |
| 13 | Surgery for Achalasia cardia | Dr. Sudeepta Kumar | Cardiomytomy & Fundoplication |
| 14 | Laparoscopoic Esophagectomy | Dr. J.K.A Jameel | Indications, Steps, Outcomes |
| 15 | Thoracoscopic Esophageal Surgery | Dr. J.K.A Jameel | “ |
| 16 | Benign Gastric Surgeries | Dr. TG Balachander | “ |
| 17 | Gastric Bypass Surgeries | Dr. Ram kumar | “ |
| 18 | Lap Gastrectomy & LN dissection | Dr. Sudeepta Kumar | “ |
| 19 | Therapeutic Uppperr GI endoscopy | Dr. Ubal Dhus | Resections, complication management |
| 20 | Complications and Management | Dr. Santosh Anand | Upper GI complication management |
Onsite Course Module
The three day contact course is aimed at providing practical knowledge about everything that one needs to know about minimal access upper GI surgery. This is achieved by way of 50% of time spent on panel discussions, live surgical demonstrations and 50% time on hands on training including dry and simulation laboratory.
Day 1:ASC
| Time | Event | Location | Comment |
|---|---|---|---|
| 08.45 | Registration & Pairing | Lounge | Welcoming of participants |
| 09.00 | D1: Instruments | Endosuite | Image chain, Lap Trolley |
| 09.45 | D2: Basic Principles | Endosuite | Ergonomics of set-up & access |
| 10.30 | D3: Access Techniques(Esophagectomy) | Endosuite | Creation of working space |
| 11.00 | Coffee Break | ||
| 11.15 | H1: Access & Dexterity (Gastrectomy) | Endosuite | Scope & Instrument handling |
| 12.00 | H2: Dissection & Shears | Endosuite | Dissection & Scissors exercise |
| 12.30 | Lunch Break | ||
| 13.30 | H3: Knotting & Clipping | Skills lab | Step By Step Approaches |
| 14.15 | H4: Electrosurgery | Skills lab | Advantages & Disadvantages |
| 15.00 | Coffee / Tea – Lounge | ||
| 15.15 | P1: Thoraco Laparoscopy | Board room | Endoloop, Ligaclips |
| 15.45 | P2: Esophagectomy Master video | Board room | Diathermy exercises |
| 16.15 | Summary | Skills lab | Views, Recap & Group Photo |
| 16.30 | End of Day 1 | ||
Day 2:ASC
| Time | Event | Location | Comment |
|---|---|---|---|
| 08.30 | Overview | Lounge | Pairing |
| 08.45 | H5: Intracorporeal Suturing | Skills lab | Needle handling, suturing |
| 09.30 | H6: Stapling | Skills lab | Stapling techniques |
| 10.15 | Coffee Break | ||
| 11.15 | P3: Upper GI Complications | Board room | How to overcome difficulties |
| 11.45 | P4: Upper GI Mishap Videos | Board room | Edited Videos |
| 12.30 | Lunch Break | ||
| 13.30 | M1: Haital Dissection | Skills lab | Simulation model |
| 14.00 | M2: Fundoplication | Skills lab | “ |
| 15.00 | Coffee Break | ||
| 15.15 | M3: Gastric Stapling | Skills lab | Simulation model |
| 16.00 | M4: Gastroenterostomy | Skills lab | “ |
| 16.45 | Summary & Feedback | Lounge | Views & Recap |
| 17.00 | End of Day 2 | ||
Day 3:ASC
| Time | Event | Location | Comment |
|---|---|---|---|
| 08.00 | Overview | Lounge | Pairing |
| 08.15 | S1: Available surgery | Skills lab | Step by step approach |
| 09:30 | Move to Wet Lab or Live surgery | Skills lab | |
| 13.30 | Lunch Break | ||
| 14.00 | E1: OSCE | Skills lab | Practical Exam |
| 15.00 | Coffee Break | ||
| 15.15 | E2: Results & Certification | Lounge | Analysis of performance |
| 15.45 | Summary | Lounge | Views & Feedbacks |
| 16.00 | End of Course | ||
D: Demonstration by faculty
H : Hand-on Practical session
P : Panel Discussion
S : Surgical Demonstration
M: Model Simulator
E : Examination
Faculty
Patron
Dr. Prasanna Kumar Reddy
Consultant Surgeon
Department of Surgical Gastroenterology
Apollo Hospitals, Chennai
Program Director
Dr. Muralidharan.M
Consultant Surgeon
Department of General Surgery
Apollo Cradle Hospitals, Chennai
Course Convenor
Dr. Raj Palaniappan
Director and Lead Surgeon
Institute of Bariatrics
Apollo Hospitals, Chennai
Course Co-ordinator
Dr. Sudeepta Kumar Swain
Consultant
Robotic Gastrointestinal Surgeon
Apollo Hospitals Chennai
Faculty
Dr. J.K.A. Jameel
Consultant
Apollo Hospitals, Chennai
Dr. T. G. Balachander
Senior Consultant
General and Laparoscopic Surgery
Apollo Hospitals, Chennai
Dr. Ramkumar K
Consultant Surgeon
Department of Surgical Gastroenterology
Apollo Hospitals, Chennai
Dr. Santosh Anand
Consultant
Minimally invasive HPB and GI surgeon
Apollo Hospitals, Chennai
Dr. Charles Mano Sylus
Consultant Surgeon
Department of General Surgery
Apollo Speciality Hospitals,Vanagaram,Chennai
Dr. Ubal Das
Consultant Gatroenterology
Apollo Hospitals, Chennai
Fee
Note
- INR: Inclusive of GST payable on submission of application
- All above-mentioned fees are applicable only for Indian nationals. Conversion and bank charges for international payments will be additional.
Documents Required
- Applicant should enclose a valid Post Graduate degree certificate.
- Post graduate students should submit their Undergraduate certificate and Letter from Head of the Department
- Address Proof (AADHAR CARD / PASSPORT)
- Kindly note that all the applications shall be screened and selected by the course convenor.
