24 September 2018
The minimal invasive CME programme is a training initiative by ESCP's European School of Coloproctology to promote minimal invasive complete mesocolic excision for colon cancer. Application for next dates to be announced.
Overall programme
Course
Faculty
Costs
Application process
Overall programme
The overall programme aim is to enable skilled minimal invasive surgeons to become proficient in performing minimal invasive CME with central vascular ligation. This is achieved in several steps:
StageDescription
Surgeons interested to participate in the programme will be selected according to selection criteria.
Successful candidates will be invited to a 2-day intensive course.
On an individual basis, the candidates and the faculty members can arrange visits at the faculty member’s hospital, or the faculty member can proctor the candidates online or in person at their own hospitals. Not included in the fee.
Course
Two-day course with the aims:
To understand the rationale of CME
To master the anatomy, preoperative planning and surgical strategy
To safely handle intraoperation complications including vascular injury
Focus will mainly be right-sided colon resections, but left-sided colon resection will be covered
The course is based on multiple video sessions with focus on anatomy and a standardised stepwise surgical procedure.
Proctorship
During the course, the highly qualified faculty members and the candidates are able to arrange further cooperation e.g., visit at the faculty members’ hospitals and supervision.
Venue and Dates
Copenhagen University Hospital, North Zealand, Hillerød, Denmark: Tuesday 3 - Wednesday 4 September 2024
Course structure
Day 1 - Tuesday 3 September 2024
TimeSession
08:45 - 09:00
Registration
A late start will allow participants to travel in the morning if they wish to do so.
09:00 - 09:30
Introduction - Faculty
Purpose, overview of training programme, aim and structure of course, introduction of all participants, addressing personal aims, expectations, concerns.
09:30 - 10:00
Rationale for CME - Anders Bertelsen
Current level of evidence, limitations, rationale for CME and for minimal invasive approach. Indications and patient selection based on preoperative staging.
10:00 - 10:35
Anatomy - Adam Stearns, Danilo Miskovic
The surgical anatomy of the colon. Main focus on the right sided CME. Introduction to AMIGO - preoperative CT assessment of the vascular anatomy
10:35 -10:50
Short pause
10:50 - 11:30
Minimal invasive CME for right-sided colon tumours - Stefan Benz
The surgical strategy in minimal invasive right-sided CME, right hemicolectomy and extended right hemicolectomy.
11:30 - 12:30
Interactive video session I - Anders Bertelsen
Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.
12:30 - 13:30
Lunch
13:30 - 14:30
Group session - All Faculty
Interactive session guide by the faculty with focus on AMIGO and anatomy based on CT scanning, 3-D reconstructions and videos
14:30 - 15:20
Interactive video session II - Krisitan Storli
Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.
15.20 - 15:30
Short pause
15:30 - 16:15
Interactive video session III - Heiko Aselmann
Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.
16:15 - 17:00
Interactive module: Crisis management I - Danilo Miskovic
Examples of bad performance, recovery mechanisms.
17:00 - 17:10
Short pause
17:10 - 18:00
Interactive video session IV - Adam Stearns
Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.
18:00 - 18:15
Questions and closure - Faculty
Day 2 - Wednesday 4 September 2024
TimeSession
08:00 - 08:20
Welcome and reflection
A brief summary of day 1 and main learning points by interactive discussion with participants
08:20 - 09:10
Interactive video session V - Danilo Miskovic
Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.
09:10 - 09:50
Group session - Anatomy revisited - Stefan Benz
The surgical anatomy of the right colon including AMIGO – preoperative CT assessment of the vascular anatomy
09:50 - 10:00
Short pause
10:00 - 10:45
Interactive video session VI - Heiko Aselmann
Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.
10:45 - 11:30
Interactive video session VII - Kristian Storli
Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.
11:30 - 12:00
Interactive module: Crisis management II - Anders Bertelsen
Examples of bad performance, recovery mechanisms. The ones we have not discussed in the interactive video sessions.
12:00 - 12:45
Lunch
12:45 - 14:15
Left colon including splenic flexure and distal transverse colon - Adam Stearns
Strategy, anatomy, resections according to CME - video vignettes.
14:15 - 14:30
Short pause
14:30 - 15:15
Repetition - on the participants request - Faculty
Discussion and feed-back from the participants
15:15 - 15:30
What next? - Faculty
Explanation of proctorship possibilities, postoperative video assessment, visits to faculty members hospitals, 1st case selection process, formal issues.
15:30
Closure of course
Faculty
Adam Stearns (Norwich, UK)
Anders Bertelsen (Hillerød, Denmark)
Danilo Miskovic (London, UK)
Heiko Aselmann (Hannover, Germany)
Kristian Storli (Bergen, Norway)
Stefan Benz (Böblingen, Germany)
Costs
The overall programme cost is €2400 per surgical team and includes two nights accommodation at Hotel Hillerød, Hillerød, Denmark.
A reduced fee of €1600 may be offered to teams from Albania, Azerbaijan, Bosnia, Bulgaria, Egypt, Georgia, Macedonia, Moldova, Romania, Serbia, Turkey, Ukraine.
Costs exclude travel for the two-day course in Hillerød, Denmark
View Terms and Conditions for Educational Courses here >
Application process
Selection criteria
Teams of two surgeons per hospital
Appropriate experience
Surgeons should be proficient in laparoscopic or robot-assisted colorectal surgery
Minimum experience 50+ laparoscopic or robot-assisted colorectal resections
Board certified (e.g. EBSQ, FRCS, Specialist in General and/or Coloproctology)
Institutional experience
Annual turnover of colon and rectum cancer of >50/year
Accessibility to appropriate laparoscopic or robot-assisted infrastructure
This will involve submission of the following:
Number of following procedures in the last five years:
Laparoscopic or robot-assisted segmental colectomy or rectum resection
How many operations for colorectal cancer are performed in your unit annually
CV
Letter of support from Head of Department or Hospital Director confirming:
1) Laparoscopic or robot-assisted segmental colectomy or rectum resection,
2) How many operations for colorectal cancer are performed in your unit annually
Maximum capacity of 10 surgical teams of 2 (20 places in total)
Any questions please send to the This email address is being protected from spambots. You need JavaScript enabled to view it.for the attention of Vanessa McCourt and Rosemary Parker
Once your registration has been approved by the course organiser, you will then be able to pay the course fees.
Submit your application here