The health and wellbeing of ESCP members is a top priority for the organisation and the ESCP Executive Committee are closely monitoring the global Coronavirus situation as it develops.

Unfortunately the LapCME course has been postponed until further notice. Applications will remain open and we will update the website with the new dates once they have been confirmed.

In the meantime, we advise members to adhere to recommendations from local governments and the World Health Organisations (WHO) in helping to prevent/reduce the risk of spreading the Coronavirus on a larger scale and to contact relevant travel operators directly for updates on scheduled travel arrangements.

Here's a video of the third Laparoscopic CME Programme which took place on the 22-23 January 2020.

Laparoscopic CME

ESCP lead

The laparoscopic CME programme is a training initiative by ESCP's European School of Coloproctology to promote laparoscopic complete mesocolic excision for colon cancer.

The course has been made possible due to the generous support of Medtronic.

Medtronic logo with tagline

In this video Danilo Miskovic (Faculty) gives an overview of the Laparoscopic CME Programme and participants describe what they got from the first 2-day course in 2018.

Overall programme

Lap CME course progression diagram: selection, course, proctorship, independent practice

The overall programme aim is to enable skilled laparoscopic surgeons to become proficient in performing laparoscopic CME with central vascular ligation. This is achieved in several steps:

Selection Surgeons interested to participate in the programme will be selected according to selection criteria (see below).
Course Successful candidates will be invited to a 2-day hands-on course at the ORSI Institute in Ghent, Belgium.
Proctorship Faculty members of the programme will visit the candidates in their hospitals and proctor them for a number of cases over a period.

Selection criteria

  • Teams of two surgeons per hospital (1 lead surgeon, 1 assistant)
  • Appropriate experience
    • Lead surgeon should be proficient in laparoscopic colorectal surgery
    • Minimum experience 50+ laparoscopic 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 infrastructure
  • Letter of support by Head of Department/Hospital


  • Two-day course in Ghent, with the aims:
    • To understand the evidence and rationale of CME
    • To master anatomy, operative planning and quality control
    • To achieve optimal results for individual patients
    • To learn operative technique
  • Hands-on operative training in high quality cadaveric models


  • Minimum of 2 x 2-day visits with the aim to perform 4 or more laparoscopic colon resections
  • Highly qualified faculty

Course structure

Venue: ORSI Institute, Proefhoevestraat 12, 9090 Melle, Belgium

Day 1 (15 June 2020)

10:00 - 10:30


A late start will allow participants to travel in the morning if they wish to do so.

10:30 - 10:50


Purpose, overview of training programme, aim and structure of course, introduction of all participants, addressing personal aims, expectations, concerns.

10:50 - 11:20

Rationale for CME

Current level of evidence, limitations, rationale for CME and for laparoscopic approach.

11:20 - 11:45

Patient selection

Indications, workup, limitations (e.g. frailty, BMI, advanced disease, emergencies), patient selection during learning curve, levels of complexity (T stage, BMI, male…).

11: 45 - 12:10

Pathological outcomes and quality control

Mesocolic grading, benchmarks of outcomes (R1, lymphnode count, vessel lengths), resection bed, framework for auditing data, definition and extent of lymphadenectomy (D2 vs D3).

12:10 - 12:30

Perioperative management

Expected postoperative course, deviations, rescue strategies.

12:30 -12:45 Video vignette: Right hemicolectomy - structured video of right hemicolectomy
12:45 Lunch
13:40 Faculty meeting
14:00 - 15:00

Interactive module 1: Anatomy

All relevant anatomy, vascular (SMA and IMA territory), planes, orientation of colon and relationship to adjacent organs (e.g. ureters, kidneys, liver/ gallbladder/ spleen, stomach).

15:00 - 15:10 Video vignette: Vascular dissection of the right colon
15:10 - 16:00

Interactive module 2: CT interpretation (AMIGO)

Framework to identify vascular anatomy on arterial phase and portal venous phase CT scans (AMIGO), quality of CT, worked examples.

16:00 - 16:20 Break
16:20 - 17:10

Interactive module 3: Operative technique ascending/transverse colon

Didactic step-by-step description of technique, OR setup, patient position, port position, pitfalls and variations, critical views.

17:10 - 17:20 Video vignette: Intracorporeal anastomosis
17:20 - 18:00

Interactive module 4: Operative technique splenic flexure and left colon

Different techniques for anastomosis (extra- and intra-corporeal).

18:00 - 18:20

Interactive module 5: Crisis management

Examples of bad performance, recovery mechanisms.

18:20 Questions and closure
19:30 Course dinner

Day 2 (16 June 2020)

09:00 - 09:15

Welcome and reflection

A brief summary of day 1 and main learning points by interactive discussion with participants

09:15 - 09:30 Video vignette: Right hemicolectomy
09:30 - 09:45

Repetition of critical views: Right hemicolectomy

09:45 - 12:30

Wet Lab Session 1: Right hemicolectomy, extended right hemicolectomy

We have to think about how we can perform the operation without interrupting the left side too much….

12:30 Lunch
13:20 Faculty meeting
13:30 - 13:45 Video vignette: Left hemicolectomy
13:45 - 14:00

Repetition critical views: Left hemicolectomy

14:00 - 16:30

Wet Lab Session 2: Left hemicolectomy, splenic flexure resection

16:30 - 16:45

What next?

Explanation of proctorship programme, faculty allocation, 1st case selection process, formal issues.

16:45 Faculty meeting
17:00 Closure of course


  • Adam Stearns (Norwich, UK)
  • Anders Bertelsen (Hillerød, Denmark)
  • Danilo Miskovic (London, UK)
  • Kristian Storli (Bergen, Norway)
  • Roland Croner (Magdeburg, Germany)
  • Stefan Benz (Boblingen, Germany)


  • The overall programme cost is €1800.00 per surgical team, excluding travel and accommodation for the two-day course in Ghent, Belgium
  • A reduced fee may be offered to teams from Albania, Azerbaijan, Belarus, Bosnia, Bulgaria, Egypt, Georgia, Macedonia, Moldova, Romania, Serbia, Turkey, Ukraine

Application process - APPLICATIONS ARE CLOSED

Selection will be by email application. This will involve submission of the following:

  • Number of following procedures in the last five years:
    • Laparoscopic 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

Applicants will also be asked to upload an unedited video of their most recent right hemicolectomy or anterior rectal resection. Please send the video by to This email address is being protected from spambots. You need JavaScript enabled to view it. for the attention of Vanessa McCourt

The successful applicants will be contacted by the organising committee. The decision of the organising committee is final.

Please send your applications to: This email address is being protected from spambots. You need JavaScript enabled to view it.The deadline for all applications is: to be confirmed

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