Minimal Invasive CME Programme

Minimal Invasive CME

ESCP lead

NEW DATES: Tuesday 3 - Wednesday 4 September 2024

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.

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

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

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

The surgical strategy in minimal invasive right-sided CME, right hemicolectomy and extended right hemicolectomy.
11:30 - 12:30

Interactive video session I

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

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

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

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

Examples of bad performance, recovery mechanisms.
17:00 - 17:10 Short pause
17:10 - 18:00

Interactive video session IV

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

Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.
09:10 - 09:50

Group session - Anatomy revisited

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

Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.
10:45 - 11:30

Interactive video session VII

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

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

Strategy, anatomy, resections according to CME - video vignettes.
14:15 - 14:30 Short pause
14:30 - 15:15

Repetition - on the participants request

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)
  • Roland Croner (Magdeburg, Germany)
  • 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

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.

APPLICATIONS WILL OPEN SHORTLY! STAY TUNED