Minimal Invasive CME

ESCP lead

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.

Date 1

  • Vienna, Austria, Tuesday 17 - Wednesday 18 January 2023

Overall programme

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

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
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 intensive course in either Vienna, Austria or Rome, Italy.
Proctorship 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.

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
  • Letter of support by Head of Department/Hospital

Course

  • Two-day course in different major European cities, 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.

Dates

  • Vienna, Austria, January 17-18, 2023

Course structure

Day 1

TimeSession
09:45 - 10:00

Registration

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

10:00 - 10:20

Introduction

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

10:20 - 10:50

Rationale for CME

Current level of evidence, limitations, rationale for CME and for minimal invasive approach. Indications and patient selection based on preoperative staging. 

10:50 - 11:25

Anatomy

The surgical anatomy of the colon. Main focus on the right sided CME. Introduction to AMIGO – preoperative CT assessment of the vascular anatomy 

11:25 -11:35 Short pause
11:35 - 12:00

Minimal invasive CME for right-sided colon tumours

The surgical strategy in minimal invasive right-sided CME, right hemicolectomy and extended right hemicolectomy.

12:00 - 13:00

Interactive video session I

Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.

13:00 - 13:40 Lunch
13:40 - 14:30

Interactive video session II

Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.

14:30 - 15:15

Interactive video session III

Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.

15.15 - 15:30 Short pause
15:30 - 16:10

Interactive module: Crisis management I

Examples of bad performance, recovery mechanisms.

16:10 - 16:55

Interactive video session IV

Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.

16:55 - 17:05 Short pause
17:05 - 18:00

Interactive video session V

Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.

18:00 - 18:15 Questions and closure
19:30 Course dinner

Day 2

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 - 08:50

Anatomy - revisited

The surgical anatomy of the right colon including AMIGO – preoperative CT assessment of the vascular anatomy

08:50 - 09:40

Interactive video session VI

Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.

09:40 - 10:00 Short pause
10:00 - 10:45

Interactive video session VII

Faculty video presenting the procedure stepwise, focus on anatomy including AMIGO and surgical technique. Interactive discussion.

10:45 - 11:30

Interactive video session VIII

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 critical views - right colon

Discussion and feed-back from the participants

15:15 - 15:30

What next?

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 €2200 per surgical team, excluding travel and accommodation for the two-day course
  • A reduced fee of €1500 may be offered to teams from Albania, Azerbaijan, Bosnia, Bulgaria, Egypt, Georgia, Macedonia, Moldova, Romania, Serbia, Turkey, Ukraine.
  • Costs exclude travel and accommodation for the two-day course in Vienna and Rome. 

Application process

Register here

Once your registration has been approved by the course organiser, you will then be able to pay the course fees. ESCP do hold a preferred rate at the Radisson, once your application is approved, we will email you the code to book your accommodation.

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

The deadline for all applications is: Friday 16 December at 16:00 CET.

ESCP Affiliates