Target group: Surgeons and radiologists with experience in treatment of patients with HCC

Maximum number of participants: 10-12

Duration: 1,5 days

17 CME credit points (Continuing Medical Education)

Instructors:

Prof. Dr. med. Christiane Bruns

Director of the Clinic for General, Visceral and Vascular Surgery, University of Cologne

Prof. Dr. med. Jens Ricke
Institute of Clinical Radiology, University Hospital of Munich

Course objective: The treatment of patients suffering from hepatocellular carcinoma requires a well-developed interdisciplinary teamwork. The two-day course is targeted at advanced surgeons and radiologists. Multi-modal treatment strategies for HCC patients are presented by renowned specialists, and prepared cases are discussed. Furthermore laparoscopic liver resection procedures and the creation of biliodigestive anastomoses as well as radiological methods of chemo- or radio-embolisation are taught in a detailed hands-on session in the animal lab. Augmented Reality concepts for laparoscopic liver resection are presented. The combined participation of surgeons and radiologists not only deepens the mutual understanding of subject specific methods and their applicability, but also fosters interdisciplinary cooperation.

Curriculum:

Day 1

• 2.00 p.m.     Arrival and social meal 
• 3.00 p.m.      Interdisciplinary treatment of HCC per guidelines (hepatologist)
• 3.30 p.m.      Interventional methods for treating intermediate stage HCC (radiologist)
• 4.00 p.m.     Video demonstration: Indication and techniques of laparoscopic liver surgery for HCC (surgeon)
• 5.15 p.m.      Interdisciplinary case discussion
• 6.15 p.m.     Video: Augmented Reality visualisation of liver tumours in the hybrid operating theatre 
  
  

Day2

6.30 a.m. – 3.00 p.m. (breaks/lunch in-between as fitting)

• Embolisation procedure of the liver: (Siemens ARCADIS Avantic4)
  •  SIRT preparation with coil embolisation
  •  SIRT performance with particle embolisation 
  •  Selective TACE with various particles and methylene blue colouration of liver segments
• Laparoscopic partial liver resection:
  • Intra-surgical ultrasound and bile duct visualisation using fluorescence
  • Creation of biliodigestive anastomosis
  • Hand-assisted and purely laparoscopic partial liver resection
  • Dissection methods: SonoSurg®, WaterJet, CUSA®, Thunderbeat®, LigaSure, Stapler
• 3.00 – 4.00 p.m. Course evaluation