CADSIM Laparoscopic Colorectal (1) course (28-29/11/2022)

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SubjectCADSIM
DescriptionOn this laparoscopic 2 day colorectal course we will run through the basic steps and anatomy and risks associated with right hemicolectomy and a high anterior resection using hierarchical task analysis. There will be a mixture of lectures and operating on cadavers, performing a laparoscopic right hemicolectomy and a laparoscopic sigmoid colectomy with splenic mobilisation at the Leeds Cadaveric labs.
Additional information

 The course is free for  HEE Yorkshire and Humber Regional trainees.

 Non Regional trainees please contact CADSIM@leeds.ac.uk for availability and course fees. Please  do not book your place until you have spoken to me. Priority will be given to regional trainees.

Please read the dissecting room regulations prior to attending the course.

Venuetbc, CADSIM Venue, Leeds, Leeds - Yorkshire and the Humber  View details
Date & time2 day event starting on Monday 28 November 2022, 08:30 to 17:00
LecturerTBC
Target audience

Mandatory: Specialty Registrar ST3, or Specialty Registrar ST4, or Specialty Registrar ST5

Course styleLectures and Practical skills
CateringTea, Coffee and Lunch
CPD hours0:00
CostNo charge
Aims

Aims

Introduction into laparoscopic right hemicolectomy and a sigmoid colectomy

Objectives

Objectives

You will learn the steps and risks of a right hemicolectomy and a sigmoid colectomy, along with splenic mobilisation.

We will cover three approaches to the right colon and also three approaches to splenic flexure mobilisation.

Learning outcomes

Learning Outcomes

Familiarisation of the steps of these two procedures and laparoscopic skills and techniques required to be able to start performing parts of this operation in your institution.

A. Laparoscopic right hemicolectomy

Expected learning outcomes

- Learn the basic concepts and methodology of Hierarchical task analysis

- Understand the surgical anatomy - blood supply, dissections planes, neighbouring structures and variations

- Procedural steps

o Exposure – theatre set up, patient positioning, access/port placement, operating field

o Vascular – dissection of ileocolic pedicle and right/middle colic vessels, mesenteric dissection

o Mobilisation of the right colon segments (medial/lateral/inferomedial), surrounding structures (duodenum/ureter)

o Specimen extraction and anastomosis – extracorporeal/intracorporeal

o Safe closure of the ports and access incisions

- Adaptation to variation and unexpected events

B. Laparoscopic anterior resection

Expected learning outcomes

- Learn the basic concepts and methodology of Hierarchical task analysis

- Understand the surgical anatomy - blood supply, dissections planes, neighbouring structures and variations

- Procedural steps

o Exposure – theatre set up, patient positioning, access/port placement, operating field

o Vascular – dissection of inferior mesenteric vessels, mesenteric dissection

o Mobilisation of the sigmoid, DC, splenic flexure and rectum (medial/lateral/inferomedial), surrounding structures (gonadal vessels/ureter/pancreas/autonomic nerves/spleen)

o Specimen extraction and anastomosis – stapled and hand sewn

o Safe closure of the ports and access incisions

- Adaptation to variation and unexpected events

- TME is not covered in this course