内视镜减肥和代谢手术☆

内视镜减肥和代谢手术☆ DRAFT PROGRAM “““LAPAROSCOPIC BARIATRIC AND METABOLIC SURGERY ” ” COURSE” 內視鏡減肥和付謝手術 年月日201035~6 年月日201035~6 2010年3月5~6日 主席 主席 主席 黃明和 秀傳紀念醫院 彰化, 台灣 總裁 總監 總裁 總監 總裁 總監 Jacques Marescaux James Wu 秀傳紀念醫院 總裁, IRCAD 史特拉斯堡大學, 法國 彰化, 台灣 目標 目標 目標 , To cover a broad spectrum of surgical procedures in morbid obesity surgery 涵蓋用途廣泛的減重手術程序 , To provide indications for surgical treatment and discuss operative complications 提供外科治療的指標和討論手術併發症 , To highlight technicalities of surgical interventions through the broadcasting of live procedures 強調技術性的外科干預透過廣播的直播程序 , To allow real time discussion between the operators and the surgeon trainees 給予手術操作專家和醫師學員及時的討論 , To provide hands-on sessions improve skills in laparoscopic surgery through the practice on live tissue under experts’ tutorials 在專家的指導下,提供實地操作的課程在活體組織上練習並加強腹腔鏡的技巧 , To describe postoperative clinical results and practical applications of evidence-based clinical medicine敘述手術後的臨床結果,實際應用以證據為基礎的臨床醫學 教學 教學方法 教學方法 , Interactive theoretical and video sessions between faculty and course participants Live and pre-recorded operative demonstrations 師資與課程參與者互動式的理論教學和影片討論 現場和預錄的手術示範 客座教授 客座教授 客座教授 Ballantyne G. – 美國 Kasama K. – 日本 Cadière GB. – 比利時 李威傑 – 台灣 Higa K. – 美國 Vix M. – 法國 Ignat M. – 羅馬尼亞 This program may be subject to modifications 2010年3月5日, 星期五 報到 08.30 am 歡迎與會者和介紹客座教授 LIVE AND PRE-RECORDED OPERATIVE DEMONSTRATIONSOPTION A AND B , Sleeve Laparoscopic Gastrectomy袖狀胃切除 , Gastric Bypass胃繞道 , Mini Gastric Bypass迷你胃繞道 , Gastric Banding胃束帶 , NOTES? Sleeve Gastrectomy經自然孔道袖狀胃切除 , Single Incision Sleeve Gastrectomy單一切口袖狀胃切除 01.00 pm 午餐時間 HANDS-ON TRAINING ON LIVE TISSUE實作訓練OPTION B (OPTION A FREE) , Jejunojenunal anastomosis空腸空腸吻合 , Cardia Dissection噴門剝離 , Sleeve Gastrectomy袖狀胃切除 , Gastric Bypass胃繞道 , Gastric Banding胃束帶 課程結束 This program may be subject to modifications 2010年3月6日, 星期六 HANDS-ON TRAINING ON LIVE TISSUE實作訓練OPTION B (OPTION A FREE) , Jejunojenunal anastomosis空腸空腸吻合 , Cardia Dissection噴門剝離 , Sleeve Gastrectomy袖狀胃切除 , Gastric Bypass胃繞道 , Gastric Banding胃束帶 11.00 am BREAK休息時間 PLENARY SESSIONS – LECTURES全體大會 – 演講 OPTION A AND B SELECTION OF PATIENTS & PREOPERATIVE WORKUP 病人的選擇與術前準備 , Which patients are candidates for bariatric surgery ? 哪些病人需要做減重手術? , Is there a need for extended preoperative workup 需要額外做哪些術前準備? WHY AND HOW TO USE LAPAROSCOPY IN OBESE PATIENTS?為什麼及如何在肥胖的病人身上使用腹腔鏡? , Changing treatment patterns of Bariatric Surgery 減重手術治療的改變 , Bariatric and Metabolic Surgery in Asian亞洲減重手術及新陳付謝手術的現況 SURGICAL TECHNIQUES IN CURRENT BARIATRIC PROCEDURES減重手術的手術技巧 , Particularities in OR setup for obese patients針對肥胖的病人手術室需要有特別設備 , Gastric Banding: here to stay? 胃束帶該放置在何處? , Principles & surgical Steps of Gastric Bypass胃繞道手術的原則與步驟 , Technical tips of laparoscopic suturing and anastomosis for bariatric surgery減重手術中 腹腔鏡縫合與腸道吻合的技巧 , Precolic or Transcolic alimentary limb? What's the Peterson's space大腸前或經大腸路徑? 甚麼是Peterson’s pace? , Is Mini-gastric bypass easier and efficient ?迷你胃繞道手術較容易和有效嗎? , Rationale & technique of BPD 膽胰分流手術的技巧 , Is Sleeve Gastrectomy a really easy procedure ? 袖狀胃切除是一個簡單的手術? , What’s about the stapple line in Sleeve Gastrectomy ? 袖狀胃切除的切除現該如何做? 1.00 pm LUNCH AT THE INSTITUTE 午餐時間 MANAGEMENT OF THE COMPLICATIONS併發症的處理 * Peri operative : 術中: , Gastric perforations胃穿孔 , Bleeding出血 , … * Specific short and long term complications in : 短期與長期的一些特別的併發症: , Banding : pouch dilatation, gastric erosion胃束帶:胃袋囊擴張、胃侵蝕 Sleeve : leaks, pouch stenosis 袖狀胃切除:滲漏、胃袋囊狹窄 , Bypass and BPD : Gastro-gastric fistula, gastro jejunal perforated ulcer, internal herniations胃繞道與膽胰分流手術 :胃胃廔管、胃空腸穿孔性潰瘍、腹內疝氣 IS THERE A PLACE FOR NOTES & SINGLE PORT ACCESS?是否經自然孔道及 單孔手術還有發展的空間? ENDOLUMINAL BARIATRIC PROCEDURES腸道內減重手術的步驟 Intragastric sleeve, vertical gastroplasty, pouch resizing 胃內袖狀胃切除、垂直式胃整型手術、胃袋囊剪 裁 This program may be subject to modifications CAN WE TAILOR THE SURGICAL TREATMENT OF OBESITY?我們可以針對肥 胖的病人量身訂做他的手術治療? CONVERSIONS IN OBESITY SURGERY轉換減重手術 SURGICAL TREATMENT OF NON OBESE TYPE II DIABETIC PATIENTS非肥 胖引起的第二型糖尿病病人的手術治療 FROM BARIATRIC PROCEDURES TO METABOLIC SURGERY從減重手術到新 陳付謝手術 4. pm END OF THE COURS課程結束 CURRICULUM VITAE JACQUES MARESCAUX, M.D., F.R.C.S, F.A.C.S. thDate of birth : August 4 1948 Nationality : French Status : Married, 2 children Address : Clinique Chirurgicale A Hôpital Civil 1 Place de l’hôpital, 67091 Strasbourg Cedex FRANCE Fax: (33)3 88 11 62 65 Tel: (33)3 88 11 66 90, Medical studies : 1967-1971 Strasbourg Medical School – Louis Pasteur University Resident in Surgery : 1971–1975 Chief Resident : 1975-1980 Associated Professor : 1980-1989 Diplomas : M.D. 1977, Strasbourg Medical School (Thesis prize) Professor of Digestive Surgery 1980 F.R.C.S. 2000, Fellow of the Royal College of Surgeons (London) Hon. F.R.C.S. 2006, Honorary Fellow of the Royal College of Surgeons (London) F.A.C.S. 2004, Fellow of the American College of Surgeons Current positions : This program may be subject to modifications President IRCAD – EITS, 1994 (Research Institute against Digestive Cancer and European School for Telesurgery) Chairman and Head of the Department of Digestive and Endocrine Surgery, 1989 University Hospital of Strasbourg, Past positions: Vice President of the Regional Council of INSERM 1989-1992 (National Research Institute) Vice Dean of the Medical University School of Strasbourg 1989-1993 General Secretary of Scientific Council of ANAES (National Agency for the Development of Medical Evaluation) 1989-1996 President of the Scientific Council of ANAES 1997-2000 General Secretary of the French Society of Digestive Surgery 1996-2002 Current Memberships: - Member of the ACS, American College of Surgeons - Member of the RCS, Royal College of Surgeons, London - Member of SAGES, Society of American Gastrointestinal Endoscopic Surgeons - Member of the EAES, European Association of Endoscopic Surgery - Member of the ESA, European Surgical Association - Member of the ASGBI, Association of Surgeons of Great Britain and Ireland - Member of the SLS, The Society of Laparoscopic Surgeons - Member of the SSAT, The Society for Surgery of the Alimentary Tract - Member of the IAES, International Association of Endocrine Surgeon - Member of the IGCA, International Gastric Cancer Association Member of the MIRA, Minimally Invasive Robotic Association - - Member of the ESES, European Society of Endocrine Surgeons - Member of the AMCM, Mediterranean Association for Cooperation in Medicine - Member of the International Editorial Board of Surgical Endoscopy, - National Correspondent at the ANM, Académie Nationale de Médecine - Member of the SET, Société Européenne de Télémédecine - Member of OESO, Organisation Internationale d’Etudes Statistiques pour les maladies de l’Oesophage - Member of the SFCL, Société Française de Chirurgie Endoscopique et Laparoscopique - Member of the ISS, International Society of Surgery - Member of the National University Board, Section 52-02, Digestive Surgery - Member of the SFCD, Société Française de Chirurgie Digestive This program may be subject to modifications - Founding Member of the ACHBT, Ass. de Chirurgie Hépato-Biliaire et de Transplantation Hépatique - Founder and Member of the AFCE, Association Francophone de Chirurgie Endocrinienne - Member of the AFC, Association Française de Chirurgie Dr. Honoris Causa - University of Buenos Aires (Argentina) : 1999 - University of Bucharest (Romania) : 2002 - University of Iasi (Romania) : 2003 Selection of 5 publications - Marescaux J, Leroy J, Gagner M, Rubino F, Mutter D, Vix M, Butner SE, Smith MK. Transatlantic robot-assisted telesurgery. Nature 2001;413:379-80. - Marescaux J, Clément JM, Tassetti V, Koehl C, Russier Y, Cotin S, Mutter D, Delingette H, Ayache N. Virtual reality applied to hepatic surgery simulation: the next revolution. Ann Surg 1998;228:627-34. - Marescaux J, Smith MK, Folscher D, Jamali F, Malassagne B, Leroy J. Telerobotic Laparoscopic Cholecystectomy : Initial clinical experience with 25 patients. Ann Surg 2001;234:1-7. - Marescaux J, Leroy J, Rubino F, Vix M, Simone M, Mutter D. Transcontinental Robot Assisted Remote Telesurgery: Feasibility and Potential Applications. Ann Surg 2002;235:487-92. - Rubino F, Marescaux J. The Effect of Duodenal-Jejunal Exclusion in a Non-Obese Animal Model of Type 2 Diabetes: A New Perspective for an Old Disease. Ann Surg 2004;239:1-11. This program may be subject to modifications