SCIENTIFIC PROGRAM

PRE-CONGRESS COURSES

Thursday October 27th, 2022 / Day 1
COURSE 1: Robotic Colorectal Surgery, Theoretical Course and Live Surgery
07:45-14:15

Course Organizers: Philippe Rouanet (France), Bilgi Baca (Türkiye)
Course Capacity: 15 Participants
Venue: Acıbadem University Altunizade Hospital

Objectives: The course was designed on didactic and live surgery sections. Speakers of didactic session should explain the procedure step by step (port sites, docking, dissection planes, vascular ligation, anastomosis, specimen retrieval and if possible new technologies (ICG, vessel sealer, etc) of da Vinci robotic systems. Surgeons of the live surgery session are able to answer all the questions from the trainees during the operation.

Session I: Theoretical Session – Video Based How I Do It? Tips and Tricks
Moderators: Philippe Rouanet (France), Bilgi Baca (Türkiye)
07:45-08:00 Opening remarks
Robotic Right-Sided Colon Resection (Step by step)
08:00-08:20 Right hemicolectomy for cecum tumor
Erol Pişkin (Türkiye)
08:20-08:40 Right hemicolectomy for hepatic flexure tumor
İsmail Hamzaoğlu (Türkiye)
08:40-09:00 Q/A
09:00-09:15 Coffee Break
Robotic Left-Sided Colorectal Procedures (Step by step)
09:15-09:35 Left hemicolectomy for splenic flexure tumor
Bilgi Baca (Türkiye)
09:35-09:55 Total mesorectal excision: How to preserve sexual function in man
Philippe Rouanet (France)
09:55-10:15 Total mesorectal excision for rectal cancer: Ultra low anastomosis
Philippe Rouanet (France)
10:15-10:35 Ventral mesh rectopexy: Technique and long term results
Laurent Bresler (France)
10:35-10:50 Q/A
10:50- 11:00 Coffee Break
Live Surgery
11:00-14:00 Moderators: Philippe Rouanet (France), İsmail Hamzaoğlu (Türkiye)
Surgeons: Tayfun Karahasanoğlu (Türkiye), Bilgi Baca (Türkiye)
Operating theatre 1: Robotic CME for right colon cancer
Operating theatre 2: Robotic low anterior resection
14:00-14:15 Concluding remarks & closure
COURSE 2: Benign Proctology, Video Based, Tips and Tricks Course
09:00-15:00

Course Organizers: Carlo Ratto (Italy), Bülent Menteş (Türkiye)
Venue: Congress Venue Wyndham Grand Istanbul Levent

Objectives: Proctology is a craft, an art that surgeons cannot learn simply by reading or using advanced technology. The objective of this extraordinary course is to add to the operative steps and manipulative skills of already dedicated surgeons, using mainly videos and other illustrations as the education material

Morning Session
09:00-09:10 Opening remarks
09:10-09:25 Excisional hemorrhoidectomy – Tips & tricks – How could Milligan do it without energy devices?
Narimantas Samalavicius (Lithuania)
09:25-09:30 Addendum…
Bülent Menteş (Türkiye)
09:35-09:50 Laser hemorrhoidoplasty – Laser physics and laser hemorrhoidoplasty
Cem Terzi (Türkiye)
09:55-10:10 Levator syndrome - Tips & tricks – Levator Botox injection
Leonardo Bustamante-Lopez (United States)
10:10-10:25 HAL/THD - Mucopexy - Patient selection & technical details
Carlo Ratto (Italy)
10:25-10:35 Anal abscess – Concomitant drainage & fistula surgery – Should we do it?
Bülent Menteş (Türkiye)
10:35-10:40 Addendum…
Feza Remzi (United States)
10:40-10:55 Crohn’s fistulae - Is seton application our only choice?
Feza Remzi (United States)
10:55-11:15 Coffee Break
Noon Session
11:15-11:30 Rectovaginal fistula – Surgical options – Why do some cases fail?
Kotaro Maeda (Japan)
11:30-11:35 Addendum…
Bülent Menteş (Türkiye)
11:35-11:50 Pilonidal disease – Minor procedures - Phenol treatment, laser
Pravin Gupta (India)
11:50-12:00 Sphincter repair – After obstetric injury – Timing and technique
Feza Karakayalı (Türkiye)
12:00-12:05 Addendum …
Ethem Geçim (Türkiye)
12:05-12:20 Lateral internal sphincterotomy – How and how much? - Standardizing technical details
Uğur Sungurtekin (Türkiye)
12:20-12:25 Addendum…
Bülent Menteş (Türkiye)
12:25-12:40 LIFT – Does it always work? - Technical details
Eloy Espin Basany (Spain)
12:40-12:55 Anal/perianal warts – Surgical details & after surgery
Timuçin Erol (Türkiye)
12:55-13:00 Addendum…
Pravin Gupta (India)
13:00-13:40 Lunch
Afternoon Session
13:40-13:50 Horseshoe abscess & fistula – Exposure & surgical details
Sezai Leventoğlu (Türkiye)
13:50-13:55 Addendum …
Ayhan Kuzu (Türkiye)
13:55-14:10 Stapled hemorrhoidopexy – PPH and other stapling techniques
Antonio Longo (Italy)
14:10-14:15 Addendum…
Sezai Leventoğlu (Türkiye)
14:15-14:25 Sphincter repair – After iatrogenic injury
Sezai Leventoğlu (Türkiye)
14:25-14:30 Addendum…
Leonardo Bustamante-Lopez (United States)
14:30-14:45 Pilonidal disease – Flap surgery for extensive/recurrent cases – Deviating the inferior midline
Bülent Menteş (Türkiye)
14:45-15:00 Concluding remarks & closure
COURSE 3: Laparoscopic Colorectal Surgery, Theoretical Course and Live Surgery - Koç University Hospital and RMK AIMES
07:45-15:15

Course Organizers: Joaquim Costa Pereira (Portugal), Emre Balık (Türkiye)
Course Capacity: 18 Participants
Venue: Koç University Hospital and RMK AIMES

Objectives: The course is designed for colorectal surgeons who want to adopt laparoscopic technique in their daily surgical practices. Theoretical part includes didactic and video lectures focusing on the key operative steps and techniques necessary to efficiently perform laparoscopic colorectal procedures. Laparoscopic colorectal training on porcine models will provide further opportunity to refine skills to perform a successful colorectal procedure. Live cases performed by experts in colorectal field will provide the opportunity to increase procedural knowledge by learning innovative surgical resections in conjunction with real-time perfusion evaluation with indocyanine green fluorescence imaging. At the end of the course each attendee will be able to:
- Decide to perform laparoscopic colorectal surgery
- Describe the indications, patient selection, patient information, risks and complications related to laparoscopic colorectal surgery
- Outline the important anatomical considerations to perform safe laparoscopic colectomy (vascular isolations, embryological plans etc.)
- Be familiar with technological innovations related to dissection, visualization and perfusion

Session I: Theoretical Session – Video Based How I Do It? Tips and Tricks
Moderators: Joaquim Costa Pereira (Portugal), Emre Balık (Türkiye)
07:45-08:00 Opening remarks
08:00-08:10 Right hemicolectomy - medial to lateral
Ahmet Rencüzoğulları (Türkiye)
08:10-08:20 Right hemicolectomy - Bottom to up
Cihangir Akyol (Türkiye)
08:20-08:30 Left flexure mobilization
Tomas Poskus (Lithuania)
08:30-08:40 Left hemicolectomy
Marco Zelic (Croatia)
08:40-08:50 Anterior resection
Joseph Nunoo-Mensah (United Kingdom)
08:50-09:00 Total mesorectal excision
Joaquim Costa Pereira (Portugal)
09:00-09:10 ICG usage in colorectal surgery
Richard Fortunato (United States)
09:10-09:25 Complications and solutions
Emre Balık (Türkiye)
09:25-09:40 Discussion and briefing for wet lab
Session II
09:40-12:30 Wet lap – On pig model: 9 stations with 18 participants
Anterior and low anterior resection on pig model with ICG application
Live Surgery
Moderators: Richard Fortunato (United States), Bülent Erkek (Türkiye)
Surgeons: Emre Balık (Türkiye), Ahmet Rencüzoğulları (Türkiye)
12:30-15:00 CME for right colon cancer Operating theatre 1:
Left colon or rectosigmoid colon cancer Operating theatre 2:
15:00-15:15 Concluding remarks & closure
COURSE 4: Advanced Endoscopic Procedures Course
08:45-13:15

Course Organizers: Eui-Gon Youk (Korea), Fatih Aslan (Türkiye)
Course Capacity: 30 Participants
Venue: Koç University Hospital

Objectives:
- Understand the indications, contraindicaions, and alternatives for ESD
- Classify the lesion based on morphologic findings using the classification systems
- Interpret the surface structural patterns and vessel patterns based on image-enhanced endoscopy classification systems to recognize the lesion borders and predict the invasion depth
- Develop a strategy for the ESD procedure based on the direction of gravity, orientation of the lesion to the endoscope
- Recognition, prevention, and management of adverse events

08:45-09:00 Opening remarks
09:00-09:20 Evaluation of lesions and chromoendoscopy
Fevzi Cengiz (Türkiye)
09:20-10:00 Indications of endoscopic resections and techniques, EMR, precut EMR, Hybrid ESD, ESD
 Eui Gon Youk (Korea)
10:00-10:30 Coffee Break
10:30-10:50 Do we need to endoscopic ultranography (EUS) before resection?
Asım Cingi (Türkiye)
10:50-11:10 Role of radiology before resection; MRI, BT, PET?
Bengi Gürses (Türkiye)
11:10-11:30 The management of adverse events in endoscopic submucosal dissection (ESD)
Tahsin Dalgıç (Türkiye)
11:30-12:00 Coffee Break
12:00-13:00 Video cases in colorectal ESD
Fatih Aslan (Türkiye)
13:00-13:15 Concluding remarks & closure
COURSE 5: Ostomy Creation & Complications Course
08:45-13:00

Course Organizers: Ricardo Escalante (Venezuela), Sezai Leventoğlu (Türkiye)
Venue: Congress Venue Wyndham Grand Istanbul Levent

Stoma is one of the most life changing events for patients and it is the biggest disappointment. In this case, any problem that may arise with a stoma can increase the patient's anxiety, stress, and dissatisfaction. On the contrary, a well-planned system from the creation of the stoma to its care and rehabilitation can improve the quality of life by enabling the patient to experience the comfort of the stoma like a natural defecation opening such as the anus. This session was built to better arm surgical teams with resources to help individuals with stoma live a high-quality life even in the most challenging situations.  From preoperative planning, creation of a peroperative stoma to the management of early and late postoperative complications, this session aims to provide surgeons, nurses, with pragmatic, ready-to-use advice on helping individuals with stoma. 

“Creating a stoma is a surgical art.
The artist who beautifies this art is the colorectal surgeon and stomatherapist.”  

Objectives:
- Detail specifics and clinical benefits of stoma site marking and pre-operative education.
- Discuss select technical considerations of stoma creation.
- Describe post-operative stoma care.
- Detail select stoma-related complications and treatment.
- At the end of this session, participants should be able to learn and contribute to changing their personal practice.

08:45-09:00 Opening remarks
09:00-09:15 Establishment of a stomatherapy center and certification… What is required, is it difficult?
Laurent Chabal (Switzerland)
09:15-09:30 Preoperative marking of stoma site… ease of application
Deniz Harputlu (Türkiye)
09:30-09:45 Peroperative stoma opening strategies… Good creating, high comfort
Emre Aras Canda (Türkiye)
09:45-10:00 Stoma closure tricks, details… When and how to turn it off
Neriman Şengül (Türkiye)
10:00-10:15 Early stomal complications… If only they didn't exist
Eduardo Londono-Schimmer (Colombia)
Peristomal complications
... the nightmare of the surgeon, stomatherapist, and especially the patient
10:15-10:30 Parastomal hernia
Ricardo Escalante (Venezuela)
10:30-10:45 Stenosis, prolapse, necrosis, fistula
Yogesh Palshektar (India)
10:45-11:00 Ostomy complications in Crohn's Disease
Eloy Espin Basany (Spain)
11:00-11:20 Q & A, Coffee Break
11:20-11:35 Virtual or diverting ileostomy in restorative proctocolectomy with IPAA for FAP/CIBD… to be or not to be
Gabriela Möslein (Germany)
11:35-11:50 Management of complicated ostomy dehiscence…
Erman Aytaç (Türkiye)
11:50-12:05 Permanent stoma vs. LARS… Which one does the patient accept?
Keiji Koda (Japan)
12:05-12:20 Stoma management; approach to psychosocial problems and quality of life… It shouldn't just be seen as an ostomy
Susan Stelton (United States)
12:20-12:35 Colostomy irrigation… as if I had no stoma
Ayişe Karadağ (Türkiye)
12:35-12:50 High output stoma management… things to know
Tahsin Çolak (Türkiye)
12:50-13:00 Q & A, Concluding remarks & closure
COURSE 6: The Importance of Nutrition in Colorectal Surgery
09:00-13:00

Course Organizer: Selman Sökmen (Türkiye), Osman Abbasoğlu (Türkiye)
Venue: Congress Venue Wyndham Grand Istanbul Levent

Objectives:
Surgery is the mainstay treatment for patients with colorectal cancers. However, despite surgical resection with curative intent and numerous advances in the effectiveness of (neo-)adjuvant therapies, recurrent and metastatic disease remain common and carry a high-risk of mortality. The biological perturbations that accompany the surgical stress response and activation of neural, inflammatory, and pro-angiogenic signaling pathways which also promote the growth and metastatic spread of cancer. In addition, three important domains strikingly affect the perioperative morbidity and mortality and final oncologic outcomes: co-morbidities, nutrition, and (domino-)complications. It is shown that many perioperative programmed interventions such as nutritional support, prehabilitation, ERAS protocols, and intense care may address these challenges and improve outcomes particularly in advanced colorectal and pelvic surgery. In this course, we outline the rationale and use the current evidence in nutritional science to achieve survival benefit and decrease surgical morbidity and mortality.

Learning Objectives:
- To define the extent of malnutrition in colorectal surgery
- To determine the prognostic impact of nutrition in colorectal cancer surgery
- Inflammation-Nutrition-Oncologic outcome analysis
- The effect of enteral immunonutrition: ‘unfinished saga’
- The role of nutritional management in difficult colorectal problems: radiation enteritis and enterocutaneous fistula
- Nutritional facts in complex colorectal surgery
- How the Int’l guidelines guide us in colorectal surgery?

09:00-09:10 Opening remarks
Selman Sokmen (Türkiye)
09:10-09:25 Managing surgical stress: Principles and practice
Erman Aytaç (Türkiye)
09:25-09:40 How to improve surgical and oncological outcomes in colorectal cancer: ERAS, sarcopenia and probiotics
In Kyu Lee (Korea)
09:40-09:55 Effect of enteral immunonutrition in patients undergoing colorectal cancer surgery: An update
Tahsin Çolak (Türkiye)
09:55-10:05 Q & A
10:05-10:20 Nutritional treatment strategies in cancer patients: What is the evidence?
Timuçin Erol (Türkiye)
10:20-10:35 Inflammation-based prognostic indicators in rectal cancer patients
Berke Manoğlu (Türkiye)
10:35-10:50 Prehabilitation in colorectal surgery
Marco Zelic (Croatia)
10:50-11:00 Q & A
11:00-11:15 Coffee break
11:15-11:30 Radiation enteritis: Role of nutritional treatment
Cihangir Akyol (Türkiye)
11:30-11:45 Art of nutrition in closure of gastrointestinal fistula
Berke Manoğlu (Türkiye)
11:45-12:00 Nutritional awareness optimize outcomes in cytoreduction and hyperthermic intraperitoneal chemotherapy
Selman Sökmen (Türkiye)
12:00-12:15 Perioperative nutrition in colorectal surgery: International guidelines
Osman Abbasoğlu (Türkiye)
12:15-12:50 Q & A session with experts and a case presentation
12:50-13:00 Closing remarks
Osman Abbasoğlu (Türkiye)