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AITS Introduction

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N.O.T.E.S.

International NOTES Hands-On Course

2009, July 3 - 4 - Option A	Contact us	Closed	Registration form (offline)	Course program
2009, July 3 - 4 - Option B	Contact us	Closed
2009, Nov 20 - 21 - Option A	Contact us	Closed
2009, Nov 20 - 21 - Option B	Contact us	Closed

Registration fee Exchange rate table

Option A – 18,000 NTD ( Limited to 80 Registrations ) :
The fee includes：
● live operative demonstrations from the laboratory
● theoretical teaching
● coffee breaks and lunches
● one evening meal
● shuttle bus service provided

Option B – 81,000 NTD ( Limited to 40 Registrations ) :
The fee includes：
● live operative demonstrations from the laboratory
● theoretical teaching
● practical training on live tissue (mini pigs)
● coffee breaks and lunches
● one evening meal
● shuttle bus service provided

*All payments need to be made in New Taiwan Dollars.

Accommodation

is available at special AITS rates at Howard Prince Hotel Taichung (when hotel is fully booked we will arrange another hotel) 2,800 NTD per night, single room, breakfast included.
Accommodation is not included in registration charge. Please make your payment directly at hotel counter.
※ Pick-up Service is under individual request and personal expense.Please provide flight information in advance.(700NTD per person per pick up )aits@show.org.tw

Registration

On-line registration is recommended with payment on visa/master card. For paper registration, please send us your registration form duly completed
by fax (+886-4-707-3222) and/or postal mail.

Registration is confirmed upon receipt of the form duly filled out, signature affixed, with payment enclosed.

For organizing procedure, any registration cancelled less than one month before the course will NOT be reimbursed or postponed.

Program outline

OBJECTIVES

To become familiar with flexible endoscopy
To become familiar with transluminal surgery
To understand the rationale and challenges of endoscopic transluminal surgery
To discover the latest and future technological developments
To provide hands-on sessions to learn endoscopic transluminal surgery through practice on
live tissue under experts' tutorials
To promote research and define guidelines

EDUCATIONAL METHODS

Interactive theoretical and video sessions between faculty and course participants
Live and pre-recorded operative demonstrations

FACULTY

	Allemann, Pierre - Switzerland		Pasupathy, Shanker – Singapore
	Asakuma, Mitsuhiro - Japan		Perretta, Silvana - Italy
	Chen, Chien Hua - Taiwan		Soler, Luc - France
	Dallemagne, Bernard - Belgium		Sylla, Patricia - USA
	Dunkin, Brian – USA		Targarona, Eduardo - Spain
	Lee WJ. - Taiwan		Vix, Michel – France
	Leroy, Joël – France

FIRST DAY

08.30 am

Welcome and introduction of the faculty to the participants

MH. Huang

▼Option A and B

08:45 am

LECTURES

Chairmen : WJ. Lee (Taiwan) – J. Marescaux (France) – J. Wu (Taiwan)

Challenge of NOTES™ : from technical improvement to training and education

J. Marescaux

9:05
(21h05 USA)

Who should perform NOTES™ ? Surgeons or Endoscopists ?
Video-conference with Brian DUNKIN from Houston - USA

B. Dunkin

Key Challenges:
　　How to get access to the peritoneal cavity ?
　　How to close the access site ?
　　Which orifice ? Single or combined access ? For which procedure ?
　　With which physiological consequences ?

Transgastric access
Transvaginal access
Transgastric access – 2 endoscopes
Transvaginal retroperitoneal access
Transrectal, transcolonic and combined accesses
Transesophageal access

B. Dallemagne
S. Perretta
M. Asakuma
P. Allemann
J. Leroy
S. Perretta

10.45 am

BREAK

Chairmen : WJ. Lee (Taiwan) – E. Targarona (Spain) – HS. Wu (Taiwan)
Coordinators : J. Marescaux (France) –

11.15 am

Live Experimental Surgery from the Laboratory

Transgastric Access

　　 - Transgastric cholecystectomy

B. Dallemagne
S. Perretta

Transesophageal Access

　　 - Mediastinoscopy - Heller / myotomy

S. Perretta
S. Pasupathy

Transvaginal Retroperitoneal Access

　　 - Nephrectomy

P. Allemann
M. Asakuma

Combined Accesses

　　 - Transgastric and transrectal sigmoidectomy

J. Leroy
S. Pasupathy

Different techniques of gastric closure
- Endoclips
- T-Tags
- Occluder

B. Dallemagne
S. Perretta
S. Perretta

12.45 pm

Lectures

Chairmen : WJ. Lee (Taiwan) – E. Targarona (Spain) – HS. Wu (Taiwan)

How to expose, retract, dissect, divide and suture ? Key devices,
platforms and future

New developments in Endoscopic technologies

B. Dallemagne

01.15
(6h15 France)

Robotics and virtual reality in NOTES™: the next step ?
Video-conference from Strasbourg - France

L. Soler

01.30 pm

LUNCH

▼Option B

02:30 pm

Hands-on training on live tissue

Faculty :
P. Allemann (Switzerland) – M. Asakuma (Japan) – CH. Chen (Taiwan) – B. Dallemagne (Belgium) – J. Leroy (France) – S. Pasupathy (Singapore) – S. Perretta (Italy) – M. Vix (France) – HS. Wu (Taiwan) –

Laparoscopy and stapling of the duodenum (prevention of the bowel distension)
Flexible endoscope : basic principles
Intubating the esophagus and understanding the endoluminal anatomy and landmarks
Gastrotomy using a needle knife – sphincterotome - balloon dilation
Peritoneoscopy – spatial orientation
Experimental model of appendectomy : fallopian tubes dissection and section
Liver biopsy
Transgastric cholecystectomy
Transgastric sigmoid mobilization

06:00 pm

END OF SESSION

SECOND DAY

▼Option B

08:30 am

Hands-on training on live tissue

Free choice of NOTES™ procedures to be performed under expert’s tutorial :

　　□ TRANSGASTRIC ACCESS

Laparoscopy and stapling of the duodenum (prevention of the bowel distension)
Gastrotomy with needle knife – sphincterotome – balloon dilation
Transgastric cholecystectomy
Transgastric nephrectomy

　　□ TRANSVAGINAL ACCESS

Transvaginal peritoneoscopy
Transvaginal cholecystectomy
Transvaginal nephrectomy

11.00 pm

BREAK

▼Option A and B

11.30 pm

Lectures

Chairmen : WJ. Lee (Taiwan) – J. Marescaux (France) – E. Targarona (Spain)

11:30
(23h30 USA)

Human applications with NOTES™ and Hybrid NOTES™
Pre-recorded procedures and critical analysis

Completely Endoscopic NOTES rectosigmoid resection in
human cadaver
Transgastric and transvaginal cholecystectomy: evolution
of the technique
Transvaginal Sleeve Gastrectomy
Follow-up of the first NOTES™ cholecystectomies
Transvaginal approach to the spleen

P. Sylla

B. Dallemagne

M. Vix
S. Perretta
E. Targarona

01.15 pm

LUNCH

02.15 pm

Lectures

Chairmen : B. Dallemagne (Belgium) – HS. Wu (Taiwan) – E. Targarona (Spain)

Step towards NOTES™ : Single Port Access Surgery: another option to “scarless” abdominal surgery
Concept and implementation in cholecystectomy Potentials of single access surgery for colonic resection Single trocart approach for splenectomy Single-port sleeve gastrectomy Is single access surgery the renaissance of Robotics ? Closing remarks	S. Perretta J. Leroy' E. Targarona WJ. Lee P. Allemann B. Dallemagne

03.45 pm

END OF THE COURSE
DELIVERY OF THE CERTIFICATE OF ATTENDANCE

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