Robotic Masterclass – 19 & 20 of june 2024
Robotic Masterclass in Rouen University Hospital, MTC, endorsed by ESTS Robotic WG
Pr Jean-Marc BASTE
19 & 20 juin 2024
19 & 20 juin 2024
About the event
This practical course will help you discover the latest technological advances in robotic surgery for the management of lung cancer and mediastinal lesion.
We will focus on two main aspects of the Robotic Platform : the technical part which is mandatory but not sufficient and the second part will emphasize the role of human factors and the team to perform safe and efficient procedures.
This course will draw on the expertise of different specialists: an anesthesiologist, a radiologist, a human factor expert from aviation, a psychologist, a specialist in communication and of course a thoracic surgeon.
Specialists
- Pr BASTE Jean-Marc – Thoracic surgeon – CHU de Rouen
- Dr LACHKAR Samy – Pulmonologist – CHU de rouen
- Dr LEFEVRE-SCELLES Antoine – Anaesthetist – CHU de Rouen
- Dr SELIM Jean – Anaesthetist- CHU de Rouen
- Dr BOUABDELLAH Iliès – Thoracic surgeon – Hôpital Saint Joseph
- Dr PAGES Pierre Benoit – Thoracic surgeon – CHU de Dijon
- Dr JAULIN François – SafeTeam Academy
- HENRY Jean Pierre – Président de STAN Institute – CHU de Rouen
- LEFETZ Ophélie – Psychologist – CHU de Rouen
- BOUJIBAR Fairuz – Physiotherapist – CHU de Rouen
Public
Session
- Thoracic surgeons :
- RATS 60 cases carried out
- Hospital equipped with the robot Da Vinci
- 15 – 20 persons by masterclass
Technical aspects
- Da Vinci X surgical platform (Intuitive Technology®)
- 4 Arm standardised lung resection
- Firefly®, Tile Pro mode
- Different energy modes
- Stapling strategies
- Capnothorax using Airseal®
- Robotic Stapler
Non technical Aspects
One of the problems of minimal invasive thoracic surgery is major intraoperative complications, especially in RATS. To address this safety concern, we started developing new tools 5 years ago with the aim of improving operative safety and using a multidisciplinary approach.
One of the main aspects of preventing and managing major complications is based on simulation with team resource management, acute stress management and the development of non-technical skills :
– Human factors
– Cognitive tools (robotic check-list, crisis check-list)
– Team training
– Stress management
– Crisis resource management (CRM) using multidisciplinary team simulation
Program
DAY 1
13h00 – 14h00 : Lunch
14h00 : Opening Session
14h15 : General Introduction – Pr Jean-Marc Baste – New context in surgical safety and performance in the era of robotic surgery : Non-tech skills and tool kits for team training and working (human factors, crisis management, team training, crew resource management, enhanced performances, check list, stress
14h30 : Operative safety – Dr Antoine Lefevre-Scelles – The anesthesiologist point of view
14h45 : SafeTeam Academy – Dr François Jaulin
15h00 : Operative Safety – Pr Jean-Marc Baste – The Surgeon point of view: Cognitive simulation(3D), Cognitive tools (check lists, 3D reconstructions…).
15h20 : Struture
15h30 : Acute stress management – Ophélie Lefetz – Performance during operative complications
16h00 : Human Factors and Operative Room Audit – Jean Pierre Henry
16h30 : Briefing in situ simulation – Ophélie Lefetz – Team training objectives
17h00 : Scenario of Robotic RUL – Pr Jean-Marc Baste – Dr Antoine Lefevre-Scelles – Dr François Jaulin – Whole team. All the different surgical steps. Uncontrolled bleeding or major desaturation ? Simulation of crisis management.
17h45 Debriefing – Jean Pierre Henry – Surgeon, anesthesiologist, consultants, participants,(evaluation scale for NOTS, stress management)
18h45 : End of the session
19h30 : Social event with dinner
DAY 2
07h45 : Opening
08h00 : Pr Jean-Marc Baste – Dr Ilies Bouabdallah – Live recorded Zoom – Robotic 4-arm technique for lung resection
**08h00 : Presentation of pre-operative marking using virtual bronchoscopy and Radial EBUS (by videoconference in theatre) – Dr Samy Lachkar **
09h00 : Live case segmentectomy with operative planning and operative assisting using 3D model (Visible Patient-Therapixel technology)
11h30 : Live recorded Zoom – Pr Pierre Benoit Pages
12h00 : Lunch
13h00 : Live Case ( standard AJOUT) of robotic lobectomy with the robotic stapler X platform
16h00 : General debriefing focusing on the technical and non-technical parts of this course
17h00 : End of the session
Registration & information
- RATS 60 cases carried out
- Hospital equipped with the robot Da Vinci