Course Overview.

After the introduction of laparoscopic abdominal surgery, the next stage in the evolution of the specialty began in the 1990s with the first laparoscopic colonic resection. Following some early concerns regarding its safety and oncological efficacy during the latter part of that decade, laparoscopic colorectal surgery rapidly came into mainstream use in the early part of the current century with evidence supporting its use being made available from large scale randomized controlled trials.

Course topics and learning objectives.    

Defining correct indications to laparoscopic approach in colorectal diseases and providing technical skills and pattern.

Instructors:

• Michele Carlucci, General Surgery and Emergency Surgery Director, IRCCS Ospedale San Raffaele, Milan, Italy
• Enrico Ortolano, MD, General Surgery Ward Coordinator, Emergency and General Surgery Department activities Coordinator, IRCCS Ospedale San Raffaele, Milan, Italy

Who should attend:

• General surgery, with particular interest in skills in colorectal surgery
• Abdominal surgery
• Bariatric surgery
• Upper GI surgery

Course Overview.

A Bariatric surgery currently offers the possibility of losing weight in patients with morbid obesity who are resistant to various medical, pharmacological and dietary treatments. The weight loss that is achieved with surgery is a real change of life.

These changes make it possible to exercise normal daily activities with reduced risks of illness, the resolution of complications of medical conditions related to obesity (heart disease, diabetes, hypertension, osteo-articular problems, sleep apnoea). Bariatric surgery, through different types of surgical interventions depending on the patient's clinical situation, will allow weight loss and an improvement in the overall quality of life of the
obese patient. There are various types of bariatric interventions, which are divided roughly into 3 main groups: pure restrictive (adjustable gastric banding, gastric plication), malabsorptive (gastric bypass, bilio-pancreatic
diversion...) and restrictive-metabolic (sleeve gastrectomy, sleeve gastrectomy with associated fundoplication). ECOS (European Center for Obesity Surgery) recognized as a Center of Excellence since 2016, offers a comprehensive treatment proposal to the obese patient.

All the most common, safe and effective bariatric procedures are performed. A continuous work of updating and research allows the team of the Center to perform interventions for any degree of obesity with a laparoscopic technique, after an appropriate preoperative path that is organized at the facilities of the Center itself. The aim of this course is to provide the surgeons with the theoretical and practical bases of the surgical treatment of obesity, as recognized by the international guidelines and carried out at ECOS: defining correct indications to laparoscopic approach in bariatric and upper GI laparoscopic surgery and providing technical skills and pattern. Through lecture sessions, the state of the art of laparoscopic bariatric surgery and the technical measures for a correct and safe laparoscopic technique will be presented. In practical sessions, through the use of pelvic trainers and laparoscopic surgery simulators, the trainees will be able - under the supervision of the tutors - to put into practice what they learned in the theoretical sessions.

Course Schedule and learning objectives.

• Theoretical session and simulation
• Laparoscopic surgery, upper GI and bariatric surgery: basic elements and techniques
• Presentation of clinical cases
• Knots and laparoscopic sutures
• Intracorporal anastomosis with laparoscopic technique
• Advanced bariatric and upper GI surgery: interventions and complications, re-do surgery

Instructors:

• Stefano Paolo Olmi, MD, Chief of General and Oncological Surgery, Policlinico San Marco Gruppo Opedaliero San Donato, Zingonia, Bergamo, Italy
• Matteo Uccelli, MD, Consultant in General Surgery, Policlinico San Marco Gruppo Opedaliero San Donato, Zingonia, Bergamo, Italy

Who should attend:

• General surgery, with particular interest in skills in colorectal surgery
• Abdominal surgery
• Bariatric surgery
• Upper GI surgery