SESSIONS


State of the Art Lectures in Robotic Surgery

Wednesday, August 29, 2018 | 7:00 am – 3:00 pm

Director: Mona Orady, MD
Co-Directors: Samay Jain, MD and William E. Kelley, Jr., MD

About
Robotics represents yet another revolution in the application of minimally invasive techniques to surgery. While conventional video endoscopic techniques were revolutionary in their own right, they were hampered by limited instrument maneuverability and two-dimensional visualization. These technological shortcomings took away the wrist-like motion of the human hand and the depth perception of human eyes and necessitated the design of “new procedures” which were adapted to the technology. Robotics by virtue of wrist-like instrument maneuverability and three-dimensional visualization has returned the advantages of the human wrist and eyes to the field of minimally invasive surgery. For the first time in the history of minimally invasive surgery, operations which were designed to be performed by open incisions can be replicated using minimal access techniques.

A series of brief presentations by experts in the field will outline the State of the Art in the application of robotics to the specific field in surgery. These lectures will help the attendee to develop a critical eye and assist them in the adoption of robotics into their practice.

Agenda

7:00am-9:00am Moderators: Mona Orady, MD & Beeman Khalil, MD, MS
7:00am-7:05am Opening Remarks
Mona Orady, MD
7:05am-7:20am Robotically Assisted Hernia Repair:
Disruptive Innovation or just Disruptive?
Beeman N. Khalil, MD, MS
7:20am-7:35am Application of Robotics in Urogynecology
Bela Kudish, MD, MSc
7:35am-7:50am Advanced Modular Manikin
Robert M. Sweet, MD
7:50am-8:05am Learning Robotic Surgery in Urology: From the First Steps
at the Console to Complex Partial Nephrectomy
Jacques M. Hubert, Prof Dr Med
8:05am-8:20am Teamwork: The Missing Ingredient for the
Safety of Robotic Heart Surgery
Robert S. Poston, MD
8:20am-8:35am The Value of a Robotic Approach to Rectal Cancer
Roberto Bergamaschi, MD, PhD
8:35am-8:50am Robot Assisted Laparoscopic Vaginal Sparing Radical
Cystectomy: Indications, Technique and Outcomes
Samay Jain, MD
8:50am-9:00am Q&A
9:00am-9:15am BREAK
9:15am-10:30am Moderators: William E. Kelley, Jr., MD &
Jessica Opoku-Anane, MD, MS
9:15am-9:30am State of the Art in Robotic Endometriosis Surgery
Jessica Opoku-Anane, MD, MS
9:30am-9:45am Robot-Assisted Myomectomy and Adenomyomectomy
Gaby Moawad, MD
9:45am-10:00am Tips and Tricks in Robotic Hysterectomy Treatment
Mona Orady, MD
10:00am-10:15am Technical Considerations for the Fully Robotic
Pancreaticoduodenectomy
Ciprian C. Duta, Prof Dr Med
10:15am-10:30am The New Robotic Platforms are here! – Now what?
Douglas N. Brown, MD
10:30am-11:00am NEZHAT DISTINGUISHED LECTURER AT MIS WEEK
(NON-CME)
11:00am-12:00pm SATELLITE SYMPOSIUM LUNCHEON (NON-CME)
Legally Mine Presents:

Understanding Legal Tools: The Keys to Lawsuit
Prevention, License Protection and Tax Reduction
Speaker: Art McOmber
12:00pm-1:30pm Moderator: Douglas N. Brown, MD &
Ravi Munver, MD
12:00pm-12:15pm State of the Art: Update in Robotic Urologic Surgery
Ravi Munver, MD
12:15pm-12:30pm Preemptive Pain Control in Robotic Surgery:
Lessons from the Year against Surgical Pain
Bradford W. Fenton, MD, PhD
12:30pm-12:45pm Incidence and Outcomes of Single Site Robotic
Gynecologic Surgery: A Retrospective Cohort
Analysis of the First Initial Cases
Aileen Caceres, MD, MPH
12:45pm -1:00pm Robotic Heart Surgery
Robert S. Poston, MD
1:00pm-1:15pm Advanced Techniques in Robotic Pulmonary Resections
Darren I. Rohan, MD
1:15pm-1:30pm Secondary Surgical Cytoreduction Utilizing Robotic
Platform for Recurrent Gynecologic Malignancies
Mario M. Leitao, Jr., MD
1:30pm-3:00pm Moderator: Aileen Caceres, MD, MPH &
Timothy C. Brand, MD
1:30pm-1:45pm Sports Science and Minimally Invasive Surgery:
A Pathway to Surgical Excellence
Timothy C. Brand, MD
1:45pm-2:00pm Tips and Tricks: Tubal Anastomosis and Fertility Sparing
Endometriosis Surgery
LTC C.J. Rosemeyer, DO USA MC
2:00pm-2:15pm Robotic Surgery: Quality vs Cost!
Guy R. Orangio, MD
2:15pm-2:30pm Robotic Surgery and the General Surgery Community…
The Great Divide
Jeremy Heffner, MD
2:30pm-2:45pm Hybrid and Reduced Port Surgery in Gynecology
Mona Orady, MD
2:45pm-2:55pm Q&A
2:55pm-3:00pm Closing Remarks
Samay Jain, MD

Military Surgery Session

“Improving Austere Environment Surgical Skills”
Wednesday, August 29, 2018 | 7:30am – 9:00am

Director: COL Robert B. Lim, MD

The theme of the program is “Improving Austere Environment Surgical Skills”. The aim of the program will be to improve the deployed surgeon’s ability to care for the acute situations that they are likely to see on deployment to austere environments or humanitarian missions. A secondary aim will be to provide residents and young surgeons a platform to discuss their academic work.

Education gap: Most surgeons deployed on humanitarian/austere environment missions are not adequately trained to care for the clinical situations they are likely to see. General surgeons are the most likely surgeons to be assigned these missions but the most commonly performed surgeries on humanitarian missions are gynecologic and obstetric procedures. Additionally, recently graduated general surgeons lack open technique skills that they will use in the austere environment.

Proposal: Utilize the unique skill set of the SLS’s membership, namely its urologists, obstetric-gynecologists, and general surgeons, to provide education on acute common surgical situations.

Agenda

7:30am-8:30am Humanitarian and Combat Skills
Moderators: COL Robert B.Lim, Prof Dr Med
and Jay A. Redan, MD
7:30am-7:45am Are High Resource Surgeons Prepared to Work in
Low Resource or Humanitarian Environments?
Sherry M. Wren, MD
7:45am-8:00am Common Acute OB-GYN Pathology: What the Surgeon
Needs to Know
LTC C.J. Rosemeyer, DO<, USA MC/em>
8:00am-8:15am Common Acute Urologic Pathology and Treatment
K. Jeff Carney, MD, PharmD
8:15am-8:30am Caring for the Child in the Austere Environment
Romeo C. Ignacio, MD
8:30am-9:00am Multidisciplinary Cases and Panel Discussion
Moderator: COL Robert B. Lim, Prof Dr Med
8:30am-8:37am Using Team Based Communication to Optimize Surgical
Results
Timothy C. Brand, MD
8:37am-8:44am Laparoscopy in the Austere Setting
Tamara Worlton, MD
8:45am-8:52am Brachial Artery Injury
Jahnavi K. Srinivasan, MD
8:52am-9:00am Panel Discussion
(Panel: Lim, Ignacio, Srinivasan, Worlton, Wren)

 
This time would be for 2-3 video or abstract presentations on work that involved multidisciplinary care of humanitarian or combat based pathology that required 2 or more specialties. The panel discussion will be on the unique challenges and how local culture influences decision making.


Nezhat Distinguished Lecturer at MISWeek (NON-CME)

Wednesday, August 29, 2018 | 10:30am – 11:00am
Introduction: Camran Nezhat, MD

“Introduction to Digital Surgery Future of Minimally Invasive and Robotic Surgery”
Marcio Coelho
Vice President Digital Surgery – Ethicon

The Nezhat brothers, Camran, Ceana, and Farr Nezhat, have a passion for medicine, in particular minimally invasive surgery in gynecology, and are luminaries in their field. Their support of the Society of Laparoendoscopic Surgeon’s mission of education and information can be seen not only through their participation in SLS, but also through their teaching, their practices, and their philanthropic efforts. This generous endowment will allow SLS to continue its efforts into the future. In appreciation and recognition of their support and efforts, the SLS Board of Directors voted to name a lecture in honor of the Nezhat Family, which will take place each year at MISWeek. Join us for this year’s distinguished lecture on Introduction to Digital Surgery Future of Minimally Invasive and Robotic Surgery by Marcio Coelho.


SLS Experts’ Experience and Tips and Tricks in MIS

Wednesday, August 29, 2018 | 12:00pm – 3:00pm
Presented by the SIG and International Committee “The SLS World Team”

Director: Maurice K. Chung, RPh, MD
Co-Director: John E. Morrison, Jr., MD
Moderators: Ian Hodgdon, MD, Michael McDonald, MD and Ja Hyun Shin, MD

This session condenses the experiences of the experts in the Society of Laparoendoscopic Surgeons in multiple surgical fields. The discussion will involve essential surgical related issues that are important and vital for all surgeons that perform minimally invasive surgery.
We would like to invite all SLS members and SIG committee members who share the same vision of the mission of SLS “as a Multidisciplinary Society” and would like to be part of the SLS national and international faculty in the future and to be the “SLS World Team”.

Target Audience: All SIG members, any SLS members interested in becoming involved in training surgeons in laparoscopic techniques.

Course: Creation of a reproducible program that includes multispecialty surgeons experienced in laparoscopy interested in training surgeons in the US and internationally. The program consists of a series of lectures on conditions common to all minimally invasive disciplines. It also includes basic laparoscopic suturing instructions with tips and tricks from the experts. The subjects of the didactic lectures include; adhesions, entry techniques, pain, education, complex surgical conditions and complications. The skills sessions are basics of laparoscopic suturing and robotics. The intent is to create a standardized program with a bank of surgeons that are trained and willing to travel in order to educate surgeons.

Objectives: Attendants will be able to be familiar with the complications, adhesion, pain, and education issues that are in common in multi-specialties. Individuals interested in becoming part of the SLS World Faculty Team and others will have the opportunity to be educated on the standardized knowledge base and structure that the “SLS MIS Experience” events throughout the word are required to provide. These efforts will help to continue the SLS mission of information and education in the US and around the – The World Mission.

Agenda

12:00pm-12:05pm Opening Remarks
Maurice K. Chung, RPh, MD
12:05pm-12:20pm Vascular Injury in Laparoscopy
John E. Morrison, Jr., MD
12:20pm-12:35pm Sharpen your Surgical Tools – Maximize Minimally
Invasive Surgery!
Nash S. Moawad, MD, MS
12:35pm-12:50pm Prevention of Incisional Hernias with Cutis Autograft
Underlay in Rat Model
Ian Hodgdon, MD
12:50pm-1:05pm Chronic Lower Quadrant Pain: Examine for Neuropathies
Trumps Laparoscopy
Stanley J. Antolak, MD
1:05pm-1:20pm Bowel Injuries
John E. Morrison, Jr., MD
1:20pm-1:35pm Alternate Strategies for Pain Control after
Surgery
Michael W. Cook, MD
1:35pm-1:50pm Pudendal Neuromodulation in the Treatment of
Pudendal Neuralgia, Chronic Pelvic Pain, Bowel and
Bladder Dysfunction
Richard P. Marvel, MD
1:50pm-2:05pm DNA Next Generation Sequencing for Surgical and
Non-Surgical Infections
Michael McDonald, MD
2:05pm-2:20pm Energy Use in Laparoscopy
J. Philip Boudreaux, MD
2:20pm-2:35pm Tips and Tricks to Reduce the Risk of Trocar Site Hernia
Emad Mikhail, MB, ChB, MD
2:35pm-2:50pm Surgical Management of Severe Endometriosis
Jon Einarsson, MD, PhD, MPH
2:50pm-3:00pm Q&A – Discussion

Laparoscopic CO2 Laser Course (NON CME)

Wednesday, August 29 | 12:00pm – 5:00pm
Hands-On Location: Empire Ballroom
Lecture Location: Lennox Ballroom

Attendees: 40 attendees for lab hands on; open to all for lecture/lab observation
Attendee Fee: Complimentary (must be a registered attendee of MISWeek 2018)

Description: Laparoscopic Endometriosis Laser Surgery Course is designed to give General Surgeons and Gynecologists a focused educational experience in surgical laser techniques for resecting endometriosis and a better understanding of the laser’s role within the surgical armamentarium. The course will uniquely focus on different surgical techniques and discuss advantages and limitations for each in various clinical scenarios. Renowned faculty will emphasize fundamental anatomy, microsurgical, and robotic dissection techniques. Additionally, there will be a hands-on session with the Lumenis CO2 laser system.

The non-CME course, consisting of 1.25 hour of lecture and 1.25 hour of hands-on for each of 40 participants is geared to attending/staff level physicians with experience in laparoscopic surgery technique/theory.

Audience: Open to US General Surgery and GYN physicians looking for a skill sharpener and certificate in surgical CO2 laser competency.

Goal: To have physicians leave with confidence to safely perform surgery with the CO2 laser fiber.

Educational Objectives
Upon conclusion of this program, participants should be able to:

  • Identify which patients are eligible for laser surgery.
  • Distinguish the differences between laser surgery and traditional electrosurgical treatment strategies.
  • Identify key features of retroperitoneal anatomy.
  • Describe advantages and technique of excision surgery.
  • Relate potential advantages and limitations that may be realized with laser surgery.
  • Identify key technical mistakes to avoid.

Resident/Fellow & Nurse Programs

Scholarships for Residents, Fellows-in-Training, Medical Students, Nurses, & Affiliated Medical Personnel
Residents, Fellows-in-Training, Medical Students, Nurses, and Affiliated Medical Personnel MEMBERS of SLS will receive a scholarship of $1045.00 towards the full registration fee of $1345.00 to Minimally Invasive Surgery Week 2018.
Residents, Fellows-in-Training, & Medical Students: To qualify for the discounted membership and scholarship, you must be in training in a U.S. accredited training program or, if outside the U.S., you must be a Resident-in-Training or Fellow-in-Training within the first five years after medical school degree.
All Applicants must submit the following items via the Online Residents/Fellows, Medical Students, Nurse/Technician/Affiliated Medical Personnel Membership Application Form at www.SLS.org/Scholarship.

  • A statement from the applicant’s Department Chairman, Program Chairman, or Sponsoring Physician (50 words or less, on letterhead with signature), stating the applicant’s training status.

$1,000.00 Cash Award for Michael S. Kavic Best Scientific Paper by a Resident
The recipient will present their paper at the annual conference plus receive a cash prize of $1,000.00!

Outstanding Laparoendoscopic Resident Award
Nominated by their program chairperson for demonstrating great skill and promise in laparoscopic, endoscopic, and minimally invasive surgery. Outstanding Residents will receive a certificate recognizing their achievement, membership in the Society of Laparoendoscopic Surgeons for the year of nomination, and discounts and scholarships towards registration for Minimally Invasive Surgery Week/Summit. Visit www.SLS.org/Residents for details.

Resident / Fellow Meet & Greet with Faculty
The Resident and Fellow Meet and Greet with Faculty will be on Wednesday, August 29th from 3:30-4:00pm followed by the “Establishing a Top MIS Fellowship Training Program & on Getting the Most out of a Fellowship Experience” from 4:00-4:45pm. Meet and network with SLS senior faculty and leaders, many of whom are luminaries in the field of minimally invasive surgery. Also come to learn about the many open access and digital resources available to you through SLS.


Establishing a Top MIS Fellowship Training Program & on Getting the Most out of a Fellowship Experience

Wednesday, August 29, 2018 | 4:00pm – 4:45pm

What is involved in establishing a TOP MIS fellowship program and how do both the Directors and Fellows get the most from the fellowship experience.

SLS Fellowship graduates have landed some of the most prestigious jobs in MIS.
Find out what it takes to start and run a first class program. Pros and Cons. Best teaching techniques. Best recruiting and screening.

Audience: Those interested in starting or improving a fellowship program and those interested in becoming fellows or maximizing their fellowship experience.

Faculty:
Louise P. King, MD, JD
Camran Nezhat, MD
Farr Nezhat, MD

Agenda

4:00pm – 4:10pm Why Do We Need Surgical Training Fellowships?
Farr Nezhat, MD, FACOG
Chair SLS Fellowship Committee, SLS Fellowship Director
4:10pm – 4:20pm Why Have I Taught and Still Teach as I Don’t Have To;
and What and How Do I Teach and Why?

Camran Nezhat, SLS, MD, FACOG
Fellowship Director
4:20pm – 4:30pm Balancing my Life: How to Work in a High Volume and
Demanding Fellowship and Avoid Burnout

Louise P. King, MD, JD
4:30pm – 4:45pm Q&A

Affiliated Societies Breakout Session

Thursday, August 30, 2018 | 7:30am – 12:30pm
Friday, August 31, 2018 | 7:45am – 10:00am

Bridging the Gap in the World of Medicine
Presented by SLS International Affiliate Societies

SLS Ambassador and Director: Maurice K. Chung, RPh, MD
CME Director and Co-Director: Raymond J. Lanzafame, MD, MBA
Co-Director: Jessica Ybanez-Morano, MD, MPH
Moderator: Gustavo L. Carvalho, MD, PhD, Seda Dzhantukhanova, MD, PhD, Flavio Malcher, MD, MSc, Thiers Soares Raymundo, MD and Juan Salgado, MD

This session helps condense some of the experiences of leaders in minimally invasive surgery from SLS and from around the world. Presentations and discussion will involve essential surgically-related issues that are vital topics for all surgeons that perform minimally invasive surgery. The session consists of a series of lectures on conditions common to all minimally invasive disciplines. Themes and topics included in the lectures will be: adhesions, entry techniques, pain, education, complex surgical conditions and complications, all of which are cross-cutting and important to all specialties.

Thursday, August 30 | 7:30am – 12:30pm

7:30am-7:35am Introduction
Maurice K. Chung, MD, PhD
7:35am-9:05am NESA
7:35am-7:50am Improving Surgery in Africa: All-African
Surgical Database
Michael Stark, Prof Dr Med
7:50am-8:05am Principles of Safe Laparoscopy in Developing
Countries
Bruno van Herendael, Prof Dr Med
8:05am-8:20am Natural Orifice Surgery, New Insights in
Thyroidectomy
Michael Stark, MD
8:20am-8:35am The NESA’s International Oncology Board-
Toward Optimized Evaluation and Treatment
Eytan R. Barnea, MD & Michael Stark, Prof Dr Med
8:35am-8:50am PIF: New Horizons in Oncology
Eytan R. Barnea, MD
8:50am-9:05am Discussion
9:05am-9:20am Evaluation & Management of Pelvic Tension,
Myofascial Syndrome and Cause of Painful
Sex Disorders
Amy Benjamin, MD IPPS
9:20am-9:35am Application of Physical Therapy in Treatment
of Painful Sex Disorders
Amy Stein, DPT, BCB-PMD, IF IPPS
9:35am-9:50am Role of Opioid Sparing Medications for
Postoperative Pain Control after Minimally
Invasive Gynecologic Surgery: A Review of the
Transverse Abdominis Plane Block,
Gabapentinoids, and Cox-2 Inhibitors
Ja Hyun Shin, MD
9:50am-10:00am Q&A
10:00am-10:30am BREAK
10:30am-10:45am Social Media and Virtual Education:
The New Way of Learning, Living in the
World of Apps
Seda Dzhantukhanova, MD, PhD
10:45am-11:00am Post-Operative Adhesions: Risks and Treatment
Techniques
Marius L. Craina, Prof Dr Med SRCMIG
11:00am-12:30pm PELVIC PAIN PANEL
Case Presentations & Panel Discussion

Panel:
Stanley J. Antolak, MD*
Mariana E. Conforto, MD
Francisco J. Garcini, MD, PhD
Richard P. Marvel, MD
Alfredo Nieves, MD*
Thiers Soares Raymundo, MD
Jay A. Redan, MD*
Sallie Sarrel, PT ATC DPT*
Juan-Diego Villegas-Echeverri, MD
11:00am-11:20am Case Presentation
Gynecology – Endometriosis Related Pain
is a Syndrome not just Endometriosis
Alfredo Nieves, MD*
11:20am-11:40am Case Presentation
Physical Therapy
Sallie Sarrel, PT ATC DPT*
11:40am-12:00pm Case Presentation
General Surgery – Abdominal Pelvic Pain at
Celebration
Jay A. Redan, MD*
12:00pm-12:20pm Case Presentation
Urology – Bladder and Suprapubic Pain
Stanley J. Antolak, MD*
12:20pm-12:30pm Q&A

 
Friday, August 31 | 7:45am – 10:00am

7:45am-8:00am MINI Solutions, for MAX Problems
Gustavo L. Carvalho, MD, PhD SOBRACIL
8:00am-8:15am Artificial Intelligence and Surgery.
Are we there or not yet?
Flavio Malcher, MD, MSc SOBRACIL
8:15am-8:30am Romanian Healthcare System – Economic and
Administrative Analysis Approach
Bianca M. Gavrilita, MD ROMANIA
8:30am-8:45am Minimally Invasive Anorectal Surgery is a
Gift to Poor and not a Toy for Rich People
Dinesh Shah, MD ISCP
8:45am-9:00am Managing Female Genital Mutilation
Avinoam Tzabari, MD
9:00am-9:15am Medical Education in China: The Making of a
Chinese Doctor
Yu Wang, BSc, MSc, MD
9:15am-9:30am The Use of Peritoneal Grafts for
Cervicovaginal Reconstruction in Congenital
Cervical and Vaginal Atresia
Hongxin Pan, MD
9:30am-9:45am Simple Steps in Laparoscopic Para-aortic
Lymphadenectomy, from A to Z
Joong Sub Choi, Prof Dr Med
9:45am-10:00am The Treatment of Intrauterine Adhesions with
Special Hysteroscopic Images
Prof Fengxian Fu

Best of the World Presentations

Thursday, August 30, 2018 | 9:15am – 10:00am

Directors: Maurice K. Chung, RPh, MD and Phillip P. Shadduck, MD DrHC

Faculty:
Brij B. Agarwal, Prof Dr Med
Raju Thomas, MD, MHA
Juan Diego Villegas-Echeverri, MD

Agenda

9:15-9:30am Understanding Sterile Inflammation – Maximizing
Outcomes of Minimally Invasive Surgery
Brij B. Agarwal, Prof Dr Med
9:30-9:45am MIS Wizardry: The Dramatic Transformation of Urologic
Reconstructive Surgery
Raju Thomas, MD, MHA
9:45-10:00am Building the Team: Training Surgeons and Teachers
Juan Diego Villegas-Echeverri, MD

Multidisciplinary Plenary Sessions

Complications

Thursday, August 30, 2018 | 7:30-9:00am

Complications – “Interactive Cadaveric Anatomy Dissection: From Pelvic Side Wall to Sacral Roots – Shared Knowledge across Surgical Pelvic Specialties” (NON CME)

Director: Robert K. Zurawin, MD
Co-Director: Richard M. Satava, MD
Faculty:
Adrian C. Balica, MD
E. Cristian Campian, MD, PhD

Currently, radical surgery in pelvic surgery is associated with an 8% risk of urinary dysfunction and 3.6 % bowel dysfunction, secondary to damage to the pelvic splanchnic nerves. About 90% of these lesions, as well as injuries to other nerves, ureters and large vessels, could potentially be avoided by improving surgeons understanding of the retroperitoneal anatomy.

This lecture and cadaveric based program is designed for pelvic surgeons such gynecologists, urologists and colorectal surgeons who want to improve their knowledge of retroperitoneal anatomy.

The program will be composed of 2 lectures dedicated to identification of surgically important anatomic structures (30 minutes) and 60 minutes live cadaveric dissection broadcast.

Particular attention will be given to the survey of the normal pelvic anatomy, anatomic landmarks, dissection of the avascular retroperitoneal spaces and pelvic vessels, nerves, ureter and pelvic floor muscles. Detailed examination and dissection of pelvic nerves and blood vessels will be demonstrated during the course, with the emphasis on preventing vascular complications and avoiding damage to the pelvic nerves. Special attention will be given to the nerve-sparing techniques during laparoscopic dissection, with demonstration of major nerve pathways to the pelvis.

At the end of this educational activity, attendants will develop better understanding of the relationship between the surgical steps of their day-to-day procedures and the retroperitoneal anatomy. This will allow them to identify the areas of higher risk and their landmarks and develop their strategies to avoid complications.

Objectives
At the conclusion of this activity, the participant will be able to:

      1) Identify normal anatomic landmarks and major pelvic structures relevant to minimally invasive surgery in pelvic surgery;
      2) demonstrate the topographic anatomy of the pelvic sidewall, including vasculature and their relation to the ureter, autonomic and somatic nerves and intraperitoneal structures;
      3) discuss steps of safe laparoscopic dissection of the pelvic ureter;
      4) distinguish and apply steps of safe and effective pelvic nerve dissection and learn the landmarks for nerve-sparing surgery.

Agenda

7:30-7:35am Introduction of the Objectives
Robert K. Zurawin, MD
7:35-7:45am Pelvic Side Wall Anatomy: The Classic Refresher
(Identification of pelvic side wall anatomic structures to navigate
safely a complex surgical environment: internal iliac artery and its
branches, ureter, pelvic space)
Robert K. Zurawin, MD
7:45-8:00am Somatic and Autonomic Neuroanatomy: The New Frontier for
Pelvic Surgeons
(Core knowledge of motor, sensory and autonomic nerves of
the pelvis)
Adrian Balica, MD
8:00-9:00am Transmission of Cadaveric Dissection: St Louis Method
E. Cristian Campian, MD
A. Somatic nerves dissection: iliohypogastric, ilioinguinal,
femoral, genitofemoral, obturator, lumbosacra trunk, sciatic,
pudendal nerves
B. Identification of superior hypogastric plexus, hypogastric
nerves, inferior hypogastric plexus, pelvic splanhnic nerves
C. Sacral roots and presacral space

Ethics in MIS

Thursday, August 30, 2018 | 10:30-11:30am

Ethics in MIS – “Ethical Perplexities”

Director: Eric Singer, MD
Co-Director: Jessica Ybanez-Morano, MD, MPH
Faculty:
Louise P. King, MD, JD
Arthur Rawlings, MD, MDiv

Session Description:
The important aspect of ethics is to recall that frequently there is no “right” answer. Ethical analysis doesn’t provide the solution – it provides a framework from which to argue for interventions that will afford a solution whether through policies in hospitals or legislation or other.
The session will be in a Case Study Format with common issues presented. The faculty will describe the scene, present options, debate the topics with their faculty partner selected specific perspectives which will allow the audience to appreciate a more balanced discussion and, ethical questions posed. Selected Board members will facilitate questions and comments on the floor. Most importantly, the audience will be encouraged to have active participation and discussion regarding the ethical dilemmas.

Objectives:
To encourage discussion on appropriate disclosure of our surgical experiences.
To foster improved communication and understanding with surgical outcomes with our patients
To promote transparency in relationships with industry
To understand limitations of interventions with patients with DNR status.
To advance resident education without compromising patient care.

Introduction: Eric Singer, MD and Jessica Ybanez-Morano, MD, MPH

10:30am – 10:45am
Scenario 1 – Surgeon has just been to a recent “hands-on” program and learned a new technique with a new device? How does one obtain informed consent with his first several patients? How does one disclose the number of procedures completed with this technique and device?
Louise P. King, MD, JD and Arthur Rawlings, MD, MDiv

10:45am – 11:00am
Scenario 2 – Surgeon has a relationship with industry. What types of relationships should be disclosed and how does one disclose this relationship? Does one disclose involvement with industry? For example, do you disclose that you have a diversified mutual fund that is within the pharmaceutical stock? When the surgeon is a KOL (Key Opinion Leader) and organizes a surgical/clinical trial for a particular device, does one have to disclose this to the patients?
Eric Singer, MD, MA and Jessica Ybanez-Morano, MD, MPH

11:00am – 11:15am
Scenario 3 – When a patient has a DNR status? What types of palliative interventions/surgical does one consider appropriate to accomplish?
Louise P. King, MD, JD and Eric Singer, MD, MA

11:15am – 11:30am
Scenario 4 – Resident surgeons are the primary surgeon in the case. However, the patient is a patient of the attending physician rather than the resident. How does one obtain informed consent in this situation?
Arthur Rawlings, MD, MDiv and Jessica Ybanez-Morano, MD, MPH

Tools and Techniques

Thursday, August 30, 2018 | 11:30am-12:30pm

Tools and Techniques – Novel Access Techniques – Where Are We Going?

Director: Phillip P. Shadduck, MD DrHC
Co-Director: Ceana Nezhat, MD
Faculty:
Mario Leitao, Jr., MD
Flavio Malcher, MD, MSc
Farr Nezhat, MD

The pros and cons of what is available today in laparoscopic, robotic, and hysteroscopic surgery will be discussed and compared to where innovative endoscopists are taking the field to tomorrow.
Mini-laparoscopy advances conventional video-laparoscopy to the logical next level. Mini-laparoscopy can be applied to numerous general, gynecologic, urologic, and pediatric surgery procedures. Recent randomized clinical trial data reveal that mini-laparoscopy results in less short-term pain and better cosmetics than conventional laparoscopy and lower operative times and less postoperative pain than single incision laparoscopy. Advantages also include almost no risk of infection or incisional hernia, and a rapid recovery. Miniature operative hysteroscopy is advancing office gynecologic procedures to the next level, allowing direct visualization without the need for anesthesia or use of an operating room, a rapid recovery, and improved cost effectiveness. Surgical robots (computer-assisted endoscopic devices) have been utilized for two decades, in urologic, gynecologic, general, cardio-thoracic, orthopedic, pediatric, and ENT surgery. These devices provide several advantages over conventional video laparoscopy including 3D vision, motion scaling, intuitive movements, visual immersion, tremor filtration, and improved surgeon ergonomics, while cost and value have been debated. The field is poised for dramatic change–new devices are approaching and entering the market and are likely to transform the MIS landscape. Concise presentations by surgeon innovators will be followed by a panel discussion with the audience.

Agenda

11:30-11:35am Opening Remarks
Philip P. Shadduck, MD DrHC & Ceana Nezhat, MD
11:35-11:50am Modern Mini-Laparoscopy
Flavio Malcher, MD, MSc
11:50-12:05pm Miniature Operative Hysteroscopy
Farr Nezhat, MD
12:05-12:20pm Next Generation Surgical Robots
Mario Leitao, Jr., MD
12:20-12:30pm Panel Discussion with Audience
Faculty

Credentialing and Training

Friday, August 31, 2018 | 7:45am-8:45am

Credentialing and Training “How to be a Better Surgeon? Practice Does Not Make Perfect”

Director: Mona Orady, MD
Co-Director: Michael Stark, MD
Faculty:
John E. Morrison, Jr., MD
Farr Nezhat, MD
Ittai Shapira
Gustavo Stringel, MD, MBA
Robert M. Sweet, MD

An informative and interactive session that discusses the nuances of constantly striving to become a better surgeon. Many believe that repetition is key to improvement. Although this may be true in some circumstances, the sad reality is that repeating bad habits can actually lead to solidification of incorrect technique, and correct technique should be taught and started with and then repetition will only improve and add nuance to good technique. One also cannot become great at something without passion, knowledge, coaching, rehearsal, and debriefing. These are also the same principles that are the making of amazing musicians and athletes, which oddly enough are very similar to creating complex minimally invasive surgeries. In this session, an interactive discussion with surgeons and an invited musician will take place highlighting the main principles of constant improvement, rehearsal, feedback, coaching, mentoring, and debriefing that truly makes a great surgeon who they are, as in comparison to the musician or athlete becoming great at their fields. By truly focusing on the foundation and main principles of the art rather than the execution of surgery; creativity, flexibility, and improvisation become automatic. These are the core features that will lead to true excellence of both execution and outcome. Needless to say, that the prerequisite to become a good surgeon is also the personal characteristics following the principle of Nothnagel that “only a good person can be a good doctor”.

Format: Talk-show like interactive interview session with Director and Co-director (Orady and Stark) moderating a session with questions to a panel of Surgeons from different disciplines where each describes the techniques used to achieve constant learning and improvement to push the limits of excellence. A musician and surgeons with musical background will also help correlate the same techniques of constant improvement and growth.


Surgical Surprises

“Surgical Surprises – When the Unexpected Happens!”
Friday, August 31, 2018 | 10:35am – 12:15pm

The Surgical Surprises session has been an enormously popular session since its debut at MISWeek. It aims to highlight unexpected events occurring during the progress of surgery, the decision process of how to remedy the accident/occurrence, and the video demonstration of the even and its correction. Videos will show an unexpected event or complication that occurred during a real surgical case study, followed by the corrective action taken to remedy it. The presentation will be marked by several video pause intervals when the presenter will interact with the expert panel of surgeons, urologists and gynecologists, as well as the audience in a lively discussion of alternative options, etc. This particular strength of the SLS is what distinguishes this program. Join us for another interactive, discussion-filled session at MISWeek this year with new case studies submitted by fellow attendees.

Director: Charles H. Koh, MD
Co-Director: Gustavo Stringel, MD, MBA
Panel:
Maurice K. Chung, RPh, MD
Samay Jain, MD
Michael S. Kavic, MD
William E. Kelley, Jr., MD
Raymond J. Lanzafame, MD, MBA
Grace Liu, MD
Liselotte Mettler, Prof Dr Med
Michael McDonald, MD
John E. Morrison, Jr., MD
Jay A. Redan, MD
Phillip P. Shadduck, MD DrHC


SIG Committee Updates – Where We Are and Where We Are Going

2018 Updates will be presented by SIG Committees on Thursday and Friday afternoons in Spotlight Presentations or concurrent Session
Thursday, August 30 | 1:45pm – 5:00pm
Friday, August 31 | 1:45pm – 4:30pm

Abdominal/Pelvic Pain/Adhesions
TBA
Aileen Caceres, MD, MPH

Abdominal, Pelvic Pain & Adhesions
Anatomy of the Parametrium
Theirs Soares Raymundo, MD

Bariatric
One Anastomosis Gastric Bypass (OAGBP)
Alex Gandsas, MD, MBA

Cancer Surgery
Role of MIS in Management of Ovarian Cancer
Gulden Menderes, MD

Core Competencies, Fellowship, Resident & Student Education, Simulation & Training
Core Competencies: The Evolution Continues
Gustavo Stringel, MD, MBA

Endometriosis/Ovarian/Infertility/Fertility
De-obliterating the Obliterated Endometriotic CulDeSac – the Eye Does Not See What the Mind Does not Know
Charles H. Koh, MD

Endometriosis/Ovarian/Infertility/Fertility
Place of Fertiloscopy in Infertile Work-up: A 4000 Cases Continuous Series
Radha Syed, MD

Fibroids/Abnormal Uterine Bleeding/Hysterectomy
Logical Steps for Subtotal and Total Laparoscopic Hysterectomies
Liselotte Mettler, MD

Fibroids/Abnormal Uterine Bleeding/Hysterectomy
Assessing the Risk of Laparoscopic Morcellation of Occult Uterine Sarcomas during Hysterectomy and Myomectomy: Literature Review and the ISGE Recommendations
Bruno van Heerendael, Prof Dr Med

GERD, Hepatobiliary Disease & Cholecystectomy
Minilaparoscopic Cholecystectomy: The Lessons Learned After 18 years of Experience and More Than 2,530 Cases
Diego Laurentino Lima, MD

GERD, Hepatobiliary Disease & Cholecystectomy
Small Instruments, Big Surgeries: How to Innovate with Minilaparoscopy?
Gustavo L. Carvalho, MD, PhD

NOTES, LESS, SPA and Single Port
Surgery Tips and Benefits of Single Port Laparoscopic Retroperitoneal Dissection
Tae Young Kim, MD

Pediatric Surgery
Pediatric Update
Vincent Duron, MD

Urologic Surgery
Surgical Prehabilitation in Urologic Surgery
Steven L. Chang, MD, MS

Urologic Surgery
Treatment Trends, Perioperative Outcomes, and Cost of CKD Patients Undergoing Partial Nephrectomy in a Large Population Based Cohort within the US
Benjamin Chung, MD

Women in MIS
Mindfulness in the OR
Susan Khalil, MD


Euro/AsianAmerican MultiSpecialty Summit 2018

Directors:
EuroAmerican: Michael S. Kavic, MD and Liselotte Mettler, Prof Dr Med
AsianAmerican: Maurice K. Chung, RPh, MD and Charles H. Koh, MD

Summit Breakout Session: Thursday, August 30 | 1:45pm – 5:00pm
Summit Breakout Session: Friday, August 31 | 1:45pm – 4:30pm

SLS is pleased to announce that once again this year the Euro/AsianAmerican MultiSpecialty Summit will be combined with Minimally Invasive Surgery Week 2018!

This summit will involve delegations of leading laparoscopists and minimally invasive surgeons representing organizations and countries in Europe, the Pacific Rim, Asia, the Americas, and around the globe and will include breakout sessions on Thursday and Friday afternoon as well as presentations in the Best of the World Plenary Session. The AsianAmerican Summit at MISWeek will provide an opportunity for meaningful educational and cultural exchange among leaders in minimally invasive surgery around the world and attendees.

Thursday, August 30 | 1:45pm – 5:00pm

1:45-2:40pm MULTISPECIALTY
1:45-2:00pm Patient Protection, Engagement & Informed Consent:
The Virtual Consent Global Initiative to Enhance Patient
Engagement and Reduce Physician Burden
Ronald J. Heslegrave, PhD &
Nicholas Pairaudeau, MB BS FRCS(C) • Canada
2:00-2:15pm Unique Practice Patterns and the Surgeon Workforce
Shortage for an Island State
Kendric Murayama, MD • USA
2:15-2:30pm Urological Laparoendoscopic Single-Site and Reduced
Port Surgeries: A Single Institute Experience
Toshitaka Shin, MD, PhD • Japan
2:30-2:40pm Cultural Presentation: Romania @ Globalization of
Surgery
Calin I. Tiu, MD, PhD • Romania
2:40-3:35pm GYNECOLOGY
2:40-2:55pm How is the Sexual Response on Chronic Pelvic Pain?
Mariana Conforto, MD • Brazil
2:55-3:10pm Functional Assessment of the Pelvis –
Why Perform it in Endometriosis?
Nilton de Nadai Filho, MD • Brazil
3:10-3:25pm Deep Infiltrating Endometriosis with Pelvic Nerves
Involvement: How to Deal with it
Claudio Crispi Junior, MD, MBA • Brazil
3:25-3:35pm Cultural Presentation: The First and the Second
Department of OB/GYN of the Medical University of
Vienna at the Beginning of the 20th Century
Kazem Nouri, Prof Dr Med • Austria
3:35-5:00pm GENERAL SURGERY
3:35-3:50pm Bridge-to-Surgery Stenting and Emergency Surgery –
Which is a Better Option for Obstructed Cancer of the
Colon?
Dominic Foo, MBBS • Hong Kong
3:50-4:05pm Best Predictor of Morbidity and Mortality in
Perforated Peptic Ulcer Disease, Comparison
of Three Scoring Systems
Hesham Aljohary, FRCS-I, FACS • Qatar
4:05-4:15pm Cultural Presentation: Abu al-Qasim Al-Zahrawi the
Father of Surgery
Ashraf Bakr, Prof Dr Med • Egypt
4:15-4:30pm Robotic Nerve Sparing Rectal Surgery, Current
Evidence and Technical Aspects
Fabrizio Luca, MD • USA
4:30-4:45pm Role of Intraoperative Cholangiography for Detecting
Residual Stones after Biliary Pancreatitis: Still Useful?
A Retrospective Study
Abdelrahman Abdelfattah M. Aabdelaal, Prof Dr Med • Qatar
4:45-4:55pm Cultural Presentation: Laparoscopic Colorectal Surgery
in Greece: Expensive Equipment Amidst a National
Financial Crisis
Manousos Georgios Pramateftakis, Prof Dr Med • Greece

 
Friday, August 31 | 1:45pm – 4:45pm

1:45-2:40pm MULTISPECIALTY
1:45-2:00pm Comparative Analysis of Robot-Assisted and Abdominal
Radial Hysterectomy in Patients with Cervical Cancer –
10-year Experience
Grigor Gortchev, Prof Dr Med • Bulgaria
2:00-2:15pm Perioperative and Survival Outcomes in Patients with
Endometrial Cancer Operated with Three Surgical
Approaches: Robot-Assisted, Laparoscopic and Open
Slavcho Tomov, Prof Dr Med • Bulgaria
2:15-2:30pm TaTME Performed by two teams- Feasibility and
Tips and Tricks
Lukas Sakra, MD, PhD • Czech Republic
2:30-2:40pm Cultural Presentation: MIS in Saudi Arabia
Abdulaziz Abdullah AlMulhem, MD • Saudi Arabia
2:40-3:40pm GENERAL SURGERY
2:40-2:55pm Robotic Surgery Applications in General Surgery
Luca Giordano, MD • USA
2:55-3:10pm Technical Details of Safe Laparoscopic Cholecystectomy
Ali Uzunkoy, Prof Dr Med • Turkey
3:10-3:25pm The Difficult Cholecystectomy Revisited
Ashraf Bakr, Prof Dr Med • Egypt
3:25-3:35pm Cultural Presentation: Sanliurfa, City Where Cultures
Unite
Ali Uzunkoy, Prof Dr Med • Turkey
3:35-4:30pm GYNECOLOGY
3:35-3:50pm Prevention of Pelvic Floor Trauma during Spontaneous
Vaginal Delivery
Ian M. Vasicka, MD • Czech Republic
3:50-4:05pm Ideal Operative Method for Laparoscopic Myomectomy
Takehiko Tsuchiya, MD, PhD • Japan
4:05-4:20pm Experience of Laparoscopic Adenomyomectomy in a
Single Institute
Jae Young Kwack, MD and
Yong-Soon Kwon, MD, PhD • South Korea
4:20-4:30pm Cultural Presentation: Egypt the Land of Life
Rashad Alfkey, MD, PhD

SLS Global Pediatric Surgery Session

Friday, August 31 | 1:45pm-4:30pm

Director: Gustavo Stringel, MD, MBA
Co-Director: Mohamed E. Hassan, MD, PhD

The Global Pediatric Surgery Session will be presented for the first time this year. It will present the global experience of Pediatric Surgeons in the applications and controversies of new minimally invasive surgery techniques, following the unique multidisciplinary value and culture of SLS,
This innovative session will bring internationally renowned surgeons to present cutting edge, state of the art Pediatric Surgery techniques and will include presentations of minimally invasive techniques from newborn infants to adolescents and include topics such as choledocal cyst excision, Kasai portoenterostomy, the role of laparoscopy in neonatal gastrointestinal perforations, splenectomy for massive splenomegaly, thoracoscopic lobectomy, trocarless thoracoscopy, robotic pediatric urology, pyeloplasty and many others.

Agenda

1:45pm-4:30pm SLS Global Pediatric Surgery Session
Director: Gustavo Stringel, MD, MBA
Co-Director: Mohamed E. Hassan, MD, PhD
1:45pm-1:50pm Opening Remarks
Mohamed E. Hassan, MD, PhD & Gustavo Stringel, MD, MBA
1:50pm-2:02pm Robotic Pediatric Urology: Spectrum in Saudi Arabia
Hamdan Al Hazmi, MD
2:02pm-2:14pm Laparoscopic Excision of Choledochal Cyst in Children:
The KKH Experience
Yee Low, Prof Dr Med
2:14pm-2:26pm Port-less Technique (PLT) in Pediatric Video-Assisted
Thoracoscopic Surgery (VATS)
Dayang Abdul Aziz, Prof Dr Med
2:26pm-2:38pm Laparoscopic Pyloric Atresia Repair
Khalid Khalfan Al Ali, MD
2:38pm-2:50pm Laparoscopic Kasai Portoenterostomy for Biliary Atresia
Mohamed E. Hassan, MD, PhD
2:50pm-3:02pm Laparoscopic Transperitoneal Pyeloplasty in Infancy and
Children SKMC SINGLE INSTITUTE Four Years’ Experience
Hesham Ahmady Soliman, MD
3:02pm-3:14pm MIS Treatment of Symptomatic VUR in Children Using
Extravesical and Transvesical Ureteric Reimplantation from
Single Institute Experience
Adel Ali Aljneibi, MD
3:14pm-3:26pm Thoracoscopic Lobectomies in Infants and Children:
Tips and Tricks
Khalid Eid Alharbi, MD
3:26pm-3:38pm Laparoscopic Management of Von Hippel- Lindu Disease
Associated Pheochromocytoma in Children
Ahmed Abdalwahab, MD
3:38pm-3:50pm Q&A and Closing Remarks
Mohamed E. Hassan, MD, PhD & Gustavo Stringel, MD, MBA

*Times subject to change


Future Technology Session

“The Nature of Survival”
Kenneth “Ken” Kamler, MD

Director & Moderator: Richard M. Satava, MD
Co-Director & Moderator: Raymond J. Lanzafame, MD, MBA

Agenda

8:50 – 8:55am Introduction
Richard M. Satava, MD
8:55 – 9:40am The Nature of Survival
Kenneth “Ken” Kamler, MD – “Doctor of Everest”
9:45am Book Signing by Dr. Kamler

 
The Nature of Survival
Hear and see the remarkable adventures of the famous ‘extreme expeditionary physician’, Dr. “Ken” Kamler, MD, known as the ‘Doctor on Everest’, as he tells (and shows photos and videos) of his extraordinary experiences and witnessing “impossible” survivals – on top of Mount Everest and in the deep Amazon jungle; and of the incredible stories told to him in Kazakhstan by survivors of Stalin’s Gulag prison system, and by the Ukraine families that lived a year underground in a cave to escape the Nazis. Listen and see his amazing account of an expedition using a state-of-the-art remotely operated vehicle (ROV) ‘robotic submarine’, and together with Jeff Bezos, to recover the Apollo Eleven rocket engine from a depth of 14,000 ft in the mid-Atlantic. Could you withstand such incredible survivals?