robotic oncology

MINIMALLY INVASIVE NEW TECHNOLOGY IN ONCOLOGIC SURGERY

PAN AMERICAN

Robotic Oncology Symposium (PAROS)

The University of Texas M. D. Anderson Cancer CenterCancer Prevention Building – 8th Floor1155 Pressler Street, Houston, Texas

February 26–27, 2010

ACCREDITATION/ CREDIT DESIGNATIONThe University of Texas M. D. Anderson Cancer Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Texas M. D. Anderson Cancer Center designates this educational activity for a maximum of 14.50 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CME CERTIFICATES AND ATTENDANCE VERIFICATION CERTIFICATESCertificates awarding AMA PRA Category 1 CreditTM or certificates documenting attendance will be distributed to participants when an individual departs the symposium. To obtain a CME certificate, physicians must submit a completed evaluation question-naire and a CME Verification Form.

Upon request, a record of attendance (certificate) will be provided on-site to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

GOALThe goal of the symposium is to improve the outcomes of patients undergoing curative surgery for cancer by broadening the minimally invasive applications for cancer surgery and accelerating advances within specialties by providing a forum for cross-pollination by multiple specialties.

EDUCATIONAL OBJECTIVESAfter attending the symposium, participants should be able to•Listtheessentialelementscomprisinganadequatelymphadenectomy; Recognizesurgicalandpathologicbarrierslimitinglymphnodecounts; Operateusingtechniquesthatmaximizelymphnodeharvest;

•Discussthecurrentstateofroboticcancersurgeryintherespectivesurgicalspecialties;Listappropriatepatientselectioncriteriaforroboticapplications;

•Recognizethevalueofcross-specialtycollaborations;•Applythejudicialuseofroboticsurgerytoappropriatelyselectedpatients

with cancer•Identifymethodsthatmaximizetrainingoffellows,trainees,andcolleagues.

TARGET AUDIENCEThis symposium should be of interest to physicians from various surgical oncology disciplines (Urology, ENT, Gynecology, General Surgery, and Thoracic) that perform minimally invasive laparoscopic surgery and/or robotic surgery.

EDUCATIONAL METHODSLectures - Questions and Answers - Panel Discussions - Videos

EVALUATIONA course evaluation form will provide participants with the opportunity to comment on the value of the program content to their practice decisions, performance improvement activities, or possible impact on patient health status. Participants will also have the opportunity to comment on any perceived commercial bias in the presentations as well as to identify future educational topics.

PROGRAM CHAIRSurena F. Matin, MDAssociate ProfessorUrologyM. D. Anderson

M. D. ANDERSON PLANNING COMMITTEE

George J. Chang, MDAssistant ProfessorSurgical Oncology

John W. Davis, MDAssistant ProfessorUrology

Jennifer Y. Deneen, MPHAssociate Department AdministratorMINTOS-Division of Surgery

Ehab Y. Hanna, MDProfessorHead & Neck Surgery

Chris Holsinger, MD, FACSAssociate ProfessorHead & Neck Surgery

Pedro T. Ramirez, MDAssociate ProfessorGynecologic Oncology

Richard E. Royal, MDAssociate ProfessorSurgical Oncology

Pamela T. Soliman, MDAssistant ProfessorGynecologic Oncology

Nadine S. Turner, MBA, RNP. C. Nurse ManagerMain OR Nursing

Constance C. Tierney, CMPLogistics PlannerCME/Conference Management

Ara Vaporciyan, MDAssociate Professor, Thoracic & Cardiovascular Surgery

PAN AMERICAN

Robotic Oncology Symposium (PAROS)

February 26–27, 2010

Friday, February 26, 20107:00 am Registration and Continental Breakfast

8:00 Welcome Remarks

8:05 Keynote Speaker Andrew von Eschenbach, MD

GENERAL SESSION .......................................................

CURRENT STATUS OF ROBOTIC ONCOLOGY: WHERE ARE WE AND WHERE ARE WE GOING?

Moderators: Surena F. Matin, MD and Rene Sotelo, MD

8:35 Genitourinary Oncology Surena F. Matin, MD

8:45 Gynecologic Oncology Javier Magrina, MD

8:55 Surgical Oncology Woo-Jin Hyung, MD

9:05 Thoracic Oncology Bernard Park, MD

9:15 Head & Neck Oncology Chris Holsinger, MD

9:25 Panel Discussion/Questions and Answers All Faculty

9:45 Break

10:00 Anesthesia Considerations and Fire Safety Gabriel E. Mena, MD

10:20 OR Personnel: Nursing Perspectives on Multi-Service Robotic Procedures: Challenges and Opportunities

Nadine S. Turner, MBA, RN and John Sakaris, RN

10:40 Minimally Invasive Robotic Surgery: An Administrator’s Perspective Garrett L. Walsh, MD

11:00 Expert Panel Discussion and Automated Response System: Controversies in Robotic Surgery

Moderator: Pedro T. Ramirez, MD Topics: GYN Experts: Javier Magrina, MD GU Experts: Inderbir Gill, MD SO/T Experts: Pier C. Giulianotti, MD H&N Experts: Chris Holsinger, MD

12:00-1:00 pm Lunch (provided)

Optional Session – non CME How the da Vinci works: Robotics 101;

Future of the da Vinci

BREAKOUT SESSIONS ...................................................

GENITOURINARY1:00 pm Introduction Surena F. Matin, MD and John W. Davis, MD

Prostate Cancer: Trifecta and Training Moderator: Inderbir Gill, MD

1:05 Surgical Margins and Oncologic Outcomes Craig Rogers, MD

1:25 Urinary Control: Techniques and Results Vipul Patel, MD

1:45 Erectile Function: Techniques and Results Jean Joseph, MD

2:05 Training and Curricula in RARP: M. D. Anderson Perspective John W. Davis, MD

2:25 Training and Curricula in RARP: Mayo Clinic Perspective Erik Castle, MD


3:05 Break

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PROSTATE CANCER: MISCELLANEOUS Moderators:

John W. Davis, MD; Vipul Patel, MD; Craig Rogers, MD

3:20 Extraperitoneal Approach to RARP Jean Joseph, MD

3:40 Lymphadenectomy: Limited, Extended, or Skip It All Together?

Mihir Desai, MD

4:00 Panel: Video Highlights: Difficult Cases, Tips for Efficiency, Audience Requests

4:30 Minimally Invasive Surgery in Urology: Current Perspectives

Inderbir Gill, MD

GYNECOLOGIC ONCOLOGY1:00 pm Introduction Pamela T. Soliman, MD

1:10 How to Get Your Foot in the Door: Starting a Robotic Gynecology Program in a Busy Practice

John Boggess, MD

1:40 Robotic Radical Hysterectomy Farr Nezhat, MD, FACS

2:10 Robotic Radical Trachelectomy Pedro T. Ramirez, MD

2:40 Extraperitoneal Approach to Lymphadenectomy: Using the Robot

Javier Magrina, MD

3:10 Break

3:25 Controversy in Endometrial Cancer Staging: Is Combining Laparoscopy and the Robot the Best Approach?

Pamela T. Soliman, MD

3:55 Expert Faculty Discussion Trouble-Shooting in Robotic Surgery Moderators: John Boggess, MD and Javier Magrina, MD

4:30 Video Presentations Pedro T. Ramirez, MD and Pamela T. Soliman, MD

HEAD AND NECK SURGERY – THYROID1:00 pm Introduction Chris Holsinger, MD

1:15 Endoscopic Management of the Neck: from MiVAT to Chung Chris Holsinger, MD

1:30 Transaxillary Robotic Thyroidectomy Woong Youn Chung, MD

2:00 Implementing Robotic Thyroid Surgery in Your Practice: Pitfalls and Possibilities

Ronald B. Kuppersmith, MD

2:30 Trans-axillary Thyroidectomy, via pure endoscopic approach US Experience

Simon K. Wright, MD

3:00 Break

3:15 Video Session: TransAxillary Thyroidectomy Sang-Wook Kang, MD

4:00 Minimally Invasive Video-assistedThyroidectomy: Less is More

Stephen Y. Lai, MD

4:30 Panel Discussion: Training, Complications, and Skills-Development

Woong Youn Chung,MD; Ronald B. Kuppersmith, MD; Simon K. Wright, MD; Sang-Wook Kang, MD

Chair: Chris Holsinger, MD

SURGICAL ONCOLOGY & THORACIC1:00 pm Introduction Richard E. Royal, MD

1:15 Collision Avoidance: What, When, and How to Optimize Instrumentation

TBD

1:30 Robotic Gastric Surgery with Lymphadenectomy (US) Alessio Pigazzi, MD

2:00 Robotic Gastric Surgery with Lymphadenectomy (Korea) Woo-Jin Hyung, MD

2:30 Current Status of Robotic Hepatobiliary Oncology Pier C. Giulianotti, MD

3:15 Break

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3:30 Robotic Rectal Oncology: The Case for the Totally Robotic Approach Alessio Pigazzi, MD

4:00 Robotic Rectal Oncology: The Case for the Hybrid Approach George J. Chang, MD


GENERAL SESSION .....................................

5:00 pm Reception

6:00 pm Adjournment

Saturday, February 27, 20107:30 am Registration/Continental Breakfast

GENERAL SESSION .......................................................

ROBOTIC TRAINING Moderator: Ara Vaporciyan, MD

8:00 Robotic Training: Simulators and Results of Curriculum Based Training John W. Davis, MD

8:15 Challenges and Solutions in Training the Practicing Surgeon Alessio Pigazzi, MD

8:30 Panel Discussion/Questions and Answers John W. Davis, MD; Alessio Pigazzi, MD;

Rene Sotelo, MD; Pedro Escobar, MD

8:45 Robotic-Specific Complications: Lessons Learned Richard E. Royal, MD

GYN: John Boggess, MD GU: Erik Castle, MD and Mihir Desai, MD SO: Pier C. Giulianotti, MD H&N: Eric Moore, MD

9:30 Open Mike: Question and Answer Panel

9:50 Break

FUTURE OF ROBOTICS Moderators: John Boggess, MD and Craig Rogers, MD

10:00 Endoluminal, Flexible, and Single Port Robotics Mihir Desai, MD

10:15 Microrobots Inside You Jean Joseph, MD

10:30 Tilepro and Future of Image Guidance Woo-Jin Hyung, MD


11:00 Lunch (provided)

BREAKOUT SESSIONS ...................................................

GENITOURINARY BLADDER CANCER Moderator: Erik Castle, MD

11:30 Point/Counterpoint: Is Robotic Extended Pelvic Lymphadenectomy as Good as Open Surgery? Yes!

Erik Castle, MD

11:45 Point/Counterpoint: Is Robotic Extended Pelvic Lymphadenectomy as Good as Open Surgery? No!

Christopher G. Wood, MD

12:00 pm Short-term Outcomes After Robotic Radical Cystectomy John W. Davis, MD

12:20 Point/Counterpoint: Totally Intracorpoeial Urinary Diversion – Pro Inderbir Gill, MD

12:40 Point/Counterpoint: Totally Intracorpoeial Urinary Diversion – Con Rene Sotelo, MD

12:55 Questions and Answers All Faculty

1:25 Break

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KIDNEY CANCER Moderators: Surena Matin, MD and Mihir Desai, MD

1:40 Results of Nephron-Sparing Surgery: Meeting the Standards of 3 Open Surgery

Christopher G. Wood, MD

2:00 Robotic Partial Nephrectomy: Pros & Cons, Techniques, and Results

Craig Rogers, MD

2:20 Laparoscopic Partial Nephrectomy: Pros & Cons, Techniques, and Results

Rene Sotelo, MD


HEAD AND NECK SURGERY - TORS11:30 am Introduction Chris Holsinger, MD

11:35 TORS: The UAB Experience Scott Magnuson, MD

12:05 pm TORS: The Mayo Experience Eric Moore, MD

12:35 TORS and Beyond: Free-flaps, skull-base and the Mt. Sinai Experience Eric Genden, MD

1:05 Break

1:20 Expanding Reconstructive Surgery Using Robotics Jesse Selber, MD

1:50 TORS for “Benign” Disease, with a focus on sleep apnea surgery Claudio Vicini, MD

2:10 Incorporating Robotic Surgery into the Multidisciplinary Paradigm Chris Holsinger, MD


SURGICAL ONCOLOGY & THORACIC11:30 am Introduction George J. Chang, MD

11:45 Minimally Invasive Surgery for Tumors of the Pancreas: Is the Robot the Answer?

Pier C. Giulianotti, MD

12:30 pm Retroperitoneal LND Richard Royal, MD

1:00 Break

1:15 Robotic Assisted Surgery for the Esophagus

TBD

2:00 Robotic Assisted Surgery for Lung Cancer – Why and How Bernard Park, MD


GENERAL SESSION .......................................................

3:00 pm Adjournment

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GYNECOLOGIC ONCOLOGY11:30 am Introduction Pedro T. Ramirez, MD

11:40 Difficult Adnexal Masses/Challenging Robotic Cases Farr Nezhat, MD

12:10 pm Robotic-Assisted Single Site Surgery in Gynecologic Oncology

Pedro Escobar, MD

12:40 Learning Curve for Robotics and Gynecologic Oncology Pamela T. Soliman, MD

1:10 The Fellow’s Perspective on Robotic Surgery in Training Programs

Shannon Neville Westin, MD

1:40 Break

1:55 Debate Moderator: Pedro T. Ramirez, MD Laparoscopy: Michael Frumovitz, MD Robotics: John Boggess, MD

Physician Training: Should we all learn standard laparoscopy first?

Fellow Education: Are we compromising the education of our fellows by using the robot?

Endometrial Cancer: Is the staging procedure really the same? Open discussion

REGISTRATION INFORMATIONOn-site registration opens at 7:00 a.m. on Friday, February 26, 2010, and the symposium will begin at 8:00 a.m. on Friday, February 26, 2010. Advance registration is encouraged as space and materials are limited. Please see registration form for applicable fees.

The deadline for advance registration is February 12, 2010.There are three ways to register:•Mailto:CME/ConferenceManagement–Unit1381,

The University of Texas M. D. Anderson Cancer Center P.O.Box301439,Houston,TX77230-1439•Faxto:713-794-1724•On-lineatwww.mdanderson.org/conferences

We accept the following forms of payment:•Check(payablethroughU.S.banksonly)•MoneyOrder•CreditCards(MasterCard,VISA,andAmericanExpress)•Cash(on-siteregistrationonly)

A receipt and confirmation letter will be sent to you within ten working days of receipt of your fee.

The full conference registration fee includes the tuition, syllabus, continental breakfasts, breaks, lunches, and reception.

REFUND/CANCELLATION POLICYThe registration fee, minus a $50 administrative handling fee, is refundable if a written request is received on or before February 12, 2010. No refunds will be granted after that date. The request for a registration refund must include the tax identification number of the company or institution if registration was paid by a company or institution check. Although no refunds will be granted after February 12, 2010, you may transfer your registration to a colleague.

The Department of CME/Conference Management reserves the right to cancel activities prior to the scheduled date, if low enrollment or other circumstances make it necessary. Each registrant will be notified by mail, e-mail, or the contact numbers as given on the registration form. In case of activity cancellation, liability of the Department of CME/Conference Management is limited to the registration fee. CME/Conference Management will refund the full registration fee.

The Department of CME/Conference Management reserves the right to limit the number of participants in a program and is not responsible for any expenses incurred by an individual whose registration is not confirmed and for whom space is not available.

For additional information, contact CME/Conference Management at 713-792-2223ortollfreeat866-849-5866.

George J. Chang, MDAssistant ProfessorSurgical Oncology

John W. Davis, MDAssistant ProfessorUrology

Michael Frumovitz, MDAssistant ProfessorGynecologic Oncology

Chris Holsinger, MD, FACSAssociate ProfessorHead & Neck Surgery

Stephen Y. Lai, MD, PhDAssistant ProfessorHead & Neck Surgery

Surena Matin, MDAssociate ProfessorUrology

M. D. Anderson Faculty .....................................

Guest Faculty ...................................................

Gabriel E. Mena, MDAssistant ProfessorAnesthesiology & Pain Medicine

Pedro T. Ramirez, MDAssociate ProfessorGynecologic Oncology

Richard E. Royal, MDAssociate ProfessorSurgical Oncology

John Sakaris, RNClinical NurseMain OR Nursing

Jesse C. Selber, MDAssistant Professor Plastic Surgery

Pamela T. Soliman, MDAssistant ProfessorGynecologic Oncology

Nadine S. Turner, MBA, RNP. C. Nurse ManagerMain OR Nursing

Ara A. Vaporciyan, MDAssociate ProfessorThoracic & Cardiovascular Surgery

Andrew von Eschenbach, MDAdjunct ProfessorUrology

Garrett L. Walsh, MDProfessorThoracic & Cardiovascular Surgery

Shannon Neville Westin, MDFellowGynecologic Oncology

Christopher G. Wood, MDAssociate ProfessorUrology

John Boggess, MDUNC Health Care SystemChapel Hill, North Carolina

Erik Castle, MDMayo Clinic Cancer CenterScottsdale, Arizona

Woong Youn Chung, MDSeverance Hospital Yonsei University Medical CenterSeoul, Korea

Mihir Desai, MDUniversity of Southern CaliforniaLos Angeles, California

Pedro Escobar, MDCleveland ClinicCleveland, Ohio

Eric Genden, MDMount Sinai School of MedicineNew York, New York

Inderbir Gill, MDUniversity of Southern CaliforniaLos Angeles, California

Pier Cristoforo Giulianotti, MDUniversity of Illinois Medical CenterChicago, Illinois

Woo-Jin Hyung, MDSeverance HospitalYonsei University Medical CenterSeoul, Korea

Jean Joseph, MDUniversity of RochesterRochester, New York

Sang-Wook Kang, MDSeverance HospitalYonsei University Medical CenterSeoul, Korea

Ronald B. Kuppersmith, MDCollege Station Medical CenterCollege Station, Texas

Scott Magnuson, MDUniversity of AlabamaBirmingham, Alabama

Javier Magrina, MDMayo Clinic Cancer CenterPhoenix, Arizona

Eric Moore, MDMayo ClinicRochester, Minnesota

Farr Nezhat, MD, FACSTuttenberg Treatment CenterNew York, New York

Bernard Park, MDMemorial Sloan-Kettering Cancer CenterNew York, New York

Vipul Patel, MDFlorida Hospital Global Robotics InstituteCelebration, Florida

Alessio Pigazzi, MDCity of HopeDuarte, California

Craig Rogers, MDHenry Ford HospitalDetroit, Michigan

Rene Sotelo, MDInstituto Medico La FlorestaVenezuela

Claudio Vicini, MDUniversity of PaviaItaly

Simon K. Wright, MDIowa Methodist Medical CenterDes Moines, Iowa

SPECIAL ASSISTANCEContacttheDepartmentofCME/ConferenceManagementat713-792-2223ortollfreeat866-849-5866ifyouhaveanyspecialdietaryorADAaccommodation needs.

ACCOMMODATIONS•AblockofroomshasbeenreservedforsymposiumattendeesattheHotel

ZaZa, 5701 Main Street, Houston, Texas. •Earlyhotelreservationissuggested.•Thehotelphonenumberis713-526-1991•WhenyoumakereservationsbesuretomentionthePan American Robotic

Oncology Symposium (PAROS) to be assured of receiving the special meetingrateof$179.00singleordoubleoccupancy.Pleaseadd17%Texas state and local taxes. Reservations and deposits received after February 10, 2010 will be confirmed if space is available and at current hotel published guest room rates.

AIR TRAVELM. D. Anderson has a program with Continental Airlines for discounted air travel. For discounts, call your travel professional or Continental’s MeetingWorkstollfreeat800-468-7022.OutsideoftheUnitedStates,please call your local Continental Airlines Reservation Office. Mention Z Code: ZG6C and Agreement Code: DK9EJX.

GROUND TRANSPORTATION•Houstonisservedbytwoairports,GeorgeBushIntercontinental(IAH)andWilliamP.Hobby(HOU).

•Taxicabsareavailableatanestimatedcostof$40-60,toorfromWilliamP.HobbyAirportorGeorgeBushIntercontinentalAirport.

•SuperShuttleoperatesashuttlebusbetweenGeorgeBush IntercontinentalAirportandtheHotelZaZafor$23one-wayand $42round-trip.Formoreinformation,call713-523-8888ortoll-free at800-258-3826oron-lineatwww.supershuttle.com.

•SuperShuttleoperatesashuttlebusbetweenWilliamP.HobbyAirportandtheHotelZaZafor$18one-wayand$32round-trip.Formoreinformation,call713-523-8888ortoll-freeat800-258-3826oron-lineat www.supershuttle.com.

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The University of Texas M. D. Anderson Cancer Center has implemented a process whereby everyone who is in a position to control the content of an educational activity must disclose all relevant financial relationships with any commercial interest that could potentially affect the information presented. M. D. Anderson also requires that all faculty disclose any unlabeled use or investigational use (not yet approved for any purpose) of pharmaceutical and medical device products. Specific disclosure will be made to the participants prior to the educational activity.

Agendas are subject to change because we are always striving to improve the quality of your educational experience. M. D. Anderson may substitute faculty with comparable expertise on rare occasions necessitated by illness, schedule conflicts, and so forth.

Photographing, audio taping and videotaping are prohibited.

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