15th International Workshop in Robotic

Surgery for Southeastern Europe

Director of Studies: N. I. Nikiteas

Scientific Advisory Committee

Chairman: Prof. K. Konstantinidis

Members: Prof. Th. Diamantis

Prof. E. Georgiou

Prof. G. Kouraklis

Educational Committee

General Surgery: P. Antonakis

Urology: A. Ploumidis

Gynaecology: V. Hatzirafail

TRAINING PROGRAMME

Introduction The training program of this robotic workshop is divided in two sections. In the

first section there are lectures customized according to the surgical specialty of

the trainees. The second section focuses on hands-on training in the robotic

theatre and includes an introduction to the robotic theatre setup and training on

essential and procedural skills.

Each trainee has a unique identifier, A1 to A6. In the timetable that follows group

members can find all scheduled training sessions for them. The appendixes A, B,

C and D include a detailed list of the specific tasks that will be covered in the

Introduction to the robotic theatre, the Essentials skills, the Procedural skills, and

the Simulation training respectively.

TIMETABLE

Monday October 15th 2012

08:00 – 08:30 Welcome and visit to the Training Center,

Plusmedica presentation

(Groups A & B)

08:30 - 09:00 Introduction to the robotic theatre and presentation of

the Da Vinci robotic system

09:00 – 11:30 Essential skills – Simulation training

11:30 – 12:00 Break

12:00 – 12:25 Lecture

Topic: Robotics in rectal surgery

Speaker: N. Nikiteas

12:25 – 12:50 Lecture

Topic: Robotic prostatectomy

Speaker: V. Mygdalis

12:50 - 13:15 Lecture

Topic: Robotic benign gynaecology

Speaker: V. Hatzirafail

13:15 – 13:40 Lecture

Topic: Robotics in gynaecological malignancies.

Speaker: Al. Tserkezoglou

13:40 – 14:05 Lecture

Topic: Robotic nephrectomy

Speaker: A. Ploumidis

14:05 – 14:30 Lecture

Topic: Robotics in upper GI surgery

Speaker: K. Konstantinidιs

14:30 – 14:55 Lecture

Topic: Robotic colon resection

Speaker: H. Pappis

Group A

Tuesday October 16th 2012

08:00 - 11:50 Procedural Skills (A1, A2, A3)

Assistance (A4, A5, A6)

11:50 – 12:30 Lunch Break

12:30 – 15:00 Procedural Skills (A4, A5, A6)

Assistance (A1, A2, A3)

Wednesday October 17th 2012

08:00 - 11:50 Procedural Skills (A1, A2, A3)

Assistance (A4, A5, A6)

11:50 – 12:30 Lunch Break

12:30 – 15:00 Procedural Skills (A4, A5, A6)

Assistance (A1, A2, A3)

END OF COURSE FOR GROUP A

APPENDICES

APPENDIX A – INTRODUCTION TO THE ROBOTIC THEATRE

• System presentation in OR without and with porcine model

• Docking and draping

• At the end of dissection

� Undocking the system from the animal

� Undraping, compacting and shut-down of the system

� System storage

� Post-op management of instruments and accessories

• Urgent system removal simulation

APPENDIX B – ESSENTIAL SKILLS*

# Task Sessions & Time

A Camera Navigation 10 points – 5min

B Ring Placement 1x10 – 5min (5 Right hand, 5 Left hand)

C Cutting Star/Circle 1x1 & 1x1 – 5min

D Needle Driving Forehand x3 & Backhand x3 - 10min

E Knot Tying 3x3 - 10min

* The trainees who have attended the Robotic course of Euroclinic are eligible to

skip this part of training

APPENDIX C – PROCEDURAL SKILLS FOR GENERAL SURGEONS*

Anatomical dissection

Esophagus

Sigmoid colon – Descending colon

Bladder

Anastomoses

Gastrojejunal anastomosis

Entero-enteric anastomosis

Ileocolic anastomosis

Ileocystic anastomosis

Bladder-urethral anastomosis

Vessels

Splenic artery

Gastroepiploic artery

Iliac arteries (L-R)

Renal arteries (L-R)

Inferior mesenteric artery

Hepatoduodenal ligament

Surgical procedures

Cholecystectomy

Distal gastrectomy

Fundoplication

Left colectomy

Nephrectomy

*All trainees should complete at least one task of each category

APPENDIX C – PROCEDURAL SKILLS FOR GYNAECOLOGISTS*

Anatomical dissection

Uterus

Ovaries

Bladder - Urethra

Anastomoses

Entero-enteric anastomosis

Vessels

Iliac arteries (L-R)

Ovarian arteries (L-R)

Uterine arteries (L-R)

Surgical procedures

Oophorectomy

Paraortic lymph node dissection

Nephrectomy

*All trainees should complete at least one task of each category

APPENDIX C – PROCEDURAL SKILLS FOR UROLOGISTS*

Anatomical dissection

Kidney

Adrenal

Bladder - Urethra

Anastomoses

Ileocystic anastomosis

Bladder-urethral anastomosis

Vessels

Iliac arteries (L-R)

Renal arteries (L-R)

Ovarian arteries (L-R)

Surgical procedures

Oophorectomy

Paraortic lymph node dissection

Nephrectomy

*All trainees should complete at least one task of each category

APPENDIX D – SIMULATION TRAINING

Procedural skills

EndoWrist manipulation

Camera control

Needle driving

Energy and dissection

FACULTY

Nikiteas Nikolaos

Director of Studies, Associate Professor of Surgery, University of Athens

General Surgery

• Konstantinidis Konstantinos

Director of General, Laparoscopic and Robotic Surgery of Athens Medical

Center

• Pappis Harilaos

Director, 3rd Surgical Department, Hygeia Hospital

Urology

• Mygdalis Vassilios

Urologist, General Air Force Hospital

• Ploumidis Antonios

Director, Department of Urology of Athens Medical Center

Gynaecology

• Hatzirafail Vassiliki

Director of Gynaecological Department, Euroclinic, Athens

• Tserkezoglou Aliki

Gynaecologic Oncologist Euroclinic, v. director of “Ag. Savas” oncologic

hospital of Athens