Advanced Laparoscopic Colorectal Surgery

MONDAY 21.11.2022
11:00 Welcome and introduction
11:10 Basic principles
- Positioning of team and patient (Dr. Karvonen)
- Ports, insertion and positioning (Dr. Karvonen)
- Electrocautery and modern energy devices (Dr. Kössi)
12:30 Lunch
13:15 Laparoscopic left colectomy and sigmoid resection
- Laparoscopic left colectomy and sigmoid resection for
cancer (Dr. Kössi)
- Division of inferior mesenteric vessels
- Mobilisation of splenic flexure
- Anastomosis
- Laparoscopic left colectomy and sigmoid resection for diverticulosis (Dr. Karvonen)
- Indication
- Technique
14:15 Surgery for inflammatory bowel disease
- Surgery for Crohns disease (Dr. Tomminen)
- Surgery for ulcerative colitis (Dr. Tomminen)
15:15 Coffee
15:30 Introduction to dry lab
15:45 Wet lab on intestinal model
(Karvonen, Kössi, Tomminen)
- Exercise in hand sutured anastomosis
17.15 End of day 1

TUESDAY 22.11.2022
09:00 Laparoscopic right colectomy (Dr. Kössi)
- Laparoscopic right colectomy for cancer
- Medial approach
- Ileocolic artery division
- Medial colic artery division
- Anastomosis, intra/extracorporeal
- CME
- Vessel handling
- Anastomosis
- Traps
10:15 Porcine colorectal anatomy and rectopexy
10:30 Coffee
10:45 Laparoscopic rectal and stoma surgery
- Laparoscopic rectal cancer surgery (Dr. Tomminen)
- Laparoscopic TME
- Laparoscopic APR
- Laparoscopic ventral rectopexy (Dr. Karvonen)
- Laparoscopic stoma formation (Dr. Karvonen)
12:30 Lunch
13:30 Workshop on avital pig (Karvonen, Kössi, Tomminen)
- Laparoscopic sigmoid resection
- Laparoscopic ventral rectopexy
15:45 Coffee
16:00 Complications (Dr. Tomminen)
- Bleeding
- Ureteral injury
- Anastomotic complications
- Postoperative detection of complications
17:00 End of day 2

WEDNESDAY 23.11.2022
09:00 ERAS and laparoscopic surgery (Dr. Karvonen)
- Preoperative components
- Intraoperative components
- Postoperative components
09:45 Coffee
10:00 Animal surgery lab II (Karvonen, Kössi, Tomminen)
- Rectal resection
- Stapled anastomosis
- Ilestomy formation
12:30 Lunch
13:30 Video session (Karvonen, Kössi, Tomminen)
- Complications
- Rare cases
14:30 Farewell, Q&A, Certificates
15:00 Course ends