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<strong>2017</strong> Learning Center (cont.) <strong>SAGES</strong> does not offer CME for the Learning Center<br />

<strong>SAGES</strong> <strong>2017</strong> Surgical Spring Week<br />

6. Advanced Laparoscopic Suturing of<br />

Anastomoses<br />

Coordinator: Julian Varas, MD<br />

The ALSA station allows the participants to acquire advanced<br />

laparoscopic suturing skills to perform permeable and leakfree<br />

anastomosis of different sizes and positions. Participants<br />

will practice on validated real-tissue simulation models<br />

in high definition endotrainers. The main goal is to learn<br />

how to safely perform hand-sewn and mechanical small<br />

bowel anastomosis and the principles to perform small<br />

duct-to-mucosa anastomosis. Instructors will give tips<br />

and feedback and also an iOS App with video tutorials will<br />

guide participants through the training. Each exercise has<br />

a time goal and all anastomoses performed are tested for<br />

permeability and leakage.<br />

Objectives:<br />

• Understand the principles of laparoscopic anastomosis in<br />

different sizes and positions<br />

• Perform various laparoscopic anastomoses in real-tissue<br />

simulation models inside an HD endotrainer (jejunojejunostomy,<br />

hepatico-jejunostomy and pancreaticojejunostomy)<br />

• Practice laparoscopic intracorporeal suturing with 3-0, 4-0<br />

and 6-0 needles<br />

7. Fundamentals of Endoscopic Surgery<br />

(FES)<br />

Coordinator: Jonathan Pearl, MD<br />

Flexible Endoscopy continues to be an important component<br />

to a General Surgeons practice. Endoscopy requirements in<br />

residency training have increased over the past few years and<br />

simulation is now a requirement. This station will showcase<br />

the newly developed Flexible Endoscopy training models.<br />

These models allow training in scope navigation, tissue<br />

targeting, retroflexion and loop reduction.<br />

Objectives:<br />

• Practice valuable endoscopic skills in a reproducible model<br />

• Perform various endoscopic tasks in a virtual reality<br />

simulator<br />

• Evaluate the <strong>SAGES</strong> endoscopic curriculum<br />

8. Fundamental Use of Surgical Energy<br />

(FUSE)/ Virtual Electrosurgical Skill<br />

Trainer<br />

Coordinators: Emilie Fitzpatrick, MD and Brian Nguyen, MD<br />

<strong>SAGES</strong> has developed a curriculum to help with the<br />

understanding and safe use of energy devices in the operating<br />

room. This learning station will allow the user to review the<br />

science and safety behind monopolar, bipolar and ultrasonic<br />

energy devices. Participants will have the opportunity to<br />

use the VEST simulator. The VEST simulator will introduce<br />

learners to the basic electrosurgical tasks in surgery within a<br />

high fidelity virtual reality environment using both monopolar<br />

and bipolar electrosurgical tools.<br />

Objectives:<br />

• Describe the physics behind common energy devices in the<br />

operating room<br />

• Appreciate the difficulties related to the use of the<br />

electrosurgical tools.<br />

• Learn the proper technique in performing electrosurgical<br />

tasks safely<br />

• Perform different energy-based tasks within a simulated<br />

scenario using both monopolar and bipolar electrosurgical<br />

tools<br />

9. Telestration-Guided Laparoscopic Visual<br />

Skills Practice<br />

Coordinator: Helena Mentis, PhD<br />

The demonstrated telestration system allows mentors<br />

to provide reference and annotation on the real-time<br />

laparoscopic video. For this Learning Center activity,<br />

participants will practice a low-fi laparoscopic skill on<br />

physical boxes with the guidance of a mentor. The goal is for<br />

the participant to learn to identify an exact task target as well<br />

as visually learn the steps to accomplish the task. Throughout<br />

the task, the mentor will provide verbal instructions and<br />

telestrations on the video display.<br />

Objectives:<br />

• Practice the laparoscopic visual skills with the guidance of<br />

mentors<br />

• Identify efficient ways in accomplishing the tasks<br />

• Adopt expert gaze patterns in performing the tasks<br />

• Develop communication skills with a mentor<br />

<strong>SAGES</strong> acknowledges contributions in-kind in support of this venue from:<br />

3D Medical, 3-D Systems, ConMed, Ethicon, Intuitive, Karl Storz, KyotoKagaku, Medtronic, Olympus<br />

108 Surgical Spring Week · <strong>SAGES</strong> <strong>2017</strong> · March 22 - 25, <strong>2017</strong> · www.sages<strong>2017</strong>.org

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