Programme

Hands-on Workshop on Transanal Endoscopic Operations in the elderly
9.00-9.10
Welcome and Introduction
9.10-9.20
Indications for transanal operations in the elderly
9.20-9.30
Overview of Instrumentation
9.30-9.50
Technique of transanal operations & Tips and tricks
9.50-12.00
Hands-on training on isolated animal organs together with video case presentations
12.00-12.30
Lunch
Perioperative management of elderly patient...
12:30-13:00
Registration
13:00-13:15
Welcome, participants’ self-introduction and course aims
13:15-13:35
Definition of old age in surgery and changes in the body associated with aging that have influence on surgery
13:35-13:55
The goal of surgical treatment in the elderly – different for the surgeon and the patient?
13:55-14:15
Frailty, Sarcopenia, geriatric syndromes in the surgical patients.
14:15-15:15
Perioperative management of elderly patient with cancer
-Workshop session-
Anticoagulation before and after surgery, Chronic kidney disease, Polypharmacy
15:15-16:00
Lunch
16:00-16:30
Qualification for an elective surgery in the elderly - current status of preoperative assessment in the elderly
16:30-17:45
Frailty screening and Comprehensive Geriatric Assessment
-Workshop session-
Presentations of different frailty screening scores (G8, VES-13, aCGA, GFI, TRST), Fried frailty criteria, Geriatric Assessment tools (ADL, I-ADL, CDT, BOMC, MMS, MOCA, GDS, CCS, CIRS-G, Satarianos-index, GDS, MOS-SSS, PACE) along with the practical exercises.
17:45-18:05
Multimodal treatment of frail elderly patients with cancer – is it possible?
18:05-18:35
Tips and Tricks in surgical oncology - strategies to modify the perioperative risk.
Practical approach to cancer treatment in the elderly
9.00-9.10
Introduction and aims for the day
9.10-9.50
Breast cancer
(MDT Case Based Discussion)
9.50-10.30
Oesophageal cancer
(MDT Case Based Discussion)
10.30-10.50
Coffee break
10.50-11.30
Gastric cancer
(MDT Case Based Discussion)
11:30-12:10
Pancreatic cancer
(MDT Case Based Discussion
12:10-12:30
Colorectal cancer in the elderly.
12:30-13:30
Lunch
13:30-14:10
Colon cancer
(MDT Case Based Discussion
14:10-14:50
Rectal cancer
(MDT Case Based Discussion)
14:50-15:10
Cytoreductive surgery and HIPEC in the elderly.
15:10-15:30
Treatment of metastatic disease in the elderly.
15:30-15:50
Coffee break
15:50-16:10
Advanced laparoscopic operations in the elderly.
16:10-16:50
Liver cancer
(MDT Case Based Discussion)
16:50-17:30
Sarcoma
(MDT Case Based Discussion)
19:00
Welcome evening
Postoperative complications, prevention and their management
8:10-8:40
8:40-9:10
9:10-9:40
9:40-10.00
Postoperative complications:
- Medical (Cardiological, Respiratory, Neurological, Psychiatric).
- Management of complications in pancreatic surgery in the elderly.
- Management of complications in the upper and lower GI surgery.
Discussion
10:00-10:15
Coffee break
10:15-10:35
10:35-10:55
10:55-11:15
Improving the postoperative results:
- Pre- and postoperative nutritional intervention in the elderly.
- Prehabilitation and rehabilitation.
- Technology improving the outcome of elderly patients.
10.30-10.50
Elderly cancer patient undergoing emergency surgery - preoperative assessment, possibilities of treatment.
10.50-11.30
Workshop
Difficult cases submitted by the participants.
Take home massages. Collaboration network.
11:30-12:10
Evaluation of the course and final conclusions