EAES Wintermeeting 2020

Wintermeeting Krakow 2020

Technologies to prevent and to treat complications

Friday, 24^th January 2020

Review

In the last decades technological innovations such as mobile phones or internet radically changed our life. Technology became the myth of the new millennium and the “reliance” on new technologies increases day by day.

The relationship between surgery and technology represents a major role in the future of our profession

The 2020 EAES Wintermeeting, a tradition conceived by Prof. Gerhard Buess and the Technology Committee, this year proposed to revisit the different technologies available today to prevent and to treat surgical complications

We presented the scenario of the most appealing technologies available or about to be, that are likely to change our way of being surgeons in a short time. We presented and discussed perspectives offered by artificial intelligence, 3D printing and simulation of difficult cases, augmented reality and new frontiers of optical imaging.

While numerous new technologies are proposed to surgeons and introduced into clinical practice every year, this happens in many cases after a very limited evaluation. The clinical and economic consequences of this phenomenon and the role of surgeons in managing it, represent some of the major challenges we are facing. For this reason also this year we demonstrated re-live the use of several technologies in the OR such as flexible robots for trans-anal surgery or suturing devices for flexible endoscopy and their applications in the different districts, to burst discussion on their actual benefit and need and of course, their possible improvements.

Finally, we presented an update on the many different technologies that today help the surgeon in facing and treating complications, in the spirit of minimally invasiveness. New technologies for percutaneous drainage, haemostat agents and endoscopic tools were presented and compared to surgical approach, in order to discuss their correct role today.

Expert surgeons and key opinion leaders presented their experience including the evolution of training & education, analysing the role of artificial intelligence, social media channels and robotic technology for their improvement.

Programme

Session 1. How technology can help us to prevent complications and errors
Chairs: Felix Nickel (Germany), Marek Zawadzki (Poland)

08.30 – 08.45   Artificial Intelligence for decision support – Chen Sagiv (Israel)

08.45 – 09.00   Computer assisted surgery – Andreas Melzer (Germany)

09.00 – 09.15   Telementoring & Telestration – Felix Nickel (Germany)

09.15 – 09.30   Preoperative simulation for difficult cases – Stefania Marconi (Italy)

09.30 – 09.45   Intraoperative Augmented Reality  – Manish Chand (UK)

09.45 – 10.00   Intraoperative Optical Imaging – Michele Diana (France)

10.00 – 10.30    Coffee break

Session 2. Re-live surgery to demonstrate & discuss the use of technology in the OR
Chairs: Thomas Carus (Germany), Piotr Richter (Poland)

10.30 – 10.50   Medrobotics – Flex Robot for Transanal Endoscopic Microsurgery – Alberto Arezzo (Italy)

10.50 – 11.10   Endoscopic treatment of post-esophagectomy severe reflux using OverStitch – Kiyokazu Nakajima (Japan)

11.10 – 11.30   Using technology to be Pro-active not just Re-active; Predicting and preventing complications in surgery – Manish Chand (UK)

Session 3. How technology can help us to treat complications
Chairs: Marlies Schijven (The Netherlands), Piotr Myśliwiec (Poland)

11.30 – 11.45   Percutaneous surgical treatment of complications – Mariano Giménez (France)

11.45 – 12.00   New haemostatic agents – Kiyokazu Nakajima (Japan)

12.00 – 12.15   Endoluminal treatment: the flexible approach – Alberto Arezzo (Italy)

12.15 – 12.30   The surgical approach: when and how to reoperate – Luigi Boni (Italy)

12.30 – 12.45   Simulator training to treat complications – Thomas Carus (Germany)

13.00 – 14.30   Lunch