Advanced Minimal Access Upper GI Surgery

Learning Outcomes

Master Laparoscopic instruments & Ergonomics
Perform Common gastro-intestinal surgeries in 3-D printed anatomical models
Gain proficiency in stapling, suturing

Description

Minimal access surgery (MAS) has seen remarkable advancements over the past two decades, offering benefits such as shorter hospital stays, reduced analgesic use, and improved cosmetic outcomes compared to traditional surgery. The Advanced Minimal Access Upper GI (aMAS Upper GI) programme is designed to help participants learn evidence-based principles and improve their surgical techniques in upper GI surgery.

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Course Duration:

3 Days

Webinars, panels and small group discussions
Equipment, instrument and procedure demonstrations
Dry laboratory training on all technical aspect of MAS
Live demonstrations/master videos of various surgical procedures
Wet lab for hands-on experience during selected courses

Curriculum

Knowledge

Delivered through online lectures

Skill

Delivered through 3-day contact course at Apollo Simulation Centre

Assessment

For both knowledge and skills

Online Modules

All didactic lectures will be available as online modules for candidates 2 weeks prior to the contact course to prepare for the course well in advance. All the required theory knowledge will be learnt through web platform. There will be a Q&A section available after each lecture to interact with the faculty for any additional doubts to be clarified. Completing online modules is mandatory for certification.

S. No	Topic
Essential
1	Introduction to laparoscopy
2	Basic ergonomic principles
3	Laparoscopic instruments
4	Energy sources
5	Tissue approximation
6	Access techniques
7	Equipment maintenance
8	Troubleshooting
9	Anaesthetic considerations
10	Robotic surgery
Speciality
11	Upper GI anatomy and radiology
12	Surgery for reflux and hiatus hernia
13	Surgery for achalasia cardia
14	Laparoscopic esophagectomy
15	Thoracoscopic esophageal surgery
16	Benign gastric surgeries
17	Gastric bypass surgeries
18	Lap gastrectomy and LN dissection
19	Therapeutic upper GI endoscopy
20	Complications and management

Contact Course

Contact course is aimed at providing practical knowledge about everything that one needs to know about Advanced Minimal Access Surgery – Upper GI. This is achieved by way of 30% of time spent on demonstrations and 70% time on hands-on training, which includes:

Day 1: ASC

Time	Event	Comment
08:45	Registration and pairing	Welcoming of participants
09:00	D1: Instruments	Image chain, lap trolley
09:45	D2: Basic principles	Ergonomics of set-up and access
10:30	D3: Access techniques (esophagectomy)	Creation of working space
11:00	Coffee Break
11:15	H1: Access and dexterity (gastrectomy)	Scope and instrument handling
12:00	H2: Dissection and shears	Dissection and scissors exercise
12:30
13:30	H3: Knotting and clipping	Step by step approaches
14:15	H4: Electrosurgery	Advantages and disadvantages
15:00	Coffee/Tea – Lounge
15:15	P1: Thoraco laparoscopy	Endoloop, ligaclips
15:45	P2: Esophagectomy master video	Diathermy exercises
16:15	Summary	Views, recap and group photo
16:30	End of Day 1

Day 2: ASC

Time	Event	Comment
08:30	Overview	Pairing
08:45	H5: Intracorporeal suturing	Needle handling, suturing
09:30	H6: Stapling	Stapling techniques
10:15	Coffee Break
11:15	P3: Upper GI complications	How to overcome difficulties
11:45	P4: Upper GI mishap videos	Edited Videos
12:30	Lunch Break
13:30	M1: Haital dissection	Simulation model
14:00	M2: Fundoplication	“
15:00	Coffee Break
15:15	M3: Gastric stapling	Simulation model
16:00	M4: Gastroenterostomy	“
16:45	Summary and feedback	Views and recap
17:00	End of Day 2

Day 3: ASC

Time	Event	Comment
08:00	Overview	Pairing
08:15	S1: Available surgery	Step by step approach
09:30	Move to wet lab or live surgery
13:30	Lunch Break
14:00	E1: OSCE	Practical exam
15:00	Coffee Break
15:15	E2: Results and certification	Analysis of performance
15:45	Summary	Views and feedbacks
16:00	End of the Course