1.3. Interdisciplinary strategies of the treatment of colorectal carcinomas

Course leader:

Prof. Jens Ricke

Prof. Max Seidensticker
 

Maximum number of participants: 20 in the theoretical part, limited to small groups in the practical part
 

Course length: 3 days, practical part can be booked modular-wise

Dates: on request 

Course fee: on request

 

Course objective: The available spectrum of treatment forms and possibilities of metastatic colorectal carcinoma is very complex. The choice between systemic or local therapies, that also isn`t answered sufficiently by the guidelines. To make the decision-making easier, this course wants to convey knowledge about therapeutic standards and new therapy forms.

Major target group: physicians engaged in oncological work with favored surgical, internistic, radiological background.

This course can be adapted to individual needs of e.g. hospitals and practitioners.

 

CONTENT

Day 1

Theory

 

Colorectal carcinoma

Introduction

Speaker oncologist

  • Epidemiology
  • Etiology and pathophysiology of the evolution of carcinoma
  • Clinical presentation
  • Role of molecular markers
  • Staging

Diagnostics

Speaker radiologist

  • Diagnostic algorithm at colorectal- or rectal carcinoma
  • Imaging in the follow-up of colorectal carcinoma
  • State-of-the-art options beyond the S3 guideline

Endoscopic management

Speaker gastroenterologist

  • Prevention, screening, risk groups (adenomas, FAP, AAPC, chronic-inflammatory intestinal diseases) 

Surgical treatment of primary colon cancer

Speaker surgeon

  • Surgical techniques for colon cancer
  • The complete mesocolic excision
  • Importance of laparoscopic techniques
  • Surgical techniques for rectal carcinoma

Basics of systemic treatment of colorectal carcinoma

Speaker oncologist

  • Substances, profiles, management 


Day 2

Theory

Chemotherapy of CRC: S3 guidelines and more
Speaker oncologist 

  • Neoadjuvant, adjuvant and palliative approaches

Diagnostic imaging

Speaker radiologist and expert in nuclear medicine

  • Radiological state-of-the-art diagnostics (ultrasound, CT and MRI including DWI)
  • Role of PET / CT
  • State-of-the-art options beyond the S3 guideline
  • Surgical techniques

Surgical resection techniques

Speaker surgeon

Lung metastases surgery

  • Indications, contraindications
  • Preoperative functional diagnostics
  • Overview: access paths, resection techniques, video-assisted thoracoscopy (VATS)

Liver metastases surgery

  • Indications, contraindications
  • Traditional surgical techniques
  • Specifics of neoadjuvant chemotherapy concepts
  • Extreme Liver Surgery: combination therapies, portal vein embolisations

Image-guided microtherapeutic techniques

Speaker radiologist

Microtherapeutic treatment of lung metastases

Speaker radiologist

  • Indications, contraindications
  • Methods: RF ablation, microwave ablation, brachytherapy
  • Technical implementation
  • Periinterventional patient management
  • Tips and tricks
  • Management of complications
  • Follow-up and relapse diagnosis

Percutaneous portal vein embolisation

  • Indications, contraindications, evidence
  • Technical implementation 
  • Periinterventional patient management
  • Tips and tricks
  • Management of complications

Percutaneous ablative microtherapy

  • Presentation of the techniques: RFA, brachytherapy, microwaveIndications, contraindications, evidence
  • Technical implementation
  • Periinterventional patient management
  • Tips and tricks
  • Management of complications
  • Follow-up and relapse diagnosis

Trans-arterial chemoembolisation (TACE)

  • Indications, contraindications, evidence
  • Technical implementation
  • Periinterventional patient management
  • Tips and tricks
  • Dealing with complications
  • Follow-up and relapse diagnosis

Hepatic arterial infusion chemotherapy (HAI)

  • Indications, contraindications, evidence
  • Technical implementation
  • Periinterventional patient management
  • Tips and tricks
  • Dealing with complications

Yttrium-90 radioembolisation (SIRT)

  • Indications, contraindications, evidence
  • Technical implementation
  • Periinterventional patient management
  • Tips and tricks
  • Dealing with complications

 

Day 3

Practical

Intervention and exercises using phantom in a large animal laboratory
Observation

  • Surgery (Instructors: surgeons)
    Content Rectal resection, (laparoscopic) hemicolectomy
  • Radiology(Instructors: radiologist)
    Content CT and MR-guided AL, RFA, SIRT evaluation, SIRT)
  • Gastroenterology (Instructors: gastroenterologists)
    Content endoscopic polypectomy, mucosectomy

Hands-on

  • RFA applicators and generators
  • Electroporation
  • Microwave ablation
  • Brachytherapy systems
  • SIRT delivery device
  • TACE preparation of drug-eluting beads

Interventions using the phantom and in the animal laboratory (large animals)

  • CT-guided tumour ablation (tumour mimicked by injection of a glycerol / agarose gel)
  • MR-guided tumour ablation
  • Laparoscopic liver resection
  • Endoscopic mucosectomy, polypectomy

Registration Conditions:

Registration is compulsory. Cancellations recieved up to two weeks prior to the event date will be charged with a processing fee of 25,- Euros. After this date or in case of non-attendance, we will calculate the entire conference fee. Registration as well as cancellation must be in writing.

 

Please contact Madeleine Beneke for all general or booking requests.
phone: +49 391 6715561
e-mail: info@dafmt.de
address: Leipziger Strasse 44, 39120 Magdeburg/Germany