Programa


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Thursday, November 16th
8:00Registration / Welcome & Announcements
Opening Lecture
The Modern History of Rectal Cancer
Rob Madoff
Introduction: Rodrigo Perez
8:45Modern controversies in Rectal Cancer Management
Moderator: Carlos Carvalho
1. Time is everything…
What is the ideal interval for assessment of tumor response / surgery after CRT?
Longer is better. Gina Brown
Shorter ir better. Eric Rullier
2. Lateral node dissection in rectal cancer - Is it time for a trial?
Miranda Kusters

3. Extralevator APR is the preferred strategy for most distal locally advanced rectal cancers
Torbjorn Holm
No, it is not
Eric Rullier
10:00-10:30Break
Exhibit visit
10:30Neoadjuvant therapy or not?
Moderator: George Chang
When should neoadjuvant or adjuvant CRT be OMITTED in rectal cancer?
Gina Brown
Should neoadjuvant CRT be used for stage I rectal cancer?
Geerard Beets
Less Chemotherapy and More Radiation?
Ane Appelt
More Chemotherapy and Less Radiation?
Eric Van Cutsem
Discussion
11:30After Chemoradiation ... the saying of advanced radiology
Moderator: Geerard Beets
Assessment of Tumor Response - The Role of functional MR
Regina Beets-Tan
Tumor Regression Grades in the eyes of MR
Gina Brown
PET/CT and PET/MR - What is around the corner...
Carlos Buchpiguel
Discussion
12:30Lunch Symposium: Complications in Colorectal Surgery
From intraoperative bleeding to infections, fistulas, TPN and reoperative surgery
Interactive Case Discussion
Rodrigo Oliva Perez, Guilherme Pagin São Julião, Victor Seid
14:00Finally surgery... the most relevant session in rectal cancer surgery... ever!
Total Mesorectal Excision at last for mid and distal rectal cancers...
Moderator: Dieter Hahnloser
Open surgery is better... I knew it!
Robert Madoff
The oppose view: are we ignoring the benefits of minimally invasive surgery?
John Monson
Laparoscopic Surgery is better… regardless of the recent evidence…
Steven Wexner
The oppose view: the pathological data is clear!
Roel Hompes
Robotic Surgery is so much better...
George Chang
The oppose view: Is there any real evidence?
Steven Wexner
taTME is the solution!
Joep Knol
The oppose view: mmmmm... Is this REALLY necessary for all TMEs?
Eric Rullier
Discussion
16:00-16:30Break
16:30Videos to remember... Technical tips in avoiding complications…
Moderator: John Monson
Lateral node dissection by laparoscopic surgery... preserving the crucial nerve and taking out the necessary nodes!
Tsuyoshi Konishi
Minimally invasive surgery for T4 rectal cancer?
Paris Tekkis
Assessment of proximal colon viability - Technology of ICG perfusion or simple testing of the vascular arcade?
Steven Wexner
The robot does APR almost entirely from above
George Chang
Discussion
17:15Total Mesorectal Excision: Open, Laparoscopic, Robotic or Transanal? The view of the creator…
Bill Heald
Presenter: Carlos Augusto Martinez

Friday, November 17th
8:00The other side of the moon in rectal cancer management
Moderator: Fabio Campos
Lateral node dissection improves local control in all extraperitoneal rectal cancer patients when lymph node size is ≥7mm regardless of response to nCRT
Tsuyoshi Konishi
No, it is not
Rob Madoff
Beyond TME… How to deal with a mrCRM+ after nCRT?
Surgery is better.
Paris Tekkis
Additional therapy is required prior to surgery?
Eric Van Cutsem
Decision of final surgical resection (APR vs LAR) can be made intraoperatively
George Chang
No, it cannot...
Gina Brown
Radiological reassessment is not necessary after CRT if surgery is required for incomplete responses
Steven Wexner
Yes, it is ...
Regina Beets-Tan
Discussion
9:30Funtional Outcomes
Moderator: Nuno Figueiredo
Intersphincteric Resections and Fecal Incontinence - Are we telling the truth to our patients?
Eric Rullier
Functional outcomes after lateral node dissection - Are there any really significant consequences?
Tsuyoshi Konishi
Assessment & Treatment of LARS in Rectal Cancer
Soren Laurberg
10:00-10:30Break
10:30-12:00Transanal TME: The New Kid on the Block
Moderator: Sergio Araujo
Technical Steps
Joep Knol
Urethral Injuries
Albert Wolthuis
taTME for Abdominal Perineal Excision?? What the heck?
Roel Hompes
Oncological Outcomes
John Monson
The true drawbacks
Rob Madoff
Discussion
12:00-13:30Lunch Symposium: Advanced Minimally Invasive Surgery in Rectal Cancer
Moderator: Bruna Vailati
Laparoscopic TME: The Solution for distal transection of the rectum with new surgical stapling devices - Sergio Araujo
Transanal TME: Anastomotic techniques - Roel Hompes
Synchronous Metastatic Disease (Rectum and Liver) amenable to surgical resection. The Role of Preoperative Chemotherapy – Eric Van Cutsem
Synchronous Laparoscopic Liver/Rectal Resection – When & How? - Paulo Herman
Discussion
14:00-16:00The Complete Clinical Response issue
Moderator: George Chang
RT: Dose escalation to increase cCR rates
Ane Appelt
Consolidation Chemotherapy improves anything?
Eric Van Cutsem
Long-term outcomes with T2 and T3 cancers after extended nCRT
Angelita Habr-Gama
How to deal with incomplete responses and still provide organ preservation?
Fraser Smith
Local regrowths - Are they really salvageable?
Geerard Beets
Discussion
16:00-16:30Break
16:30Personalized Oncology
Moderator: Fernanda Capareli
Intratumoral Heterogeneity in Rectal Cancer
Rodrigo Oliva Perez
Liquid Biopsies in Clinical Practice
Anamaria Camargo
Personalized treatment strategies in metastatic disease
Eric Van Cutsem
Advanced pathology in rectal cancer - what is there outside of the checklist that may help in clinical decision management
Luanne Force
17:30Selective Internal Radiation Therapy for the treatment of liver metastasis. A new kid on the block?
Felipe Nasser
Introduction: Joaquim Gama-Rodrigues
17:45Post-operative rectal cancer surgery - New alternatives in the managment of infectious complications
Case & Solutions
Rodrigo Oliva Perez, Guilherme Pagin São Julião, Claudio Penido
18:30The most difficult cases... To the expert panel... Voting to the audience...
Metastatic Rectal Cancer Case
Moderator: Guilherme São Julião
Case presentation: Challenging Rectal Cancer Case
Surgeon #1 Rob Madoff
Surgeon #2 George Chang
Radiation Oncologist: Icaro Thiago de Carvalho & Ane Appelt
Medical Oncologist: Rene Gansl, Renata D'Alpino & Eric Van Cutsem
Radiologist: Gina Brown
19:00Adjourn

Saturday, November 18th
8:00FICARE MDT/ Consultant's Corner
The best team in the world to solve the problem... non-metastatic rectal cancer
Case presentation: Challenging Rectal Cancer Case
Moderator: Rodrigo Perez
Surgeon #1 Paris Tekkis
Surgeon #2 John Monson
Radiation Oncologist: Ane Appelt & Patricia Aguillar
Medical Oncologist: Eric Van Cutsem & Arthur Malzyner
Radiologist: Cinthia Ortega
9:00Virtual reality in Unedited Surgical Videos
TATME in Belgium!
Moderator: Arceu Scanavini Neto
7 concomitant cameras - High definition imaging
Joep Knol & Sami Chadi
10:00-10:30Break
10:30-11:20Local Treatment of Rectal CA - The best for last?
Moderator: João de Aguiar Pupo Neto
Endoscopic ESD for superficial rectal tumors
Pit pattern evaluation: teaching the surgeon
Tsuyoshi Konishi
Can MR surpass ERUS for the selection of patients for local excision?
Gina Brown
Local Excision upfront: When we should not perform TEMS?
Paris Tekkis
Discussion
11:15-12:00Last but no least… Advanced stuff !!
Moderator: Carlos Augusto Martinez
Technical Tips in indocyanin green evaluation - step by step
Luiz Romagnolo
After ELAPE… Mesh or flap?
Torbjorn Holm
Reconstruction option after pelvic exenteration
Paris Tekkis