Chb.chirurgie.free.fr

EUROPEAN UNIVERSITARY DIPLOMA
“HEPATIC-PANCREATIC AND BILIARY CANCERS !!PROGRAMME EN COURS!!!
Session 1 / Generalities on HPB cancers. Primary hepatic malignancies and
Biliary Cancers
Monday 16 January Generalities on HPB cancers

Discussion Panel : R. Adam, M.F. Bellin, B. Debuire, F. Lévi, Y. Menu.

8h30 – 9h00
9h00 – 10h00 Modern imaging of a HPB cancer Hepatic Tumors : Ultrasound, CT Scan, MRI, PetScan … 10h00 – 11h00 Contrast-enhanced Ultrasonography 11h00 – 12h00 Modern imaging of cancers of biliary tract and pancreas 12h00 – 13h00 Tumor markers / New markers of molecular biology
Discussion Panel : Th. De Baere, D. Elias, C. Hennequin, F. Lévi

14h00 – 15h00 Chemotherapy of HPB cancers
15h00 - 16h00 Radiotherapy in HPB cancers 16h00 – 17h00 Tumor ablation in HPB cancers 18h00 – 19h00 HPB cancers. Principles of oncologic surgery Tuesday 17 January HCC

Discussion Panel : L. Chiche, C. Guettier, F. Kunstlinger, D. Samuel

9h00 – 10h00 Epidemiology, carcinogenesis, natural history of HCC
11h00 – 12h00 Diagnosis of HCC: Practical attitude. When is it definitive ? What to do in doubtful cases ? Indications of the biopsy …
Discussion Panel : Th. De Baere, P. Majno, B. Paule

14h00 – 15h00 Chemotherapy of HCC: palliative and adjuvant of surgery
15H00 - 16H00 Transarterial Chemoembolization 16h00 -17h00 Radiofrequency, Cryotherapy, Alcohol injection 17h00 – 17h30 Imaging follow up of HCC treated by tumor ablation or
Wednesday 18 January HCC

Discussion Panel : D. Azoulay, L. Capussotti, J Figueras, B Paule

9h00 – 10h00 Portal Embolization : Indications. Normal vs cirrhotic liver
10h00 – 11h00 Partial Liver Resection. Current indications. Principles. Results L. Capussotti 12h00 – 13h00 Role of laparoscopic surgery Discussion Panel : H. Bismuth, L. Capussotti, J Figueras, JF Gigot, F. Kunstlinger

14h00 – 15h00 Primary hepatic malignancies in children
15h00 – 16h30 Global therapeutic strategy for HCC 16h30 – 18h00 Discussion Forum: Case Reports 18h00 – 18h30 The staff:presentation of clinical cases by the assistance L Capussotti, J Figueras, JF Gigot Thursday 19 January Other primary hepatic malignancies and Biliary tract Cancer

Discussion Panel: D. Castaing, C. Louvet, Y. Menu, C. Guettier

9h00 – 10h00 Cholangiocarcinoma, Angiosarcoma, Hemangioendothélioma
10h00 – 11h00 Surgical Anatomy of the biliary tract 11h00 – 12h00 Imaging of biliary tract Cancers (intra and extrahepatic) Y. Menu 12h00 – 13h00 Chemotherapy as a palliative or adjuvant treatment of surgery C. Louvet Discussion Panel: L. Chiche E. Deutsch, C. Hennequin, C. Louvet, C. Partensky,

14h00 – 15h00 Radiotherapy of biliary tract Cancers
15h00 – 16h00 Adenocarcinoma of the gallbladder 16h00 – 17h00 Congenital abnormalities of the extrahepatic biliary tract Risk of malignancy – indications of surgery 17h00 – 18h00 Adenocarcinomas of the Ampulla of Vater Friday 20 January Biliary tract cancers

Discussion Panel: H. Bismuth, J. Figueras, J. Fritsch, G Pelletier, C Guettier

9h00 – 10h00 Klastskin tumors. Palliative and curative surgery
10h00 – 11h00 Preoperative biliary drainage : Yes or No ? 11h00 – 12h00 Endoscopic treatment of biliary tract Cancer J. Fritsch, G Pelletier 12h00 – 13h00 Role of liver transplantation in biliary tract Cancers 7/11/05
Friday 20 January
Discussion Panel: H. Bismuth, D. Castaing, M. Ducreux, J. Figueras, J. Fritsch, G Pelletier
14h00 – 15h00 Global therapeutic strategy in biliary tract cancers
15h00 – 17h00 Discussion Forum: Case Reports 17h00 – 18h00 The staff: presentation of clinical cases by the assistance
Session 2 / Liver Metastases from Colorectal Cancer
Tuesday 14 March

Discussion Panel: R. Adam, MF. Bellin, C. Guettier, A. Lemoine, D. Machover

9h00 – 10h00 Biology of the metastatic disease
Over hepatic Metastases: Old and new prognostic markers : Predictive factors of response to chemotherapy
Discussion Panel: D. Castaing, F. Kunstlinger, F. Lévi

14h00 – 15h00 Imaging by ultrasound, CT Scan and MRI
15h00 – 16h00 Pet-Scan. Improvements in the Diagnosis and in the therapeutic strategy M. Selzner 16h00 – 17h00 Intraoperative liver ultrasound 17h00 – 18h00 In practice: what check up for an optimal imaging ? F.Kunstlinger, R. Adam, F. Lévi Discussion Panel: A. De Gramont, J. Figueras, F. Lévi 9h00 –10h00 Liver resection. Principles, prognostic factors, practical policy 11H00 – 12H00 Intraarterial Chemotherapy. “A la carte” chemotherapy: is it possible ? 12h00 – 13h00 Chronomodulated chemotherapy : Principles, Indications
Discussion Panel: R. Adam, F. Kunstlinger, C. Jasmin, M Sebagh

14h00 – 15h00 Resection of non resectable metastases after chemotherapy
15h00 – 16h00 Effects of chemotherapy on the liver. Clinical Implications 16h00 – 17h00 Elderly patients : What oncosurge strategy ? C. Jasmin 17h00 – 18h00« Livermetsurvey »: an international registry of patients operated for colorectal metastases: rationale and objectives Thursday 16 March
Discussion Panel: J.R. Delpero, M Ducreux, D. Jaeck, , F. Kunstlinger, G. Poston

9h00 – 10h00 Resectability of liver metastases. Classification
The « Oncosurge » model: towards an international standard ? 10h00 – 12h00 Synchronous liver metastases 12H00 – 13H00 Indications of neoadjuvant chemotherapy for resectable Discussion Panel: R. Adam, D. Arvidsson, F. Levi, F. Kunstlinger

How to increase the resectability of liver metastases ?
15h00 –16h00 Resection combined to ablative treatment 16h00 – 17h00 Extreme Liver surgery: total vascular exclusion, extracorporeal Summary: Which procedure for what patients ? 18h00 – 19h00 A new approach : laparoscopic surgery Friday 17 April Recurrence of metastases

Discussion Panel : L. Capussotti, T. André, F. Kunstlinger F. Lévi

9h00 –10h00
Risks and prognostic factors of recurrence 10h00 –11h00 How to prevent it ?: adjuvant chemotherapy: how and when? 11h00 – 12h00 How to detect it ? Imaging. What optimal follow-up ? F. Kunstlinger 12h00 – 13h00 How to treat it ?: Repeat hepatectomy: Indications and results. J.F. Gigot
Discussion Panel : R. Adam, JF Gigot, F. Lévi, F Kunstlinger
14h00 –15h00 Surgery of pulmonary metastases
15h00 – 16h00 Surgery of extrahepatic metastases (other sites) 16h00 – 17h00 Discussion Forum: Case Reports 17h00 – 18h00 The staff: presentation of clinical cases by the assistance Session 3 / Non-Colorectal Liver Metastases – Cancer of the Pancreas
Monday 26 June Non colorectal, non neuroendocrine Metastases

Metastases of known origin

Discussion Panel : L. Chiche, M. Ducreux, JF Gigot, F Kunstlinger.

9h00 –10h00
10h00 –11h00 From Gallbladder, Biliary tract, Pancreas 11h00 – 12h00 From Renal or adrenal gland carcinoma Discussion Panel : M. Ducreux, D. Elias, P. Magdeleinat,
14h00 – 15h00 From Uterus, Ovarian or Testis carcinoma Tuesday 27 june Non colorectal, non neuroendocrine Metastases
Metastases of known origin
Discussion Panel : R. Adam, A. Le Cesne, L Chiche, R. Salmon
11h00 – 12h00 Summary: When and to whom propose surgery ? Metastases of unknown origin
Discussion Panel : R. Adam, A De Gramont, C. Guettier, F Kunstlinger
13h00 – 13h30 Tumor markers: what guide for the diagnosis ? R. Adam 13h30 – 14h30 Tumor imaging. Specificity in relation to the primary F. Kunstlinger 14h30 – 15h00 How can the liver biopsy help the diagnosis of the primary ? C. Guettier 15h00 – 16h00 What diagnostic and therapeutic strategy to propose ? JP Lotz 16h00 –18h00 Discussion Forum: Case Reports The staff: presentation of clinical cases by the assistance Wednesday 28 june Carcinoid and Neuroendocrine Metastases
Discussion Panel : D. Azoulay, M.F. Bellin, M. Ducreux, C. Guettier
Clinical presentation and biological aspects 10h00 – 11h00 Imaging of hepatic metastases from neuroendocrine tumors M.F Bellin 11h00 – 12h00 Place of Chemotherapy and chemoembolization 12h00 – 13h00 Partial liver resection and Transplantation: respective 7/11/05
Wednesday 28 june Cancer of the PANCREAS

Discussion Panel : JR. Delpero, M. Giovannini, J.Y. Scoazec, P.J. Valette
14h00 – 15h00 Surgical anatomy of the pancreas 15h00 – 16h00 Pathology of malignant tumors of the pancreas 16h00 – 17h00 Imaging of malignant tumors of the pancreas 17h00 – 18h00 Diagnostic and interventional echoendoscopy Thursday 29 June Cancer of the PANCREAS
Discussion Panel : J.R. Delpero, MF. Bellin, C. Louvet, A. Sauvanet
9h00 –10h00 Preoperative check up. Staging of resectability 10h00 – 11h00 Preoperative biliary drainage: yes or no ? 11h00 –12h00 Pancreatic resection / Prognostic factors / «Secondary» Resections after radio-chemotherapy 12h00 – 13h00 Vascular resection combined with pancreatectomy Discussion Panel : JR Delpero, F. Mornex, C. Louvet
14h00 – 15h00 Neoadjuvant / adjuvant treatments: present status 15h00 – 16h00 Role of surgery in the palliative treatment of pancreatic cancer A. Robecchi 16h00 – 17h00 Chemotherapy of cancers of the pancreas 17h00 – 18h00 New therapeutic approaches and new prognostic factors Friday 30 June Cancer of the PANCREAS

Discussion Panel : JR Delpero, C. Partensky, C. Louvet, Y Menu
Intrapancreatic papillary and mucinous tumors. 11h00 – 12h00 Endocrine malignant tumors 14h00 – 16h00 Discussion Forum: Case Reports

Source: http://chb.chirurgie.free.fr/PROGDUGB2006.pdf