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Description keyboard_arrow_down
In recent years, China's thoracic surgery technology has developed rapidly, entering the era of minimal invasive precision and committed to promoting the standardization and precision of thoracic surgery. AIS specially invites the leading faculties in the field of thoracic surgery from China, Italy and the United States to share their academic expertise on the Uniportal VATS Right Upper Lobectomy surgery. Focusing on the operation, technical difficulties and innovation, AIS is offering a rich and diversified academic feast in the form of an explanatory operation video, case sharing and interactive discussion through the Telesurgeon Technology. Through a systematic approach, we can further explore surgical skills and learn difficult techniques, continuously improving the technical standards of thoracoscopic lobectomy in the world, so that the vast majority of patients can benefit.

PROGRAM

  1.  Welcome and Introduction – Dr. Ke En Oh (China)
  2.  Case Introduction – Dr. Jiao Heng (China)
  3.  Right Upper Lobectomy. Part 1: The incision Position – Dr. Tan Lijie (China)
  4.  Key Decision 1 Question – Dr. Marco Scarci (Italy) and Dr. Tan Lijie (China)
  5.  Right Upper Lobectomy. Part 2: The Anterior Approach – Dr. Tan Lijie (China)
  6.  Key Decision 2 Question – Dr. Michael Zervos (USA) and Dr. Tan Lijie (China)
  7.  Right Upper Lobectomy. Part 3: Lymph Nodes Dissection (Station 10, 4R, 2R & 7) – Dr. Tan Lijie (China)
  8.  Key Decision 3 Question – Dr. Marco Scarci (Italy) and Dr. Tan Lijie (China)
  9.  Right Upper Lobectomy. Part 4: Suture of Incision & Fixation of Chest Tube – Dr. Tan Lijie (China)
  10.  Key Decision 4 Question – Dr. Michael Zervos (USA) and Dr. Tan Lijie (China)
  11.  Discussion and closing remarks – Faculty moderated by Dr. Tan Lijie (China



CASE


Clinical History:

  • A 41-year-old male patient diagnosed with a lesion in the right upper lobe 3 weeks ago. No signs of Pulmonary Embolism.


Preoperative Examinations:

  • Pulmonary function:
    • FEV1:2.21L
    • FEV1%: 105 of predicted value
  • EKG:(-)
  • Abdominal and cervical ultrasound: (-)
  • CT scan: 
    • a solid lesion in right upper lobe
    • Size: 2.8X 2.3cm
    • Lobulation, burr and local traction of adjacent pleura can be seen at the edge
    • No hilar and mediastinal lymphadenopathy 
  • PET-CT: 
    • A solid lesion in right upper lobe
    • Size: 2.3X3.0cm;SUVmax: 13.9
    • Also no hilar and mediastinal lymphadenopathy


Diagnosis and surgical strategy:

  • Right upper lobe lesion, highly suspicious of NSCLC
  • cT1cN0M0, stage Ⅰ A3
  • VATS RUL lobectomy
  • System lymph node dissection


Pathology:

  • pT1cN1M0, stage IIB
  • Invasive adenocarcinoma, grade III, alveolar and papillary(80%), micropapillary(20%)
  • Station 11s:2/4; 2R:0/7; 4R:0/5; 7:0/4; 10R:0/3;
  • Mutation  of epithelial growth factor receptor (EGFR) exon 21(L858R)


CT scan:


PET-CT:
Faculty keyboard_arrow_down
Dr. Ke En Oh MB, BCh, BAO, NUI, Galway University Hospital, Ireland Surgical Oncology
AIS Ambassador
Dr. Jiao Heng Attending physician of thoracic surgery. Zhong Shan Hospital, Shanghai Medical College, Fu Dan University, Project manager of Shanghai Sailing Plan, China Cardiothoracic Surgery
Dr. Marco Scarci MD, FRCS(Eng), FCCP, FACS, FEBTS, Consultant Thoracic Surgeon, NHS healthcare Trust, London, United Kingdom Cardiothoracic Surgery
Dr. Lijie Tan MD, Chief, Division of Thoracic Surgery; Chief, Section of Esophageal Surgery; Director, Center of Esophageal Cancer. Zhong Shan Hospital, Shanghai Medical College, Fu Dan University, China Cardiothoracic Surgery
Dr. Michael Zervos MD, Clinical Professor, Department of Cardiothoracic Surgery at NYU Grossman School of Medicine, Chief, Clinical Thoracic Surgery, Director, Robotic Thoracic Surgery, Tisch Hospital/Kimmel Pavilion, USA Cardiothoracic Surgery
HOSPITAL INFORMATION keyboard_arrow_down
Shanghai Zhongshan Hospital Virtual COE Course



Department introduction
35 staff surgeons, divided into 6 groups with 129 beds. more than 9000 thoracic surgeries annually.
Faculties
Dr. Qun Wang M.D. FRCS
Chief Physician
Dr. Lijie Tan M.D. FACS
Chief Physician
Dr. Di Ge M.D. FCCP Chief Physician
Procedure trained
- Uniportal Vats Lobetomy
- Precise Location % Segmentoctomy for Pulmonary Nodules
Clinical Solution
- (Pre-OP) Patient indication, OR set up,
- (In-OP) Dissection technique of vessels, lobes resection. Avoiding complication
- (Post-OP) Managing complication
Technical Solution (safety use)
Harmonic 1000i, Powered Echelon flex+, (GST, PVS)
Learning Objectives
This course will help the participants to master the Uniportal Vats technique more proficiently
Target customer / Criteria
Fully Qualified physicians who already have experience in VATS and going to move to uniporta VATS.
Highlight for this course
Uniportal VATS
- Lobectomy Majority
- The World's First Book of Uniportal VATS
- Uniportal Video-assisted Thoracic Surgery by Dr. Lijie Tan

VATS Segmentectomy
- Hi-End VATS Segmentectomy
- Precise Location & Segmentectomy for Pulmonary Nodules
Yet, the VATS segmental surgery is increasing both in quantity and quality. We use pre-op 3D model to within the lung parenchyma.
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