Complications and Safety of Complex Gynecological Endoscopic Surgery

November 18, 2024, 6:00 pm-8:00 pm - New Orleans, Louisiana
November 19, 2024, 8:00 am-10 am - Beijing

Chairs: J.H. Lang, Lan Zhu, Wen Di
Co-Chairs: C.Y. Liu, X.M. Guan, Peter C.W. Lim
Faculty: Wen Di, Jinhua Leng, Zhiqing Liang, Limin Feng, Lan Zhu, Shuzhong Yao, Xiang Xue, Juan Liu, Yan Hu, Haiyan Liang, Chongdong Liu, Yan Li

Minimally invasive surgery (MIS) has undergone remarkable growth in recent years, establishing itself as a mainstream approach in gynecology. These techniques are increasingly used to treat conditions such as endometriosis, congenital reproductive tract anomalies, and gynecologic tumors, through both traditional and robotic-assisted transvaginal and transumbilical single-port approaches. The ongoing refinement of these methods has led to improved surgical outcomes, including reduced postoperative pain, shorter hospital stays, and faster recovery times.

Deep infiltrating endometriosis, which involves the penetration of endometrial tissue into pelvic organs and structures, is effectively treated using laparoscopic techniques. Similarly, congenital reproductive tract anomalies, which often require intricate surgical correction, benefit from the precision and reduced morbidity associated with minimally invasive approaches. In gynecologic oncology, laparoscopic and robotic-assisted surgeries are vital tools for staging and treating malignancies, providing enhanced visualization and precision.

However, minimally invasive surgeries are not without risks. Potential complications include injury to adjacent organs such as the bowel, bladder, and ureters, as well as risks of bleeding, infection, and adhesion formation. Several strategies can be employed to enhance safety in these procedures. Preoperative planning with advanced imaging helps accurately assess the extent of the disease. Intraoperatively, high-definition imaging, advanced energy devices, and meticulous surgical techniques based on a thorough understanding of pelvic anatomy help minimize tissue trauma. Additionally, the surgeon’s expertise and continuous training play a pivotal role in reducing complication rates.

By adhering to established surgical guidelines and continuously improving surgical skills, the safety and efficacy of minimally invasive surgery in gynecology can be further advanced, leading to better patient outcomes.

This program is dedicated to exploring the complications and safety measures in gynecological MIS, using surgical video presentations to illustrate key concepts. The goal is to raise awareness, enhance knowledge about endometriosis, and foster innovative discussions. This program provides a valuable opportunity to expand perspectives, learn a variety of treatment options, and identify better, more appropriate solutions for complex gynecological conditions.

Course Objectives
Upon successful completion of this program, participants will achieve the following learning outcomes:
1.    Mastery in the use of laparoscopic and robotic surgery techniques for treating both benign and malignant gynecological conditions.
2.    In-depth understanding of vNOTES (vaginal natural orifice transluminal endoscopic surgery) and its applications in the treatment of endometriosis and pelvic organ prolapse.
3.    Enhanced ability to assess the appropriate use of laparoscopic and robotic surgeries, fostering greater confidence in surgeons when managing real-world clinical cases.
4.    Improved surgical skills in gynecologists, focusing on the prevention and management of surgery-related complications

Course Outline
6:00 pm - Welcome, Introduction and Course Overview - Chongdong Liu
6:03 pm - Welcome Speech - Xiaoming Guan 
6:06 pm - Laparoscopic Management for Recurrent Endometriosis - Jinhua Leng
6:18 pm - Navigating the Frontier: Robotic Vaginal NOTES Surgery for Complex Endometriosis and Complications Management - Xiaoming Guan 
6:30 pm - Vascular Anatomical Defense and Injury Management in Laparoscopic Surgery for Gynecological Oncology - Zhiqing Liang
6:42 pm - Robotic Pelvic Radical Dissection and Complications Management - Peter C.W. Lim
6:54 pm - Diagnosis and Surgical Treatment of Congenital Cervical Malformations - Lan Zhu
7:06 pm - Discussion
7:13 pm - Technical Points of Hysteroscopic Operation in Staging and Grading of Endometrial Cancer - Xiang Xue
7:25 pm - Transvaginal NOTES Sacrocolpopexy: Tips and Tricks - Juan Liu
7:37 pm - Para-Aortic Lymphadenectomy Under Lymphatic Mapping - Chang Liu
7:49 pm - Discussion    
7:56 pm - Summary - Xiaoming Guan
8:00 pm - Adjourn