SENEC 2016: Course of Anatomy and surgical strategies in intracranial and skull base endoscopic surgery


SENEC 2016: Course of Anatomy and surgical strategies in intracranial and skull base endoscopic surgery

I Course / II Cycle. SOCIEDAD ESPAÑOLA DE NEUROCIRUGÍA SENEC

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Organizado por la Sociedad Española de Neurocirugía: SENEC
Universidad Miguel Hernandez
Hospital General Universitario de Alicante
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28th to 30th September 2016 Faculty of Medicine. Building Severo Ochoa. Campus San Juan. Alicante ( Spain )

Coordination:
Dr. Javier Abarca Olivas. Hospital General de Alicante
Dr. Pedro Moreno Ruiz. Hospital General de Alicante
Special Guest Faculty:
Professor Samer Elbabaa . MD, FAAN, FACS (Saint Louis, USA)

Más información en la web del Curso
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OBJECTIVES OF THE COURSE

On this edition participants will have the chance to explore and understand the most common endoscopic
approaches to the brain and skull base. Experts on this topic will share their knowledge and will assist the
trainees during the dissections.

  • Three-dimensional understanding of the fiber system covering the lateral and third ventricles and its
    implication on surgery for intraventricular tumors
  • Review and perform endoscopic approaches to the lateral ventricles, perform endoscopic third ventriculostomy,
    septum fenestration and remove intraventricular tumors.
  • Review and perform endoscopic-assisted approaches to sellar/suprasellar and posterior fossa pathologies.
  • Review and perform endoscopic endonasal approaches to the anterior, middle and posterior skull base.
  • Discuss the differences between microsurgical and endoscopic approaches.
  • Learn and discuss complication avoidance and management.

SPEAKERS

Dr. Javier Abarca
Hospital General Universitario de Alicante (Alicante, Spain)

Dr. Miguel Angel Arráez
Hospital Universitario Carlos Haya (Málaga, Spain)

Dr. Marcelo Budke
Hospital Niño Jesús (Madrid, Spain)

Dr. Eugenio Cárdenas
Hospital Virgen del Rocío (Sevilla, Spain)

Dr. Samer Elbabaa
Saint Louis University Medical School (USA)

Dr. Victor Fernández
Hospital General Universitario de Alicante (Alicante, Spain)

Dr. Pablo González-López
Hospital General Universitario de Alicante (Alicante, Spain)

Dr. Ariel Kaen
Hospital Virgen del Rocío (Sevilla, Spain)

Dr. Javier Márquez
Hospital Virgen del Rocío (Sevilla, Spain)

Giovanni Pancucci
Hospital General Universitario de Alicante (Alicante, Spain)

Dr. Juan Antonio Simal
Hospital La Fe (Valencia, Spain)

Scientific Program

SESSION 1 Wednesday morning, September 28th, 2016: INTRAVENTRICULAR ENDOSCOPY

8.00-8:10am. Welcome and introduction. P. Moreno
8:10-8:35am. 3D Ventricular anatomy: craniometric points, endoscopic approaches and correlating white matter fiber tractography. P. González
8.35-8:55am. Introduction of Neuro-Endoscopy: Equipment and surgical Planning. J. Márquez
8:55-9:15am. Endoscopic Third Ventriculostomy: Technique and indications. V. Férnandez
9:15-10:45am. Hands-on laboratory training:

    Entry points for Intracranial endoscopy.
    Endoscopic Third Ventriculostomy.
    Septum Pellucidum fenestration.

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10.45-11.00am. Coffee break

11.00-11.20am Endoscopic management of intraventricular tumors. S. Elbabaa
11.20-11.35am Neuroendoscopic intraventricular surgery in patients with small ventricles. M. Budke
11.35-11.50am Endoscopic management of arachnoid cysts. G. Pancucci
11.50-1.10pm. Hands-on laboratory training:

    Endoscopic biopsy/resection of intraventricular tumor models.
    Supraorbital approach to retroforaminal and posterior wall of the third ventricle lesions.
    Aqueductal Plasty.

1.10-1.30pm Endoscopic management of Complex Hydrocephalus. S. Elbabaa.

1.30-3.30pm. Lunch

SESSION 2 Wednesday afternoon, September 28th, 2016: ENDOSCOPIC-ASSISTED MICRONEUROSURGERY

3.30-3.50pm. Endoscopic-Assisted Microneurosurgery: Supraorbital key-hole approaches. J. Márquez
3.50-4.10pm. Endoscopic-Assisted Microneurosurgery: infratentorial
supracerebellar approach to the Pineal region. J. Marquéz
4.10-4.30pm Endoscopic-Assisted Microneuroneurosurgery: retrosigmoid approach. P. González

4.30-4.45pm. Coffee break

4.45-7.00pm Hands-on laboratory training:

    Supraorbital craniotomy.
    Intratentorial supracerebellar approach.
    Retrosigmoid approach.

7.00-7.30pm. Endoscopically assisted microsurgery. Shifting the concepts. S. Elbabaa
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SESSION 3 Thursday morning, September 29th, 2016: ENDONASAL ENDOSCOPIC APPROACHES TO THE SKULL BASE ( PART 1): SELLAR AND PARASELLAR APPROACHES

8.00-8.20am. The nasal cavity as a corridor in endoscopic skull base surgery. (3D lecture) A. Kaen/ E. Cárdenas
8.20-8.50am. 3D Anatomy of the skull base. Intracranial-endonasal correlation. J. Abarca
8.50-10.30am. Hands-on laboratory training:

    Nasal anatomy endoscopic recognition.
    Turbinectomy. Creating the nasoseptal flap.
    Posterior ethmoidectomy.
    Anterior sphenoidotomy.
    Resection of intrasphenoidal septa.

10.30-10.45pm. Coffee break
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10.45-11.15am. Endoscopic endonasal approach to the sellar and parasellar tumors: technique and indications. (3D lecture) A. Kaen / E. Cárdenas
11.15-11.45am. Endonasal vs transcranial approaches for sellar and parasellar tumors: when and why? M.A Arráez
11.45-1.30pm. Hands-on laboratory training:

    Posterior ethmoidectomy.
    Complete sphenoidotomy. Recognition of septal variations.
    Drilling the sellar and parasellar floors.
    Transtubercullum approach.
    Opening the dura and entering the sellar cavity.

1.30-3.30pm. Lunch
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SESSION 4 Thursday afternoon, September 29th, 2016: ENDONASAL ENDOSCOPIC APPROACHES TO THE SKULL BASE ( PART 2): ANTERIOR MIDLINE AND CORONAL EXTENSION

3.30-4.00pm. 3D Endoscopic Anatomy of the anterior skull base. The Ethmoidal bone. (3D lecture) A. Kaen / E. Cárdenas.
4.00-4.30pm. Endoscopic endonasal routes to the anterior skull base and orbit: trasnplanum, transcribiform
approaches and superomedial orbitotomy. (3D lecture) A. Kaen / E. Cárdenas
4.30-5.30pm. Hands-on laboratory training:

    Complete ethmoidectomy.
    Recognition of ethmoidal arteries and medial orbital walls.
    Recognition of frontal recess.
    Transplanum , Transcribiform approaches.
    Superomedial orbitotomy.

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5.30-5.45pm. Coffee break

5.45-6.15pm. Transmaxillary approach to the Pterygopalatine fossa. The vidian nerve as a landmark for the
expanded approaches in the coronal plane. (3D lecture) A. Kaen / E. Cárdenas
6.15-7.30pm. Hands-on laboratory training:

    Posterior maxillectomy.
    Pterygopalatine fossa transposition.
    Identification of the vidian nerve.
    Transpterygoid drilling of the vidian canal to the lacerum Carotidartery.
    Location of Medial cavernous sinus, V2 , middle fossa, infratemporal fossa and Meckel’s cave

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SESSION 5 Friday morning, September 30th, 2016: ENDONASAL ENDOSCOPIC APPROACHES TO THE SKULL BASE ( PART 2): POSTERIOR MIDLINE EXTENSIÓN. CLIVAL AND CRANIOCERVICAL APPROACHES

8.30-9.00am. 3D Anatomy of the clival bone and its surgical classification. Superior and middle clivus
approaches. (3D lecture). A. Kaen / E. Cárdenas.
9.00-9.30am. Expanded endonasal approaches to the petrous and lacerum carotid segments.
Understanding the petrous apex from the endonasal view. J.A. Simal
9.30-10.45am. Hands-on laboratory training:

    Posterior clinoidectomy.
    Middle clivectomy.
    Recognition of the Lacerum and petrous segment of the ICA.
    Recognition of the petrous apex from the endonasal view

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10.45-11.00am. Coffee break

11.00-11.30am. 3D anatomy of the inferior clivus, and craniocervical junction. (3D lecture) A. Kaen / E. Cárdenas.
11.30-12.00am. Endoscopic approaches to the inferior clivus and craniocervical junction. Far medial and
Extreme far medial approaches. J.A. Simal
12.00-1.30pm. Hands-on laboratory training:

    Rhinopharingeal and parapharingeal anatomy
    Exposition of C1-C2 anatomy.
    Odontoidectomy

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1.30pm. Clausure

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