Scientific Program

(As of February 25, 2020)

Symposium / Panel Discussion / Workshop

Upper GI Tract

Minimally invasive surgery for esophageal disease

Detail

It has passed more than 25 years since the introduction of laparoscopic surgery into the treatment of benign esophageal disease, and laparoscopic surgery has been gradually adopted in malignant esophageal disease. Procedures for benign esophageal disease have been generally standardized based on reported long-term results. Various ideas have been devised in the endoscopic surgery for malignant tumor, leading to the recognition of its effectiveness in invasiveness reduction and the magnifying effect of an endoscope. Reports of treatment outcomes for each disease and future direction of the treatment of esophageal disease are expected to be discussed.
Which position is the best for the endoscopic esophageal cancer surgery

Detail

A number of procedures of endoscopic surgery for esophageal cancer have been gradually adopted, which includes the conventional thoracoscopic surgery, robot-assisted surgery, and mediastinoscopic surgery. Not only are the left lateral position as the traditionally selected position but also prone and supine positions used in these procedures. The advantages and disadvantages of each procedure by position are expected to be presented to discuss measures to improve the safety and certainty of the procedures and surgical outcomes.
Robotic surgery for esophageal disease

Detail

The robot-assisted surgery for esophageal cancer has been rapidly adopted with the insurance coverage for the surgery starting in Japan in April 2018. Currently, procedures of the robot-assisted surgery for esophageal cancer can be different by institution using various strategies. Also, advantages of the use of the robot-assisted surgery for esophageal cancer over the conventional thoracoscopic surgery are not clear. Current status of the robot-assisted surgery at various institutions are expected to be reported to show the future direction of the surgery.

Evidence of laparoscopic gastrectomy for advanced gastric cancer

Detail

The laparoscopic gastrectomy for gastric cancer, which was developed in Japan, has been gradually established as a standard of care for cStage I. Sufficient evidence for laparoscopic gastrectomy for advanced gastric cancer has not been obtained, and the investigation of the utility of the laparoscopic gastrectomy is in progress in a randomized comparative study. In this session, procedural and oncological challenges in the laparoscopic gastrectomy for advanced gastric cancer and short- and long-term outcomes of the gastrectomy as compared with those of open surgery are expected to be presented to discuss challenges in and solutions for establishing the standard of care for the laparoscopic gastrectomy for advanced gastric cancer.
Minimally invasive approach for advanced upper gastric cancer and EGJ cancer

Detail

The selection of operative procedure for advanced upper gastric cancer poses many challenges including a debate of the pros and cons of splenectomy. There is ample room for discussion on the procedures for esophagogastric junction cancer, which has received attention in recent years, as to the dissection range, approach (open or transhiatal surgery), and thoracoscopy or laparoscopy. In this session, a treatment strategy, surgical procedure, and treatment outcomes for advanced upper gastric cancer, gastroesophageal junction cancer in various institutions are expected to be presented to deepen the discussion of an optimal surgical treatment strategy.
What is real benefits of robotic surgery for gastric cancer?

Detail

Robotic gastric surgery is expected to reduce postoperative complications, particularly pancreatic fistula, by use of multi flexibility forceps than human wrist joints, and is expected to be applied to tele-surgery in the future.
On the other hand, there are some problems such as economic and spreading of technology and equipment. In this session, we will discuss the real benefits of robotic surgery for gastric cancer.
Reconstruction of total and proximal gastrectomy

Detail

Various reconstruction methods in total and proximal gastrectomy have been reported. However, a gold standard procedure is not yet established. In this session, pros, cons, evaluation methods, and outcomes of each methods in both gastrectomy should be demonstrated, and best method will be debated.
Advances in techniques of minimally invasive approach for gastric SMT

Detail

Various surgical techniques e.g. Laparoscopy endoscopy cooperative surgery (LECS), Non-exposed endoscopic wall-inversion surgery (NEWS) and Combined laparo-endoscopic approach to neoplasms with non-exposure technique (CLEAN-NET), which could remove proper extent of gastric wall for gastric submucosal tumor have been reported and showed the possibility of safe and minimally invasive resection even for challenging locations such as the surrounding of the esophagogastric junction or for relatively large tumors. In this session, we would like to discuss new developments of minimally invasive approach for gastric submucosal tumors.
Pitfalls and recovery in laparoscopic gastrectomy

Detail

Laparoscopic gastrectomy has widely penetrated to the clinical practice. However, unexpected troubles are often encountered. In this session, their technical pitfalls, how to avoid troubles, and knacks of trouble-shooting measures should be demonstrated.
Robotic sugery for upper GI mobidities **Organized by ELSA 2020**

Detail

With the rapid adoption of robotic surgery, an increasing number of robotic surgeries have been performed for upper gastrointestinal tract surgery. The safety of conventional laparoscopic surgery has been determined to employ effective strategies to reduce various complications. A major challenge to the widespread adoption of robotic surgery lies in dealing with surgical considerations and complications unique to robotic surgery. In this session, early surgical outcomes on the robotic surgery are expected to be discussed by comparing complications and surgical considerations between robotic surgery and conventional laparoscopic surgery.

Bariatric

Current status of metabolic surgery

Detail

More than 10 randomized controlled trials demonstrate that bariatric/metabolic surgery is superior to medical therapy in glycemic control in obese patients with type 2 diabetes (T2DM). Also, procedures containing GI bypass seem more effective than restrictive ones such as sleeve gastrectomy. Recently, metabolic surgery has been applied to less obese individuals with T2DM. In this sessoin, current status of metabolic surgery will be discussed.
Bariatric/metabolic surgery in the Asia-Pacific region

Detail

In the Asia-Pacific region, the number of bariatric/metaboic surgery has been rapidly increasing, however, its penetration still remains extremely low compared to the other part of the world such as North America, Europe and Latin/South America. The plausible explanations are insurance coverage, training system, national registry and lack of awareness and comprehension. In this session, current problems which prohibit the progress of bariatric/metabolic surgery and their solutions will be discussed.
Bariatric endoscopy

Detail

Currently, less than 10% of bariatric/metabolic procedures in the world are performed endoscopically. More less invasive, endoscopic treatments have been developed and validated. Especially, effectiveness of endoscopic sleeve gastrectomy and endoscopic duodenojejunal bypass have been demonstrated. In this session, the up-to-date effectiveness and safeness as well as their future prospects of endoscopic therapy for obesity and metabolic diseases will be discussed.

HBP

What is the advantage of laparoscopic approach? - Hepatectomy
Detail
1. On what points is laparoscopic hepatectomy clearly superior to laparotomic hepatectomy?
2. Is the safety effectively guaranteed with laparoscopic hepatectomy as compared with laparotomic hepatectomy?
3. Has the hepatectomy for malignancy oncologically contributed to the long-term prognosis of the patients?
4. In what pathology is the superiority of the hepatectomy for malignancy not shown? In other words, what is the limitation of the laparoscopic approach in hepatectomy? In what pathology is laparotomic hepatectomy considered superior to laparoscopic hepatectomy?
Current status of laparoscopic liver surgery

Detail

Due to the development of endoscopic devices and the refinement of surgical technique, laparoscopic liver surgery has been increasingly performed. In this symposium, current role with latest technology and future perspective of this surgery will be given by front runners from worldwide.
Future aspect of laparoscopic and robotic HPB

Detail

The field of hepato-biliary-pancreatic surgery is one of the latest fields that have adopted the endoscopic surgery. The safety of laparoscopic hepatectomy has already been demonstrated, and robot-assisted pancreaticoduodenectomy is getting popularity with the gradually increasing number of institutions that perform it. Strategies for safety procedures, however, may be required for hepatectomy of extended segmentectomy and pancreaticoduodenectomy that are considered, by definition, as highly difficult even in open surgery. International experts are expected to discuss following topics: What considerations should be made in the introduction of the surgeries? Should laparoscopic surgery or robotic surgery be better performed in the field of hepato-biliary-pancreatic surgery? How should the education and training of hepato-biliary-pancreatic surgery be provided? Finally, is the same anatomical knowledge specific to hepato-biliary-pancreatic surgery required in laparoscopic surgery and robot surgery?
How to educate minimally invasive HBP surgery?

Detail

Minimally invasive HBP surgery (MI-HBP) is a highly specialized field except cholecystectomy. Recently important technologic developments and improved endoscopic procedures are being established. Numbers of MI-HBP have been gradually increasing recently. Successful MI-HBP is influenced depending on one’s individual learning curve with the selection of correct indication.
Although the learning curve for MI-HBP is steep, it is believed that MI-HBP is reproducible. Experienced MI-HBP units must help standardize the techniques required for each MI-HBP procedure and share their experience of the technical challenges of LLR. The consensus meeting described the urgent need to identify the skills required by trainees and practicing surgeons. Thus, specifically training system in advanced MI-HBP surgery is required.
The MI-HPB surgery is expected to develop further in the future as a new surgical method, which improves patients’ QOL. We have to remind the basic principle of MI-HBP is to achieve less invasion with optimal safety. Therefore, it is important to established educational system which is included the assessment of difficulty and skill qualification with the selection of correct indication. In this session, we would like to discuss the education system for establishment of safe MI –HBP.

Laparoscopic surgery for pancreatic cancer

Detail

The treatment results of pancreatic cancer, which used to see no improvement in spite of extensive dissection in earlier days, have finally begun to achieve some improvement, thanks to the introduction of new carcinostatic agents. These days, it has become the basic treatment strategy to treat cancers mainly by using carcinostatic agents, even in the cases of resectable pancreatic cancers. This trend seems to indicate that it is high time to reexamine the role the ablative operation of the pancreas should take. While doing so, we should be able to naturally find the proper role of laparoscopic surgery. The true minimal invasiveness, I believe, should mean more than just a small scar on the body surface.
How to educate minimally invasive HBP surgery? (Pancreas, Biliary tract)

Detail

Based on the “Tokyo Declaration on Patient Safety” by the WHO, September 17, 2019, was marked as the “World Patient Safety Day.” The weight of expectation placed by the society has been increasing from simple exploration of a cutting-edge treatment method to patient safety. The field of minimally invasive biliary and pancreatic surgery has received a series of domestic and foreign reports on medical accidents and risks in these several years. Facing such status quo of the society, we would like each organization to introduce its program that could contribute to the safe spread and development of minimally invasive biliary and pancreatic surgery.
Future aspect of laparoscopic and robotic HPB surgery

Detail

Major trends in laparoscopic surgery and robot-assisted surgery has been recently emerging in highly difficult surgery in the hepato-biliary-pancreatic field as they are observed with gastrointestinal tract surgery. Not only aesthetic improvements due to wound reduction but also effectiveness in short-term results of these surgeries have been frequently reported, developing a new phase of the hepato-biliary-pancreatic surgery. In this session, concepts of indications of the surgical procedures and the developability in the future are expected to be discussed in detail by taking account of mid- and long-term results.
Minimally invasive pancreatic resection (Laparoscopic vs Robotic)

Detail

Performing minimally invasive surgery can be more challenging in pancreaticoduodenectomy that requires complex operations as compared with other procedures. High level of suturing skills are demanded for pancreatic reconstruction by laparoscopic pancreaticoduodenectomy (LPD), and precise suturing is possible by robot-assisted pancreaticoduodenectomy (RPD). In terms of the field of vision development, the laparoscopic surgery has an advantage over the robotic surgery as it has a wider range of motion. In addition, the accuracy level of a section device is higher in the laparoscopic surgery. In this session, pros and cons of LPD and RPD are expected to be discussed.
Laparoscopic surgery for gallbladder cancer

Detail

An accurate qualitative diagnosis and staging of gallbladder cancer are difficult before surgery. Depending on the progress level, various surgical procedures for gallbladder cancer are employed, which includes cholecystectomy, gallbladder full-thickness resection, gallbladder bed resection with hepatectomy of segments 4a and 5, hepatectomy of segments 4a and 5 with extrahepatic bile duct resection, and right hepatic trisegmentectomy and caudate lobectomy combined with extrahepatic bile duct resection. Laparoscopic hepatectomy are covered by the National Health Insurance in Japan from partial hepatectomy to trisegmentectomy or more, but subsegmentectomy or more are not if it is accompanied with revascularization and/or biliary tract reconstruction. Clinical practice guidelines recommends open repair for cases suspected of gallbladder cancer.
Treatment outcomes of gallbladder cancer in laparoscopic cholecystectomy and gallbladder bed resection, experience and outcomes of lymph node dissection and extrahepatic bile duct resection are expected to be presented to discuss the validity of these procedures.
Laparoscopic surgery for biliary tract cancer

Detail

A laparoscopic approach for biliary tract cancer remains controversial among hepatobiliary/pancreatic surgeons because of safety concerns over its technical difficulties and oncological validity. On the contrary, with the recent advances in instrumentation and surgical technique, laparoscopic therapy for malignant tumors in other areas has made significant strides. Recently, reports on laparoscopic radical resection of early-stage gallbladder carcinoma and hilar cholangiocarcinoma with a small number of patients are gradually increasing. The purpose of this session is to define the current state of laparoscopic surgery for biliary tract cancer and to discuss the appropriate application of this procedure.
Minimally invasive surgery for choledocholithiasis

Detail

Laparoscopic common bile duct exploration is considered as a single stage treatment for common bile duct stones with cholecystolihiasis. This simplified procedure reduce the length of the treatment and treatment-related complications, and moreover, provide an excellent prognosis in proportion two stage treatment. Recent evolutions of instruments and refined procedures have contributed less invasive surgery. In this session, discussing the minimally invasive laparoscopic surgical technique and results for common bile duct stones will go a long way to the goal of patient’s advantage.
Image Guided Laparoscopic HBP Surgery **Organized by ELSA 2020**

Hernia

TEP vs TAPP repair of groin hernia

Detail

While TEP and TAPP repairs have been widely adopted and each has advantages and disadvantages, there are not many institutions that choose both procedures.
In this session, the advantages and disadvantages for both procedures are clarified to discuss the future of the endoscopic hernia repair for inguinal hernia.
Current Strategies in Management of Primary and Incisional Abdominal Wall Hernias **Organized by ELSA 2020**

Detail

The aim of this session is to optimize the minimally invasive approach of primary and incisional abdominal wall hernias (PIAWHs). PIAWHs are still difficult to repair with a high failure rate due to incorrect approaches, mistaken mesh choices, insufficient operative techniques, and so on. Currently, European Hernia Society (EHS) described new classification of PIAWHs in terms of localization and size of hernias (Hernia 2009 13:407). This session will discuss the role of minimally invasive surgery for PIAWHs on the basis of EHS classification. Additionally, new operative techniques and novel approaches to improve the long-term outcomes will be discussed.
Robotic surgery for abdominal hernia repair. Indications and clinical evidence

Detail

Due to the popularization of robot-assisted surgery, the use of robot-assisted surgery in hernia repair has been reported. Robot-assisted surgery for abdominal hernia repair, however, is still far from common practice. In this session, the indications and treatment outcomes of robot-assisted surgery in hernia repair are expected to be discussed.
Fundamentals of laparoscopic technique in recurrence-free hernia repair

Detail

Recently, laparoscopic inguinal hernia repair has been widely adopted, and the standardization of the procedure is gradually carried out by various institutions. However, recurrence has been reported in 1–3% of laparoscopic inguinal hernia repair cases. In this session, basic techniques and strategies performed at each institution to reduce the recurrence are expected to be discussed.
Multimodal strategies for complicated abdominal wall hernia

Detail

With the advancement of endoscopic surgery, potential pitfalls not experienced in normal surgery may occur in surgery for cases with history of abdominal surgery, re-repair for the recurrence, or incarceration cases, requiring specific measures for complications. In this session, strategies to treat complicated abdominal wall hernia are expected to be discussed.

Lower GI Tract

World standardization of laparoscopic rectal surgery

Detail

Surgical procedures for rectal cancer have recently diversified by the introduction of new endoscopic surgeries such as transanal minimally invasive surgery and robotic surgery, but the evidence regarding the validity of these surgeries has not been accumulated. The global standard of surgical procedure for rectal cancer is laparoscopic surgery as it is performed in Japan. Strategies for and standardization of a surgical procedure designed to seek curability and QOL are important for the improvement of treatment outcomes. Standard procedures and treatment outcomes are expected to be presented from the standpoints of curability and QOL to discuss the latest standard procedure for rectal cancer surgery in various countries and the possibility of the universal standardization.
Technical advantage of laparoscopic rectal surgery

Detail

In this session, the advantages of laparoscopic proctectomy and rectal amputation with a magnifying effect are expected to be presented in the context of a rectal cancer surgery that requires accurate operations. Discussion of the oncological outcomes (e.g., recurrence and survival time) of laparoscopic proctectomy/rectal amputation in rectal cancer is also expected for comparison with those of laparotomy. In addition, strategies to safely perform laparoscopic proctectomy/rectal amputation, associated pitfalls and troubleshooting procedures are expected to be discussed.
What's benefits of robotic surgery over laparoscopic surgery for rectal cancer?

Detail

Given that significant differences have not been demonstrated between surgical outcomes of existing laparoscopic surgery and those of robot surgery, a situation where features of robotic surgery are best performed, new procedures to take advantage of the features of robotic surgery and surgical outcomes of robot surgery are expected to be presented. Discussion of techniques and methods under development is also expected regarding problems of and their solutions for robot-assisted laparoscopic rectal surgery.
Is taTME really useful for rectal cancer?

Detail

Given that abdominal and open perineal approaches are available for successful surgery today, the advantages and disadvantages of taTME accompanying with specific technical difficulties are expected to be presented in comparison with the existing surgery in terms of short- and long-term surgical outcomes, costs, and human recourses. Discussion of ways to overcome the disadvantages and the prospect of a new technique, such as lateral dissection, and its surgical outcomes is also expected.
Current status and perspective of Fluorescence navigation surgery for colorectal cancer

Detail

Since the introduction of a fluorescence detection system for laparoscope, fluorescence imaging has been widely recognized in the field of colorectal surgery as an effective surgical technique for the evaluation of lymph stream and intestinal blood flow. Expectations for the increased accuracy of fluorescence navigation technique have now grown in the hope of better surgical outcome. In this session, the forefront of fluorescence navigation surgery in the field of colorectal surgery is expected to be discussed, covering new efforts and issues relating to the fluorescence navigation surgery and strategies and outcomes experienced in practice.
Current status and perspective of laparoscopic surgery for locally advanced rectal cancer

Detail

In the treatment of rectal cancer, various laparoscopic surgical procedures, including lateral lymph node dissection, TME surgery using the transanal approach (TaTME), and robot-assisted surgery, have recently been introduced. There is an increased expectation for laparoscopic surgery to perform surgical complete resection (R0) for locally advanced rectal cancer in combination with multimodal therapy. In this session, possibilities of laparoscopic surgery for locally advanced rectal cancer are expected to be discussed from various angles such as treatment strategy in different institutions and tips for surgical operation.
Robotic sugery for lower GI diseases **Organized by ELSA 2020**

Detail

Robotic techniques for minimally invasive surgery have changed the surgical landscape for surgeons. The use of surgical robots has been rapidly spreading worldwide as a minimally invasive surgery in every field of surgery and it is no exception in the field of lower GI surgery. Several series have described the potential of benefits to minimally invasive lower GI surgery by robotic techniques. Since most of lower GI surgery procedures are complex and robotic surgery is a new technique, patient safety must be the highest priority in its introduction. It is necessary to establish a new methodology and techniques that are adequate for robotic surgery rather than the method of open surgery and laparoscopic surgery being transferred directly. For introducing robotic surgery to lower GI surgery, it is crucial to develop appropriate training and team structure. In this session, we would like to discuss the education, training methods, and techniques necessary for introducing robotic surgery of the lower GI field in Asia from the facility that is the forerunner of robotic surgery in the field of lower GI surgery.
Rectal Surgery and TaTME **Organized by ELSA 2020**

Detail

Endoscopic surgery for rectal cancer has expanded worldwide and it has become standard practice in many countries. Laparoscopic TME, which is technically difficult, requires a certain level of skill, and the possible effect on prognosis is also considered. Some randomized controlled trials with global open surgery suggest that laparoscopic surgery may reduce the rate of radical resection. Robotic surgery provides a stable visual field and highly flexible surgical operation even in a narrow pelvic space, and has been widely supported in rectal cancer surgery. In recent years, with the advent of TaTME, new surgical approaches have been also considered. Given this situation, we would like to focus on the theme of the future direction of surgery for rectal cancer.

Urology

Robot-assisted Pyeloplasty

Detail

Pyeloplasty in ureteropelvic junction stenosis requires careful suture manipulation that demands advanced technique. Minimally invasive laparoscopic surgery is desirable for this disease as it is frequently observed in pediatric or relatively young patients. Robot-assisted surgery can produce its best performance in careful suture manipulation where it can maximize its advantage. In this symposium, robot-assisted pyeloplasty in pediatric to adult age groups is expected to be discussed by experts with extensive experience of the procedure.
Laparoscopic Donor Nephrectomy

Detail

A donor plays an essential part of renal transplantation therapy, and donor nephrectomy should be performed as minimally invasive as possible in living renal transplantation. The kidney should be removed as atraumatic as possible with the shortest warm ischemic time to realize the full potential of the transplanted kidney in the recipient. In this panel discussion, we would like to talk about laparoscopic donor nephrectomy in which the kidney can be removed by safe, atraumatic manipulation in a short time with minimum invasion.
Laparoscopic Adrenalectomy

Detail

Laparoscopic adrenalectomy is performed in various types of endocrinologically active adrenal tumors found in pheochromocytoma, aldosteronism and Cushing's syndrome, adrenal tumors suspected of malignancy, and relatively large myelolipomas with risk of bleeding and rupture. There are transperitoneal and retroperitoneal approaches, each of which has advantages and disadvantages. Precautions concerning the procedure may vary depending on the type of tumor. In this symposium, the best laparoscopic adrenalectomy for different tumors is expected to be discussed by experts.

Thoracic

Advanced technique of thoracoscopic surgery (segmentectomy, combined resection, single port)

Detail

In the field of respiratory surgery, thoracoscopic surgery has become the major trend. In early days, this method was mainly used for the stereotypic surgery for early-stage lung cancer. Recently, however, it has begun to be applied to segmentectomy, bronchoplasty, and the extended operation of progressive cancers. Single port surgery has been adopted as well. Some surgeries covering complex fields adopt thoracoscopes as a strategy to decrease operative invasion. In this session, we will discuss the status quo of thoracoscopic surgery adopted in a variety of manners, its expanded adaptation, its limitations, and some points to consider.
Lung cancer surgery: VATS or Robot?

Detail

In the field of respiratory surgery in Japan, robot-assisted surgery for lung cancer and mediastinal tumor is covered by insurance. We expect the use of this surgical method to spread rapidly in the future, thanks to the insurance coverage. We can also see that thoracoscopic surgery has become equally accessible and its use has been spreading with safety. In this session, we will discuss the future direction of respiratory surgery, focusing on whether the use of thoracoscopic surgery will spread more widely to treat lung cancer, and whether robot-assisted surgery will become the major trend. We will compare and examine the merits of the two.
Safety management of thoracoscopic lung cancer surgery

Detail

Thoracoscopic surgery has been adapted to treat a variety of diseases and this trend seems to increase its popularity. It is of course indispensable to improve technology to have a surgery performed smoothly, but it is also important to teach the operative procedure and assure thorough medical safety. We have several points to consider to prevent blood vessel damage, including peeling, the ligation technique, and trouble shooting . We are going to introduce the teaching methods and operative procedure for safe thoracoscopic surgery, as well as the programs on system operation.
Medical-Engineering Collaboration in general thoracic surgery

Detail

Advances in surgery require overcoming a few hurdles such as improvement of curability, low operative invasion, and safety assurance. The more technology progresses, the more grave it will be to have medical devices and systems developed through medicine-engineering collaboration. This session intends to introduce the technology and devices expected to be adopted for the treatment strategies in the present and near-future fields of respiratory surgery. We want you to discuss tomorrow's medicine, including the blueprints for technological innovation and achievements in both diagnosis and treatment.

Obstetrics and Gynecology

Laparoscopic Surgery for Endometriosis: From the view of Curability and Fertility

Detail

The laparoscopic surgery for endometriosis has been widely performed as the first-line treatment of operative treatment. Removal and ablation of the lesion are required for effective surgery with a low recurrence rate, but such surgeries may not be ideal from the standpoint of fertility conservation, demanding a procedure that can achieve an optimal balance between curability and fertility conservation. In this session, tips for surgery and surgical outcomes are expected to be discussed by experts from the above points of view.
Laparoscopic Surgery for Cervical Cancer: Current Statues and Measures in Japan

Detail

Since the LACC trail pros and cons of laparoscopic radical hysterectomy in cervical cancer has been discussed, and various discussions are also held in Japan. The results of SUCCOR trial was reported in 2019 European Society of Gynaecological Oncology (ESGO) to suggest that the prognosis for hysterectomy may not be affected if the manipulation of the vaginal cuff is carefully performed and the use of a uterine manipulator is avoided. Current statues and measures for laparoscopic surgery for cervical cancer are expected to be discussed.
Robotic Surgery for Endometrial Cancer: To Aim for Standardization in Japan

Detail

The robot-assisted surgery for cancer of the uterine body has been rapidly adopted since April 2018 when the insurance coverage was started. Due to its short clinical history the standard procedure of the robot-assisted surgery has not been established. Discussion about differences between the robot-assisted surgery and the laparoscopic surgery, and consideration required for performing the robotic surgery are expected to aim the safe adoption of the robot-assisted surgery by standardizing the robot-assisted surgery for cancer of the uterine body.

Pediatric

Clinical trial of Pediatric Endosurgery

Detail

A prospective clinical study is necessary to accumulate evidence in the field of pediatric endosurgery, but the framework of the clinical study varies as the level of medical services and/or insurance system may vary by country and region. Specific examples of a clinical study conducted in various regions are expected to be presented to discuss how clinical studies should be conducted in the field of pediatric endosurgery in future.
A role of endoscopic surgery for child health and development

Detail

Pediatric endoscopic surgery was introduced nearly 30 years ago, and it is worthwhile to examine contributions brought by the endoscopic surgery to pediatric surgical treatment. In this symposium, such contributions are expected to be examined by disease to demonstrate changes in surgical outcomes.
Pediatric endoscopic surgery:past and future

Detail

Since the introduction of pediatric endoscopic surgery 30 years ago, the number of indications has expanded with an increasing diversity of procedures, such as single incision laparoscopic surgery and robotic surgery. The future vision of pediatric endoscopic surgery is expected to be discussed by tracing back its history.
Indication of endoscopic surgery for malignant tumor in children

Detail

The indication of endoscopic surgery for solid malignant tumor in pediatrics is a controversial topic. As one of the surgical options in solid malignant tumor treatment, endoscopic surgery is considered to be used for limited indications. Current status of endoscopic surgery for pediatric solid malignant tumor in various countries and regions is presented to discuss its future direction.
Standardization of pediatric endoscopic surgical procedure

Detail

The standardization of endoscopic surgery has progressed in the field of adult surgery to list the surgery as the standard of care for some disease in guidelines. In pediatric surgical diseases, however, the standardization of endoscopic surgery can be difficult for some diseases because there are many rare diseases with extremely low number of cases. The standardization of procedure is considered to become essential in the future for establishing clinical evidence and improving treatment outcomes. In this panel discussion, efforts of standardization are expected to be presented for various diseases.
Pediatric MIS **Organized by ELSA 2020**

Detail

The status of pediatric endoscopic surgery significantly varies depending on the country in Asia. An extremely high percentage of the pediatrics population found in some Asian countries suggests a future rapid adoption of pediatric endoscopic surgery due to economic development and infrastructure improvement. Education/training and technology exchange necessary for the safe adoption of pediatric endoscopic surgery as a global surgery are expected to be discussed.

Imaging

New imaging techniques in MIS **Organized by ELSA 2020**

Detail

MIS is associated with difficulties in three-dimensional recognition of anatomical structure due to limited visual information and the lack of tactile information. It is also necessary to accurately determine a vessel course, including anomalies, and identify tumors in order to avoid unexpected bleeding and organ injury. Preoperative and intraoperative image information, therefore, plays an important role to support surgery. Image information currently available for such purposes includes simulation based on preoperative CT images, intraoperative ultrasonography, and ICG fluorescence images. The features, usage and clinical efficacy of new image guiding are expected to be discussed.
Image Guided Laparoscopic HBP Surgery **Organized by ELSA 2020**

Detail

Preoperative simulation and intraoperative navigation is essential for safe, accurate laparoscopic HBP surgery. The latest application and limits of image guided surgery is discussed.

Medical Safety

Safety in Endoscopic Surgery: Taking it to the next level

Detail

The field of endoscopic surgery is supported by technology that has been developing at an accelerating rate. In the context of safety on surgical treatment, various data including patient information, surgical video, and video and sound records of operating room are treated as big data to facilitate multidimensional analysis in the evaluation of surgical outcomes. In this session, cutting edge efforts are expected to be shared and discussed on the theme of safety improvements and technology in the field of endoscopic surgery.

Education

Current Situation and Future Direction of Surgical Education for Endoscopic Surgery in the World

Detail

Due to the prevalence of robot-assisted surgery and rapid development of artificial intelligence (AI) technology, the field of endoscopic surgery is about to enter a phase of major change. New educational goals and strategies are essential for emerging technologies and technological innovations to be adopted. In this session, the current educational status in the field of endoscopic surgery in various counties are presented to discuss a future direction of endoscopic surgery education in the new era.

Medicine and Engineering Collaboration

Medicine and Engineering Collaboration Around the World

Detail

This panel discussion introduces the status quo of medical-engineering collaboration in Europe, the U.S., Asia and other regions, and discusses the differences in the duration countries require before marketing new medical devices, as well as of any obstacles they face before marketing.
Medical device development from a female perspective

Detail

In medical device development, it is important to reflect the opinions of medical professionals. With recent increase of female surgeons in the field of endoscopic surgery, there is a demand for the development of medical devices that are easy to handle for female surgeons. In this session, we would like to discuss current issues in medical device development from the perspective of female surgeons and female developers.

Olympic Session

WCES 2020 Olympic Session for Young Surgeon ： Imagine the Future

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Applicant must be 45 years of age or younger at the time of congress (September 9, 2020).
WCES 2020 Olympic Session for Female Surgeon ：Visit the Past, Imagine the Future