1

HPBSURGERY:UDINE MEETSTHE EXPERTS

25262728

OC

TOB

ER

2017CASTELLO

DI UDINESALONE DEL

PARLAMENTO

2

3

PROMOTED BY:Fondazione Internazionale MenariniCentro Direzionale Milanofiori20089 Rozzano (Milan, Italy)Edificio L - Strada 6Phone: +39 02 55308110 - Fax +39 02 55305739E-mail: milan@fondazione-menarini.it - website: www.fondazione-menarini.it

ORGANIZING SECRETARIAT AND PROVIDER:Contatto S.r.l.ECM ID 126Via Vincenzo Lancia, 27 - 10141 Turin (Italy)Phone: +39 011 715210 / 712393 - Fax: + 39 011 726115E-mail: info@contatto.tv - Web site: www.contatto.tv

ECM

PRESIDENT OF THE CONGRESS:

Andrea Risaliti Chief of General SurgeryDirector of Liver, Kidney & Pancreas Transplantation ProgramAcademic Hospital SMMUniversity of Udine

UNDER THE AUSPICES OF:

Ordine dei Medici Chirurghi e Odontoiatri della Provincia di Udine

SITOSocietà Italiana Trapianti d’OrganoSocietà Italiana di Chirurgia

UNIVERSITÀDEGLI STUDI DI UDINE ÕT

UTILIZZO MARCHIO(LOGO UNIVERSITÀ)

IDENTITÀ ISTITUZIONALEAZIENDA SANITARIAUNIVERSITARIA INTEGRATA

DI UDINE

In collaboration with:

4

INTRODUCTION

Travellers going to Udine will not fail to notice Udine’s castle on a lone-standing hill, rising over a monotonous plain.History tells us that in July 452 AD, Attila’s Huns built this mound by carrying the earth inside their helmets and that, from the top of this hill, Attila watched his troops plun-der Aquileia after a siege that had lasted three years.We would like the legend of Attila and the hill of Udine to ideally provide a cultural bridge between the splendours of Aquileia and this group of distinguished clinicians gathered here for the congress.The second edition of “HPB SURGERY: UDINE MEETS THE EXPERTS” which takes place after a two-year interval aims to review themes and innovations in the field of hepato-biliary surgery.Three specialised courses on emerging technologies (Robotic Surgery, Preservation of the organs for transplantations, Breast Surgery) will be the cornerstone of the main focused on the development of mini-invasive laparoscopic liver surgery and liver transplantations.The delivery of some awards for organ transplant research promoted by the Univer-sity Department of the Medical Area and above all the honorary degree awarded to Professor Ronald W. Busuttil of UCLA, a world famous specialist in the field of liver transplantation t as well as a world renown surgeon, will be the highlight of the the-mes which will be raised and discussed in the evocative Parliament Hall.

INTRODUZIONE

Si narra che nel luglio del 452 d.C. la collina sulla quale oggi si erge il Castello di Udi-ne, unico rilievo su una piana quasi monotona, venisse edificata con la terra riportata dentro gli elmi degli Unni per meglio osservare il sacco di Aquileia, caduta dopo 3 anni di assedio.Vorremmo che la leggenda di Attila e del colle di Udine fungesse idealmente da ponte culturale fra i fasti di Aquileia e la salita al Castello di illustri clinici riuniti a con-gresso. Infatti, a distanza di due anni dalla precedente, prende le mosse la seconda edizione di “HPB SURGERY: UDINE MEETS THE EXPERTS”, che vuole ripercorrere tematiche e innovazioni in tema di chirurgia epato-biliare. 3 corsi specialistici sulle tecnologie emergenti (chirurgia robotica, conservazione degli organi a scopo di tra-pianto, chirurgia mammaria) faranno da cornice alle sessioni principali, imperniate sugli sviluppi della chirurgia laparoscopica mini-invasiva del fegato e del trapianto di fegato. La consegna di alcuni premi per la ricerca nei trapianti d’organo, promossi dal Dipartimento Universitario di Area Medica e soprattutto la laurea honoris causa conferita al Prof. Ronald W. Busuttil della UCLA, insigne studioso del trapianto di fe-gato e fra i più grandi chirurghi al mondo, vuole essere coronamento di quanto verrà affrontato e discusso nel suggestivo Salone del Parlamento.

5

Andrea Risaliti (Udine, IT) Course presentation and Chair

16:50

Wednesday, October 25th, 2017 Afternoon

Pre Congress Course Introducing a new concept in Kidney Transplantation

Alessandro Giacomoni (Milano, IT) Robotic living donor kidney harvesting

Ronald W. Busuttil (Los Angeles, USA) Luciano De Carlis (Milano, IT) Antonio Famulari (Aquila, IT)

Mohammed Ayyoub (Cagliari, IT) Robotic kidney transplantation. Experience with a serie of 30 cases

Ugo Boggi (Pisa, IT) Robotic pancreas and kidney transplantation

17.30

Chair

18.00

19.00

Discussion19:30

Sergio Serni (Firenze, IT) Robotic kidney transplantation in Florence

18.30

Monica Calamai (Firenze, IT) Evolution of surgery in transplantation: HTA

17.00

6

Ronald W. Busuttil Ceremony of honorary degree in medicine

Alberto De Toni Magnifico Rettore of the University of Udine Silvio Brusaferro Director of the Department of Medicine

Andrea Risaliti Chief of General Surgery Director of Liver, Kidney and Pancreas Transplantation Program

10:30 - 12:00

Welcome

Ronald W. Busuttil 50 Years of Liver Transplantation

Laudatio

Lectio

Andrea Risaliti (Udine, IT) Course presentation and Chairs

08:30

Thursday, October 26th, 2017 Morning

Pre Congress Course From static to dynamic organ preservation

Marinella Zanierato (Pavia, IT) DCD organ donation in Italy

Luigi G. Lupo (Bari, IT) Roberto Peressutti (Udine, IT) Francesco Procaccio (Rome, IT)

Ugolino Livi (Udine, IT) Normothermic ex vivo perfusion in heart transplantation

Gian Luigi Adani (Udine, IT) Machine perfusion in renal transplantation

Discussion

09:00

Chair

09:15

09:30

10:10

Mauricio Sainz Barriga (Leuven, BE) Hypothermic and normothermic machine perfusion in liver transplantation

09:45

Honorary Degree Ronald W. Busuttil

Coffee break10:15

Welcome of the President of the Congress

Authorities welcome Furio Honsell Mayor of Udine Alberto De Toni Magnifico Rettore of the University of Udine Marco Montorsi Magnifico Rettore Humanitas University Presidente Società Italiana di Chirurgia (Milan, IT) Massimo Pignatelli Magnifico Rettore, Nazarbayev Univeristy (Astana, KZ) Mauro Delendi General Manager ASUIUD Silvio Brusaferro Director of the Department of Medicine Oliviero Drigani President of the Court of Appeal of Trieste Alessandro Nanni Costa Direttore Centro Nazionale Trapianti (Rome, IT) Alessandro Casini President of Menarini Foundation (Florence, IT)

Department of Medicine (DAME) transplant research AWARDS

Susumu Eguchi (Nagasaki, JP), Giuseppe Marcucci (Rome, IT), Vincenzo Mazzaferro (Milan, IT), Claudio Pittin (Udine, IT), Mauro Salizzoni (Turin, IT)

12:00

Lunch13.00

Laura Koller (Milan, IT) Organs for transplantation: management and treatment

10:00

Gaudeamus

7

Vittorio Cherchi (Udine, IT) Ex situ extended left hepatectomy for cholangiocarcinoma

Dario Lorenzin (Udine, IT) Major hepatectomy by means of linear staplers

Luca Aldrighetti (Milan, IT) Totally mini-invasive ALPPS

Fulvio Calise (Naples, IT) True life: old and new of a biliary tree

Luciano De Carlis (Milan, IT) Orthotopic liver transplantation from situs inversus totalis donor

Randa Akouri (Göteborg, SE) Lecture - Livebirth after uterus transplantation

16:45

16:55

17:05

17:15

17:25

18.05

Session II Cine clinic

Annibale Donini (Perugia, IT) Roberto Petri (Udine, IT)

Chair

Andrea Risaliti (Udine, IT) Angelo Cagnacci (Udine, IT)

Chair

Matteo Renzulli (Bologna, IT) Liver Benign Focal Nodule: the referral to surgeon

Pasquale Berloco (Rome, IT) Fulvio Calise (Naples, IT)

Marco Vivarelli (Ancona, IT) Hepatic angioma

Alfred KÖnigsrainer (Tuebingen, DE) Hepatic adenoma and adenomatosis

Antonio D. Pinna (Bologna, IT)

15:30

Chair

15:45

16:00

Counter-Speaker

Thursday, October 26th, 2017 AfternoonSession I When and how to do it

Coffee break16:30

Discussion on “when and how to do it”16:15

Nicolò Bassi (Treviso, IT)Counter-Speaker

Discussion on “cine clinic”17:55

Gian Luca Grazi (Rome, IT) Neoplastic infiltration of the retrohepatic inferior vena cava: fact or fiction?17:35

Matteo Donadon (Milan, IT) Upper trasversal hepatectomy17:45

8

Susumu Eguchi (Nagasaki, JP) LDLT for malignancies in Japan.

Suk Kyung Hong (Seoul, KR) Pure 3D laparoscopic extended right hepatectomy for LDLT in malignancies

Savatore Gruttadauria (Palermo, IT) LDLT and Cadaveric Donation for HCC at ISMETT

Massimo Malagò (London, UK) - Joerg-Matthias Pollok (London, UK) Lecture - Donors after circulatory death for liver transplantation

Giuseppe Tisone (Rome, IT) Minimazing immunosuppression as a strategy to reduce malignancies

Lunch

10:35

10:50

11:05

12:20

12:50

11:35

Luciano De Carlis (Milan, IT) Alfred KÖnigsrainer (Tuebingen, DE)

Chair

Andrea Risaliti (Udine, IT) Presentation sessions and Chairs

Jan Lerut (Bruxelles, BE), Quirino Lai (Rome, IT) Lecture - Vascular tumors: a particular story

Ronald W. Busuttil (Los Angeles, USA) Antonio D. Pinna (Bologna, IT)

Vincenzo Mazzaferro (Milan, IT) HCC: the end of an old Milan story?

Emir Hoti (Dublin, IE) Hylar CCA: a complex story

Daniel Azoulay (Paris, FR) Colorectal metastases: crazy?

Coffee break

08:30

09:00

Chair

09:20

09:35

09:50

10:20

Friday, October 27th, 2017 Morning

Session III Liver transplantation for malignancies

Luciano De Carlis (Milan, IT)Counter-Speaker

Discussion on “liver transplantation for malignancies”10:05

Silvio Nadalin (Tuebingen, DE)Counter-Speaker

Discussion on “liver transplantation for malignancies”11:50

Massimiliano Mutignani (Milan, IT) Endoscopic treatment of iatrogenic, hilar and intrahepatic biliary lesions

11:20

9

Vittorio Corno (Bergamo, IT) Donor-Recipient matching: size matter

Alfonso Avolio (Rome, IT) Five operations for stage V liver trauma. What is the best strategy?

Marco Massani (Treviso, IT) Major liver blunt trauma: how and when

Umberto Baccarani (Udine, IT) From benign liver to the worst nightmare

Fulvio Calise (Naples, IT) Open left hepatectomy for a “Goliac” fake primary neuroendocrine carcinoma

16:50

17:00

17:10

17:20

17:30

Session V My worst case in liver surgery

Marco Vivarelli (Ancona, IT) Savatore Gruttadauria (Palermo, IT)

Chair

Andrea Risaliti (Udine, IT) Presentation sessions and Chairs

Luca Aldrighetti (Milan, IT) Major resections

Michele Colledan (Bergamo, IT) Massimo Rossi (Rome, IT)

Umberto Cillo (Padua, IT) What to do in cirrhotic livers

Silvio Nadalin (Tuebingen, DE) Pros & cons laparoscopic liver resections

Roberto Troisi (Gent, BE) Lecture - From laparoscopic to robotic liver surgery

Coffee break

14:00

14:45

Chair

15:00

15:15

15:50

16:30

Friday, October 27th, 2017 Afternoon

Session IV Laparoscopic liver resections for neoplasms

Antonio D. Pinna (Bologna, IT) Lecture - ALPPS or not ALPPS?

16:10

Nicolò Bassi (Treviso, IT)Counter-Speaker

Discussion on “laparoscopic liver resections for neoplasms”15:30

Umberto Tedeschi (Verona, IT)Counter-Speaker

Discussion on “My worst case in liver surgery”17:40

Mohammed Abu Hilal (Southampton, UK) What did we learn in the last decade

14:30

10

Andrea Risaliti (Udine, IT) Presentation sessions and Chairs

Carlo Mariotti (Florence, IT) DCIS: state of the art

Carlo Mariotti (Florence, IT) Carla Cedolini (Udine, IT)

Riccardo Masetti (Rome, IT) New fronteers of breast oncoplastic surgery

Mario Taffurelli (Bologna, IT) Treatment and controversies of LCIS

Coffee break

Francesca Rovera (Varese, IT) Breast cancer and thyroid diseases

Ines Buccimazza (Durban, ZA) Locally advaced breast cancer

Manuela Roncella (Pisa, IT) Modern evolution of the breast unit in Italy

Kerstin Sandelin (Stockholm, SE) Lecture - Patient-related outcome measures in breast cancer management

Lunch

08:30

09:30

Chair

09:45

10:00

10:30

10:45

11:00

11:15

11:45

13:00

Saturday, October 28th, 2017 Morning

Session VI Satellite symposium of the italian school of breast surgery

Paolo Burelli (Treviso, IT) Pier Camillo Parodi (Udine, IT)

Chair

Paolo Carcoforo (Ferrara, IT)Counter-Speaker

Discussion on “Satellite symposium of the italian school of breast surgery”10:15

Marina Bortul (Trieste, IT)Counter-Speaker

Discussion on “Satellite symposium of the italian school of breast surgery”11:30

11

FACULTY LIST

- MOHAMMED ABU HILAL University of Southampton, Clinical HPB and Research and Development Lead for Surgery, Southampton University Hospital, UK

- GIAN LUIGI ADANI Department of Surgery and Kidney Transplantation University of Udine, IT

- RANDA AKOURI University of Goteborg Sahlgrenska Academy, SE

- LUCA ALDRIGHETTI Hepatobiliary Surgery, Department of Surgery San Raffaele Hospital, Milan, IT

- ALFONSO AVOLIO General Surgery, Liver Transplantation Unit Policlinico “”A. Gemelli”, Rome, IT

- MOHAMMED AYYOUB Department of Urology, Kidney Transplantation & Robot Surgery, Cagliari, IT

- DANIEL AZOULAY Digestive and Hepatobiliary Surgery Henri Mondor Hospital, Créteil, FR

- UMBERTO BACCARANI Department of Surgery Liver Transplantation University of Udine, IT

- NICOLÒ BASSI Department of Surgery Hospital of Treviso University of Padua, IT

- PASQUALE BERLOCO Department of Surgery and Transplantation “Paride Stefanini” University of Rome “La Sapienza”, IT

- UGO BOGGI Department of Surgery Kidney and Pancreas Transplantation University of Pisa, IT

- MARINA BORTUL Department of Surgery University of Trieste, IT

- SILVIO BRUSAFERRO Department of Medicine, Hygiene and Pubblic Health, University of Udine, IT

- INES BUCCIMAZZA Department of Surgery Nelson R. Mandela School of Medicine University of KwaZulu-Natal, Durban, ZA

- PAOLO BURELLI Breast Unit, Hospital of Treviso, IT

- RONALD W. BUSUTTIL Division of Liver & Pancreas Transplantation, Department of Surgery University of California Los Angeles, David Geffen School of Medicine at UCLA, USA

- ANGELO CAGNACCI Surgery Obstetrics and Gynecology University of Udine, IT

- MONICA CALAMAI Careggi Hospital, Florence, IT

- FULVIO CALISE Hepatobiliary & Pancreas Surgery Division, Pineta Grande Hospital, Castel Volturno, IT

- PAOLO CARCOFORO General Surgery, University of Ferrara Second Surgery Unit “S. Anna” University Hospital, Ferrara, IT

- CARLA CEDOLINI Department of Surgery Breast Unit, University of Udine, IT

12

FACULTY LIST

- VITTORIO CHERCHI Department of Surgery University of Udine, IT

- UMBERTO CILLO Hepatobiliary Surgery and Liver Transplantation Center Department of Surgical and Gastroenterological Sciences University of Padua, IT

- MICHELE COLLEDAN Department of Surgery “Papa Giovanni XXIII” Hospital Bergamo, IT

- VITTORIO CORNO General Surgery III Liver Transplantation Unit Lung Transplantation Unit “Papa Giovanni XXIII” Hospital, Bergamo, IT

- LUCIANO DE CARLIS University of Milano-Bicocca School of Medicine Department of Multi-Disciplinary-Surgery Division General, HBP and Transplantation Surgery Niguarda Transplant Center Niguarda Hospital, Milan, IT

- ALBERTO DE TONI Faculty of Engineering-Economics University of Udine, IT

- MATTEO DONADON Department of Hepatobiliary & General Surgery Humanitas Clinical and Research Center Milan, IT

- ANNIBALE DONINI General Surgery, Department of Biomedical and Surgery Sciences University of Perugia, IT

- SUSUMU EGUCHI Department of Surgery Nagasaki University Graduate School Of Biomedical Sciences, Nagasaki, JP

- ANTONIO FAMULARI Kidney Transplantation University of Aquila, IT - ALESSANDRO GIACOMONI Hepatic Surgery, General Surgery and Transplant Division A.O. Niguarda Ca’ Granda, Milan, IT

- GIAN LUCA GRAZI HepatoBiliaryPancreatic Surgery “Regina Elena” National Cancer Institute Rome, IT

- SAVATORE GRUTTADAURIA University of Pittsburgh Medical Center in Italy (UPMCI) Department for the Treatment and the Study of Abdominal Diseases and Abdominal Transplantation Palermo, IT

- SUK KYUNG HONG Department of Surgery Seoul National University Hospital Seoul National University College of Medicine, Seul, KR

- EMIR HOTI National Liver Transplant Programme St Vincent’s University Hospital, Dublin Faculty of Medicine, University College Dublin, IE

- ALFRED KÖNIGSRAINER Department of General, Visceral and Transplant Surgery, Tübingen, DE

- QUIRINO LAI Liver Transplant and Hepatobiliary Surgery Unit Sapienza University of Rome, IT

13

FACULTY LIST

- UGOLINO LIVI Cadiothoracic Department University of Udine, IT

- DARIO LORENZIN Department of Surgery and Transplantation University of Udine, IT

- LUIGI G. LUPO General Surgery and Liver Transplantation A.O. - University of Bari, IT

- CARLO MARIOTTI Breast Unit, Careggi Hospital, Florence, IT

- RICCARDO MASETTI Breast Unit, “Policlinico Gemelli”, Rome, IT

- MARCO MASSANI Department of Surgery, HPB Unit Hospital of Treviso, IT

- VINCENZO MAZZAFERRO Department of Surgery IRCCS General Surgery University of Milan, IT

- MARCO MONTORSI Department of General Surgery Humanitas Research Hospital, Milan, IT

- MASSIMILIANO MUTIGNANI Division of Digestive and Interventional Endoscopy Niguarda Ca’ Granda Hospital, Milan, IT

- SILVIO NADALIN Transplant center and HBP Surgery University Clinic for General Visceral and Transplantation Surgery University Hospital Tübingen, DE

- ALESSANDRO NANNI COSTA Transplant National Centre, Rome, IT

- PIER CAMILLO PARODI Department of Surgery Sciences Reconstructive Plastic Surgery University of Udine, IT

- ROBERTO PERESSUTTI Transplant Regional Centre University Hospital “S. Maria della Misericordia”, Udine, IT

- ROBERTO PETRI General Surgery University Hospital “S. Maria della Misericordia”, Udine, IT

- MASSIMO PIGNATELLI School of Medicine Nazarbayev University of Astana, KZ

- ANTONIO D. PINNA Department of Medical Sciences and Surgery, University of Bologna Department of General Surgery and Transplantation Policlinico “S. Orsola-Malpighi”, Bologna, IT

- JOERG-MATTHIAS POLLOK Hepato-Pancreatic-Biliary (HPB) Sarcoma & Transplant Surgery The London Digestive Centre, London UK

- FRANCESCO PROCACCIO National Transplant Committee Italian Health Institute, National Committee for Continuous Education in Medicine TPM - Transplant Procurement Management Rome, IT

- MATTEO RENZULLI Radiology Unit, Department of Diagnostic and Preventive Medicine S. Orsola-Malpighi University Hospital Bologna, IT

- ANDREA RISALITI Department of Surgery and Transplantation University of Udine, IT

14

FACULTY LIST

- MANUELA RONCELLA Breast Unit, University Hospital of Pisa, IT

- MASSIMO ROSSI General Surgery, University of Rome “La Sapienza”, Liver Transplant and Hepatobiliary Surgery Policlinico Umberto I, Rome, IT

- FRANCESCA ROVERA General Surgery Senology Research Center Deptartment of Surgical and Morphological Sciences University of Insubria, Varese, IT

- MAURICIO SAINZ BARRIGA Abdominal Transplant Surgery University of Leuven, BE

- KERSTIN SANDELIN Dept of Breast and Endocrine Surgery Karolinska University Hospital Stockholm, SE

- SERGIO SERNI Department of Urology University of Florence Robotic Urology Surgery and Kidney Transplant “Careggi Hospital”, Florence, IT

- MARIO TAFFURELLI Alma Mater Studiorum University of Bologna, IT

- UMBERTO TEDESCHI Department of General Surgery “Ospedale Civile Maggiore”, Verona, IT

- GIUSEPPE TISONE General Surgery and Transplant Unit Tor Vergata University, Rome, IT

- ROBERTO TROISI Division of Hepato-Biliary and Pancreatic Surgery Ghent University Hospital and Medical School, Gent, BE

- MARCO VIVARELLI General Surgery University of Politecnica delle Marche Hepatobiliary Surgery and Transplantation Ancona, IT

- MARINELLA ZANIERATO Department of Anaesthesiology and Reanimation IRCCS Policlinico San Matteo, Pavia, IT

15

Meeting venueCastello di Udine, Piazzale del Castello, 2 - Udine

Secretariat during the MeetingThe Secretariat will be open at the following times:Thursday, October 26th from 07.30 to 18.30Friday, October 27th from 07.30 to 18.00Saturday, October 28th from 07.30 to 13.00

Official languageThe official language of the Meeting will be English.

RegistrationsRegistration is free of charge.Please confirm your participation to the Organizing Secretariat:Contatto S.r.l.Phone: +39 011 715210 / 712393 - Fax: + 39 011 726115E-mail: info@contatto.tv

Italian CME AccreditationThe Meeting has obtained 13.2 CME Credits for Italian Physicians.The CME credits will be recognized only after full attendance of all sessions and a minimum score of 75% of correct answers in the learning questionnaires.Completion of the Registration Form, the Learning & Assessment questionnaires are compulsory.

European CME AccreditationThe event has been accredited by the EACCME for 15 European CME Credits.

Technical facilitiesA Slide Centre with PCs (Windows and Macintosh operating systems) will be available for Speakers to preview and finalize their presentations.Speakers are kindly requested to submit their presentations on USB flash drive, CD or DVD to the Slide Centre technicians at least one hour before their talks.

Slide Centre opening hoursThursday, October 26th from 07.30 to 18.30Friday, October 27th from 07.30 to 18.00Saturday, October 28th from 07.30 to 13.00

Lunches and coffee breaksLunches and coffee breaks will be provided within the conference premises.

Attendance certificateThe attendance certificate will be issued at the accreditation/registration deskfollowing full attendance at the Conference.

GENERAL INFORMATION

16

For more informationand for the registration to the Congress

visit the following website:

www.fondazione-menarini. it

Fond

azio

ne In

tern

azio

nale

Men

arin

i Sym

po

sia

n. 3

56

With no committing contribution of: