Welcome to LAPSERB
The National Training Programme (NTP) in Laparoscopic Colorectal Surgery (LCS) in Great Britain was a huge success. Based on this success and the European Academy of Robotic colorectal Surgery (EARCS), a brief proposal has been submitted to the stake holders in Serbia to run a national training programme for minimally invasive colorectal surgery. Minimally invasive surgery is the gold standard; however there is a lack of training and resources. The training programme will help to fill this skill gap.
NEWS
8th Workshop of Coloproctology in Pančevo
October 17th, 2019.
GP "Pančevo", 11th Miloša Trebinca street, Grand Hall
Second congress of serbian association of endoscopic surgeons with international participation
November 14-16, 2019.
Crowne plaza, Belgrade
Our vision to LAPSERB
Research & Education
The wealth of data gathered from S-MICRAS will translate to international presentations and publications, thereby impacting on translational research.
S-MICRAS will become an integral part of surgical mainstream education, thereby raising standards on par with the western European standards.
Clinical
S-MICRAS programme will improve the outcomes of colorectal surgery nationally, thereby improving patient outcomes and also resources that are translated as a result of saving from occupied bed days, intensive care and complications.
- Immersion weeks would involve the following:
- Introduction to MDT
- Enhanced recovery and peri-operative care
- Demonstration and familiarization with operative techniques
- In reach Training would involve:
- Up to 20 cases under direct supervision in the base hospital
- Teaching and training of the team with anesthesiologists, radiologists and pathologists
- Training mapped with real time Global assessment Scores (GAS)
University Diploma
S-MICRAS will provide a streamlined, structured training programme, in association with EARCS and University of Belgrade. This will deliver a University diploma, recognized around the world.
- Pathway for training would include selection of centre and surgeons locally by the Serbian stake holders. Some of the modules planned would encompass:
- Module 1 - Introduction to surgical oncology
- Module 2 - Surgical anatomy for Colo-rectal cancers
- Module 3 – Minimally invasive surgical principles
- Module 4 – Human factors: Decision making, risk communication, patient safety and health outcomes
- The following tasks would need to be completed in consensus with all the stake holders:
- MCQ exams
- Video assessments
- 2 unedited videos for right and left colon performed by the trainees would be assessed blindly by the faculty using L-CAT forms
- Final certification and feedback
Infrastructure & resources required by each participating centers
- Operative tables compatible with Laparoscopy
- High definition Laparoscopic stack – with a master and slave
- Laparoscopic instruments – Bowel graspers Johan’s long and short tip/ Endo Babcock / Laparoscopic needle holders
- Energy sources (Hormonic scalpel / Ligature – 5 mm device)
- Staplers – Laparoscopic Linear cutter / Echelon or endo GIA
- Circular stapling devices / CDH 28 – 30
- Hem-o-lock clips - various sizes
- Would protectors
- Patient immobilizers – Bean bag / Lloyd Davies boots
- Other consumables
Successful completion of the training programme will lead award of
"Diploma in Minimally invasive colorectal surgery"
from EARCS, Champalimaud foundation, Medical Faculty and University of Belgrade.
Minister of Health in the Serbian Government Assistant professor Dr Zlatibor Loncar and Professor Amjad Parvaiz, one of the world's largest experts in the field of laparoscopic and robotic colorectal surgery, met today in Belgrade on the establishment of the National Training Program for Minimally Invasive Colorectal and Anal Surgery (S-MICRAS-LAPSERB) in Serbia.
