THYROID SURGERY: THE RECURRENT LARYNGEAL NERVE

Patronage
COMUNE di
VARESE
RegioneLombardia
INTERNATIONAL COURSE ON ENDOCRINE SURGERY
The Course is offered by the Department of Surgical Sciences, University of Insubria, VareseComo, Italy. The Course is intended to be a one-day comprehensive review and update of
surgery of the thyroid gland with an emphasis on the recurrent laryngeal nerve. Surgical
techniques will be presented, including recurrent laryngeal nerve identification, preservation,
monitoring and reconstruction. Minimally invasive surgical techniques will be thorougly
analyzed. Moreover discussions will be centered on recognition and management of nerve
injury and new advances in its treatment.
Sanità
THYROID SURGERY:
THE RECURRENT
LARYNGEAL NERVE
CENTRO DI RICERCHE
ENDOCRINOCHIRURGIA
VARESE, ITALY
FRIDAY, JUNE 26TH, 2009
Course highlights
– SURGICAL LANDMARKS OF RECURRENT
LARYNGEAL NERVE
– MECHANISM OF RLN INJURY
– RISK FACTORS FOR RLN INJURY
– INTRAOPERATIVE EVIDENCE OF RLN
INJURY
– INTRAOPERATIVE NEUROMONITORING
– PRESERVATION AND RECONSTRUCTION
OF THE RLN IN ADVANCED THYROID
CANCER
Ordine dei Medici Chirurghi
e degli Odontoiatri
della Provincia di Varese
Ospedale
di Circolo
Fondazione
Macchi
Sponsors
DIPARTIMENTO DI
SCIENZE CHIRURGICHE
– VISUALIZATION OF THE LARYNGEAL NERVES
DURING VIDEO-ASSISTED THYROIDECTOMY
– SAFETY OF NEW HAEMOSTATIC
AND DISSECTING DEVICES CLOSE
TO THE NERVES
– VOICE CHANGES WITH OR WITHOUT RLN
INJURY
– NEW THERAPIES FOR LARYNGEAL
PARALYSIS
– MALPRACTICE IN THYROID SURGERY
Course Director
Gianlorenzo Dionigi
Preliminary Program
General information
Detail: Crocefissione, sec. XV, Sanctuary of St. Maria del Monte, Varese, Italy
Course
location
All the scientific sessions will be held at the Palace Grand Hotel Varese
(www.palacevarese.it), via Luciano Manara, 11, Varese
Accomodations
A limited number of rooms have been reserved at the
Palace Grand Hotel Varese
Faculty
- Peter Angelos, MD
Online
information
Available at www.uninsubria.it and www.artcomsrl.it
Commissioning
secretary
ARTCOM S.r.l.
Via B. Verro, 12 – 20141 Milano
Tel. 02 89540427 – Fax 02 89518954
E-mail: [email protected]
Sito web: www.artcomsrl.it
CME
University of Chicago, USA
- Marcin Barczynski, MD
Jagiellonian University, Krakow, Poland
- Luigi Bartalena, MD
University of Insubria, Italy
- Francesco Basile
The Course is accredited by the University of Insubria (www.uninsubria.it)
and the Italian and European Accreditation Council for Continuing
Medical Education to provide continuing education for physicians
University of Catania, Italy
- Amelia Bastagli, MD
University of Milan, Italy
- Rocco Bellantone, MD
Università Cattolica del Sacro Cuore, Rome, Italy
- Feng-Yu Chiang, MD
Kaohsiung Medical University Hospital, Taiwan
- Thierry Defechereux, MD
Department of Endocrine Surgery, CHU Sart Tilman, Belgium
- Henning Dralle, MD
Martin-Luther-University of Halle, Germany
- Paul Warren Flint, MD
Johns Hopkins University School of Medicine, USA
- Jean-François Henry, MD
Department of General and Endocrine Surgery, Marseille, France
- Allen Hillel, MD
University of Washington, Seattle, USA
- Maurizio Iacobone, MD
University of Padua, Italy
- Akira Miyauchi, MD
Kuma Hospital, Kobe, Japan
- Paolo Miccoli, MD
University of Pisa, Italy
- Radu Mihai, MD
John Radcliffe Hospital, Oxford, UK
- Angelo Nicolosi, MD
University of Cagliari, Italy
- Mariarosa Pelizzo, MD
Medical and Surgical Sciences, Padua, Italy
- Gregory Randolph, MD
Harvard Medical School, Boston, USA
- Mario Sianesi
University of Parma, Italy
- Emilio Trabucchi
University of Milan, Italy
Morning
M
orning
g Sessions
Sessions
Chair
C
hair
Dep
par
artm
tmen
entt off Clinical
Clini
nica
cal Medicine,
Medi
dicine
ne, U
niv
iverrsi
s ty of Insubria,
Insubrria
a, Italy
IIttta
ally
a
Bartalena L, Department
University
par
artm
mentt off Surgical
Surgi
g call Sc
Scie
ienc
n e, U
n ve
ni
versity of Parma
ma, It
ma
IItaly
ta
ally
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Department
Science,
University
Parma,
08.15
08.30
08
08.50
09
9.10
09.10
09
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30
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ATION
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ng
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ment
ent off Otolaryngology-Head
en
Oto
olla
ary
ryng
ng
gol
o og
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ad and
and
n Neck
Necck
Chiang
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Sur
u gery
ryy, Kaohsiung
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o si
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ung Medical
un
Med
diiccal
al U
niiveers
n
rsity
itty Hospital,
Hosp
Ho
s ittal
al, Ta
T
aiw
iwan
an
n
Surgery,
University
Taiwan
11
1.1
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0
11.10
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I UA
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ZATION
ON V
ERSU
ER
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US N
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OM
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TOR
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THE
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REC
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U RE
UR
ENT LARYNGEAL
LARYN
YNGE
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L NERVE
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ERV
VE
E
RECURRENT
Ba
arc
rczy
zyynsskkii M
D
pa
p
arttm
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of E
En
ndo
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riin
ne S
Su
urg
gerry,
y, 3
rd C
rd
hair
ha
i
ir
Barczynski
M,, De
Department
Endocrine
Surgery,
3rd
Chair
of General
Generra
Ge
Gene
al Surgery,
Surg
Su
ger
ery,
y, Jagiellonian
y,
Ja
ag
giell
iellllon
ie
lon
o ia
ian
n University,
Uni
Un
nive
iveerrsi
iv
sityy, Kr
K
rak
a ow
w, P
Po
ola
land
n
nd
of
Krakow,
Poland
WELCOM
OME
E
WELCOME
R, Rector
Recto
Re
Rect
orr University
Uniive
v rsitty off Insubria,
Inssubria, Italyy
Dionigi R,
CO
OUR
RSE IINTRODUCTION
NTRODUCT
NT
NTR
DU
UCTIO
ION
COURSE
Dio
ioni
nigi
gi G,
G, Department
Depa
De
p rttme
ment
nt of Surgical
Surg
gical
al Sciences,
Sci
c en
ence
c s,
ce
Dionigi
Uniive
verssit
ity
ty of Insubria,
Ins
nsub
ubrria, Italy
Ita
aly
University
SURGI
GIICAL
CAL LANDMARKS
LA
AN
ND
DMA
MAR
RKS FOR
F R DETECTING
FO
DE
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REC
E UR
U R
RE
EN
NT
T LARYNGEAL
LAR
RYN
YNGE
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A NERVE
NER
RVE
E
THE
Heenrry JF,
J , Department
JF
Deepa
D
part
rtme
tme
m ntt of
of General
G neera
Ge
al and
a d Endocrine
an
Endo
En
docr
do
cri
rin
ine Su
urg
r er
ery,
y
Henry
Surgery,
Hôp
pital
iittall de
de la Timone,
Tim
imon
one,
e,, Marseille,
Marrseillle
l , France
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Fran
ance
ce
Hôpital
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30
11.30
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PHIC
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EN
NT
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IF
FIC
ICATIO
AT
A
TIO
ON
PREOPERATIVE
OF NON
NO
ON RECURRENT
RECURR
REN
NT LARYNGEAL
LA
L
A
ARY
RY
YN
NG
GEA
GE
EAL NERVE
NE
ER
RV
VE
OF
Ia
accob
obone
one M,
on
M, Endocrine
End
ndo
doc
ocriine
ne Surgery
Sur
urge
g ry
ry Department,
Dep
eparrtm
epar
men
e t,
t,
Iacobone
Uni
nivveers
rsit
iitty of
ity
of Padua,
Pa
ad
dua
ua,, Italy
Ital
It
aly
al
University
10.30
10
0.3
.30
0
INTRAOPERATIVE
INT
NTR
RA
AO
OP
P
PER
ERAT
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ATIIV
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EVID
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IDEN
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OF RECURRENT
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RE
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UR
RR
RENT
LARYNGEAL
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ARYN
YNGEAL
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AL NERVE
NERV
ERVE
ER
VE INJURY
INJ
NJUR
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URY
Y
Randolph
Ran
a do
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lph
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GW Thyroid
Thyyr
Th
yroid
d and Parathyroid
Parra
Pa
rathyr
th roiid Surgical
Su
S
urg
rgic
ica
all Divisions,
Divvissio
ion
ons
ns,
Massachusetts
Massa
sach
hus
uset
etttss General
Generral Hospital,
Hos
o pi
p ta
al, Harvard
Harva
varrd
rd Medical
Med
edic
ical
al School,
Sch
choo
cho
ool,
l,
Boston,
Boston,
n MA,
MA,
A USA
USA
SA
C
Ch
ar
ai
Chair
P
elizz
zzo
o M, D
eparrtm
ep
tmen
ent off S
urgica
ur
cal Pa
Path
t ology,
Pelizzo
Department
Surgical
Pathology,
Med
dicall an
dica
and
d Su
Surg
giiccall S
cien
ci
ence
ces,
s, P
ad
dua, Ital
aly
Medical
Surgical
Sciences,
Padua,
Italy
Ca
ast
stel
elnuovvo P,
P, D
epar
ep
a tm
tmen
entt of O
en
torh
to
r in
nolaryngology
Castelnuovo
Department
Otorhinolaryngology
Univ
Un
i ersi
iv
ersityy o
IInsubria,
Insu
nsu
s br
bria
ia
a, IIt
taly
University
off In
Italy
15
5.3
30
15.30
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HA
NGES
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JURY
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illeel AD,
ille
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Deepa
D
p rt
r me
ment
n o
nt
Hillel
off Otolaryngology-Head
an
nd
dN
ecck Surgery,
Surrg
Surg
Su
gerryy,, U
niveerrssityy of
ni
o Washington, Seattle, USA
and
Neck
University
15
1
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IN
NJJU
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TO TH
HE RECURRENT
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RE
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ENT
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AR
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Y GE
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ER
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VE: POSTOPERATIVE
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ER
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ATI
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AR
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NERVE:
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hn R
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K
Mihai
Radcliffe
Hospital,
Oxford,
UK
16.1
.10
16.10
NEW
W THERAPIES
THE
HERAPIIES
ES FOR
FOR L
ARYN
AR
NGE
GEAL
AL PARALYSIS
PAR
ARAL
ALYSIS
NEW
LARYNGEAL
Fliint P
W, D
eep
p
par
arrtment off Otolaryngology-Head
Otola
lary
ryyngol
ngolog
ng
og
gy-Head
a
Flint
PW,
Department
and
n N
ecck Surgery,
Su
S
urrg
geerry, JJohns
ohns
oh
ns H
opki
kiinss U
kins
nive
ni
vers
rsit
i y School
S hool
Sc
and
Neck
Hopkins
University
of Me
M
Med
edi
dic ne,, Ba
dici
B
Balt
altim
mor
ore,, U
SA
SA
of
Medicine,
Baltimore,
USA
16
1
6.3
30
16.30
MAL
ALPR
RAC
A TIC
CE
E IIN
N THYROID
TH
HYR
YROI
OID
D SU
SURG
RGER
ERY
Y
MALPRACTICE
SURGERY
Ang
gel
eo
oss P
D
epa
p rt
pa
r me
ment
nt off Su
S
rg
gery,, The Uni
nive
vers
rsit
ityy off C
h cago,
hi
Angelos
P,, De
Department
Surgery,
University
Chicago,
USA
A
USA
Afternoon
Sessions
Afternoon S
essions
Ch
C
hair
hai
Chair
Niicolosi
N
losii A,
A, Department
Departme
meentt of
of S
Su
urg
urg
ger
ery,
y, U
y,
n veerssiitty off C
ni
ag
a
gliiari
ari,
ar
i, Italy
Ita
talyy
Nicolosi
Surgery,
University
Cagliari,
Trrab
T
rab
buc
ucch
c i E,
E, Department
Deparrtm
men
entt of
of S
urge
urge
ur
gerry
ry, Un
U
iivver
ersi
sity
ty of
of Mi
M
ilan,
lan, Italy
la
Ita
aly
ly
Trabucchi
Surgery,
University
Milan,
Adj
djou
jou
o rn
n
Adjourn
Coffee
Coffe
feee break
breaak
br
14
14.0
4.00
14.00
14
4.2
20
14.20
SAF
AFE
ETY OF
ET
O NEW
NEW H
AEMOS
AE
AEMO
MO
OST
STAT
ATIC
C AND
AND
ND DISSECTING
DIS
SSECT
SECT
TING
IN
NG
SAFETY
HAEMOSTATIC
DEV
VIIC
CES CLOSE
CLO
OSE
ET
O THE
TH
HE LARYNGEAL
LA
LARY
ARY
RYNG
NGEAL
EA
AL NERVES
NE
N
ERV
RVES
VES
S
DEVICES
TO
Deffec
echere
here
he
reux
ux T,
T, Department
Deepart
part
pa
r meen
ntt of
of Endocrine
En
E
ndo
docrriin
ne Surgery,
Surg
Su
gery,
Defechereux
CH
HU
U Sart
Sarrt Tilman,
Tiilm
lma
an,
an
n, Belg
B
elg
lgiu
ium
m
CHU
Belgium
VISU
VI
UA
AL
LIZ
IZAT
ZA
AT
TIO
ON OF
OF T
H L
HE
ARYN
AR
NGE
GEA
AL
LN
ERVE
ES DU
UR
RIING
G
VISUALIZATION
THE
LARYNGEAL
NERVES
DURING
VIID
DEO
EO-A
ASS
S IS
IST
STE
TED TH
TED
T
HYR
YROI
ROI
O DE
EC
CT
TO
OM
MY
VIDEO-ASSISTED
THYROIDECTOMY
Miicccco
olii P, Department
D p
De
pa
arttme
men
ntt of
of General
Geene
G
nera
ral Su
S
urg
urg
rgery,
erry,
y S
C
ia
ara
a Hospital,
Hos
ospi
p ta
t l,
l
Miccoli
Surgery,
S.. Ch
Chiara
Unive
verrsity off Pisa,
Pis
i a,
a, Italy
Ita
taly
ly
University
ENDO
EN
ENDOSCOPIC
NDO
D S
SC
COP
OPIC
IC THYROIDECTOMY
IC
THY
HYRO
YRO
R ID
DEC
E TOMY AND
D POS
POSTOPERATIVE
O TO
T PE
P RA
RATI
TIVE
V
V
OICE
OI
CE
E SYM
YMP
PTOMS
PT
OM
MS
VOICE
SYMPTOMS
B
ella
anto
ntone
nt
one R, Department
Dep
par
arttm
artm
men
entt of S
urg
ur
gery,
Bellantone
Surgery,
U
niive
n
verrs
rsi à Ca
rsit
C
tttol
olic
ica
ca de
d
el Sa
S
cro
cr
o Cu
C
ore, Rom
om
me, Italy
Ita
aly
ly
Università
Cattolica
del
Sacro
Cuore,
Rome,
A
djjo
dj
ou n
ourn
Adjourn
C
offfee brea
of
b
br
re k
Coffee
break
Adj
djou
ourn
r
Adjourn
Lig
ightt lunch
lun
unch
h with
witth Professors
Prro
offesssso
sors
sor
rs
Light
RIS
SK FACTORS
FACT
FA
CTORS
ORS FO
OR
OR LARYNGEAL
LA
ARY
RYN
RYN
NG
GE
EA
AL NERVE
N R
NE
RV
VE INJURY
IN
NJU
URY
RY
RISK
FOR
Dra
allle H,
H, Department
Dep
pa
arrttm
men
men
ent o
off General,
Gen
neerral
al, Visceral
al,
Viisc
V
scerall and
an
nd
d Vascular
Vas
a cu
ula
lar
lar
Dralle
Surgery,
Sur
urge
g ry
ry, Martin-Luther-University
M rt
Ma
rtin
in-L
in
Lut
uth
heerr-Un
Univ
iver
iver
erssiity
ityy of
of Halle,
Hall
Hall
Ha
lle, Germany
lle
Geerrm
ma
anyy
Chair
Ch
C
hai
air
Bastagli
Bast
Ba
stagl
agli
ag
li A,
A, Endocrine
E docr
En
docr
do
crin
inee Surgery
in
Surg
Su
rg
ger
ery Unit,
Un
U
nit,
it, University
Un
niversi
ersiity
ty off Milan,
Milan,, Italy
Italyy
Basile
Basi
Ba
assiile
le F,
F, Department
Depa
Dep
part
rtme
tmeent of
of Surgery,
Surg
Su
gerry,
y, University
Uni
nive
verrssit
i y off Catania,
Cat
atan
a ia
a, Italy
I al
It
ay
PRES
PR
ESE
ES
ERVA
VATION
ION
ON AND
AN
ND
DR
EC
E
CO
CO
ON
NS
ST
TRU
UCT
CTIO
ON OF
F THE
THE
HE
PRESERVATION
RECONSTRUCTION
RECU
URRENT
URRE
NT LARYNGEAL
LARYN
AR
RYN
NGE
GEAL
AL NERVE
NE
ER
RV
RVE
VE
E IIN
N LOCALLY
LO
L
OCA
C LL
LY
RECURRENT
ADV
DVAN
AN
NCE
CED
ED THYROID
TH
HYR
YROI
OID CANCER
CA
C
ANC
NCE
ER
R
ADVANCED
M yya
Mi
a
auc
uch
uc
chi
hi A,
A, Department
Dep
Dep
pa
artme
rtme
rt
m nt
nt of
of Surg
S
urg
geerry,
y, Kuma
Kum
uma
a Hospital,
Hosp
spiittall, Kob
K
obe
be, Ja
JJapan
apa
pan
Miyauchi
Surgery,
Kobe,
14.40
1
14
.4
40
Adjjou
ourn
rn
n
Adjourn
1 .0
18
00
18.00
Speak
eak
kerrs di
d
nn
nner
ner
e - Meet
Mee
e t Bu
Bus at Hotel
Hotel Lobby
Speakers
dinner