Zealand Surgical Forum 2020

State-of-the-art oncological surgery for the patient with colon cancer

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One of the biggest surgical events in Scandinavia

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With a dedicated session for nurses

focusing on pre- and post-operative relations with patients

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Three parallel operations

Streaming live from Zealand University Hospital

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A great opportunity to network

while discovering the latest developments in the field

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March 27 2020

Tivoli Hotel & Congress Center

Copenhagen, Denmark

State-of-the-art oncological surgery for the patient with colon cancer

Registration is now open!

Early-bird registration before March 8, 2020.

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The incidents of colon cancer are rising worldwide, and the mortality is the second highest of any cancer in the western world. Within the recent years, huge developments have been made in the understanding of the disease and treatment of patients with colon cancer. Surgery is the primary curative treatment modality and recent research has confirmed that the variation in short- and long-term mortality is related to the perioperative and surgical treatment quality. 
This year at Zealand Surgical Forum we want to focus on colon cancer and discuss the new developments in the multidisciplinary treatment of this disease. We have the pleasure of including in our program leading experts to put a spotlight on the essential aspects of the diagnosis as well as the anesthesiological, surgical and oncological treatment options for the patient with colon cancer. Key invited speakers include Henrik Kehlet, Conor Delaney, Dion Morton, George Chang, Donal Buggy, Pieter Tanis and Anders Bertelsen. The scene will be set by patients who have undergone treatment for colon cancer and three operations, streamed live from Zealand University Hospital, will fuel our discussions during the day. In a parallel nurses’ session, speakers from Sweden, Belgium, the Netherlands and Denmark will explore the opportunities and challenges of pre- and postoperative relations with patients.
Join us on March 27 and participate in the lively discussions on the future aspects of the improvement of short- and long-term outcomes after colon cancer surgery. We look forward to welcoming you in Copenhagen!





Henrik Møller
Head of Department,
Chief Surgeon 
Department of Surgery
Zealand University Hospital
         Ismail Gögenur
Professor, Chief Surgeon 
Department of Surgery
Zealand University Hospital
and Copenhagen University


07:40 - 09:00
Registration and breakfast
07:40 - 08:10
Registration and breakfast
08:10 - 08:30
THE PATIENT: Two patients presenting their experiences going through treatment for colon cancer
08:30 - 09:10
THE SURGEON: The impact of surgery on morbidity and mortality in colorectal cancer surgery
09:00 - 09:10
09:10 - 09:55
'Shitty' Nursing
09:10 - 09:40
THE ANESTHESIOLOGIST: Can anesthesia/analgesia during cancer surgery affect recurrence or metastasis?
09:40 - 10:00
Coffee break
09:55 - 10:25
Time - making the best of it
Abstract for lecture titled 'Time - making the best of it' by Karin Bundgaard from Denmark.
10:00 - 12:30
Live Surgery
Case presentations
Live Surgery
  • OR1: Right-sided colon cancer surgery (CME with Intracorporeal Anastomosis)
  • OR2: Left-sided colon cancer surgery (CME with use of quantitative ICG perfusion)
  • OR3: Combined endoscopic laparoscopic technique for colon cancer
10:25 - 10:40
10:40 - 11:10
Coffee break
11:10 - 11:40
Patient participation on nursing wards and the bedside handover
The bedside handover of bedside shift report is a method in which the clinical handover between nurses is performed at the patient’s bedside, with participation of the patient. Although the method is not new, the interest in bedside handovers has drastically increased during the last decade. It is believed to improve patient participation, patient safety and nurses’ efficiency. However, rigorous research to prove these statements was, until recently, missing.
In a recent, and still ongoing mixed method study, 14 nursing wards in Flanders implemented the bedside shift report in order to explore its feasibility, appropriateness, meaningfulness and effectiveness of bedside handovers) as a specific method to increase patient participation on nursing wards. By use of systematic reviews (n=3), observations (n=1661), qualitative interviews before and after implementation (n=195), and quantitative questionnaires (n=954). By doing, the study tries to determine the added value of the bedside handover.
The study provides useful insight for the future use and implementation of bedside handovers as the new standard in nursing. The insights are translated into five practical statements for nursing practitioners and nursing managers to assist them in future implementation processes of the bedside handover. So far, the study concludes by stating that the bedside handover profiles itself as a suitable intervention, superior to the currently used methods for handover without patient participation, for those deliberately choosing for more patient participation and for those willing to make the organizational transition to more patient-centeredness.
11:40 - 12:10
From waiting to preparing: Prehabilitation on cancer patients’ terms
Knowledge about patients’ perspectives on prehabilitation is sparse. A better understanding could contribute to patient-centred prehabilitation programmes that enhance functional capacity and are considered relevant by patients – with a view to improving adherence.
To investigate cancer patients’ perspectives on a predefined, home-based, multimodal prehabilitation programme with particular attention to feasibility and acceptability.
 Patients and Methods
Fifteen patients with peritoneal carcinomatosis of colorectal or ovarian origin undergoing cytoreductive surgery, with or without hyperthermic intraperitoneal chemotherapy, participated in semi-structured interviews. Malterud’s principles of systematic text condensation were used to analyse the data.
Patients had a positive attitude towards home-based prehabilitation. Yet, they would not follow the programme unconditionally, and several barriers to adherence were identified:
Everyday life: Patients focused on maintaining their everyday lives.
Preferences: Patients prioritised enjoyable activities especially in relation to exercise and nutrition.
Restrictions: Smoking and alcohol cessation led to concerns, as the preoperative period was perceived as stressful enough as it was.
Lack of belief: Some patients did not believe that they could influence recovery themselves.
The findings underscore the complexity of developing a home-based programme that not only enhance functional capacity, but are also experienced relevant to the patients. Furthermore, it demonstrates how patient involvement in research has the potential to change preconceptions and change research plans.
12:10 - 12:40
Enhanced rehabilitation after abdominal surgery
12:30 - 13:15
12:40 - 13:00
13:00 - 14:00
13:15 - 13:40
ERAS: State-of-the-art perioperative care
13:40 - 14:05
Surgery in Stage I-III: CME surgery
14:00 - 14:45
Different nursing handover styles for hospitalized patients
14:05 - 14:30
Surgery in Stage IV: Primary tumor resection
14:30 - 14:55
Chemotherapy: Adjuvant treatment option for the patient with colon cancer. Is neoadjuvant treatment for the colon cancer ‘prime-time’?
14:45 - 15:15
Moments of beauty in nursing
This presentation concentrates on the question: What happens when certain moments in-between nurse and patient lights up and invite us into shared experiences of human end ethical meaningfulness?
With a theoretical departure in philosophical aesthetics put forth by Dorthe Jørgensen, the presentation points to such moments as moments of server beauty. This presentation inquiry into moments of beauty in nursing by questioning, how it is possible to describe the being of nurses in such moments, from a phenomenological and ontological approach.
The empirical departure is a phenomenological action research project named:  ‘Moments of beauty in Nursing – a source of innovation’. The research was anchored in 3 hospital wards in Denmark and 15 nurses participated as co-inquirers.
Through phenomenological descriptions and reflections a concept of ‘shared sensitive presence’ rise. ‘Shared sensitive presence’ refers to situations, where nurse and patient both are under the impression from communal life phenomena, while the phenomenon unfold. For example, nurse and patient in togetherness sense and share mortality as a communal human ground and existential reality.
In this presentation, Sine Maria Herholdt-Lomholdt will describe, explore and discuss ‘shared sensitive presence’ as a phenomenon that seems to exist in nurse’s practice. The phenomenon will be clarified using Baumgartens concept: ‘sensitive recognition’ and through the lenses of Heidegger. The phenomenon of ‘Shared sensitive presence’ will also be contrasted to other ways of describing similar situations, as eg. Carl Rogers concept of ‘empathy’ and Jungs archetype ‘The wounded healer’.
14:55 - 15:05
Panel Discussion
15:05 - 15:30
Coffee break
15:15 - 15:35
15:30 - 15:50
The prospective randomized clinical trial: The Dutch Perspective
Interesting fields for research in the treatment of colon cancer for the future are organ preserving treatment of early cancers, precision (neo)adjuvant treatment in combination with segmental resection, and multimodality treatment of locally advanced disease.
The RCT is probably not the appropriate study design to test technical innovations (i.e. Dutch LIMERIC II study) or active surveillance protocols that might safely replace segmental colectomy in early cancers. For the purpose of further reducing the indication and amount of (neo)adjuvant systemic therapy in stage II-III colon cancer, RCTs might be designed, but testing of (panels of) biomarkers can be more efficiently performed in large cohorts. Prevention, early detection and treatment of peritoneal metastases is subject of RCTs in the Netherlands (COLOPEC I and II, CAIRO 6), but new effective intraperitoneal treatment modalities should first be explored in organoid and animal models, before re-introducing this into clinical studies.
15:35 - 16:00
Coffee break
15:50 - 16:10
The prospective randomized clinical trial: The UK Perspective
16:00 - 16:55
Patient's perspective
16:10 - 16:30
Is Big Data the solution? Technological advances in perioperative care.
16:30 - 16:50
Is Big Data the solution? Personalized medicine in colon cancer.
16:50 - 17:00
Closing remarks
16:55 - 17:00
Closing remarks
17:00 - 18:00
Drinks and networking
17:00 - 18:00
Drinks and networking

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