Minimally invasive surgery week 2014 program

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PROGRAM SEPTEMBER 10-13, 2014 CAESAR'S PALACE LAS VEGAS, NEVADA, USA Conference Program Directors Robert M. Sweet, MD Jay A. Redan, MD Scientific Chair Raymond J. Lanzafame, MD, MBA Local Organizing Committee Chair K. Warren Volker, MD, PhD, MS TUESDAY, SEPTEMBER 9, 2014 3 p.m. – 6 p.m. MASTER'S CLASSES & CONFERENCE REGISTRATION


WEDNESDAY, SEPTEMBER 10, 2014 • MASTER'S CLASSES, STATE OF THE ART LECTURES & OPENING CEREMONY DAY 7 a.m. - 6 p.m. MASTER'S CLASSES & CONFERENCE REGISTRATION 7 a.m. - 8 a.m. Complementary coffee and bakery items 7:30 a.m. - 3:30 p.m. STATE OF THE ART LECTURES IN ROBOTIC SURGERY (click here for more information on this session) 8 a.m. - 4 p.m. MASTER'S CLASSES 8 a.m. - 11:30 a.m. • Half Day Master’s Class 1: “Hands on Laparoscopic/Robotic/Endoscopic Simulation Skills Laboratory” Course Director: Robert M. Sweet, MD • Co-Director: Jay A. Redan, MD Faculty: Timothy Brand, MD, Sanket Chauhan, MD, Troy E. Reihsen, Bradley F. Schwartz, DO, FACS (click here for more information on this session) 8 a.m. - 4 p.m. • Full Day Master’s Class 2: “Advanced Laparoscopic Suturing for the Gynecologist, Urologist, General and Robotic Surgeon -THE Vertical Zone- The Next Level Beyond Triangulation” Including Minilaparoscopic Suturing Director: Charles H. Koh, MD • Co-Director: Gustavo Stringel, MD, MBA Faculty: Gustavo Carvalho, MD, PhD, Maurice K. Chung, RPh, MD, Luigi Fasolino, MD, Dobie Giles, MD, Keith Isaacson, MD, Jamie Kroft, MD, MSc., Nash S. Moawad, MD, MS, Michelle Plasky, Phillip P. Shadduck, MD (click here for more information on this session) 9:30 a.m. - 10 a.m. Refreshment break 11:30 a.m. - 12:30 p.m. Keynote Lecture (Light Refreshments) New Frontiers in Minimally Invasive and Robotic Surgery Camran Nezhat, MD 2:00 p.m. - 2:30 p.m. Refreshment break 4 p.m. - 4:45 p.m. Resident and Fellows Meet and Greet with Faculty 4:45 p.m. - 6:45 p.m. OPENING CEREMONY Director: Paul Alan Wetter, MD; Co-Director: Robert M. Sweet, MD 4:45 p.m. - 5 p.m. Opening Ceremony Entertainment


5 p.m. - 5:05 p.m. Opening Ceremony Remarks: Paul Alan Wetter, MD, Chairman 5:05 p.m. - 5:15 p.m. Introduction of SLS President: Paul Alan Wetter, MD 5:15 p.m. - 5:35 p.m. SLS President's Welcome: Robert M. Sweet, MD 5:35 p.m. - 5:37 p.m. Local Organizing Committee Recognition 5:37 p.m. - 5:55 p.m. Affiliate Societies Welcome 5:55 p.m. - 6:10 p.m. Presentation of Honorary Chairs Director: Paul Alan Wetter, MD; Co-Director: Robert M. Sweet, MD

Introduction: Robert M. Sweet, MD Honorary Chair: Jens J. Rassweiler, Prof Dr Med Introduction: Jay A. Redan, MD Honorary Chair: Prof Guoxin Li (click here to read more about the Honorary Chairs) 6:10 p.m. – 6:15 p.m. SLS Surgical Simulation Fellow Recognition Director: Paul Alan Wetter, MD Co-Director: Robert M. Sweet, MD 6:15p.m.-6:20 p.m SLS Young Educators Award Presentation Director: Paul Alan Wetter, MD Co-Directors: Jay A. Redan, MD and Robert M. Sweet, MD 6:20 p.m. - 6:40 p.m. Presentation of Award Winning Scientific Papers, Videos Recognition of Sponsors/Corporate Members Innovations of the Year; Director: Paul Alan Wetter, MD; Co-Director: Robert M. Sweet, MD 6:40 p.m. - 6:45 p.m. Closing 6:45 p.m. - 8:30 p.m. Welcome Reception in Exhibit Hall (All Faculty/Participants, Honorary Chairs) 6:45 p.m. - 8:30 p.m. Poster Gallery Open in Exhibit Hall Director:Gustavo Stringel, MD, MBA Co-Director: Raymond J. Lanzafame, MD, MBA THURSDAY, SEPTEMBER 11, 2014 6:30 a.m. - 5 p.m. CONFERENCE REGISTRATION


6:45 a.m. - 7 a.m. Moderator Briefing Meeting Raymond J. Lanzafame, MD, MBA; Gustavo Stringel, MD, MBA 7 a.m. - 7:30 a.m. Complimentary Coffee and Bakery Items / Visit Exhibits & Special Presentations by Exhibitors 7 a.m. - 2 p.m. Exhibits & Poster Gallery Open 7:30 a.m. - 7:40 a.m. HIGHLIGHTS OF “ROBOTICS STATE OF THE ART” SESSION Mona Orady, MD 7:40 a.m. - 8:30 a.m. GENERAL SESSION: Best of Updates Key Updates presented by SLS Specialty Committee Members highlighting the newest developments and future expectations of surgical and diagnostic procedures. Director: William E. Kelley, Jr., MD; CoDirectors: Maurice K. Chung, RPh, MD; Douglas E. Ott, MD, MBA 7:40 a.m. - 7:52 a.m. Technology, Innovation Standardization Committee: Doron Kopelman, Prof Dr Med • Trends in Evolving Technologies in the Operating Room of the Future 7:52 a.m. - 8:04 a.m. Office and Outpatient Laparoscopy Committee: Kurian Thott, MD • MIS GYN Surgery Outpatient Laparoscopic Hysterectomy 8:04 a.m. - 8:16 a.m. Pediatric Surgery Committee: Oliver J. Muensterer, MD, PhD & Robert K. Zurawin, MD • Endosurgery in Children in the 21st Century: Diverse Specialties, Different Approaches, Common Goals! 8:16 a.m. - 8:28 a.m. Pelvic Reconstructive Surgery/Stress Incontinence Committee: Alfredo Nieves Gonzalez, MD • Laparoscopic Surgical Management of Pudendal Nerve Entrapment after POP Reconstructive Surgery 8 a.m. -10 a.m. Breakout Session: VES (Veterinary Endoscopy Society) Minimally Invasive Surgery in Veterinary Medicine (click here for more information on this session) 8 a.m. - 10 a.m. Breakout Session: RAMSES (Robotic Assisted Microsurgical & Endoscopic Society) The Present & Future of Robotic Assisted Microsurgery (click here for more information on this session) 8:30 a.m. - 9:45 a.m. Multidisciplinary Plenary Session (Gyn, General Surgery, Urology) The SLS Great Debates: Laparoscopic vs. Robotic Surgery- The Evidence Session Director: Farr Nezhat, MD; Co-Director: Phillip P. Shadduck, MD (click here for more information on this session)


General Surgery Pro Robotic: Richard M. Satava, MD Pro Laparoscopy: Steven Schwaitzberg, MD Gynecology Pro Robotic: Nimesh P. Nagarsheth, MD Pro Laparoscopy: R. Wendel Naumann, MD Urology Pro Robotics: Louis Kavoussi, MD, MBA Pro Laparoscopy: Jens J. Rassweiller, Prof Dr Med

9:45 a.m. - 10 a.m. The Information You Need When and Where You Need It- SLS Scholarly Search and Interactive E Books. Paul Alan Wetter, MD 10 a.m. - 10:30 a.m. Refreshment Break/Visit Exhibits & Special Presentations by Exhibitors 10:30 a.m. - 11:30 a.m. Breakout Session: NESA (New European Surgical Academy) What is Needed to be a Good Surgeon? (click here for more information on this session) 10:30 a.m. - 11:30 p.m. Multidisciplinary Plenary Session (Gyn, General Surgery, Urology) What Should I Do When Equipment Fails? (click here for more information on this session) Session Director: Maurice K. Chung, RPh, MD; Co-Director: John Morrison, MD: Stapling Devices: Potential Problems with and Alternatives to Stapling Devices in Commonly Performed Procedures Jens J. Rassweiler, Prof Dr Med: Is it Still Worthwhile to be a Good Laparoscopist in the Era of Robotic Surgery? Craig J. Sobolewski, MD: Energy Issues, Alternatives and Trouble Shooting Robert K. Zurawin, MD: Entry Issues 10:30 a.m. - 12:30 p.m. Breakout Session: IPPS (International Pelvic Pain Society) Principles in Pain Management for ALL Surgeons (click here for more information on this session) 11:00 a.m. - 12:00 p.m. Breakout Session: AIMIS (American Institute of Minimally Invasive Surgery) (NON CME)


Further Development of the American Institute of Minimally Invasive Surgery (click here for more information on this session) 11:30 a.m. - 12:30 p.m. Multidisciplinary Plenary Session (Gyn, General Surgery, Urology) Energy Sources: Where We Are, What's Changing, Maximizing Applications and Minimizing Complications (click here for more information on this session) Session Director: Raymond J. Lanzafame, MD, MBA: An Overview of Energy Sources and Devices in Minimally Invasive Surgery Co-Director: Robert M. Sweet, MD Richard M. Satava, MD: Directed Energy Surgery- the Generation after the Robots Steven Schwaitzberg: FUSE (Fundamental Use of Surgical Energy) Why Every Surgeon and Nurse Should Take the Program Robert K. Zurawin, MD: Complications of Energy Source Use in MIS Procedures 12:30 p.m. - 1:45 p.m. Refreshment Break/Visit Exhibits & Special Presentations by Exhibitors 12:30 p.m. – 1:45 p.m. Pacira Pharmaceuticals Satellite Symposium (NON CME) 12:45 p.m. - 1:05 p.m. Special Presentation by Exhibitor - Bovie Medical 1:05 p.m. – 1:25 p.m. Special Presentation by Exhibitor - Microcam 1 p.m. - 1:45 p.m. SIG Committee Meetings Director: Douglas E. Ott, MD, MBA; Co-Directors: Maurice K. Chung, RPh, MD & Mona Orady, MD 1:45 p.m. - 4:45 p.m. Poster Town Hall Presentations Poster presenters are invited to participate in this Oral Poster Session to make 2 minute oral presentations.The highest rated poster & presentation will be awarded a certificate of merit noting their accomplisment. Director: Gustavo Stringel, MD, MBA Co-Director: Raymond J. Lanzafame, MD, MBA Judges: Gustavo L. Carvalho, MD, PhD Marius L. Craina, Prof Dr Med Stephen A. Grochmal, MD Volker R. Jacobs, MD, PhD, MBA William E. Kelley, Jr., MD Charles H. Koh, MD


Doron Kopelman, Prof Dr Med Raymond J. Lanzafame, MD, MBA Flavio Malcher, MD Eduardo F. Moreno-Paquetin, MD John E. Morrison, MD Camran Nezhat, MD Mona Orady, MD Jay A. Redan, MD Mauricio Rubinstein, MD, PhD Steven D. Schwaitzberg, MD Robert M. Sweet, MD Jessica Ybanez-Morano, MD, MPH 1:45 p.m. - 5:30 p.m. Concurrent Sessions: Scientific Papers/Videos/Open Forum Presentations/ Updates Directors: MASH Committee Members (click here for the complete list of the SIG committee updates) 2 p.m. Exhibits Close 2 p.m. - 4 p.m. Complimentary Coffee Available in Designated Areas 5:45 p.m. - 9:30 p.m. Benefit Concert - MISweek AllStars An Evening in Tivoli Village - Featuring Sticks & Stones Band Benefiting the SLS Resident & Fellow Scholarship Programs Join us for an evening in Tivoli Village, a unique mix of retailers, restaurants, and boutiques in the ambience of a European village with a special benefit concert featuring the Sticks & Stones Band. Sticks & Stones will play a live concert and includes SLS President Robert M. Sweet, MD (keyboard), Honorary Chair Jens Rassweiler, Prof Dr Med (vocals/guitar), Louis Kavoussi, MD, MBA (bass guitar), Lee Richstone, MD (drums), Domenico Veneziano, MD (SLS first sim fellow and vocals), Jessica Kreshover, MD (vocals), and Charles Koh, MD (guitar). Join us for an evening of fun and music to benefit the SLS Resident & Fellow Scholarship Programs. Tickets are $30 per person and include transportation to and from Tivoli Village. FRIDAY, SEPTEMBER 12, 2014 6:30 a.m. - 5 p.m. CONFERENCE REGISTRATION


7 a.m. - 7:30 a.m. Complimentary Coffee and Bakery Items / Visit Exhibits & Special Presentations by Exhibitors 7 a.m. - 2 p.m. Exhibits & Poster Gallery Open 7:30 a.m. - 7:40 a.m. HIGHLIGHTS OF “MULTISPECIALTY” (FROM SCIENTIFIC SESSIONS) Jessica Ybanez Morano, MD, MPH 7:40 a.m. - 8:40 a.m. Multidisciplinary Plenary Session (Gyn, General Surgery, Urology) Economics of MIS: What Can We Learn from Here and Abroad? (click here for more information on this session) Session Director: Jay A. Redan, MD Co-Director: Gustavo Stringel, MD, MBA Gustavo L. Carvalho, MD, PhD: The Viability and Cost Effectiveness of the NEW Technique Made in Brazil: Can Cheaper Really Be Better? Volker R. Jacobs, MD, PhD, MBA: Socialized Medicine: Doom of Civilization or Benefit for a Society? Prof Guoxin Li: How Do Hospitals in China Choose Minimally Invasive Versus Open Procedures for their Patients and How are the Economic Outcomes Measured? Edward Zurad, MD: How Does the Accountable Care Act Affect the Medical DIrector of a Fortune 500 Company? 7:40 a.m. - 9:30 a.m. Breakout Session: SOBRACIL (Sociedade Brasileira de Videocirugia) Best of Brazil (click here for more information on this session) 7:40 a.m. - 12:15 p.m. Breakout Session: ISGE (International Society of Gynaecological Endoscopy) Hot Topics in Minimally Invasive Gynecologic Surgery (click here for more information on this session)

8 a.m. - 10 a.m. CRSA (Clinical Robotic Surgery Association) Robotic Surgery - How Far, How Soon? (click here for more information on this session) 8:40 a.m. - 8:55 a.m. Award Presentations and Highlights Director: Paul Alan Wetter, MD Co-Director: Robert M. Sweet, MD Highlight of Each Award by MASH Committee William E. Kelley, Jr., MD Presentation of Michael S. Kavic Award for Best Resident Paper


Presentation of Paul Alan Wetter Award for Best Video Presentation of Harrith M. Hasson Award for Best Presentation Promoting Education & Training Presentation of Award for Best Poster Director: Gustavo Stringel, MD, MBA; Co-Director: Raymond J. Lanzafame, MD, MBA 8:55 a.m. - 9:10 a.m. Improving the Outcomes for Six Million Surgical Patients – ORReady Paul Alan Wetter, MD 9:15 a.m. - 10 a.m. ROBOTIC OLYMPIC GAMES FINALS Come Watch as the Top Contestants battle it out for the Gold, Silver and Bronze Medals of the Robotic Olympics! Director: Jacques M Hubert, Prof Dr Med Moderators & MC's: Mona Orady, MD, James C "Butch" Rosser Jr., MD 10 a.m. - 10:30 a.m. Refreshment Break/ Visit Exhibits & Special Presentations by Exhibitors 10:30 a.m. - 12:15 p.m. VIDEO SESSION: SURGICAL SURPRISES Director: Charles H. Koh, MD; Co-Director: Gustavo Stringel, MD, MBA (click here for more information as well as the full list of faculty and panel members) 12:15 p.m. - 1:45 p.m. Refreshments Break / Visit Exhibits & Special Presentations by Exhibitors 12:15 p.m. - 12:45 p.m. New Product Presentation by Exhibitors Co-Directors: Volker Jacobs, MD, PhD, MBA, Phillip P. Shadduck, MD, and Jessica Ybanez Morano, MD, MPH 12:45 p.m. - 1:30 p.m. Top Gun Laparoscopic Shoot Out in Exhibit Hall 1:45 p.m. - 5:30 p.m. Concurrent Sessions: Scientific Papers/Videos/Open Forum Presentations/Updates

Directors: MASH Committee Members (click here for the complete list of the SIG committee updates) 2 p.m. - 4 p.m. Complimentary Coffee Available in Designated Areas

SATURDAY, SEPTEMBER 13, 2014 7 a.m. - 11:15 a.m. CONFERENCE REGISTRATION


7:30 a.m. - 8:45 a.m. BREAKFAST WITH THE 2014 EXCEL AWARD RECIPIENT: LECTURE AND PRESENTATION Director: Paul Alan Wetter, MD (click here for more information on the Excel Award recipient) 7:30 a.m. - 8 a.m. Sit-down Breakfast with Spouses/Guests 8 a.m. - 8:15 a.m. Introduction: Raymond J. Lanzafame, MD, MBA 8:15 a.m. - 8:45 a.m. Excel Award Recipient: Gustavo Stringel, MD, MBA "All I Want is the Best for the Patient" Where do we go from Here? 8:45 a.m. - 8:55 a.m. HIGHLIGHTS OF "NEW AND EXCITING TECHNOLOGY" Phillip P. Shadduck, MD 9 a.m. - 10:30 a.m. Future Technology Session: Virtually You In Your Future Director & Moderator: Richard M. Satava, MD Co-Director & Moderator: Raymond J. Lanzafame, MD, MBA Keynote Speakers: 9:05 a.m. - 9:50 a.m. Paul Debevec, PhD: Advances in Photoreal Digital Humans in Film and in Real-Time 9:50 a.m. - 10:30 a.m. Daniel Kraft, MD: The Future of Health and Medicine: Where Can Technology Take Us? This session looks at how you will create an exact duplicate of yourself – in virtual reality. Dr. Daniel Kraft will show you the latest ‘mobile’ apps and devices that will continuously measure your body to the tiniest degree, and then analyze and save all that information that is “personally only you”. Dr. Paul Debevec will show you what you will look like – virtually – in the future – in astounding full 3-D representation of yourself. Together these two technologies will form the basis for the future medical record. And as your personal data changes, it will automatically change what you look like – your own version of “Dorian Gray”, but without the sins! (click here to read more about the keynote speakers) 10:30 a.m. - 10:45 a.m. Closing Ceremony- Passing the Presidential Gavel President Robert M. Sweet, MD To President Elect Jay A. Redan, MD 10:45 a.m. - 11:15 a.m. SLS Business Meeting 11:15 a.m. - 2 p.m. Post Conference Evaluation by Board and SLS Standing Committee Meeting/ Complimentary Light Snacks and Refreshments

SPECIALTY SESSIONS


STATE OF THE ART LECTURES IN ROBOTIC SURGERY Wednesday, September 10, 2014 7:30 a.m. - 3:30 p.m. Robotics represents yet another revolution in the application of minimally invasive techniques to surgery. While conventional video endoscopic techniques were revolutionary in their own right, they were hampered by limited instrument maneuverability and two-dimensional visualization. These technological shortcomings took away the wrist-like motion of the human hand and the depth perception of human eyes and necessitated the design of “new procedures” which were adapted to the technology. Robotics by virtue of wrist-like instrument maneuverability and three-dimensional visualization has returned the advantages of the human wrist and eyes to the field of minimally invasive surgery. For the first time in the history of minimally invasive surgery, operations which were designed to be performed by open incisions can be replicated using minimal access techniques. A series of brief presentations by experts in the field will outline the State-of-the-Art in the application of Robotics to the specific field in surgery. These lectures will help the attendee to develop a critical eye and assist them in the adoption of robotics into their practice FACULTY & PRESENTATIONS Farid Gharagozloo, MD, Director CRSA, SRS Mona Orady, MD, Co-Director 7:30 a.m. - 9:30 a.m. Moderators: Keith Kim, MD CRSA, SRS & John Lenihan,MD SRS 7:30 a.m. - 7:35 a.m. Opening Remarks • Farid Gharagozloo, MD CRSA, SRS 7:35 a.m. - 7:50 a.m. State of the Art in Robotic ENT • J. Scott Magnuson, MD SRS 7:50 a.m.-8:05a.m. State of the Art in Robotic Urology – Prostate Surgery • Mauricio Rubinstein, MD, PhD SOBRACIL, SRS 8:05 a.m. - 8:20 a.m. State of the Art in Robotic Esophageal Surgery • Farid Gharagozloo, MD SRS 8:20 a.m. - 8:35 a.m. State of the Art in Robotic Bariatric Surgery • Keith Kim, MD CRSA, SRS 8:35 a.m. - 8:50 a.m. State of the Art in Robotic Robotic Assisted Microsurgery: Vasectomy Reversal, Varicocelectomy & Groin Pain Procedures • Sijo Parekattil, MD RAMSES 8:50 a.m. - 9:05 a.m. State of the Art in Robotic Coronary Artery Bypass Grafting • Eric Lehr, MD, PhD SRS


9:05 a.m. - 9:20 a.m. State of the Art in Hysterectomy • Mona Orady, MD 9:05 a.m. - 9:50 a.m. Q&A 9:50 a.m. - 10:05 a.m. Break 10:05 a.m. - 11:30 a.m. Moderators: Sijo Parekattil, MD & Lee Richstone, MD 10:05 a.m. - 10:20 a.m. State of the Art in Myomectomy • Antonio R. Gargiulo, MD SRS 10:20 a.m. - 10:35 a.m. State of the Art in Atrial Fibrillation • Farid Gharagozloo, MD CRSA, SRS 10:35 a.m. - 10:50 a.m. State of the Art in Benign Esophageal Surgery • Richard S. Lazzaro, MD 10:50 a.m. - 11:05 a.m. State of the Art in Robotic LESS (Urology) • Lee Richstone, MD 11:05 a.m. - 11:20 a.m. State of the Art in Robotic Endometriosis • Camran Nezhat, MD NESA 11:20 a.m. - 11:30 a.m. Q&A 11:30 a.m. - 12:30 p.m. Keynote Lecture (Light Refreshments) New Frontiers in Minimally Invasive and Robotic Surgery Camran Nezhat, MD 12:30 p.m. - 1:50 p.m. Moderators: Mauricio Rubinstein, MD, PhDSOCRACIL, SRS & Richard M. Satava, MD SMIT 12:30 p.m. - 12:45 p.m. State of the Art in Gynecology Oncology • Rabbie K. Hanna, MD SRS 12:45 p.m. - 1:00 p.m. State of the Art in Robotic Mitral Valve Surgery • Robert Poston, MD SRS 1:00 p.m. - 1:15 p.m. State of the Art in Robotic Lung Surgery Expanding the Scope of Minimally Invasive Lung Surgery • Mark Dylewski, MDCRSA, SMIT, SRS 1:15 p.m. - 1:30 p.m. State of the Art in Robotic Colorectal Surgery • Dominic Chi Chung Foo, MD 1:30 p.m. - 1:45 p.m. State of the Art in Telesurgery and Future of Robotics • Mehran Anvari, MB, BS, PhD SRS 1:45 p.m. - 1:50 p.m. Q&A 1:50 p.m. - 2:05 p.m. BREAK 2:05 p.m. - 3:30 p.m. Moderators: Camran Nezhat, MD NESA & Jay A. Redan, MD SRS 2:05 p.m. - 2:20 p.m. Telesurgery with Haptic Sensation-Experimental and Clinical Use • Michael Stark, Prof Dr Med NESA


2:20 p.m. - 2:35 p.m. State of the Art in Robotic Curriculum Simulation and Education • Richard M. Satava, MD SMIT 2:35 p.m. - 2:50 p.m. State of the Art in Robotic Training and Simulation • Robert Poston, MD SRS 2:50 p.m. - 3:05 p.m. State of the Art in Robotic Credentialing • John Lenihan, Jr. MD SRS 3:05 p.m. - 3:20 p.m. State of the Art in Robotic Litigations • Medical Malpractice Claims in Robotic Surgery • Harry Rein, JD, MD 3:20 p.m. - 3:25 p.m. Q&A 3:25 p.m. - 3:30 p.m. Closing Remarks Mona Orady, MD

PRE-CONFERENCE MASTER'S CLASSES • WEDNESDAY, SEPTEMBER 10, 2014

Master’s Class #1

Hands on Laparoscopic/Robotic/Endoscopic Simulation Skills Laboratory 8:00-11:30 a.m.: 3.5 AMA PRA Category 1 Credits™ This Master’s Class is for minimally invasive surgeons of all skill levels. Participants will have the opportunity to have 3 hours of proctored hands-on skills training in laparoscopic, robotic, and endoscopic skills as they rotate through a variety of state-of-the-art virtual reality and physical model training stations. Opportunities to learn and practice basic, intermediate and advanced skills will be offered. Objectives Develop hand-eye coordination for laparoscopic, robotic, and endoscopic surgery Enhance MIS suturing and knot-tying skills Expand knowledge of available trainers for maintaining and further developing skills Exposure to surgical simulation activities that are known to decrease surgical errors Faculty Robert M. Sweet, MD, Director Jay A. Redan, MD, Co-Director Timothy Brand, MD Sanket Chauhan, MD Troy E. Reihsen Bradley F. Schwartz, DO


Master’s Class #2

“Advanced Laparoscopic Suturing - for the Gynecologist, Urologist, and General and Robotic Surgeon “THE Vertical Zone –The Next Level beyond Triangulation” Including Minilaparoscopic Suturing 8:00 a.m. – 4:00 p.m.: 7 AMA PRA Category 1 Credits™ BE ONE OF THE 90% OF PARTICIPANTS WHO CAN THROW AN INTRACORPOREAL KNOT IN LESS THAN 3 MINS. AFTER 90 MINUTES INSTRUCTION IN THE ‘VERTICAL ZONE’! Participants will learn the uses and limitations of laparoscopic suturing with the ‘Triangulation’ algorithm. For gynecologists closing the myomectomy incision and vagina transversely, urologists anastomosing urethra to bladder, uretero-ureterostomy, surgeons closing colon and rectum transversely – the needle needs to move in the sagittal plane, not the side to side or coronal plane of the triangulation style. The ‘Vertical Zone’ describes our technique of suturing with two hands ipsilaterally that allows the needle to operate in the sagittal plane, while permitting a restful and relaxed attitude of the elbows, forearms, and hands. Primer on robotic suturing and knot tying will be shown and discussed, so that the participants truly understand suturing applications across all platforms. In numerous courses nationally and internationally this algorithm has allowed over 90% of participants to succeed in tying an intracorporeal knot under 3 minutes after 2 hours of training. This reflects the efficacy or our algorithm and the low faculty-to-trainee ratio. With excellent fidelity, the relative hand positions and movements are immediately transferable from the trainer to the O.R. This course equips all attendees with improved suturing skills and insight into applications during surgery. With the increasing application of minilaparoscopy, suturing using 3mm. instruments will be taught Objectives Course participants will be better able to: Understand ergonomics, theory and rationale for reproducible and efficient laparoscopic suturing Learn port positions, instruments and tips to minimize fulcrum and maximize efficiency Perform interrupted suturing, continuous suturing, cinch knotting Application of skills learned in relevant surgical situations across specialties. Prevention and management of bowel, bladder, and ureteral complications by appropriate suture repair Pre-test and post-test to demonstrate improvement in skills Faculty


Charles H. Koh, MD, Director Gustavo Stringel, MD, MBA, Co-Director Gustavo L. Carvalho, MD, PhD Maurice K. Chung, RPh, MD Luigi Fasolino, MD Dobie Giles, MD Keith Isaacson, MD Jamie Kroft, MD, MSc. Nash S. Moawad, MD, MS Michelle Plasky Phillip P. Shadduck, MD

THE VES (Veterinary Endoscopy Society) Minimally Invasive Surgery in Veterinary Medicine Thursday, September 11, 2014 8 a.m. - 10 a.m. Minimally invasive surgery (MIS) is expanding exponentially in veterinary medicine. Although used for many years for only diagnostic purposes, during the last 10 years laparoscopy and thoracoscopy has been used to perform basic and advanced surgical procedures.

Minimally invasive surgery is used in horses, new-world camelids, and megavertabrates such as elephants and rhinos. In addition, the rapid return to function is especially advantageous for performance horses. The limited surgical exposure is also useful in wild and exotic animals that are difficult to handle and treat post-operatively. Fairly recently, minimally invasive surgery was incorporated as a requirement in training of veterinary surgical residents. We now face the challenge of providing MIS training to an increasing number of trainees, and to assess the outcome of that training. In short, the time of simulation training and skills assessment has arrived in veterinary medicine. 8 a.m. - 10 a.m. Minimally Invasive Surgery in Veterinary Medicine 8 a.m. - 8:05 a.m. Introduction Eric Monnet, DVM PhD, DACVS 8:05 a.m. - 8:35 a.m. Minimally Invasive Surgery in Large Animals Dean Hendrickson, DVM Q&A 8:40 a.m. - 9:10 a.m. Minimally Invasive Surgery in Small Animals Eric Monnet, DVM PhD, DACVS Q&A


9:15 a.m. - 9:50 a.m. Veterinary Minimally Invasive Surgery: Can this be Used in Research Models for Treating Human Diseases? Jeffrey J. Runge, DVM, DACVS 9:50 a.m. - 10 a.m. Q&A & Closing

MULTIDISCIPLINARY PLENARY SESSIONS THE SLS GREAT DEBATES: LAPAROSCOPIC VS ROBOTIC SURGERY – THE EVIDENCE Thursday, September 11th, 2014 8:30 a.m. - 9:45 a.m. In an interactive debate format, the evidence for and against computer-enhanced surgery (“robotic surgery”) will be presented. Distinguished SLS Faculty will articulate the best available evidence regarding the safety, capability, and cost-effectiveness of the robot in general, gynecologic, and urologic surgery. For each specialty, ten minutes will be allotted for the presentation of the evidence favoring robotic surgery (over laparoscopy), and ten minutes for the evidence favoring laparoscopy (over robotics). Brief rebuttals will follow. The audience will be asked to judge the presentations. FACULTY AND PRESENTATIONS 8:30 a.m. - 8:32 a.m. Introduction Farr Nezhat, MD, Director Phillip P. Shadduck, MD, Co-Director 8:32 a.m. - 8:42 a.m. General Surgery—Pro Robotics Richard M. Satava, MD 8:42 a.m. - 8:52 a.m. General Surgery—Pro Laparoscopy Steven Schwaitzberg, MD 8:52 a.m. - 8:56 a.m. Rebuttals 8:56 a.m. - 9:06 a.m. Gynecologic Surgery—Pro Robotics Nimesh P. Nagarsheth, MD 9:06 a.m. - 9:16 a.m. Gynecologic Surgery—Pro Laparoscopy R. Wendel Naumann, MD 9:16 a.m. - 9:20 a.m. Rebuttals 9:20 a.m. - 9:30 a.m. Urologic Surgery—Pro Robotics Louis Kavoussi, MD, MBA 9:30 a.m. - 9:40 a.m. Urologic Surgery—Pro Laparoscopy Jens J. Rassweiler, Prof Dr Med 9:40 a.m. - 9:44 a.m. Rebuttals WHAT SHOULD I DO WHEN EQUIPMENT FAILS? Thursday, September 11, 2014 10:30 a.m. - 11:30 a.m. The plenary session “What Should I do When Equipment Fails?” will offer insight into choosing different types of surgical instruments when there is instrumental failure. It will help attendees recognize the importance of a surgeon being knowledgeable and understanding the different types of approaches to solve problems when instrument malfunctioning occurs. It will also help attendees learn the tips and


pearls that will allow them to be versatile in choosing surgical tools when dealing with a difficult situation or when complications occur. FACULTY AND PRESENTATIONS 10:30 a.m. - 10:32 a.m. Introduction Maurice K. Chung, RPh, MD, Director 10:32 a.m. - 10:45 a.m. Stapling Devices: Potential Problems with and Alternatives to Stapling Devices in Commonly Performed Procedures John Morrison, MD, Co-Director 10:45 a.m. - 11:00 a.m. Is it Still Worthwhile to be a Good Laparoscopist in the Era of Robotic Urologic Surgery? Jens Rasweiller, Prof Dr Med 11:00 a.m. - 11:13 a.m. Energy Issues, Alternatives and Trouble Shooting Craig J. Sobolewski, MD 11:13 a.m. - 11:25 a.m. Entry Issues Robert K. Zurawin, MD 11:25 a.m. - 11:30 a.m. Questions & Answers ENERGY SOURCES: WHERE WE ARE, WHAT’S CHANGING, MAXIMIZING APPLICATIONS, AND MINIMIZING COMPLICATIONS Thursday September 11, 2014 11:30 a.m. - 12:30 p.m. Modern surgery employs the use of a wide variety of energy sources and devices to cut, coagulate, vaporize, and seal tissues. Many of these technologies are used on a daily basis without prior formal training. The surgical environment particularly in minimally invasive surgery is increasingly complex. Understanding the capabilities and limitations of these devices is critically important to achieving successful outcomes and enhanced patient safety. This session will review the state-of-the-art of currently available and emerging new energy sources. We will review uses, indications, and safety updates/concerns for various technologies including monopolar electrocautery, bipolar, harmonic scalpel, lasers, ultrasonic, plasma and plasma kinetic devices, and others. We will provide an overview of evolving future technologies and will discuss strategies to optimize the use of energy sources during surgery that will improve surgical care and outcomes. FACULTY AND PRESENTATIONS 11:30 a.m. - 11:32 a.m. Introduction Raymond J. Lanzafame, MD, MBA, Director Robert M. Sweet, MD, Co-Director 11:32 a.m. - 11:42 a.m. An Overview of Energy Sources and Devices in Minimally Invasive Surgery Raymond J. Lanzafame, MD, MBA 11:42 a.m. - 11:52 a.m Complications of Energy Source Use in MIS Procedures Robert K. Zurawin, MD 11:52 a.m. - 12:02 p.m. FUSE: (Fundamental Use of Surgical Energy) Why Every Surgeon and Nurse Should Take the Program Steven Schwaitzberg, MD


12:02 p.m. - 12:15 p.m. Directed Energy Surgery – the Generation after the Robots Richard M. Satava, MD 12:15 p.m. - 12:29 p.m. Strategies to Optimally Apply Energy Sources Clinically for Maximum Efficacy and Least Risk of Causing Latrogenic Injury All Faculty Panel Discussion ECONOMICS OF MIS: WHAT CAN WE LEARN FROM HERE AND ABROAD Friday, September 12, 2014 7:40 a.m. - 8:40 a.m. Minimally-invasive surgery has positive and negative aspects, as noted throughout the world. Minimallyinvasive surgery in some countries means maximal cost and expense; whereas open surgery, while it may initially cause more disability to a patient, after a two-month healing process the endpoints are the same. With this in mind, countries throughout the world have a vastly different economic outlook on how this affects medical expenses in their respective countries. In countries where socialized medicine exists, time spent in hospital does not incur a significant cost; whereas, in countries where surgical procedures are reimbursed on a volume aspect, it is more cost-efficient for the healthcare providers to have a shorter length of stay with rapid turnover of patients in the hospital environment. With these premises, this generates a much more different economic aspect of how we view medical care in respective countries. It is the purpose of this session to discuss the economic differences of minimally-invasive surgery in the United States, Latin America, Asia, and Europe. Through the sharing of this knowledge of our various countries, it is hoped that this session will bring to light certain positive and negative aspects that we experience in our respective countries, and learn from each other in areas that we can all improve. FACULTY AND PRESENTATIONS 7:40 a.m. - 7:42 a.m. Introduction Jay A. Redan, MD, Director Gustavo Stringel, MD, MBA, Co-Director 7:42 a.m. - 7:54 a.m. How Do Hospitals and Surgeons in China Choose Minimally Invasive Versus Open Procedures for their Patients and How are the Economic Outcomes Measured? Prof Guoxin Li 7:54 a.m. - 8:06 a.m. Socialized Medicine: Doom of Civilization or Benefit for a Society? Volker R. Jacobs, MD, PhD, MBA 8:06 a.m. - 8:18 a.m. The Viability and Cost Effectiveness of the NEW Technique Made in Brazil: Can Cheaper Really Be Better? Gustavo L. Carvalho, MD, PhD 8:18 a.m. - 8:30 a.m. How Does the Accountable Care Act Affect the Medical Director of a Fortune 500 Company? Edward Zurad, MD 8:30 a.m. - 8:40 a.m. Q&A


RAMSES (Robotic Assisted Microsurgical and Endoscopic Society) The Present & Future of Robotic Assisted Microsurgery Thursday, September 11, 2014 8 a.m. - 10 a.m. Presentations and discussions from leaders in various fields of robotic assisted microsurgery. The latest adjunctive tools and techniques covering a wide range of specialties, from hand, reconstructive, and plastics to urology will be presented. Triumphs, pitfalls, and future directions in robotic assisted microsurgery will be featured. Faculty Joseph H. Ellen MD Parviz Kavoussi, MD Sijo Parekattil, MD Tung Shu, MD Bayo Tojuola, MD 8 a.m. - 10 a.m. The Present & Future of Robotic Assisted Microsurgery 8 a.m. - 8:05 a.m. Introduction Sijo Parekattil, MD 8:05 a.m. - 8:25 a.m. Robotic Microsurgery in Urology Bayo Tojuola, MD 8:25 a.m. - 8:45 a.m. A Review of Robotic Microsurgery Experience at Albany Medical Center Joseph H. Ellen MD 8:45 a.m. – 9:05 a.m. Robotic Assisted Microsurgical Vasectomy Reversal and the Evolution of Robot Microsurgery in Reproductive Urology Parviz Kavoussi, MD 9:05 a.m. - 9:25 a.m. Novel tools & Techniques in Robotic Microsurgery Sijo Parekattil, MD 9:25 a.m. - 9:45 a.m. Experience with Robotic-Assisted Varicocelectomy Tung Shu, MD 9:45 a.m. - 10 a.m. Discussion/Q&A & Closing

NESA (New European Surgical Academy) What is needed to be a Good Surgeon? Thursday, September 11, 2014 10:30 a.m. - 11:30 a.m.


Most of surgical conferences deal with surgical methods, experience, novel instruments, surgical complications and their prevention. The focus is rarely on the individuals behind the scalpel and the ocular, often working under stress. What are their backgrounds, what was their drive to become surgeons, and what, in their opinion, are the necessary characteristics to become exceptional ones? In this session leading and accomplished surgeons from various disciplines will describe their own personal experience. What made them aspire to what they are today, what are the fundamental characteristics to become surgeons, how to deal with the demanding and risky medical profession, and ways of selfeducation and self-control, as well as the role of the medical education in creating humane, sensitive, and optimal surgeons. Faculty Doron Kopelman, Prof Dr Med Liselotte Mettler, Prof Dr Med Farr Nezhat, MD Michael Stark, Prof Dr Med 10:30 a.m. - 11:30 a.m. What is needed to be a Good Surgeon? 10:30 a.m. - 10:40 a.m. Know your Instruments and do it Correctly - Do you Have to be a Genius? Liselotte Mettler, Prof Dr Med Q&A 10:45 a.m. - 10:55 a.m. How Does a Doctor Become a Good Surgeon? Farr Nezhat, MD Q&A 11 a.m. - 11:10 a.m. Becoming an Optimal Surgeon - Personal Experience Doron Kopelman, Prof Dr Med Q&A 11:15 a.m. - 11:25 a.m. Only a Good Person can Become a Good Surgeon - All Starts with Education Michael Stark, Prof Dr Med 11:25 a.m. - 11:30 a.m. Q&A Closing

IPPS (International Pelvic Pain Society) Principles in Pain Management for ALL surgeons Thursday, September 11, 2014 10:30 a.m. - 12:30 p.m.


Acute and chronic pain affects all aspects of surgical decisions and surgical outcomes. A recent report by the Institute of Medicine shows that pain disorders affects nearly 160 million Americans and accounts for nearly ¼ of the US health care budget. Unfortunately, training in pain management is not yet standard for all surgical training programs and the basics of pain management, which are essential in surgical practice, are not commonly taught. This session is intended to provide an overview and discussion of basic and new principles of pain management in surgical practice. It will highlight the role that surgeons can play in improving the quality of life of patients who are affected by chronic and acute pain. Faculty Georgine Lamvu, MD, MPH, FACOG Jessica Feranec, MD, FACOG Ana Lucia Herrera Betancourt, MD Juan Diego Villegas-Echeverri, MD, FACOG 10:30 a.m. - 12:30 p.m. Principles in Pain Management for ALL surgeons 10:30 a.m. - 10:40 a.m. Welcome and Introductions The Social Impact of Pain and Why Surgeons Should Care Faculty Introduction Georgine Lamvu, MD, MPH, FACOG 10:45 a.m. - 11:05 a.m. To Cut or Not To Cut: What a Surgeon Should Know About Pain Basic Surgical Principles of Pain Management, Individual Characteristics of Pain Patients and Surgical Decisions Juan Diego Villegas-Echeverri, MD, FACOG 11:05 a.m. - 11:25 a.m. Pain Terminology for the Evaluation of Pain Principles of Proper Chart Documentation, Coding and Billing Georgine Lamvu, MD, MPH, FACOG 11:25 a.m. - 11:40 a.m. BREAK – Q & A Juan Diego Villegas-Echeverri MD, FACOG 11:40 a.m. - 12 p.m. Quick and Efficient Ways for Evaluation and Management of Pelvic Pain Jessica Feranec, MD, FACOG 12 p.m. - 12:20 p.m. Post-Operative Peripheral Abdominopelvic Neuropathies Ana Lucia Herrera B, MD 12:20 p.m. - 12:30 p.m. Closing Georgine Lamvu, MD, MPH, FACOG

AIMIS (American Institute of Minimally Invasive Surgery) (NON CME) Further Development of the American Institute of Minimally Invasive Surgery Thursday, September 11, 2014 11:00 a.m. - 12:00 p.m. This session will focus on the further development of the American Institute of Minimally Invasive Surgery over the last year. AIMIS Center of Excellence Medical Director, Dr Robert Barnett, will present an update on the current status of the AIMIS CoE program through 2014 and discuss the ongoing complication data collection process and present some preliminary results regarding various events among the Centers.


Comparisons will be made between the CoE experiences and complication data as presented in the current literature. New affiliate societies developed in conjunction with AIMIS will be discussed with respect to the future direction of the Institute. Faculty Robert Barnett, MD Bernard Harris, Jr., MD, MBA 11:00 11:05 11:25 11:45

a.m. - 11:05 a.m. Introduction Robert Barnett, MD a.m. - 11:25 p.m. Update on AIMIS 2014 Robert Barnett, MD p.m. - 11:45 p.m. AIMIS Future Directions Bernard Harris, Jr., MD, MBA, FACP p.m. - 12:00 p.m. Q&A/Discussion/Closing

SOBRACIL (Sociedade Brasileira de Videocirugia) Best of Brazil Friday, September 12, 2014 7:40 a.m. - 9:15 a.m. Internationally-recognized leaders representing the Brazilian Society of VideoSurgery (SOBRACIL) will present “The Best of Brazil”. This session will highlight advances in Bariatric, Colorectal, Gynecologic, Hernia, and Urologic Surgery. FACULTY Antonio Bispo Jr, MD, MBA Gustavo Carvalho, MD, PhD Antonio Cury Filho, MD Carlos Domene, MD Flavio Malcher, MD Armando Melani, MD Mauricio Rubinstein, MD, PhD Moderator: Antonio Bispo, MD, MBA Co-Moderators: Flavio Macher, MD & Phillip P. Shadduck, MD 7:40 a.m. - 9:30 a.m. Best of Brazil 7:40 a.m. - 7:42 a.m. Introduction 7:42 a.m. - 7:54 a.m. Strategies to Treat Bowel Endometriosis Thiers Soares Raymundo, MD 7:54 a.m. - 8:06 a.m. Lessons Learned From Bariatric Surgery Experience Carlos Domene, PhD 8:06 a.m. - 8:18 a.m. Colorectal Surgery in a Developing Country Flavio Malcher, MD 8:18 a.m. - 8:30 a.m. Laparoscopic Inguinal Repair in a Low Resource Scenario Flavio Malcher, MD


8:30 a.m. - 8:42 a.m. Mini-Laparoscopy: Not Just a Pretty Face Gustavo Carvalho, MD, PhD 8:42 a.m. - 8:54 a.m. Robot-Assisted Radical Prostatectomy: Improving the Learning Curve Mauricio Rubinstein, MD, PhD 8:54 a.m. - 9:06 a.m. Lessons Learned from 10 Years of Laparoscopic Whipple Antonio Cury Filho, MD 9:06 a.m. - 9:18 a.m. What You Can't Miss in Brazil Antonio Bispo Jr, MD, MBA 9:18 a.m. - 9:30 a.m. Q&A/Discussions/Closing ISGE (International Society of Gynaecological Endoscopy) Hot Topics in Minimally Invasive Gynecologic Surgery Friday, September 12, 2014 7:40 a.m. - 12:15 p.m. This session highlights some of the new developments and controversies that have arisen in the last year in the field of Minimally Invasive Gynecologic Surgery. The area is rapidly changing and incorporating new techniques that continue to push the boundaries of surgical excellence in women’s health. These issues ought to be at the forefront of the gynecologic surgeon, important concepts that affect the generalist and the subspecialist. This session will provide sound interpretation of the newest literature in minimally invasive gynecologic surgery and is sure to be lively and interactive! Faculty Erin Carey, MD, MSCR Maurice K. Chung, RPh, MD Austin Findley, MD, MSCR Kumari Hobbs, MD, MSCR Farr Nezhat, MD Lauren C. Schiff, MD Matthew Siedhoff, MD, MSCR 7:40 a.m. - 12:15 p.m. Hot Topics in Minimally Invasive Gynecologic Surgery Moderator Matthew Siedhoff, MD, MSCR 7:40 a.m. - 7:45 a.m. Introduction Matthew Siedhoff, MD, MSCR Fallopian Tubes 7:45 a.m. - 8:10 a.m. New Insight to Pathophysiology of Ovarian Cancer and Role of Fallopian Tubes Farr Nezhat, MD 8:10 a.m. - 8:35 a.m. Prophylactic Salpingectomy at the Time of Pelvic Surgery Austin Findley, MD, MSCR 8:35 a.m. - 8:45 a.m. Q&A Endometriosis


8:45 a.m. - 9:10 a.m. Update on Endometriosis Staging Maurice K. Chung, RPh, MD 9:10 a.m. - 9:35 a.m. Endometriosis and Pelvic Pain Erin Carey, MD, MSCR 9:35 a.m. - 9:45 a.m. Q&A Robotics 9:45 a.m.- 10:10 a.m. Robotic Laparoscopy in MIGS: The Upside Lauren Schiff, MD 10:10 a.m. - 10:30 a.m. BREAK 10:30 a.m. - 10:55 a.m. Robotic Laparoscopy in MIGS: The Downside Kumari Hobbs, MD, MSCR 10:55 a.m. - 11:05 a.m. Q&A Fibroids and Morcellation 11:05 a.m. - 11:30 a.m. Advanced Techniques for Laparoscopic Myomectomy Matthew Siedhoff, MD, MSCR 11:30 a.m. - 11:55 a.m. Morcellation: Techniques and Risks Matthew Siedhoff, MD, MSCR 11:55 a.m. - 12:15 p.m. Q&A & Closing

CRSA (Clinical Robotic Surgery Association) Robotic Surgery - How far, how soon Description: Leading CRSA surgeons in the field of Abdominal Robotic Surgery will present the applications of surgical robotic technology in their field, including HPB, Colorectal, and Single Site Surgery. Special attention will be given to the ergonomics in robotic surgery for the surgeon and the patient. The techniques, advantages, risks, and disadvantages of robotic technology will be discussed and debated. Objectives: At the conclusion of this course, participants will understand the indications and contraindications to the application of robotics, be familiar with facilitating instrumentation and technology, and understand the choreography and technical concepts of robotic surgery. They will be familiar with the evolving technics in robotics, understand the potential risks and benefits, and be able to judge whether robotics would be applicable to their individual surgical practices. Friday, September 12, 2014 Time: 8 a.m. - 10 a.m.

Faculty Ivo AMJ Broeders, Prof Dr Med Pier Cristoforo Giulianotti, MD, FACS


Giuseppe Spinoglio,MD Konstantinos Konstantinidis, MD, PhD Chairmen/Moderators Konstantinos Konstantinidis, MD, PhD and Giuseppe Spinoglio, MD Introduction 8:00 a.m. – 8:05 a.m. Introduction Konstantinos Konstantinidis, MD, PhD, Giuseppe Spinoglio, MD 8:05a.m. - 8:30 a.m. Hepatic Robotic Surgery Pier Cristoforo Giulianotti, MD, FACS 8:30 a.m. - 8:55 a.m. Robotic Colon Surgery Giuseppe Spinoglio, MD 8:55 a.m. - 9:25 a.m. Single Site Robotic Surgery Konstantinos Konstantinidis, MD, PhD 9:25 a.m. - 9:50 a.m. Current Status of Ergonomics and Physical Strain in Robotic Assisted Surgery Ivo A.M.J Broeders, Prof Dr Med 9:50 a.m. – 10:00 a.m. Q&A/Discussion/Closing


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