Alexandria Endoscopy Association

رابطة جراحي المناظير بالاسكندرية

Solid Organs Workshop " Liver & Pancreas "

In Collaboration with

General Surgery Department,
Faculty of  Medicine,
Alexandria University

A brief summary

Workshop on Laparoscopic Advanced Liver Surgery and Laparoscopic Live Donor Liver Transplantation

July 11 - 14, 2026

Day 1 – Saturday, July 11, 2026

Time Session
08:30 – 08:45 Registration
08:45 – 09:00 Welcome Speech
09:00 – 09:45 Keynote: The Global Legacy of LDLT
Pioneering LDLT in the Region: Lessons from a High-Volume Center
09:45 – 10:30 Applied Surgical Anatomy of the Model I
The Donor Hepatectomy: A Surgeon's Guide to Anatomical Nuances
10:30 – 11:00 Coffee break
11:00 – 11:45 The Donor Advocate: Minimally Invasive Frontiers
Laparoscopic Donor Hepatectomy: Setting a New Standard for Safety
11:45 – 12:30 Perioperative Medical Management of Donor & Recipient
Optimizing the Donor-Recipient: A Hepatologist's Protocol
12:30 – 13:30 Post-operative interventions Complications and setup to manage
13:30 – 14:00 Lunch Break
14:00 – 15:30 Skills Stations
Hands-on training
● Microsurgical Anastomosis Trainer
● Perfusion & Back-Table Simulation
● Image Guidance Lab

Day 2 – Sunday, July 12, 2026

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Donor Hepatectomy (Live Animal Lab)

Time Session
09:00 – 12:00 Theater 1
Laparoscopic Live Donor Right Lobe Hepatectomy.
 Mobilization of the right liver lobe.
 Cholecystectomy and simulated intraoperative cholangiography (ICG) to define biliary anatomy.
 Meticulous dissection of the right hepatic artery, right portal vein, and right hepatic vein.
 Parenchymal transection using a combination of CUSA (Cavitron Ultrasonic Surgical Aspirator), bipolar, and ligatures.
 Division of vascular structures and extraction of the right lobe graft.
 Donor abdomen closure with hemodynamic stability maintained.
 Focus: Donor Safety, minimizing blood loss, precise hilar dissection.
12:00 – 13:00 Lunch Break
13:00 – 14:00 Dedicated Physiology Monitoring & Commentary Booth
Provide real-time, broadcasted commentary on hemodynamics, fluid management, and the physiological impact of each surgical step (clamping, reperfusion).

Recipient Implantation (Live Animal Lab)

Time Session
14:00 – 17:00 Theater 2
Procedure: Graft Implantation (Reperfusion Symphony).
 Venous Outflow Anastomosis: End-to-side graft hepatic vein to recipient IVC.
 Portal Vein Anastomosis: End-to-end.
 Graft Reperfusion: Sequential unclamping of portal vein and hepatic vein. Critical observation for bleeding and graft perfusion.
 Hepatic Artery Anastomosis: End-to-end microsurgical anastomosis (most technically demanding step).
 Biliary Reconstruction: End-to-end choledochocholedochostomy over a stent (simulating human technique).
 Hemostasis check and abdominal closure.
 Focus: Anastomotic precision, management of reperfusion syndrome, and teamwork.
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Day 3 – Monday, July 13, 2026

Time Session
09:00 – 13:00 Back-Table Lab. Graft Work
 Immediate hypothermic perfusion of the graft (HTK/UW solution) via portal vein and hepatic artery.
 Graft trimming, preparation of vascular cuffs, and meticulous hemostasis of the cut surface.
 Biliary dissection and preparation..
13:00 – 14:00 Lunch Break
14:00 – 15:00 The Science of Preservation: From Static Cold Storage to Novel Perfusion Solutions and the implementation in local environment and advanced HPB surgery
15:00 – 16:00 Bioengineering the Future: Liver Scaffolds and Regenerative Medicine

Day 4 – Tuesday, July 14, 2026

Time Session
09:00 – 10:30 Video-Based M&M: Learning from Challenges
Case review of course recordings
10:30 – 11:15 Master Lecture: Advanced Graft Perfusion
Live demo link to perfusion station
11:15 – 11:45 Coffee Break
11:45 – 12:30 The Anesthetic Horizon in Transplantation
Team Strategy for Catastrophic Scenarios: Bleeding & Reperfusion
12:30 – 13:00 Final Session
 Candidates’ Feedback
 Distribution of Certificate

What you will learn

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  • Certified and expert teachers
  • Dry Lab Gain essential laparoscopic skills
  • Wet Lab Master Sutures Techniques on tissues
  • Animal Lab one to one Training
  • Live Surgery Watch live transmission, According to cases availability
  • AACME Accredited All Course have credit hours

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