November 19th to 21st

www.fi care.com.br

Sheraton WTC São PauloAv. das Nações Unidas, 12.559 - São Paulo

Scientifi c Program

Dear colleagues

From November 19th to 21st, FICARE 2015 will be the stage of the largest forum on Rectal Cancer in Latin America which will take place in the WTC Sheraton Hotel in São Paulo, Brazil! Get ready for hot debates among outstanding world specialists in each topic.

What is the role for the Robot? What are the latest outcomes in laparoscopic TME and MRI? Is Transanal Endoscopic Microsurgery going to be used for TME? Is the Prone-Jack knife position and extra-levator rectal resection the new standard for all APRs? Neoadjuvant CRT or Chemotherapy alone? Advances in molecular biology and many more updates in rectal cancer will the focus of this year’s edition of FICARE.

Check out the incredible line up of international faculty! Their presence will certainly make this a memorable event in Latin America!

Get ready for days of intense scientifi c activity, mixed with pleasant social activities and the opportunity to see friends and international guests again.

Welcome and enjoy!

Angelita Habr-Gama

President

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08:00

09:00

10:30

11:00

11:50

Registration/Opening AnnouncementsOpening Lecture:30 Years of TME: What have I Taught and What have I Learned?Bill HealdPresenter: Angelita Habr-Gama

Outcomes after TMEModerator: Fábio Campos

Anastomic techniques - Is there anything new?Ronan O’Connell

What if I end up with a positive resection margin?Yves Panis

Handling the surgical specimen - What has to be in the path report?Mariana Berho

Bowel Dysfunction after Rectal Cancer Surgery - Is it really bad?Soren Laurberg

DiscussionAntonio Lacerda / Hélio Moreira Jr. / Guillermo Rosato / Renato Pinho

BreakExhibit visit

Video Session: Surgical Tips and Avoiding PitfallsModerator: Steven Wexner

Standarzing Laparoscopic TMEYves Panis

Robotic Total Mesorectal Excision: Tips to get started...Martin Weiser

Transanal Total Mesorectal Excision: Where can it go wrong...??Greg Wynn

DiscussionAntonio Rocco Imperiale / Armando Melani / Fabio Leiro

Ultimate Fighting in Rectal Cancer

Do we really improve TME with the Robot? Moderator: Dieter Hahnloser

NoSteven Wexner

YesAlessio Pigazzi

DiscussionGustavo Rossi / Reinan Ramos / Henrique Fillman

Thursday, November 19th Thursday, November 19th

12:30

14:00

14:45

15:10

16:30

17:00

Lunch - SymposiumPerioperative Complications in Colorectal Surgery - Interactive Case Discussion (Lunch boxes will be served)

Great Debates in Rectal Cancer IModerator: Bill Heald

Cyllindrical Abdominal Perineal Excision -Is it really (always) necessary?

NoRob Madoff

YesTorbjorn Holm

DiscussionRodrigo Gomes / Juan Carlos Patron Uriburu / Roberto L. Kaiser Jr

How Can MRI orient the surgical procedure in rectal cancer?Gina Brown (UK)President: Adriana Diéguez

Neoadjuvant CornerModerator: Rob Glynne-Jones

Selective Use of Neoadjuvant CRTBruce Minsky

The meaning of high dose in sterilizing rectal cancerVincenzo Valentini

High dose rate endorectal brachytherapy: Challenges and opportunities. From neoadjuvant to radical modality for patients with rectal cancerTe Vuong

Contact radiation therapy: long-term dataJean-Pierre Gerard

Avoiding RT! Chemotherapy alone followed by surgery in rectal cancerDaniel Chang

DiscussionPatricia Bailão Aguilar / Diana Tait / Sergio Faria

Break

Assessment of Response to CRTModerator: Diana Tait

Clinical Assessment and the role of biopsiesFraser Smith

Is there still place for Endorectal UltrassoundSthela Regadas

November 19 – 12:30hMSD Satellite Symposium

Clinical cases interactive discussionComplications in Colorectal Surgery

Discussants:Angelita Habr-GamaRodrigo PerezArceu Scanavini / Guilherme Pagin São JuliãoAna Gales

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The role of TEMS in assessment of responseChris CunninghamDiscussionMaria Cristina Sartor / Lusmar Veras / Jorge Arias

Tumor Regression by Radiology & Pathology

The role of mrTRG in assessment of response and ultimate managementGina Brown

Functional MR imaging - the Future...Regina Beets-Tan

Is any TRG system really useful? Which one? Mariana Berho

DiscussionMaria Regina Vianna / Cinthia Ortega / Ruy Galves

LectureFrom no radiation and more surgery to more radiation and less surgery in rectal cancer management: The History of Neoadjuvant Therapy in Rectal Cancer Bruce MinskyPresident: Icaro Thiago de Carvalho

WELCOME COCKTAIL

Thursday, November 19th

18:00

19:00

19:30

Friday, November 20th

Rectal Cancer after Neoadjuvant CRTModerator: João Aguiar Pupo Neto

Overview of Trials with Organ Preservation for Rectal cancer Jean-Pierre Gerard

Interval between CRT and assessment of response: 6 or 12 weeks? Or longer deferral?Gina Brown

Extending the interval between CRT and surgery...Martin Weiser

DiscussionRonaldo Salles / Magda Profeta da Luz / Paulo Mauricio Chagas Bruno

Great Debates in Rectal Cancer II

Is Local Excision justifi ed in rectal cancer following CRT?Moderator: Chris Cunningham

NoRonan O’ Connell

YesGeerard Beets

DiscussionMauro Pinho / Daniel Damin / Carlos Vaccaro

Transanal Total Mesorectal ExcisionModerator: Sergio Araújo

Better optionJohn Marks

No needMartin Weiser

DiscussionRamon Mendes / Miguel Angelo Pedroso / Mauricio J. de Matos e Silva

Break

Video Session: The diffi cult problems!Moderator: Rob Madoff

Diffi cult TMEYves Panis

Complications of Robotic SurgeryAlessio Pigazzi

Peritonial entry during TEMJohn Marks

Laparoscopic lateral node dissectionTsuyoshi Konishi

08:00

09:00

10:30

11:00

Welcome CocktailThursday - 19:30

Casual Welcome Reception

Vivaldi Room - WTC Convention Center

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Friday, November 20th

DiscussionRenato Lupinacci / Nicolas Rotholtz / Alejandro Barrera

Lunch Symposium Transanal Total Mesorectal Excision Symposium

Complete Clinical Response: Watch & Wait after a cCR? Moderator: Carlos Carvalho

YesBruce Minsky

No Rob Glynne-Jones

Predicting Complete Response to CRTRodrigo Perez

Radiological Assessment of a CRRegina Beets-Tan

DiscussionJorge Sabbaga / Fernanda Caparelli / Diana Tait

Watch & Wait Moderator: Carlos Augusto Martinez

The Maastricht ExperienceGeerard Beets

The MSKCC ExperienceMartin Weiser

International Watch & Wait DatabaseNuno Figueiredo

DiscussionGuilherme Cotti Cutait / Victor Seid

Past, Present and Future of rectal Cancer Management in the Era of Organ-PreservationAngelita Habr-GamaPresident: Fabio Campos

Break

Molecular Biology at Bedside - Liquid Biopsies Moderator: Jorge Sabbaga

Liquid biopsies for the monitoring of tumor response to CRT Anamaria Camargo

Liquid Biopsies for the monitoring of response to Chemotherapy Cathy EngQ&A

12:00

13:30

14:30

15:20

15:50

16:20

Friday, November 20th

Recurrent Rectal CancerModerator: Paulo Hoff

Surgical Management of Recurrent Rectal CancerTorbjorn Holm

How much more RT can we give?Daniel Chang

Is chemotherapy effective?Cathy Eng

Recurrence after TEMChris Cunningham

Recurrence after Watch & WaitGeerard Beets

DiscussionLavoisier Fragoso D’Albuquerque / Artur Malzyner / Yoram Weissberger

Bringing Centers of Excellence to Center Stage in Rectal Cancer Management Steven Wexner

Happy Hour Satellite Symposium

17:00

18:30

19:00

November 20 – 12:00hSatellite Symposium

Transanal Total Mesorectal Excision SymposiumModerator: Gustavo Rossi / Rodrigo Perez

Why transanal TME? – Albert WolthuisEquipment – What do I need for a taTME? - John MarksTechnique – Chris CunninghamPitfalls and avoiding major complications… - Greg WynnDiscussion

Friday, November 20th

16:00 - 18:00 MRI in Rectal Cancer

Gina BrownThe Royal Marsden NHS Foundation TrustSurrey, UK

WORKSHOP

Friday – 19:00hNOVADAQ Happy Hour Satellite Symposium

New technologies in preventing anastomotic leaks - Fluorescence imaging for the assessment of bowel perfusion. Understanding and avoiding anastomotic leaks

Failed methods of preventing leaks. Ronan O’Connell

Why do anastomosis fail - An overview of the healing process. Mariana Berho

The Role of Fluorescence Imaging in preventing anastomotic leaks. Steven Wexner

Discussion

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Saturday, November 21th

Simposium Satellite (A light breakfast will be served)

Problems... When things go wrong

The colon will not reach the pelvis...Ronan O’Connell

Complications after TEMChris Cunningham

Treatment of Bowel Dysfunction after TMESoren Laurberg

Discussion

Live Surgical ProceduresDiscussants: Afonso Sousa / Arceu Scanavini / Francisco Sérgio Regadas Olival Oliveira Jr / Oscar Tavella / Claudio Saddy R. Coy

07:30

08:30

10:00

Organizing Committee

PresidentAngelita Habr-Gama

Secretary GeneralRodrigo Perez

TreasurerCarlos Eduardo Jacob

President: Joaquim Gama-Rodrigues Carlos Buchpiguel, SPGuilherme Pagin São Julião, SP

Igor Proscurshim, SPPaulo Roberto Arruda Alves, SP

Scientifi c CommitteeAna Carolina Pereira de Sousa, SPAriel Kann,SPArtur Malzyner, SPCarlos Augusto Martinez, SPCarlos W. Sobrado, SPCarmen Ruthe Manzione, SPCinthia Ortega, SPDesidério Kiss, SPEduardo de Paula Vieira, RJFábio Guilherme Campos, SP

Icaro Thiago de Carvalho, SPJorge Sabbaga, SPJosé Marcio N. Jorge, SPLavoisier F. D’Albuquerque, SP Luis Fernando Mileo, SPLuiz A. Carneiro D’Albuquerque, SPManuela V. Sapucahy, SPMaria Cristina Sartor, PRMaria José F. Vieira, SPMaria Regina Vianna, SP

Maristela Gomes de Almeida, SPMounib Tacla, SPPatrícia Bailão Aguilar, SPRodrigo Oliveira, SPRuy Galves, SPSérgio E. A. Araujo, SPVenâncio Avancini F. Alves, SPViviane Rawet, SPYoram Weissberger, SP

Guest Faculty

Albert WolthuisUniversity Hospital LeuvenLeuven, Belgium

Alessio PigazziUniversity of California, IrvineOrange, USA

Bruce MinskyThe University of TexasM.D. Anderson Cancer CenterHouston, USA

Carlos CarvalhoChampalimaud Clinical CentreLisbon, Portugal

Cathy EngThe University of TexasM.D. Anderson Cancer CenterHouston, USA

Chris CunninghamChurchill Hospital OxfordOxford, UK

Daniel ChangStanford University Medical CenterStanford, USA

Diana TaitThe Royal Marsden NHS Foundation TrustSurrey, UK

Dieter HahnloserUniversity Hospital LausanneLausanne, Switzerland

Fraser SmithThe Royal Liverpool and Broadgreen University Hospitals NHS Trust Liverpool, UK

Geerard BeetsMaastrich University Medical CenterMaastricht, The Netherlands

Gina BrownThe Royal Marsden NHS Foundation TrustSurrey, UK

Greg WynnThe ICENI Centre, Colchester General HospitalColchester, UK

Jean Pierre GerardAntoine-Lacassagne Cancer CentreNice, France

John MarksLankenau Medical CenterWynnewood, USA

Mariana BerhoCleveland Clinica FloridaFlorida, USA

Martin WeiserMemorial Sloane-Kettering Cancer CenterNew York, USA

Nuno FigueiredoChampalimaud Clinical CentrePortugal

Regina Beets TanMaastrich University Medical CenterMaastricht, The Netherlands

Richard HealdPelican Cancer FoundationBasingstoke, Hampshire, UK

Rob Glynne-JonesMount Vernon Centre for Cancer TreatmentLondon, UK

Robert D. MadoffUniversity of MinnesotaMinneapolis, USA

Ronan O’ConnellUniversity College Dublin,St Vincent’s University HospitalDublin, Ireland

Soren LaurbergAarhus UniversityAarhus, Denmark

Steven WexnerCleveland Clinica FloridaFlorida, USA

Te VuongJewish General Hospital, McGill UniversityMontreal, Canada

Torbjorn HolmKarolinska UniversitetsjukhusetStockholm, Sweden

Vincenzo Valentini Università Cattolica S. CuoreRoma, Italy

Yves PanisHôpital Beaujon,Clichy France

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November 21 – 7:30h WL GORE Satellite Symposium

Advantages of BioA technology in the use of perineal and abdominal wound closure

Abdominal Perineal Excision – The Rationale for the extra-levator approach. Torbjorn HolmPerineal Closure – The use of Flaps. Torbjorn HolmPerineal Closure – The use of Meshes. Guilherme Pagin São JuliãoDiscussion

08:00Radiation Oncology Workshop

Saturday, November 21th

08:00 - 11:00h

Tailoring the delineation of pelvic structures according to tumor presentation. Vincenzo Valentini

Discussion

Pelvic anatomy subsites relevant for Radiation Oncologists. Vincenzo Valentini

Discussion

Tumor penetration in the mesorectum – Implications for the radiation therapy regimen. Jean-Pierre Gerard

Discussion

Break

Indications for Neoadjuvant CRT. Rob Glynne JonesChemotherapy without radiation as neoadjuvant treatment for rectal cancer. Does it work? Cathy Eng

Discussion

Metastatic Rectal CancerRadiation therapy fi rst. Rob Glynne-JonesChemotherapy fi rst. Cathy Eng

Discussion

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Organization

Endorsing Societies and Institutions

Sponsored by

Sociedade Brasileira de Coloproctologia

ACESP Associação de Coloproctologia do Estado de São Paulo

Sociedade Brasileira de Radioterapia

Sociedade Brasileira de Radiologia

Supported by

GIMED