Scientific Program

Pre Conference Workshop
Robotic Donor Hepatectomy and Intricacies of LDLT

Hall A ( Friday 15-11-2019)

Session 1 (8.00 AM) onwards Live Operative Workshop

  • Theater 1 - Robotic donor hepatectomy
  • Theater 2- Recipient Explant surgery
  • Theater 2- Bench Work
  • Theater 2- Implantation

Session 2 (9.00-10.15 AM) Technophiles’ Session 1 VIDEO (10 +5)

  • Novel outflow reconstruction technique
  • Intra operative doppler for dummies
  • Monosegment graft
  • MHV reconstruction on bench

Session 3 (10.15-10.45 AM) Maestros at Work ( 15 mts )

  • Laparoscopic Right lobe donor hepatectomy-The Right Way.
  • My choice – Laparoscopic vs Robotic donor hepatectomy?

Live Workshop continues....
Lunch will be served during the session.

Session 4 (4.00 – 5.00 pm) ( Wish I Knew What to do )- (15+4)

  • Re-transplant in LDLT setting- operative difficulty and outcome
  • Marginal live related donor : To do or not to do ?
  • Managing hypo plastic portal vein in pediatric recipient
  • Orthotopic liver transplant in Managing Difficult Inflow Issues

Session 5 (5.00 – 5.30 pm) Guest lecture

  • Biliary anastomosis in LDLT – Is it still the “Achilles heel”

Session 6 (5.30-5.50 pm) Industry Sponsored Symposium

Inauguration
Dinner 7.30 pm onwards

Conference Day 1 Saturday Hall A (16/11/19)

Session 1 (9.00-10.00am) Pediatric LDLT ( 8+4 )

  • ABO incompatible pediatric transplant
  • Liver transplantion in less than 10 kg: A weighty problem?
  • Pediatric acute liver failure: When not to transplant
  • Transplantation criteria for pediatric malignancies
  • Immunosuppression in pediatric recipients. Is it different from adult?

Session 2 (10.00 – 10.30 AM) Debate (30 mts)

  • Pre-transplant plasma exchange to bridge liver transplant in acute liver failure is beneficial

Session 3 (10.30AM – 10.50AM) Keynote address- 20 mts

  • Immunosuppression minimization protocols. Where do we stand?

Tea break (10.50 – 11.00 AM)

Session 4 (11.00 – 11.50AM) (8+4 x4 ) First do no harm

  • Donor Intra operative cholangiogram – Absolute or Optional?
  • Anticoagulants in the donor. When, What, How long?
  • Fatty liver in LDLT – How far one can go ?
  • Donor mortality – Real truth

Session 5 ( 11.50 – 12.10 PM ) ‘My point of view’ - (15 + 5 )

  • Current Criteria for ACLF : Accept, reframe or reject

Session 6 ( 12.10- 12.40pm) Debate (30mts)

  • HCC within UCSF criteria- Loco regional therapy should be given before LDLT.

Session 7 ( 12.40- 1.00 pm) ‘My point of view ’- (15 + 5 )

  • Pediatric Liver Transplantation – Right time Right place

Lunch (1- 1.45pm) - POSTER VIEWING

Session 8 (1.45 – 2.10 pm) Technophile Session 2 Video (8+4)

  • Reno-portal anastomosis in patients with extensive portomesenteric vein thrombosis
  • Robotic left lateral segmentectomy

Session 9 (2.10-2.30pm) Keynote address (15 + 5)

  • Ammonia reducing strategies in ALF

Session 10 (2.30 – 3.20 PM) Moving Forwards (8+4)

  • Fraility and Sarcopenia – New insights
  • Albumin in Peri Transplant setting- Use or abuse
  • Fast tracking in LDLT
  • Organoids in liver disease

Session 11 (3.20 – 3.45 PM) Post transplant infections -Casting new lights (8+4)

  • MDR bacterial infections
  • Resistant fungal infections

Session 12 (3.45 - 4.05PM) Key note address (15 + 5)

Use of Everolimus in Liver Transplant – Expand even or contract? Dr Lee Guan Huei

Session 13 (4.05- 4.55 pm) (8+2)

  • Free papers - Best of five posters

Session 14 (4.55 -5.35 pm) Panel discussion 40mts

  • Transplant oncology – Upcoming specialty

Session 15 (5.35- 6.30pm) Starzl oration (30+15 mts)

  • a. “A Tribute to Thomas Starzl, MD, PhD”
  • b. Ethics of living donor liver transplant –Indian perspective

Governing council meeting (6.45 – 7.30pm)

Banquet 7.30pm onwards

Conference Day 2 Hall A (Sunday- 17/11/19)

Session 1 Meet the experts (Breakfast session)
(7.00-8.30AM)

  • Critical care and anesthasia
  • Hepatology amd immunosuppression
  • Surgery and technical aspects

Session 2 (8.30-9.30AM) Unfriendly Neighborhood ( 8+4)

  • Renal Support - Before during and after Transplantation
  • Bariatric Surgery - Before during or after Transplantation
  • Hepato pulmonary syndrome management- Before during and after Transplantation
  • Nutrition- Before during and after Transplantation

Session 3 - Guest lecture (9.30-10.00 AM ) 30 mts

  • Normothermic machine perfusion –When and how? (20 mts)
  • Indian Prospect (5 mts)

Session 4 ( 10.00 – 10.40 AM) Young Investigator Award (4 Papers)

Session 5 – Panel discussion (10.40- 11.20AM) - 40 Mts

  • Early allograft dysfunction - Casting New Lights.

Session 6 (11.20 -11.40 AM ) Keynote address (15 + 5)

  • Ethics of deceased organ allocation–Lessons from west

Session 7 (11.40-12.30 PM) OLT – Uncertain Corners (8+4)

  • Steroid refractory rejection
  • Dysnatremia- Peri Transplant management
  • Late ACR – Current understanding and Management
  • Denovo and recurrent Auto immune hepatitis

Session 8 (12.30 - 12.50 PM )- Keynote address ( 15 + 5)

  • Resection or Transplantation in Early stage HCC - making the choice'.

Session 9 (12.50-1.10 PM) My Prediction (15 +5)

  • DCD in India tranquility or reality?

Presidential oration (1.10-1.30PM-20 Mts)

  • Live donor liver transplant – Global perspective

Valedictory function (1.30 pm)
Prize distribution

Lunch

Sunday Anaesthesia session LTSICON 2019 November 17th
(Hall B)

Breakfast session: Anaesthesiology and Critical Care
(7.30 am – 9.00 am)

  • What is the ideal Cardiac evaluation?
  • Preoperative cardiac optimisation of the recipient
  • Low counts pre-transplant
  • Preoperative CABG/Stent??

9.15 - 9.35 am: Factor concentrates in recipient: Current evidence

9.35-10.00 am: Analgesic options in donor hepatectomy Dr. CK Pandey/ RML Lucknow

10.00-10.30 am: PRO / CON Debate

  • Intraoperative CRRT is key to improved outcomes in ALF
  • CRRT can be managed postoperatively with good outcome

10.30 – 10.45 am: TEA BREAK

10.45-11.05 am: Fluid management in pediatric liver transplant.

11.05-11.25 am: Optimising sodium levels pre transplant.

11.25-11.45 am: How to optimize the Sarcopenic recipient for transplant

11.45-12.05 am: Futility in transplant. When to say NO

12.05-1.00 pm: How to set up transplant anaesthesia services and a post-transplant ICU. Guidelines from large volume centres.

Valedictory function followed by LUNCH

Preconference Training Session Saturday 16th November 2019 2-4pm

Workshop 1: TEE in liver transplant

Workshop 2: Depth of Anaesthesia monitoring during transplant NIRS BIS & TCD

Coagulation Monitoring: ROTEM