iv international meeting on living donor liver and

IV INTERNATIONAL MEETING ON LIVING
DONOR LIVER AND KIDNEY
TRANSPLANTATION
Barcelona – November 14 – 15 , 2005
PROGRAMME
ORGANIZED BY:
Hospital Clinic
Liver Transplant Unit
Renal Transplant Unit
Transplant Coordination
IV International Meeting on Living Donor
Liver and Kidney Transplantation
Barcelona (Spain) - November 14 - 15, 2005
WELCOME MESSAGE
Dear friends and colleagues,
Living donor kidney and liver transplantation continues to be a controversial
issue to date.. Although the use of this type of organ transplantation is
becoming more and more popular, this wide use involves, not only the
development of the necessary surgical skills to do it, but also the need to
develop awareness of the significance of this complicated process, inside or
outside of the operating room, whether from the renal or the hepatic point
of view.
Thus the necessity to continuously evaluate the results achieved in the donor
and the recipients side. The IV International meeting on living donor organ
transplantation will be specifically focused in promoting living organ donation
and transplantation as well as evaluating the current results of the literature.
This will be done by the most outstanding leaders of the world.
Specifically, the role of the transplant coordinators , as well as the different
models of organ living donation worldwide will be analysed. Controversial
issues, such as laparoscopic donor nephrectomy with regard to kidney, or
recurrence of HCV after transplantation with regard to liver, will be studied.
Perhaps the most interesting aspects of this new course is that we include
the transmission of
two live procedures; an adult kidney and liver
transplantations. Those very long procedures will be inserted during the
development of the program, so that the most interesting parts of both
operations could be easily viewed by the audience, without having to stand
for the whole operation.
Although it is widely acknowledged that living donation has emerged as an
efficient means to help in reaching the highest number of patients, the
Hospital Clínic, pioneer in Spain in this type of procedures, maintains its
commitment and responds to the need for continued evaluation and maximum
transparency, allowing the Society and the Scientific community to verify the
advances achieved during this period as well as evaluate the problems
associated to the whole process.
In this occasion, the Hospital Clínic together with the Catalan Transplant
Organization (OCATT) and the National Transplant Organization (ONT),
under the patronage of the Department of Health of the Government of
Catalunya, would like to give you a warm welcome to Barcelona in the sureness
that you will be getting, in this two days meeting, an overall view of living
donation to date and its role in organ transplantation in the near future.
Juan C.García-Valdecasas
Liver Transplant Unit
Federico Oppenheimer
Renal Transplant Unit
IV International Meeting on Living Donor
Liver and Kidney Transplantation
Barcelona (Spain) - November 14 - 15, 2005
HONOUR COMMITTEE:
President
Marina Geli
Honorable Consellera de Sanidad
Rafael Matesanz
National Transplant Organization (ONT)
Rosa Deulofeu
Catalan Transplant Organization (OCATT)
ORGANIZING COMMITTEE:
HOSPITAL CLINIC:
Transplant Coordination:
Martí Manyalich
Jordi Vilardell
Liver Transplant Unit:
Juan C. García-Valdecasas
José Fuster
Ramón Charco
Constantino Fondevila
Renal Transplant Unit:
Federico Oppenheimer
Antonio Alcaraz
Jose María Campistol
Rafael Gutiérrez
Ricardo Álvarez
With the collaboration of:
Organización Nacional de Trasplantes (ONT)
Organització Catalana de Trasplantaments(OCATT)
Sociedad Española de Nefrología (SEN)
Sociedad Española de Trasplante Hepático.
Under the Patronage of the
Health Adviser of the Generalitat of Catalunya.
Faculty
Antonio Alcaraz. Barcelona.
Manuel Arias. Santander.
Juan Ramón Ayuso. Barcelona.
Olivie Boillot. Lyon.
Ulla Berg. Stocolm.
Fco. Javier Burgos. Madrid.
Josep Maria Campistol. Barcelona.
Ramón Charco. Barcelona.
Valentín Cuervas Mons. Madrid.
Rosa Deulofeu. Barcelona.
Behzod Einollahi. Teherán.
Sheung-Tat Fan. Hong Kong.
Stuart M. Flechmer. Cleveland.
Ingela Fehrman. Estocolmo.
Constantino Fondevila. Barcelona.
Xavier Forns. Barcelona.
Jose Fuster. Barcelona.
Juan Carlos García Valdecasas. Barcelona.
José M. Grinyó. Barcelona.
Manuel Gonzalez Molina. Málaga.
Luis Guirado. Barcelona.
Rafael Gutiérrez. Barcelona.
Nigel Heaton. Londres.
S.G. Lee. Corea del Sur.
Jan Lerut. Belgium.
Josep Lloveras. Barcelona.
Massimo Malago. Essen.
Amadeo Marcos. Pittsburgh.
Carlos Margarit. Barcelona.
Martí Manyalich. Barcelona.
Faculty
Rafael Matesanz. Madrid.
José O. Medina. Sao Paulo.
Gerardo Méndez Picón. Richmond.
Jose Mª Morales. Madrid.
Enrique Moreno González. Madrid.
Robert Naraghi. Los Angeles.
Miguel Navasa. Barcelona.
Federico Oppenheimer. Barcelona.
Fernando Pardo. Pamplona.
Milagros Perea. Barcelona.
Per Pfeffer. Oslo.
Lloyd E. Ratner. Nueva York.
Antoni Rimola. Barcelona.
Antonio Rosales. Barcelona.
Massimo Rossi. Roma.
Albert Sánchez Fueyo. Barcelona.
Kazunari Tanabe. Tokio.
Pilar Taurá. Barcelona.
Josep Terés. Barcelona.
Guiliano Testa. Chicago.
Gilbert Thiel. Basilea.
Jordi Vilardell. Barcelona.
Jonas Wadstrom. Uppsala.
Willem Weimar. Rotterdam.
Programa Científico / Scientific Program
Curso Básico en la Coordinación:
Análisis de diferentes modelos de donación en vivo.
Basic Course of Coordination:
Analysis of different world models of living donation.
Retransmisión en directo desde un quirófano del Hospital
Clínic: dos procedimientos de trasplante (trasplante renal y
hepático.)
Life transmission from the operating theatre of Hospital Clinic of
two procedures (kidney and liver transplants).
Tópicos en controversia en trasplante procedente de donante vivo.
Topics to be discussed
Riñón/Kidney:
La laparoscopia en la nefrectomía en el donante.
Donor laparoscopica neprectomy.
Ventajas del trasplante renal de donante vivo.
Resultados.
Advantages of the living donor. Kidney transplant. Results.
Hígado/Liver:
Donante vivo y hepatocarcinoma. ¿La indicación
ideal?.
Living donor and hepatocellular carcinoma. Ideal
indication?.
Donante vivo y Virus de la Hepatitis C. ¿Una ventaja?.
Living donor and virus C hepatitis. An advantage?
“Small for size syndrome”. How to cope with it.
CURSO BASICO / BASIC COURSE
Coordinación en el Donante Vivo
Transplant Coordination. Living Donors.
14 Noviembre 2005 / November 14th 2005
08:30 – 08:40 h. Presentanción del Curso.
Introduction.
M. Manyalich. (Barcelona).
08:40 – 09:00 h. Promoción y detección del donante vivo.
Promoting and detecting living donors.
J. Vilardell. (Barcelona).
09:00 – 09:15 h. Evaluación médica del Donante Renal.
Medical evaluation of kidney donors.
F. Oppenheimer. (Barcelona).
09:15 – 09:30 h. Evaluación quirúrgica del Donante Renal.
Surgical evaluation of kidney donors.
A. Alcaraz. (Barcelona).
09:30 – 09:45 h. Evaluación médica del Donante Hepático.
Medical evaluation of liver donors.
A. Sánchez Fueyo. (Barcelona).
09:45 – 10:00 h. Evaluación quirúrgica del Donante Hepático.
Surgical evaluation of liver donors.
C. Fondevila. (Barcelona).
10:00 – 10:10 h. Procedimientos de la Coordinación de Trasplantes.
Procedures by transplant coordination.
M. Perea.(Barcelona).
10:10 – 10:20 h. Procedimientos Comité de Ética.
Procedures of the Ethic Committee.
J. Terés (Barcelona).
Presentación Caso Individual.
A Case presentation.
Evaluación Entorno Favorable.
Environment favorable evaluation.
CURSO BASICO / BASIC COURSE
Coordinación en el Donante Vivo
Transplant Coordination. Living Donors.
14 Noviembre 2005 / November 14th 2005
10:20 – 10:30 h. Procedimiento Registro Civil.
Procedures of the Civil Judge.
J. Vilardell (Barcelona)
Consentimiento Informado Delante del
Juez.
Inform Consent.
Firma de Testigos.
Witnesses.
10:30 – 10:40 h. Discusión . / Discussion.
10:40 – 10:55 h. Café./Coffee Break.
10:55 – 11:15 h. Logistica del Donante Vivo.
Living Donor Logistic.
J.C. García-Valdecasas (Barcelona).
Documento del New York Health
Department.
New York Department Consensus Document.
11:15 – 11:30 h. ASEDIVO – Testimonio.
ASEDIVO – Testimony.
11:30 – 12:00 h. Conferencia de Prensa.
Press Conference.
12:00 – 12:15 h.
Inauguración del Curso.
Official opening.
Excma. Sra. Dª Marina Geli.
Honorable Consellera de Sanidad Gobierno de Cataluña.
Programa Científico / Scientific Program
IV International Meeting on Living Donor
Liver and Kidney Transplantation
14 Noviembre 2005 / November 14, 2005
12:15 – 13:35 h. SESION 1 / SESSION 1
Moderadores:
Chairs:
R. Deulofeu. (Barcelona).
M. Manyalich. (Barcelona).
12:15 – 12:25 h. Evolución Donación de Vivo en España.
Living donor evolution in Spain.
R. Matesanz. (Madrid).
12:25 – 12:40 h. Un Modelo de Coordinación de Trasplante de
Donante Vivo.
The role of the transplant coordination in living donor.
A. Model.
J. Vilardell. (Barcelona).
12:40 – 12:55 h. Consenso International Forum Care of the Live
Kidney Donor.
International Consensus of the live kidney donor.
F. Oppenheimer. (Barcelona).
12:55 – 13:15 h. Aspectos Económicos.
Economic Aspects.
G. Mendez-Picón.(Richmond.).
13:15 – 13:35 h. Aspectos Legales.
Legal Aspects.
Excmo. Sr. Adolfo Prego
13:35 – 15:00 h. Almuerzo de Trabajo. / Lunch.
Programa Científico / Scientific Program
IV International Meeting on Living Donor
Liver and Kidney Transplantation
14 Noviembre 2005 / November 14, 2005
15:00 – 16:30 h. SESION 2/SESSION 2
Modelos Organizativos de la Donación de Vivo.
World Organizing Models on living donors
Moderadores:
Chairs :
J. Lloveras. (Barcelona).
M. Navasa. (Barcelona.).
15:00 – 15:15 h. J. Medina. (Sao Paulo).
15:15 – 15:30 h. P. Pfeffer. (Oslo).
15:30 – 15:45 h. A. Marcos (Pittsburgh).
15:45 – 16:00 h. Sheung-Tat Fan (Hong Kong)
16:00 – 16:15 h. B. Einollahi (Teheran)
16:15 – 16:30 h. Discusión. / Discussion
16:30 – 17:15 h. Conferencia Magistral.
State of The Art Lecture.
Tolerancia y Donante Vivo.
Tolerance and Living Donor.
A. Marcos. (Pittsburgh).
17:15 – 17:30 h. Café./Coffee Break.
17:30 – 19:30 h. SESION 3/SESSION 3
INMUNOSUPRESION/IMMUNOSUPRESSION.
Moderadores:
Chairs:
J.M. Grinyó. (Barcelona).
V. Cuervas Mons. (Madrid).
17:30 – 17:50 h. Nuevas alternativas en la inmunosupresión del
trasplante renal de donante vivo.
New alternatives in immunosupression on living donor
in kidney transplantation.
L. Guirado (Barcelona)
Programa Científico / Scientific Program
IV International Meeting on Living Donor
Liver and Kidney Transplantation
14 Noviembre 2005 / November 14, 2005
17:50 – 18:10 h. Monoterapia con Tacrolimus. Resultados de un
estudio propectivo randomizado.
Tacrolimus monotherapy. Results of a prospective
randomized trial.
J. Lerut.(Belgium)
18:10 – 18:30 h. Importancia MMF.
Importance of MMF
N.T.B.A.
18:30 – 18:50 h. Sirolimus como terapia base en el transplante de
riñón en el donante vivo.
Sirolimus as Base therapy in living donor kidney
transplantation.
S. Flechner. (Cleveland ).
18:50 – 19:10 h. Detección Tolerancia en Pacientes
Imunodeprimidos.
Tolerance detection in immunocompromied patients.
A. Sánchez Fueyo.(Barcelona)
Programa Científico / Scientific Program
LIVING DONOR LIVER TRANSPLANTATION
15 Noviembre 2005 / November 15th, 2005
08:00 – 10:30 h. SESION 4/SESSION 4
DONANTE/DONORS
Moderadores:
Chairs:
SALA “A”/ ROOM “A”
F. Pardo. (Pamplona).
M. Malago. (Essen).
08:00 – 08:30 h. Evaluación del donante.
Donor Evaluation.
A. Rimola. (Barcelona).
08:30 – 08:45 h. Conexión – Explicación del Caso.
Connecting with the procedure. A case.
R. Charco. (Barcelona).
08:45 – 09:15 h. La Resonancia Magnética.
(Vascular, Biliar, Arterias).
The value of the magnetic resonance.
(Vascular, Biliary, Arterial).
J.R. Ayuso. (Barcelona).
09:15 – 09:30 h. Conexión – Manejo Perioperatorio.
Connecting with the procedure – Perioperative
management.
P. Taurá. (Barcelona).
09:30 – 10:00 h. La Vena Hepática Media. Evaluación Selectiva.
The middle hepatic vein selective evaluation.
S. Fan. (Hong Kong)
10:00 – 10:30 h. Conexión – Procedimiento.
Connecting with the procedure.
C. Fondevila. (Barcelona).
10:30 – 11:00 h. Café./Coffee Break.
11:00 – 11:45 h. Conferencia Magistral.
State of the Art Lecture.
Dos Donantes / Un Receptor – Menos Riesgo!!
Two donors one recipient. Less risk!!
S. G. Lee (Corea del Sur).
Programa Científico / Scientific Program
LIVING DONOR LIVER TRANSPLANTATION
15 Noviembre 2005 / November 15th, 2005
11:45 – 13:30 h. SESION 5/SESSION 5
Evitar Complicaciones Inmediatas.
Avoiding immediate complications.
Moderadores:
Chairs:
C. Margarit (Barcelona).
N. Heaton. (Londres).
Como lo hago. Drenaje Venoso.
How I do it. Venous drainage.
M. Malago. (Essen).
Como lo hago. Anastomosis Arterial.
How I do it. Arterial Anastomoses.
G. Testa. (Chicago).
Como lo hago. Anastomosis Biliar.
How I do it. Biliary Anastomoses.
A. Marcos. (Pittsburgh).
Anastomosis Cond. A. Cond. Puntos de
Controversia.
Duct-to-duct anastomoses Controversial issues.
S. Fan. (Hong Kong)
13:30 – 15:30 h. Almuerzo de Trabajo. Lunch.
15:30 – 17:00 h. SESION 6/ SESSION 6
RECEPTOR/ RECIPIENT
15:30 – 17:45 h. Conexión con procedimiento.
Connecting with the procedure.
Moderadores:
Chairs:
G. Testa. (Chicago).
M. Rossi. (Roma).
15:30 – 15:50 h. HCC, DV e Indicación Expandida.
Resultados Preliminares.
HCC, DV and Expanded indication.
Preliminary Results.
J. Fuster (Barcelona).
Programa Científico / Scientific Program
LIVING DONOR LIVER TRANSPLANTATION
15 Noviembre 2005 / November 15th, 2005
15:50 – 16:05 h. Conexión con procedimiento.
Connecting with the procedure.
16:05 – 16:25 h. VHC. El Donante Vivo como Ventaja?
VHC.The living donor as an advantage?
X. Forns. (Barcelona).
16:25 – 16:45h. Sindrome “Small for size”. ¿Como combatirlo?.
“Small for size”. How to cope with it?.
O. Boillot. (Lyon).
16:45 – 17:00 h. Conexión con procedimiento.
Connecting with the procedure.
17:00 – 17:45 h. Conferencia Magistral
State of the Art Lecture.
Presentación /Introduction:
J.C. García-Valdecasas (Barcelona).
Trasplante Hepático de Donante Vivo.
Estado Actual y Potencial futuro.
Living Donor Living Transplantation.
Current status and future trends.
E. Moreno González. (Madrid).
17:45 – 18:00 h. Café./Coffee Break.
18:00 – 19:00 h. Mesa Redonda. Round Table.
“Potenciar la donación en vivo en el mundo”.
Moderadores:
Chairs:
F. Oppenheimer (Barcelona).
J.C. García-Valdecasas (Barcelona).
Ponentes:
Speakers:
J. Medina (Sao Paulo)
G. Mendez-Picón (Richmond)
A. Marcos (Pittsburgh)
R. Deulofeu (Barcelona)
A. Alcaraz (Barcelona
Programa Científico / Scientific Program
LIVING DONOR KIDNEY TRANSPLANTATION
15 Noviembre 2005 / November 15th 2005
08:00 – 10:30 h .
SALA “B” / ROOM “B”
Moderadores:
Chairs:
A. Rosales (Barcelona).
M. González-Molina (Málaga)
08:00 – 08:20 h. Valoración nefrológica del donante.
Kidney donor evaluation.
G. Thiel (Basilea).
08:20 – 08:30 h. Discusion. / Discussion.
08:30 – 09:00 h. Conexión – Explicación del Caso.
Connecting with the procedure – A case.
R. Gutiérrez. (Barcelona).
09:00 – 09:30 h. Análisis Clínico de diferentes alternativas técnicas.
Surgical approach. Analysis of different procedures.
Ll. Ratner.(Filadelfia).
09:30 – 10:00 h. Nefrectomía mano-asistida con abordaje
retroperitoneoscópico.
Hand-assisted retroperitoneoscopic live donor
nephrectomy.
J. Wadstrom. (Uppsala)
10:00 – 10:30 h. Conexión – Procedimiento.
Connecting with the procedure.
10:30 – 11:00 h. Café. / Coffee Break.
11:00 – 13:30 h. SESION 1 / SESSION 1
Moderadores:
Chairs:
F.J. Burgos (Madrid)
L. Guirado (Barcelona)
11:00 – 11:20 h. Resultado de la minilumbotomía.
Minilumbotomy Results.
R. Naraghi. (Los Angeles).
11:20 – 11:30 h. Discusión. / Discussion.
Programa Científico / Scientific Program
LIVING DONOR KIDNEY TRANSPLANTATION
15 Noviembre 2005 / November 15th 2005
11:30 – 11:50 h. Impacto de la edad del donante.
Donor age impact.
K. Tanabe. (Tokio).
11:50 – 12:00 h. Discusión. / Discussion.
12:00 – 12:20 h. Estudio de la reserva funcional en el donante.
Evaluation of the functional reserve in the donor.
J.M. Campistol. (Barcelona)
12:20 – 12:30 h. Discusión. / Discussion.
12:30 – 12:50 h. Impacto de la técnica en la función renal.
Impact of the surgical technique in the donor renal
function.
A. Alcaraz (Barcelona).
12:50 – 13:00 h. Discusión. / Discussion.
13:00 – 13:20 h. Impacto a largo plazo de la nefrectomía en el
donante vivo.
Long Term effect of living donor nephrectomy.
I.Fehrman (Estocolmo)
13:20 – 13:30 h. Discusión. / Discussion.
13:30 – 15:30 h. Almuerzo de Trabajo. / Lunch.
15:30 – 18:00 h. SESION 2 / SESSION 2
Moderadores:
Chairs:
M. Arias (Santander)
J.Mª Morales (Madrid)
15:30 – 15:50 h. Tx. Renal ABO incompatible (I).
ABO incompatible kidney Tx (I).
K. Tanabe. (Tokio).
15:50 – 16:10 h. Intercambio de donantes para trasplante renal.
Donor exchange for renal transplantation.
W. Weimar (Rotterdam).
Programa Científico / Scientific Program
LIVING DONOR KIDNEY TRANSPLANTATION
15 Noviembre 2005 / November 15th 2005
16:10 – 16:20 h. Discusión. / Discussion.
16:20 – 16:40 h. Resultados en el adulto (I).
Adult Results (I).
F. Oppenheimer. (Barcelona).
16:40 – 17:00 h. Resultados en el aulto (II).
Adult Results (II).
L. Guirado (Barcelona.).
17:00 – 17:20 h. Resultados Infantil.
Pediatric Results.
U. Berg (Estocolmo)
17:20 – 17:30 h. Discusión. / Discussion.
17:30 – 18:00 h. Café / Coffee Break.
18:00 – 19:00 h. Mesa Redonda. Round Table.
“Potenciar la donación en vivo en el mundo”.
.
Moderadores:
Chairs:
F. Oppenheimer (Barcelona).
J.C. García-Valdecasas (Barcelona).
Ponentes:
Speakers:
J. Medina (Sao Paulo)
G. Mendez-Picón (Richmond)
A. Marcos (Pittsburgh)
R. Deulofeu (Barcelona)
A. Alcaraz (Barcelona)
INFORMACION GENERAL
GENERAL INFORMATION
Meeting Venue:
Hotel Fira Palace
Avda. Rius i Taulet, 1-3 – 08004 Barcelona (Spain)
Tel.: + 34 93 42 62 223 – Fax: + 34 93 42 48 679
Organizing Secretariat:
OASIS Viajes y Congresos
Director: Luis Micieces
C/ Sor Angela de la Cruz, 8
28020 Madrid – Spain - Tel: +34 91 555 11 19 - Fax: +34 91 555 35 81
E-mail: [email protected] - Web: www.viajesoasis.com
Registration: All attendees must be registered to attend the IV
International Meeting on Living Donor and Kidney Transplantation.
Confirmation: Once the registration form has been received together
with the relevant payment, the Secretariat will acknowledge receipt and
will send the confirmation of the registration.
Policy of Cancellation of Registration: Cancellations must be made in
writing to the Secretariat. The refunds will be made after the meeting. All
cancellations made before September 20th have a refund of 75% of the
amount paid. No refund after mentioned date.
Badges: The organization kindly requests people attending this meeting
to wear their badges in order to access to the scientific sessions and other
events scheduled.
Exhibition: Be sure to visit the exhibition during the meeting, informative
and important components of this event provide you with a valuable
opportunity to meet representatives from various International Companies
that are committed to the field of the Hepatology and Nephrology Living
Donor Transplantation.
Slide Preview Room: This hall will be provided for speakers and
presenters to prepare their presentations. All speakers should check into
this room with a minimum of one hour prior to starting the sessions. The
meeting rooms will be equipped with the standard audiovisual, (Power
Point presentation in all sessions).
Meeting Language: English is the language of the Meeting. So all
presentations and slides must be prepared in English.
Cameras and Cell Phones: No Cameras or videocameras are allowed in
any event during the meeting. As a courtesy to fellow attendees kindly
turn off cells phones.
Certificate of attendance: This will be available for participants who
request it at the Secretariat desk in the venue.
IV International Meeting on Living Donor
Liver and Kidney Transplantation
Barcelona (Spain) - November 14 - 15, 2005
REGISTRATION AND ACCOMMODATION FORM
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Address _____________________________________________________________
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Telephone______________ Fax ______________ E-mail _____________________
Working Institution ____________________________________________________
Registration fee
Before August 15, 2005
After August 16, 2005
Members ELTA
375 €
400 €
Members ENA
No Members Both
ELTA / ENA
Trainees
375 €
400 €
400 €
425 €
210 €
225 €
FEE PAID
Hotel Accommodation:
Hotel
Double room two persons
Single room
195 €
168 €
Fira Palace
Price are per day per room including buffet breakfast and VAT.
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Form of payment: Bank draft payable to VIAJES OASIS or credit card VISA –
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registration form to the Organizing Secretariat: C/ Sor Angela de la Cruz, 8 28020 Madrid (Spain)
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