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Oncological Surgery

University of Debrecen, Hungary Institute for Surgery

Main Areas of Interest

· Colorectal Surgical Oncology: Expertise in advanced laparoscopic and robotic colectomies, with specialization in transanal approaches such as Transanal Total Mesorectal Excision (TaTME), Transanal Abdominal Transanal Radical Proctosigmoidectomy (TATA), and Transanal Minimally Invasive Surgery (TAMIS) for early rectal cancers.

· Gastric Cancer Surgery: Comprehensive experience in intragastric resections, function-preserving gastrectomies, distal and total gastrectomies with D2+ lymphadenectomy, and sentinel node navigation, applying stage-adapted, individualized strategies for improved patient outcomes.

· Hepato-Pancreato-Biliary (HPB) Oncology: Specialized in minimally invasive hepatic resections (parenchyma-sparing, hemihepatectomy, and two-stage resections) and laparoscopic or robotic distal pancreatectomies, integrating innovation with precision for complex HPB malignancies.

· Minimally Invasive & Robotic Techniques: Strong emphasis on laparoscopic and robotic surgical innovation, supported by 4K laparoscopic towers and the Da Vinci Xi robotic system, enhancing surgical dexterity, visualization, and patient recovery.

· Surgical Innovation & Research Integration: Application of high-energy devices, modern anastomotic techniques (TTSS and FEEA), and Indocyanine Green (ICG) with Near-Infrared (NIR) imaging for advanced visualization, ensuring surgical precision and contributing to evidence-based clinical practice.

Specialties

Hepatobiliary Surgery

Surgical Oncology

Gastrointestinal Surgery

Techniques You Will Learn

· Advanced Laparoscopic & Robotic Surgery: Hands-on training in 4K laparoscopy and Da Vinci Xi robotic procedures for colorectal, gastric, and HPB malignancies, including colectomies, gastrectomies, hepatic resections, and distal pancreatectomies.

· Transanal Surgical Approaches: Practical exposure to TAMIS, TATA, and TaTME for the management of rectal cancers, learning minimally invasive strategies to improve safety and recovery.

· Oncologic Resections with Reconstruction: Training in proximal gastrectomy with double-flap reconstruction and function-preserving gastric procedures, with emphasis on reducing morbidity and maintaining quality of life.

· Anastomosis Techniques: Experience in Transanal Transection and Single-Stapled (TTSS) anastomosis and stapled Functional End-to-End Anastomosis (FEEA), designed to minimize leaks and improve postoperative recovery.

· ICG-NIR Imaging Applications: Mastery of fluorescence-guided surgery to visualize lymphatic pathways, vascular structures, and tumor margins, enhancing precision and tissue preservation.

· High-Energy Device Use: Skill development in applying modern dissection and hemostasis devices to optimize operative efficiency and reduce complications.

· Multidisciplinary Clinical Integration: Participation in operative theater training, MDT meetings, workshops, and collaborative research, fostering both technical proficiency and academic contribution to surgical oncology.

Curriculum

Orientation & Core Surgical Exposure

Orientation & Introduction:
- Tour of surgical units, operating rooms (OR), and robotic/laparoscopic suites.
- Introduction to multidisciplinary teams (MDTs), clinic workflow, and perioperative care pathways.
- Overview of colorectal, gastric, and HPB oncology principles.
Clinical Exposure:
- Observation in outpatient colorectal, gastric, and HPB oncology clinics.
- Participation in MDT meetings for case discussion, imaging review, and surgical planning.
Foundational Procedures:
- Observation of diagnostic and therapeutic endoscopy.
- Exposure to minimally invasive surgical setups including 4K laparoscopy and Da Vinci Xi robotic system.
Academic Development:
- Case-based discussions on tumor staging, surgical indications, and patient selection.
- Introduction to ongoing surgical research projects and academic writing.

Laparoscopic & Robotic Colorectal Surgery

Surgical Observation & Participation:
- Laparoscopic and robotic colectomies, right, left, and total.
- Exposure to transanal approaches: TaTME, TATA, and TAMIS for early rectal cancers.
- Observation of anastomotic techniques: TTSS and FEEA.
Workshops & Skill Training:
- Robotic console simulation and dry-lab training.
- High-energy device handling and tissue dissection techniques.
- ICG-NIR imaging workshop: lymphatic mapping, vascular assessment, and tumor margin visualization.
Academic Activities:
- Case-based tutorials on perioperative care, complications, and oncologic outcomes.
- Participation in morbidity & mortality (M&M) meetings focusing on colorectal surgery.

Gastric Cancer & HPB Surgical Oncology

Gastric Cancer Surgery:
- Observation of distal, total, and proximal gastrectomies with D2+ lymphadenectomy.
- Training in function-preserving gastrectomies and double-flap reconstruction.
- Application of ICG-NIR imaging for lymph node mapping and vascular visualization.
HPB Oncology:
- Laparoscopic and robotic hepatic resections (parenchyma-sparing, hemihepatectomy, two-stage procedures).
- Robotic distal pancreatectomies.
- Use of high-energy devices and advanced anastomotic techniques in complex HPB cases.
Workshops & Simulation:
- Stepwise simulation of gastric and hepatic resections.
- Interactive discussions on stage-adapted surgical strategies.
Academic Activities:
- Participation in MDTs for gastric and HPB cancers.
- Journal club focusing on recent advances in gastric and HPB oncology.

Surgical Innovation, Multidisciplinary Integration & Research

Advanced Surgical Innovation:
- Exposure to robotic-assisted complex resections across colorectal, gastric, and HPB cancers.
- Mastery of fluorescence-guided ICG-NIR imaging for precision surgery.
- Integration of high-energy devices for optimized dissection and hemostasis.
Multidisciplinary Integration:
- Active participation in MDT discussions for complex cases.
- Involvement in perioperative planning, risk stratification, and postoperative care pathways.
Research & Academic Contribution:
- Guided project work or literature review for potential publication.
- Case presentations and critical appraisal of surgical outcomes.
- Reflection sessions with mentor on learning outcomes and skill development.
Final Evaluation & Certification:
- Feedback on operative participation, clinical reasoning, and research involvement.
- Certificate of completion issued, acknowledging hands-on experience in advanced minimally

Accommodation

Auguszta Student Hotel provides feasible place for accommodation.

https://www.augusztahotel.hu/

2 minutes walking distance from the Surgical Institute.

Weblink to our website

https://unideb.hu/en

https://sebeszet.unideb.hu/

Try Airbnb.com, and you might find accommodation for as low as 16 Euros per day

Fees and Program Logistics

This program has the following durations available:

Duration	Fee
2 weeks	$1,063.00
4 weeks	$1,594.00
8 weeks	$2,750.00
12 weeks	$3,750.00

Who Can Apply

Medical trainees

Surgical oncologists

Gastroenterology surgeons

Hepatobiliary surgeons

Host Details

Host Name: Dr Zsolt Varga

Affiliation: University of Debrecen, Hungary Institute for Surgery

Address: University of Debrecen, Hungary Institute for Surgery; Debrecen; 4032; Móricz Zsigmond krt. 22

Website URL: https://unideb.hu/en/department-surgery

Disclaimer:It is mandatory that all applicants carry workplace liability insurance, e.g., https://www.protrip-world-liability.com (Erasmus students use this package and typically costs around 5 € per month - please check) in addition to health insurance when you join any of the onsite Trialect partnered fellowships.

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