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Summary of the 13th Asean Pre-Congress
Endoscopic Cadaveric Workshop, Malaysia

The worshop with practical training was held on 30-November-2008

The 13th Asean Precongress Endoscopic Cadaveric Workshop was successfully organized on 30th November 2008 at Universiti Putra Malaysia (UPM), Serdang Selangor in conjunction with the 13th Asean Congress of Neurological Surgeon.

This pre-congress workshop was jointly organized by the Neurosurgical Association of Malaysia, Department of Anatomy, Universiti Putra Malaysia and Aesculap Akademie of Malaysia.

Participants of the 13th ASEAN Pre-Congress Endoscopic Cadaveric Workship held in Malaysia, Nov 2008

click here to view enlarged  photoA welcome message was delivered by Dr. Mohammed Saffari Mohammed Haspani, as the Organizing Chairman of the 13th Asean Congress of Neurological Surgeons. It was followed by a series of lectures on various topics related to neuroendoscopy delivered by Prof. Jafri Malin and Dr. Azmi Alias, interactive discussion and hands-on pratical training. Dr. Charles Teo finally wrapped up the course with his presentations on key hole-concepts in Neurosurgery and impressive works on recent development on endoscopic endonasal approaches for midline skull base lesions. The course was concluded by a workshop’s dinner at Putrajaya Lake Club Restaurant.

The preparation for this event started with identification of cadavers in late July 2008 from various institutions, almost immediately after the last International Symposium in Endoscopic Skull Base Surgery which was also held at Universiti Putra Malaysia from 15 to 19 July 2008. The suitable cadavers were finally selected one week earlier and the preparation of the nasal cavities, positioning and equipments setup were made at 2 days before this course.

We managed to prepare 5 workstations in the Anatomy Dissection Hall, Universiti Putra Malaysia. Each workstation was equipped with a high speed drill, TV monitor and the latest laboratory endoscopic equipments for endonasal skull base approaches, specially shipped from Tuttlingen, Germany by Aesculap. Two sets from the newly designed MINOP TREND endoscope and 3 sets from MINOP TR were made available for this course.

Six fixed cadavers were used, 5 in each workstations and 1 pre-dissected cadaver from previous workshop to demonstrate the endoscopic anatomy of the nasal cavity and neurovascular structures of the midline skull base.

The course was divided into two parts:

  1. Theory session ( 08:30am -13:00pm @ Lecture Hall2, UPM) 

    • packed with series of lectures and and video demonstrations on various endoscopic techniques of intraventricular and endoscopic endonasal skull base surgeries. 

  2. Hands-on practical training session (14:00pm-18:30pm @ Anatomy Dissection Hall, UPM)

We received 44 registered participants from local and Asean’s countries , 28 participants for hands-on practical training while the other 12 were given observer status in the dissection hall. Of these, 30 participants (68%) were from various institutions in Malaysia and 14 participants (32%) from abroad including Indonesia (4), Vietnam (2), Myanmar (2), Japan (1), the Phillipines (1), India (1), Australia (1), Gambia (1) and Qatar (1). They were further divided into 5 different groups for the laboratory hands-on practical session in the afternoon.

8 lectures covering various topics on intraventricular and endoscopic endonasal skull base were delivered by 3 speakers:

Dr. Charles Teo MBBS FRACS
( Center of Minimally Invasive, Prince of Wales Hospital – New South Wales, Australia) 
Professor Jafri Malin Abdullah MD PhD FACS
( Department of Neurosurgery, Universiti Sains Malaysia) 
Dr. Azmi Alias MBBS MS FRCS
( Department of Neurosurgery, Hospital Kuala Lumpur, Malaysia)

The topics of presentation includes:

1. Philosophy of Key Hole Approach ( Charles Teo)  
2. Endoscopic Assisted Microneurosurgery ( Charles Teo) 
3. Intraventricular Endoscopy 

     - Indications, OR Set up ( Jafri Malin )

     - Operative Video on various Intraventricular Endoscopy ( Jafri Malin ) 
4. Endoscopic Anatomy of Ventricles ( Azmi Alias ) 
5. Operative techniques and Video demonstrations


      - Intraventricular Tumours ( Colloid Cyst, Choroid Plexus Papilloma, Arachnoid Cyst

        ( Azmi Alias ) 
6. Paediatric Hydrocephalus


      - ETV,Choroid Plexus Coagulations, Simplifications of compartmentalized hydrocephalus ( Charles Teo) 
7. Endoscopic Anatomy of Nasal Cavity, Sellar and Midline Skull Base ( Azmi Alias) 
8. Endoscopic Endonasal Approach to Midline Skull Base


       - Sellar region, Anterior Skull Base, Clivus & Craniocervical junction ( Charles Teo)

The hands-on practical training session started with live demonstration on the basic handlings of endoscopic skull base equipments using MINOP TREND endoscope followed by endoscopic technique for midline skull base lesions by Dr. Azmi Alias.

The participants were given opportunity to be familiarized with the anatomy of the nasal cavities and explored the great potential of various endoscopic endonasal skull base techniques including :

1. Transphenoidal approach for sellar and suprasellar lesions 
2. Transplanum , Transcribriform approaches for anterior skull base 
3. Transclivus approach for posterior skull base and craniocervical junction.

This course would not be a success without the undivided commitment and contribution from various parties especially the Department of Neurosurgery, Hospital Kuala Lumpur, Universiti Putra Malaysia, Neurosurgical Association of Malaysia and Aesculap Akademie.

Overall, the 13th Asean PreCongress endoscopic cadaveric workshop has achieved it’s objectives and benefited the participants. In general, we received a good feedback from the participants and hope the knowledge and laboratory experience obtained by them during this course would be useful in their actual practice.

Prepared by:

Dr. Azmi Alias,
Course Director.
The 13th Asean CNS PreCongress Endoscopic Cadaveric Workshop.

01 January 2009. 

Group Photos

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