CME on Esophageal & Laryngopharyngeal Cancers
Controversies & consensus in thyroid cancer
29th-30th April, 2017
Venue – Auditorium, JIPMER Academic center, JIPMER, Puducherry
The Department of Surgical Oncology, JIPMER played host to the first edition of JIPMER Thyrocon in the beautiful town of Pondicherry in South India on 29th and 30th April, 2017. The theme for the conference was Controversies and Consensus in Thyroid Cancer. The two days were an academic extravaganza for thyroid enthusiasts and saw stalwarts in this field pitting their wits against each other and haring pearls of wisdom with the youngsters. The update was attended by over 150 delegates from various sub specialties like General Surgery, Endocrinologists, Surgical Oncologists, Head and Neck oncologists, Nuclear Medicine specialists, radiologists and pathologists.
The conference was held under the banner of Indian Association of Surgical Oncology (IASO), Foundation of Head and Neck Oncology (FHNO) and Indian Society of Thyroid Surgeons (ISTS) and was spread over two days. The first day started with lectures on Pathological and radiological aspects of thyroid and was summarized very lucidly by the chairpersons for the benefit of the residents and young Doctors in the audience. The accolades of the first day, quite rightly so, were reserved for Prof. Anil K Dcruz. He mesmerized the audience with his unparalleled skill set as he quite effortlessly went about his way and performed an almost perfect total hyroidectomy for a patient diagnosed to have papillary thyroid carcinoma. He patiently answered questions from the audience (both youngsters and eminent surgeons), explained solutions to various potential complications and approach to different scenarios. He carefully stressed on potential pitfalls of thyroid surgery. The live operative workshop was followed by the key note address on “Global changes in the management of Thyroid Cancer & Indian Scenario” which was delivered by Dr D’Cruz. The extensive experience of the author spanning over decades helped the delegates to grasp the gist of the management strategies and changes in this field. Also he addressed the latest concepts of genetic testing and also recent developments in the targeted therapy. Also he addressed the nuances and intricacies in the recent invasion of robotic surgery into the field of thyroid surgery. The address was chaired by Dr.BKC Mohan Prasad (President IASO) and Dr.Subramanyam Iyer (Chief, Center for Head & Neck Surgery & Oncology, AIMS, Kochi).
The other topics covered on day 1 were Risk stratification in thyroid cancer, Principles in the management of Differentiated Thyroid Carcinoma, Remote access thyroidectomy – Techniques & Indication, Genetics, Screening & Management of Familial medullary thyroid cancer, Differentiated thyroid cancer in children – Challenges & Guidelines and a hotly contested debate on whether Prophylactic Central compartment neck dissection should be performed in all Differentiated Thyroid Cancer.
The inauguration ceremony was held at the conclusion of academic activities of the first day. Dr S.C Parija, Director JIPMER consented to be the Chief Guest and was accompanied by Dr.RP.Swaminathan, Dean Academics as guest of honour. The special invitees were Dr BKC Mohan Prasad (President of IASO) and Dr Madan Kapre (President of ISTS).
The inauguration ceremony was followed by a gala dinner where the delegates let their hair down.It was an opportunity for the youngsters to meet and interact with the senior faculty in an uninhibited way.
The shenanigans of the gala dinner did not stop the academic bonanza on the 2nd day to continue. Activities started early in the morning with topics like Surgical management for locally advanced DTC, Perioperative calcium management, Superior & Recurrent laryngeal nerve – Tips & Tricks to avoid injury, Management of inadvertent injury or palsy, Tracheal Resection in thyroid cancer, Radioiodine ablation & follow up were extensively covered. The highlight of the day was the debate on whether Radio-ablation of contralateral lobe in low-risk DTC is superior to surgery between Dr C.S Bal and Dr Gouri Pantvaidya, who were both in their elements and spoke with passion and rebutted each other with arguments and counter arguments. They concluded however, making peace and summarized for the youngsters about the potential role of both modalities in different scenarios.
There was still time for panel discussions on Post-surgical management of DTC and recurrent and metastatic DTC and Diagnosis and Management of Medullary & Anaplastic carcinoma thyroid. The day concluded with a summary on Recent Changes in treatment uidelines in Thyroid cancer and a quiz for post graduates. The prizes for the quiz were won by Dr.Subhashini (first), Dr.Bharath (second) and
Dr.Hemendra Mangal (third) .
Dr. Vignesh Karunakaran was awarded the best poster award for his poster titled, ‘Non-recurrent Inferior Laryngeal nerve in Thyroid Surgery’. The posters were judged by Dr.Rajendra Toprani (IASO Secretary), Dr.Krishnakumar Thankappan (AIMS, Kochi) & Dr.KVVN Raju (Basavatarakam Indo American Cancer Hospital & Research Institute, Hyderabad)
The Department of Surgical Oncology is thankful to all the delegates, faculty and the Presidents & Honorable secretaries of the three societies (IASO, FHNO & ISTS) who found time form their busy schedule to travel to Pondicherry and participate actively in this conference. It is their participation which helped make this exhaustive coverage on Controversies and Consensus in Thyroid Cancer a resounding success.
(Mid term conf. of IASO 2017 at PGI Chandigarh. 12-14th May)
Division of Surgical Gastroenterology, dept. of Surgery had organized Midterm conference of Indian Association of Surgical Gastroenterology at PGI Chandigarh from 12-14th May 2017. It was co hosted by Chandigarh Surgical Society. The conference was inaugurated on 12th May evening by Emeritus Professor and former Director of PGI, Dr. BK Sharma. It was followed entertaining foot tapping cultural program by artists from Punjab, Haryana, Rajasthan and Bollywood.
Day one was devoted to live surgical workshop on oncosurgery. A total of nine cases were demonstrated i.e. Mastectomy with axillary clearance, Radical cholecystectomy, thyroidectomy, Parotidectomy, Thoraco laparoscopic Esophaghectomy, Laparoscopic ARP and Lap. Anterior resection to name a few. A special wet lab workshop was conducted to impart intricacies of fine suturing techniques of pancreato jejunostomy and hepaticojejunostomy to young surgeons.
One hundred and eighty people were registered and more than 260 delegates participated in the conference. One and half days of scientific program consisted of symposia, panel discussions and invited guest lecturers covering molecular diagnostics, medical oncology & surgical and interventional radiological techniques akin to the management of Gastrointestinal, head & neck and breast malignancies. Webcast was relayed live from Harvard Medical School, Boston, USA by Dr. Manoj K Bhasin. Another webcast was telecast from Gem hospital. Dr. Senthilnathan presented a video on Laparoscopic Esophagectomy and pancreatoduodenectomy.
Session on best paper award for young surgeons was highly appreciated. First prize of Rs. 5000/- was awarded to Dr. Pawan Kumar from KGMU University on the original work on Composite Gluteus Maximus and Antropyloric Valve Transposition (APVT) for Total Neoanal Reconstruction in End Stage Faecal Incontinence: Preliminary Results.
Members of IASO executive council Dr. BKC Mohan Prasad, Rajendra Toprani, Dr. D. Sawant, Dr. Padmalaya Devi and Dr. Hari Chaturvedi shared their experience by delivering invited guest lectures and chairing scientific sessions. Dr. GR Verma moderated a panel discussion on Gall bladder cancer. Shailesh Srikhande & Avinash Saklani from TMH, Dr Shailesh Puntambekar from Galaxy care hospital Pune, Dr. Rajan Saxena HOD, and Surg. Gastroent. Dr. SK Mishra, HOD, Surg. Endocr. SGPGI, Dr. Ravikant, the Director AIIMS, Rishikeesh, Dr. Naresh K panda , Dr. Sushmita Ghosal ,Dr Ashok Gupta and experts from other reputed centers of excellence in India had participated in the conference.
Dr. GR Verma
Organizing President IASCON2017
Prof. & Head, Division of Surgical Gastroenterology
Report on Mid Term conference
The midterm conference of IASO for 2015 was organized by Bhopal Oncology Society in collaboration with AIIMS, Bhopal, and Navodaya Cancer Hospital, on 21st and 22ndMarch at AIIMS, Bhopal.
The conference theme was ‘Basics to Excellence’, and as per theme, lectures and panel discussionswere organized, covering the basic issues in oncology to advanced management and genetics. The major emphasis was on panel discussion to address the local issues and Indian conditions without compromising the quality of treatment.
Four keynote addresses were delivered by very eminent faculties – Dr E. Hemanthraj, Dr MC Misra, Dr Rajiv Sareen and Dr Sanddep Kumar. Dr Hemanthraj’s address was on the perspective of Surgical Oncology and Dr Misra spoke about laparoscopy in Surgical Oncology. Dr Sareen emphasized the role of genetic counselling and presented his data on Indian cancer family. Dr Sandeep Kumar’s talk was on system biology and reductionist approach to solve the current problems.
Two international faculty members also participated in the event – Dr Saraswati Sukumar and Dr Asutosh Kothari. Dr Sukumar spoke about diagnoses of breast cancer in serum markers. Dr Kothari described the recent concepts in breast oncoplasty.
There were 12 lectures and 12 panels discussion in the one and a half days program, covering Head and Neck, Breast, GI, Urology and Gynaec cancers. Fifteen masters’ videos were also shown by faculties for different surgical procedures.
There were 30 entries for E-Posters presentation by faculties, residents and PGs, and prizes were distributed for the best four posters.
The conference was attended by more than 350 people, including 45 national eminent faculties.
Dr Ashok Mehta and Dr DD Patel,the Chief Guest and Guest of Honour respectively, were felicitated in the inaugural function by Bhopal Oncology Society for their contribution tothe field of Oncology.
The inaugural function was followed by cultural events and banquet.
NATCON IASO 2015
A report from organizing secretary Dr. Padmalaya Devi.
The 29th Annual National Conference of Indian Association of Surgical Oncology was held at Hotel Swosti Premium in the Temple city of Bhubaneswar, Odisha from 17th to 20th Sept. 2015. It was hosted by A. H. Regional Cancer Centre Cuttack in collaboration with Panda Curie Cancer Hospital. All the Oncologists of Odisha joined in to make the conference a successful one. The Organizing Chairman was Dr. Krupasindhu Panda and Organizing Secretary Dr. Padmalaya Devi.
A preconference video CME was held on the 17th September in which exclusive videos were presented by eminent Oncologists. It was well attended by a large number of post graduates and faculty from all over the country. The video CME was a great success with active participation from the floor. There were interesting videos and discussions covering topics on head & neck, breast, thoracic, hepatobiliary, colorectal, uro-gynae and musculo-skeletal. An added attraction was a hands-on training on endosurgery which was held for the first time in the history of IASO.
The conference had about 450 registered delegates from all over the country and abroad. Eminent Oncologists from premium cancer institutes and foreign faculty, like Donald Weaver and Edson Pontis from Detroit, Chandrakant Are made us proud.
The conference was inaugurated by Hon’ble Chief Minister Shri Naveen Patnaik along with the Hon’ble Health Minister and Health Secretary. In his inaugural speech, the Chief Minister appreciated the presence of such eminent guests in our state whose views and ideas would go a long way in the better treatment of cancer patients in the state. The inauguration was followed by a rich cultural programme of various dances of Odisha like Odishi, Sambalpuri, Gotipua, Ghodanacha. The evening ended with a delicious dinner.
The academics of the conference lasted for two and a half days and comprised of a generous mix of orations, invited lectures, symposia, panel discussion, debates, case capsules, free papers and posters. In addition, there was a competitive video session for youngsters under 40 years of age.
Young oncologists participated in many competitions for Detroit fellowship, Baroda travels fellowships, Panda Gopinath Quiz, competitive videos for youngster’s free papers and posters. Radhadevi oration was delivered by Dr. Rajaraman, past president of IASO who spoke on treatment strategies for locally advanced cancer of the cervix. Motibhai oration was delivered by Dr. Mayilvahanam Natrajan. R. S. Rao endowment lecture was delivered by Dr. Anita Borges who spoke on ‘Why I am a surgical pathologist – reflections on 40 years in pathology’. Dr. S H Advani spoke on targeted therapy on breast cancer for the dinner symposium.
The evenings were full of entertainment with light music and dance followed by Banquet dinner.The delegates also found time to visit the famous temples of Bhubaneswar and Puri as well as collect souvenirs of handcrafts of Odisha.
2015 being the year of Nabakalabar of lord Jagannath and NATCON IASO 2015 at Bhubaneswar was an auspicious combination of science and culture where participation of many oncologists, exchange of ideas and experience in the field of cancer would go a long way in improving cancer care in the state of Odisha. Our heartfelt gratitude to all the participants whose presence made the conference the huge success that it was.
Proceedingsof IASO EC
The Executive Committee Meeting of IASO was held at Hotel Swosti Premium at 7pm on 18th September 2015. The meeting was attended by 24 members. The following were the proceedings:
• The President called the meeting to order.
• The Secretary read out the annual report.
• The Treasurer presented the account statements.
• The following issues were discussed regarding IASO accounts:
1. Consolidation of accounts of IASO
The issue of consolidating multiple accounts (Main account Bank of Baroda in Varanasi, IJSO account in Bangalore and in Allahabad Bank, Lucknow(all FDS)) was discussed.
Dr.Hemanth Raj suggested that the registered address of IASO Office should be where the auditor is located (Varanasi). This was seconded by Dr.Dhairyasheel Savant and Hon’ble president Dr.Vijayakumar M.
2. Auditing of conference accounts
The question of who should audit the accounts of IASO meetings was put forward. Dr. Dhairyasheel suggested that the conference account should be audited by the local society hosting the meeting. Dr. Kannan supported that and also suggested that Oganizing Secetary should form a local conference company and get a PAN card. Dr. Gopinath and Hon’ble President supported the suggestion. This was unanimously accepted.
3. Utilization of money saved by the Association
Dr.Dhairyasheel suggested that the money saved after taxation should be utilized in such a way as to avoid further taxations.Dr.Ravikanth suggested getting professional advice from a certified financial planner and getting it approved by GB.
The Hon’ble President suggested transferring fund from IASO account to IJSO account (Agenda 13) for running the journal and it was unanimously agreed upon.
4. IASO Fellowships
The issue of co-ordinating fellowships by various bodies was discussed. The Secretarywas instructed to start corresponding with various foreign associations (BASO, SSO, ESSO) regarding the kind of fellowship participation with the bodies. Dr.Sanjeev Sharma will advise regarding necessary logistics. The IASO-SSO Partnership issue was discussed. The President and the Secretary said there is a steady progress in relationship between two bodies. Dr.Hemanth Raj raised the issue of signing MOU with SSO.The President agreed to discuss the issue with Dr.Chandrakanth Are soon.
5. Midcon IASO
Regarding Midcon 2013, as there were no bidders,Dr.KS Gopinath opined that we should associate with Asian Oncology Summitscheduled in early 2016.
6. IASO nomination for oration of ICC 2017
The President informed the EC that ICC has offered an additional oration for IASO, as per the new MOU. President,President Elect and Vice-President will decide the orator nominee and inform the Secretary within a month and the Secretary will announce it immediately.
7. Election of Office Bearers
The names of contestants for vacant posts of IASO EC were announced.
8. IASO Outreach Programme
The President reiterated that the IASO outreach programme, the discussion of which was initiated in last EC,has to be continued.This programme envisages reaching out to Medical Students in the country to make presentations about cancer care and Surgical Oncology as carrier option for them. EC unanimously supported this and entrusted Hon’ble President to proceed with the logistics and come forth with a final programme at the next EC.
9. Change of bylaws
In view of EC members not attending EC meetings,options were sought regarding improving attendance of EC meetings. Dr.Sanjeev Misra proposed that any EC member who is not attending two consecutive meeting should be removed from the post.It was agreed by the EC and the President is authorized to take necessary steps.
10. Speakers at NATCON
The issue of same persons participating in multiple events was raised by the members. One person should be participating in one (and in any case not more than two) programmes. The issue of non/under representation of regions/people in IASO NATCON was raised. The suggestion by Dr. Chandramohan to identify potential participants for scientific sessions with the help of EC members is approved.The EC members and other seniors from each area should identify the faculty and inform the secretary before a deadline. It is suggested that Secretary should communicate with EC members and senior members before finalizing the speakers.
Proceedings of IASO GBM
IASO GBM was held at Hotel Swosti Premium in Bhubaneshwar on 19th September 2015 at 6.30 p.m.
1. The President called the meeting to order.
2. Election of Office bearers was conducted by Dr.Harit Chathurvedi, the returning officer and the president-elect.
3. Dr. V Seenu (North Zone), Dr.Sharad Desai (West Zone), and Dr. Madhabananda Kar (East Zone) were declared elected to EC without opposition.
4. Election was conducted for remaining positions in EC. For South Zone, Dr S. P. Somasekhar and Dr A. S. Ramakrishnan competed, as the third nominee Dr.Sandeep Nayak withdrew his nomination. For the post of Vice President, Dr. Manoj Pandey and Dr. Sanjay Kapoor competed.
5. The Secretary read out activity report and it was accepted by GB.
6. Issue of consolidation of various accounts of IASO was discussed by GB and was approved.
7. The Treasurer presented the statement of accounts and it was approved.
8. The Organizing Secretaries of ICC Delhi 2013, NATCON IASO 2015, NATCON IASO 2012, Midterm Meeting in Kolkata and Midterm Meeting in Bhopal handed over contributions to IASO from savings of the respective meeting.
9. Problems of various IASO Fellowships were discussed and following decisions were made:
Hon’ble President requested Prof. DD Patel to discuss with BASO during the meeting he is going to attend soon. Prof.DD Patel agreed. Dr.Ravikant suggested that young members should be motivated to present in BASO meetings. President agreed to discuss this after receiving a written suggestion.
GB authorized Secretary to discuss with Detroit Group regarding sorting out hurdles and various logistic issues in running the programme.
Secretary congratulated Dr. Chandrakant Are for successful training of Dr. Raj Kumar who was selected last time for the fellowship.
10. There were a few complaints from some delegates about speakers participating in many programmes.The President conveyed the EC’s decision to allow one speaker to participate only in one programme (and maximum two).
11. The Organizing secretary of NATCON 2016 presented proposed plan of Jodhpur Meeting. It was approved by GB. Dr Sanjay Sharma suggested starting the meeting by afternoon considering poor connectivity of city with other places. The President entrusted scientific committee do decide on this.
12. Venue of MIDCON 2016
Prof.Gopinath suggested combining midterm meeting with Asian Oncology Summit in Bengaluru,since there are no bidders for the former. It was accepted by GB.
Secretary explained the decision to entrust responsibility of website to the same service providers since they have agreed to give better service. It was approved.
14. The GB allowed the corpus funds from fixed deposit to be transferred to IJSO Account for running the Journal.
15. IASO Outreach Programme
Hon’ble President narrated his project of outreaching to medical colleges to promote specialty of surgical oncology and invited suggestions from GB. Dr.Arun Chaturvedi suggested that we should emulate a similar programme by Indian Association of Paediatrics. Dr.Kannan also reiterated the importance of such programme and suggested IASO should form a structured programme.The decision of EC to entrust Hon’ble President to come back with a structured programme to next EC was approved by GB.
16. Dr.Gopinath suggested that the Association and all prominent members holding various governmental posts should write about the incorporation of surgical oncology in MCI Curriculum and acceptance of DNB Surgical Oncology as equivalent of MCh by the MCI.The GB entrusted the President to take up the issue.
17. Dr.Subhas suggested that the election of office bearers should be done by electronic mail voting like ASI meeting. GB discussed the issue and decided to go with the present plan.
18. Election results of office bearers were announced.
Dr. Sanjay Kapoor was elected as Vice President and Dr. Somasekhar was elected as EC member from South Zone.
19. The meeting was adjourned by the President.
Report on IASO section in ASICON
Proceedings of EC meeting of IASO at ASICON 2015
Venue: Faculty Lounge, ASICON Venue
Chair:Dr. M Vijayakumar, Honorary President
Attendees:Dr.Subramanyeshwar Rao (Hon’ble Secretary), Dr.Harit Chathurvedi, Dr. BKC Mohanprasad, Dr.Gopinath KS, Dr.Ashuthosh Chauhan, Dr.Sharad Desai,Dr.Chandramohan K, Dr.Somasekhar SP,
Dr.Sadasivam, Dr.Satish Rao
• President called the meeting to order.
• Minutes of the previous meeting were approved by EC.
• Dr. Subramanyeshwar Rao,honorary Secretary, presented the activity report of last year, which was approved by EC.
• Collaboration with International Surgical Societies
a. Existing International Collaborations
The issue of non-response from Detroit group regarding fellowship was discussed. Dr.Subramanyeshwar Rao suggested stopping Detroit fellowship in future, until the already selected candidates are taken care of and EC approved it. Similar thing applies to BASO Fellowship also.
b. New International Collaborations
Dr. Subramanyeshwar Rao emphasized the need for establishing tie-ups with Brazilian Society of Surgical Oncology and Latin American society of Surgical Oncology, the meetings of which the Honorary President and Secretary attended last year. Dr.Gopinath stressed the need for connecting to more societies abroad. Dr.Harit Chathurvedi pointed out need of a coordinator for collaborating with other surgical societies.
Dr.Gopinath suggested Dr.Chandramohan K as coordinator and EC approved.
• Support for presenting in International meetings
IASO has selected seven posters for SSO meeting, which will be partially supported by IASO and the amount money temporarily fixed as USD 500. It is also suggested to facilitate IASO best papers to be presented as poster in SSO meetings happening in future. It is decided to request to GB to allow for extending similar support to other international meetings as well.
Report of NATCON 2015
The report of NATCON IASO 2015 will be presented in next EC meeting, as the organizers are yet to submit it.
Finalizing the scientific program of NATCON 2016
The scientific agenda of NATCON 2016 was not finalized because the Organizing secretary could not attend EC meeting. However the Hon’ble Secretary is requested by EC to finalize the programme in consultation with the Organizing Team.The following points were suggested by EC: Dr. Asok Saha will deliver the PB Desai Oration. Dr.Manjeet Sing will also be attending the meeting and will be invited to deliver a lecture. NC Misra and Motibhai Oration will be decided by Hon’ Secretary in consultation with the organizing committee. Suggestion for PG case presentations to be done at NATCON 16 is approved by the EC and the logistics were entrusted to Dr.Harit Chaturvedi. Dr.Vijayakumar thanked Dr. Gopinath for arranging a speaker for PB Desai Oration.
IASO Sessions at ASICON
The issue of poor attendance at IASO sessional meetings was discussed. Dr.Gopinath suggested organizing combined meetings (like debates) with other Associations. Dr.Vijayakumar suggested that we should bring simple and interesting topics aimed at general surgeons. Dr.Harit Chathurvedi suggested that we should promote more video presentations of common cancer surgeries,which may be more appealing to general surgeons. It was decided by EC to start a kiosk near the registration desk with streaming videos, short quizzes with small prizes and facility to take membership of IASO.
Midterm meeting will be combined with ACOS meeting.
ICC Bangalore 2017
Dr.Gopinath informed that one out of six Nobel laureates will be invited to deliver oration in the IASO session of ICC 2017.
HIPEC July Meeting in Washington DC
If there isa good representation from IASO, they will consider supporting the delegates by waiving off registration fee. Secretary will be doing necessary logistics towards this.
The issue of lack of support by existing website providers was discussed and it is decided to terminate the services of Mr. Titus from Lucknow. Dr.Harit Chathurvedi is entrusted with the job of finding new web manager for maintaining the web site.
IJSO report has been sent to Dr.Subramanyeshwar Rao. Regarding transfer of funds from IASO, the cheque will be sent to Dr.Gopinath by Dr.Toprani soon. The springer will permit online access to their journal to IASO members. Dr.Harit Chathurvedi will arrange the logistics of granting access to IASO members, preferably through IASO web site.
Speakers for NATCON IASO
Hon’ Secretary of IASO will write to all EC members regarding suggestion for faculty from their respective regions before finalizing the scientific agenda.
IASO outreach programme
Dr. Vijayakumar M sought authorization of EC for starting the programmeand EC approved and entrusted him to come forth with a proposal soon.
Young Surgical Oncologist Programme
Incoming president Dr.Harit Chathurvedi reiterated his vision of bringinga new tier of leaders to IASO. It was discussed and approved by EC to have one young member elected from each zones in addition to the existing EC members. It is also decided that the president and secretary can nominate one member each of their choice for helping them. The nominated members cannot attend EC and won’t have any voting rights in EC.
The Outgoing president thanked the secretary and EC for the support and handed over the presidential collar to incoming president Dr.Harit Chathurvedi.
The meeting was adjourned.