Registration (8:00-9:00) Congress Opening (9:00-9:30)

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1 9th Congress of Baltic Association of Surgeons May 2018 Klaipėda, Lithuania PRELIMINARY PROGRAMME 11 May 2018 Time 08:00 08:30 09:00 Hall A Time Hall B Time Hall C Time Hall D Registration (8:00-9:00) Congress Opening (9:00-9:30) Time New technologies in surgery I (9:30-11:00) Time Nursing section (9:30-11:00) Time Breast surgery (9:30-11:00) Time Endoscopic surgery (09:30-11:00) 9:30-10:00 NMews in liver surgery. Prof. Peter Schemmer (Medical University Graz) 9:30-10:30 Development of Nursing Research and Practice in Europe Helena Leino-Kilpi, RN, PhD, Professor, University of Turku, Finland 9:30-9:50 Neoadjuvant treatment in breast cancer patients: diagnostic and surgical ques-tions and challenges prof. Joerg Heil, Heidelberg University Hospital, Heidelberg, Germany 9:30-9:50 Is percutaneous cholecystostomy reasonable alternative for the treatment of acute cholecystitis? Povilas Ignatavicius (Lithuanian University of Health Sciences) 10:00-10:30 10:30-11:00 Bowel sparing strategies in Crohn s disease. Alessandro Fichera (University of North Carolina School of Medicine, USA) Chronic pancreatitis surgical management-r. Matthew Walsh (Cleveland Clinic, USA) 10:30-11:30 Nursing in Baltic countries: situation and perspectives Natalja Fatkulina, RN, PhD, Professor, Vilnius University, Lithuania 9:50-10:05 Therapeutic and risk reductive surgery in BRCA1 carriers. Guidelines and single breast unit experience in Latvia (assoc. prof. Arvīds Irmejs, Riga Stradins University, Riga, Latvia) 10:05-10:15 Breast reconstruction with microvascular MS- TRAM and DIEP flaps (Simonas Kaupas, Vilnius University Hospital Santaros Klinikos, Vilnius, 10:15-11:00 Breast screening programme mission possible? 9:50-10:10 Preoperative Endoscopic Biliary Drainage May Negatively Impact Survival Following Pancreatoduodenectomy for Ampullary Cancer. Giedrius Barauskas (Lithuanian University of Health Sciences) 10:10-10:30 10:30-10:50 Coffee break (11:10-11:40) Baltic appoach: dr. Daiva Gudaviciene, National Cancer institute, Vilnius, Lithuania assoc. prof. Arvīds Irmejs, Riga Stradins University, Riga, Latvia dr. Riina Kütner, The North Estonia Medical Centre, Tallin, Estonia Expert approach: prof. Joerg Heil, Heidelberg University Hospital, Heidelberg, Germany 10:50-11:00

2 Time New technologies in surgery II (11:40-12:50) Time Nursing section (11:40-13:30) Time Joint German- B0ltic section surgery (11:40-13:00) Time General surgery (11:40-13:30) The implementation of MIS techniques in Polish Surgical Oncology. Prof. Wojciech Zegarsk (President of the Section of Innovative and Novel Surgical Techniques in Surgical Oncology of Polish Society of Surgical Oncology) 11:40-12:40 Nurses of the future and their role in building the healthcare of tomorrow Sigríður Gunnarsdóttir RN, PhD, Chief Nursing Officer, The National University Hospital of Iceland, Professor, University of Iceland 11:40-11:52 TAMIS: is there a real advantage? The Baltic view. Kestutis Strupas Prediction of choledocholithiasis prior to laparoscopic cholecystectomy using original prognostic index. Ausra Aleknaite (Vilnius University Hospital 12:00-12:20 Medtronic satellite. Thermal ablation in the treatment of primary and metastatic liver cancer. Prof. Dariusz Zadrożny 12:40-13:00 Nursing research implementation Jūratė Macijauskienė, PhD, Professor, Lithuanian University of Health Sciences, Lithuania 11:52-12:04 TAMIS: is there a real advantage? The German view. Martin E. Kreis 12:00-12:20 Challenges in correct diagnosis of acute appendicitis. Raminta Lukšaitė (Vilnius University Hospital 12:20-12:40 12:40-12:50 Discussions What every surgeon should know about the new guidelines for prevention of SSI. Prof. David John Leaper 13:00-13:20 The prestige of Nurse profession: review of study results Andželika Zavackienė, RN, Head-nurse of Klaipeda Republic Hospital, Lithuania Discussions 12:04-12:10 12:20-12:40 Multidisciplinary management of duodenal GIST in an obese patient: A Case Report. Tomas Vanagas (Hospital of Lithuanian University of Health Sciences, Kaunas, 12:50-13:10 13:10-13:30 How I make it- video (12:50-13:30) 13:20-13:40 RCC: Inferior vena cava and right atrium tumor thrombectomy, a case report. Gediminas Vaitenas (Vilnius University Hospital, "Santaros Klinikos", Vilnius, Operating room nurse in the interventional cardiology and radiology- closer view. Natalja Jerdiakova (Vilnius University Hospital, "Santaros Klinikos", Vilnius, Links between Surgical Nurse Competence and Nurse Education. Viktorija Kielaitė, RN, PhD candidate, Assistant Professor, University of Turku, Finland, Vilnius University, Lithuania 12:10-12:22 All additive treatment first: pros and cons of a 6- month neoadjuvant therapy sequence. The Baltic view. Arturas Razbadauskas 12:22-12:34 All additive treatment first: pros and cons of a 6- month neoadjuvant therapy sequence. The Baltic view. Marco Sailer 12:34-12:40 Discussions 12:40-13:00 13:00-13:20 Рossibility of implementation of the enhanced recovery after surgery concept in the surgical treatment of elderly and senile age patients with acute obstructive colorectal cancer. Sizonenko N.A (S. M. Kirov Military Medical Academy, Saint Petersburg, Russia) 12:40-12:52 Watchful waiting after neoadjuvant therapy: when is it justified? The Baltic view. Sergejs Lebedkovs 12:52-13:04 Watchful waiting after neoadjuvant therapy: when is it justified? The German view. Christian Müller 13:04-13:10 Discussions 13:30-13:40 Discussions 13:40-13:50 Discussions 13:20-13:30 Discussions Lunch (13:30-14:30) Colorectal surgery (14:30-16:00) Time Nursing section (14:30-16:00) Time Vascular surgery (14:30-16:00) Time WORKSHOP (14:30-16:00) 14:30-14:50 The current status and future of Peritoneal Carcinomatosis treatment in Poland and centraleast Europe. Prof. Maciej Nowacki (Poland) 14:50-15:10 Does retrorectal tumors remain a challenge for surgeon? Eligijus Poškus (Vilnius University Hospital Santaros Clinics) 14:30-15:15 Nursing Research and Practice in Latvia Kristaps Cicernis, PhD, Professor, Riga Stradins University, Latvia 15:15-16:00 Nursing Research and Practice in Estonia Saina Hinno, PhD, Professor, Tartu College, Estonia 14:30-14:50 The Application of a complex treatment for the hematoma after the repeated thigh blood vessel reconstruction surgery. Ingrida Asakiene (Vilnius University Hospital 14:50-15:10 Surgical Treatment of Congenital Intramuscular Vascular Malformations. Birute Vaisnyte MD PhD 14:30-14:50 14:50-15:10

3 15:10-15:30 Cytoreductive surgery and hypertermic intraperitoneal chemotherapy for treatment of peritoneal carcinomatosis. Experience of Vilnius university hospital Santaros klinikos. Marius Paskonis (Vilnius University Hospital, "Santaros Klinikos", Vilnius, 15:30-15:50 The treatment of acute iatrogenic colonic perforation: 6 years experience. Tomas Mitkus (Klaipėda Seamen Hospital, 15:10-15:30 The Association of Preoperative Intrasac Abdominal Aortic Aneurysm Thrombus with Outcome Following EVAR. Arminas Skrebūnas 15:10-15:30 15:30-15:50 15:30-15:50 WORKSHOP 15:50-16:00 Discussions 16:00-16:10 Discussions 15:50-16:00 Discussions 15:50-16:00 Coffee break (16:00-16:30) Time HPB (16:30-18:40) Time Nursing section (16:30-18:40) Time Breast surgery (16:30-18:40) Time Critically ill surgical patients (16:30-17:50) - 16:30-16:50 16:50-17:10 Pancreas cystic-laesions surgery. Prof. Ernst Klar (University Hospital Rostock, Germany) Does the etiology influence the primary outcomes of acute pancreatitis? Povilas Ignatavičius (Lithuanian University of Health Sciences) 16:30-17:00 17:00-17:30 Mindfulness based stress reduction: a tool for full catastrophe living Rūta Muranovaitė, Lithuania Patients information needs about anesthesia Lina Gedrimė, RN, PhD candidate, University of Turku, Finland, Klaipeda University, Lithuania 16:30-16:40 16:40-16:50 Breast cancer database - a useful tool or pain in... Developments in breast surgery (dr. Riina Kütner, The North Estonia Medical Centre, Tallin, Estonia) Management of breast abscesses (Peteris Loza, Riga Stradins University, Riga, Latvia) 16:30-16:50 16:50-17:10 Aspects of infusion therapy. Andrius Klimašauskas (Vilnius University Hospital, "Santaros Klinikos", Vilnius, Clinical nutrition of critically ill surgical patients. Gintautas Kėkštas (Vilnius University Hospital, "Santaros Klinikos", Vilnius, 17:10-17:30 Liver resection vs transplantation for hepatocellular carcinoma. Single center experience. Kestutis Strupas (Vilnius University Hospital Sanataros Klinikos ) 17:30-18:00 Advanced practice nursing in Operating Theatre Room Daiva Didvalė, RN, Lithuanian University of Health Sciences 16:50-17:00 Are breast microcalcifications and DCIS Pandora s box? (Algirdas Kasiliauskas, Klaipeda, 17:10-17:30 Antibiotics in surgery. Ingrida Lisauskienė (Vilnius University Hospital, "Santaros Klinikos", Vilnius, 17:30-17:50 Factors Influencing Survival after Pancreatoduodenectomy for Ductal Adenocarcinoma Depend on Patients Age. Kestutis Urbonas (Lithuanian University of Health Sciences ) 17:00-17:10 Mirror, mirror, on the wall, make my breast at once restored (assoc. prof. Agne Cizauskaite, Klaipeda University Hospital, Klaipeda, Lithuania/ Donatas Petrauskas, Klaipeda University Hospital, Klaipeda, 17:30-17:50 End of life. Linas Taminskas (Vilnius University Hospital, "Santaros Klinikos", Vilnius, 17:50-18:10 18:10-18:30 Percutaneous transhepatic biliary drainage - first step in the palliative treatment of malignant biliary obstruction? Romualdas Riauka (, Lithuanian University of Health Sciences, Kaunas, Laparoscopic distal resection of the pancreas. Can be all resections of body and tail of the pancreas called the same? Audrius Šileikis (Vilnius university, Facukty of medicine) 17:10-18:40 BARD breast vacuum biopsy workshop (prof. Joerg Heil, Heidelberg University Hospital, Heidelberg, Germany) 18:30-18:40 Discussions 18:30-18:40 Discussions 12 May 2018 Hall A Hall B Hall C 17:50-18:10 Discussions Time Endoscopic surgery (9:00-10:30) Time Nursing section (9:00-10:30) Time Young Investigators (9:00-10:40) Bariatric surgery (9:00-10:30)

4 9:00-9:20 9:20-9:40 The diagnosis of papillary thyroid cancer in cytologically indeterminate thyroid nodules. Augustinas Beiša (Vilnius University Hospital Thyroid cancer. How to reduce the number of diagnostic thyroidectomies? Virgilijus Beiša 9:00-9:30 9:30-9:50 Patient safety in Operating Room Natalja Jerdiakova, RN, Lecturer, Vilnius University, Lithuania Infection Control in Operating Room Zita Gierasimovič, RN, PhD, Assistant Professor, Vilnius University, Lithuania 9:00-9:15 9:15-9:30 Heat Shock Proteins: A Novel Diagnostic Target In Ethanol Induced Acute Severe Pancreatitis. Aiste Gulla (Vilnius University, Faculty of Medicine, Institute of Clinical Medicine/ Vilnius University Hospital, "Santaros Klinikos", Vilnius, Lithuania ) Moving Toward A Non-Invasive Screening Tool For Acute Severe Pancreatitis. Julija Razumiene, Aiste Gulla (Vilnius University, Faculty of Medicine, Institute of Clinical Medicine/ Vilnius University Hospital, "Santaros Klinikos", Vilnius, Lithuania ) 9:00-9:15 9:00-9:45 Presentation of current situation in Bariatric surgery in Estonia (A.Trudnikov), Latvia (I.Troickis), Lithuania (G.Brimas, N.Kaselis) Great Bariatric debate Sleeve vs Gastric bypass Sleeve (10 min presentation + 2 min rebuttal) (T.Sillakivi, Estonia) Bypass (10 min presentation + 2 min rebuttal) (A.Maleckas, Questions and auditorium vote 9:40-10:00 The diagnosis of papillary thyroid cancer in cytologically indeterminate thyroid nodules. Augustinas Beiša (Vilnius University Hospital 9:50-10:10 Peculiarities of intensive care nurse work Vera Gerasimčik-Pulko, RN, Vilnius University Hospital, Santaros Clinics, Lithuania 9:30-9:45 How severe is moderately severe acute pancreatitis? Zilvinas Dambrauskas (Lithuanian University of Health Sciences and Kaunas Clinics, Lithuania ) 9:45-10:05 The role of malabsorptive surgery in the treatment of morbid obesity (Y.Yashkov, Russia or M.Sundbom, Sweden) 10:00-10:20 Thyroid cancer. How to reduce the number of diagnostic thyroidectomies? Virgilijus Beiša 10:10-10:30 Satelite symposium 9:45-10:00 Heme oxygenase-1 gene promoter polymorphism is associated with the development of necrotizing acute pancreatitis. Zilvinas Dambrauskas (Lithuanian University of Health Sciences and Kaunas Clinics, 10:05-10:25 How to avoid complications in bariatric surgery? (Latvian speaker) 10:00-10:15 10:15-10:30 HuR mediated post-tranional regulation of HO-1 and inhibitors of apoptosis proteins is associated with the poor clinical outcomes among patients with pancreatic cancer. Ausra Urboniene (Lithuanian University of Health Sciences, Kaunas, Narrow Line Between Benefit and Harm: Additivity of Hyperthermia to Cisplatin Cytotoxicity in Different Gastrointestinal Cancer Cells. Antanas Gulbinas 10:20-10:30 Discussions 10:30-10:40 Discussions 10:30-10:40 Discussions 10:25-10:35 Coffee break (10:30-11:00) Discussions Time Surgery endocrine (11:00-12:30) Time Nursing section (11:00-12:30) Time Trauma and emergency section (11:00-12:30) Time Healt care management (11:00-12:30) Thoracoscopic approach in the treatment of ectopic thymic parathyroid adenoma. Neringa Pranskeviciute (Institute of Clinical Medicine of the Faculty of Medicine of Vilnius University) Pathways in Surgical Nursing Odeta Vitkūnienė, RN, PhD candidate, Lithuanian University of Health Sciences Trauma care performance assessment in Lithuania, : still long way to go. Zilvinas Dambrauskas (Lithuanian University of Health Sciences and Kaunas Clinics, 11:00-11:45 The role of the chief nures-an example from Iceland Sigríður Gunnarsdóttir RN,PhD, Chief Nursing Officer, The National University Hospital of Iceland Professor, University of Iceland Could the safety of thyroid operations be improved? Assessing the feasibility of intraoperative vocal cord ultrasonography in identifying vocal cords movement and reducing the risk of bilateral palsy. Data from prospective trial. Andrius Rybakovas (Vilnius University Hospital Patient safety from nurse perspective Indrė Brasaitė, RN, PhD, Klaipeda University, Lithuania Treatment results of trauma patients. Mantas Jokubauskas (Lithuanian University of Health Sciences, Kaunas, The links between Nurse Empowerment and Nurse Competence and factors associated Natalja Fatkulina (Istomina), RN, PhD, Professor, Director of Institute of Health Sciences, Vilnius University Variuos (12:00-12:50) 11:40-12:30 Panel discussion. Future of Surgical Nursing in Baltic States. HybridLab: the new blended learning platform for self-directed medical simulation in the effective development of the technical and non-technical competences. Povilas Ignatavicius (Lithuanian University of Health Sciences) Organizational culture. Danguolė Jankauskienė

5 12:00-12:20 AN UNUSUAL LOCATION OF EXTRAOSSEOUS EWING SARCOMA: A CASE REPORT. Lina Pankratjevaite (Hospital of Lithuanian University of Health Sciences, Kaunas, 12:00-12:20 Unwanted events at surgery units. Prof. V. Janusonis (Klaipeda university hospital) 12:20-12:40 Paratesticular atypical lipomatous tumour (welldifferentiated liposarcoma). Case report. A. Uksov (South-Estonian Hospital) 12:40-12:50 Discussions 12:30-12:40 Discussions 12:00-12:10 Discussions 12:20-12:30 Discussions Coffee break 12:30-13:00 Closing remarks (13:30)

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