“Safety in surgery” Contributions beyond the call of duty
Here are a few examples of Professor Amir Nisar’s contributions at the highest levels in United Kingdom and Europe.
Contribution to Evolution of Minimal Invasive Oesophageal (MIO) surgery in United Kingdom
National Oesophago Gastric Cancer Resection
Preceptorship /Mentorship Programme – ALSGBI
Professor Amir Nisar has taken keen interest in MIO for many years. His experience in leading Laparoscopic centers and interaction with leading surgeons from United Kingdom and Europe has helped him to learn the technique, follow the progress and contribute towards the progression of the technique as a leading in certain aspects.
Professor Amir Nisar presented the concept of Standardised training and mentorship for minimal Invasive Oesophagectomy and Gastrectomy in the Association of Laparoscopic surgeons of Great Britain and Ireland (ALSGBI) in January 2009.
The idea was to introduce a structured training programme in upper gastro intestinal cancer surgery similar to the tried, tested and successful National training programme for Laparoscopic colorectal surgery (LAPCO).
The rationale of an upper gastrointestinal cancer surgery national training programme was to ensure;
- Patient safety
- Safe and structured introduction of new complex laparoscopic techniques in clinical practice for surgeons considering to introduce minimal invasive approaches in their practice
- Supporting the surgeons, anaesthetists, theater staff and monitoring their progress and results live and over three-monthly intervals for long term thus providing early identification of any issues requiring support
The concept was to devise a structured training programme for the surgeons who wished to start undertaking laparoscopic oesophageal and gastric cancer surgery; usually 5-10 hours long and complex operations.
This programme was planned to helped experienced surgeons already performing gastric mobilisation and wished to proceed to thoracoscopic stage of the operation.
These operations are complex and Professor Amir Nisar having had exposure to these procedures since 90’s strongly believed that the learning could be streamlined to ensure patient safety and reduce complications.
This initial idea was approved in the council followed by a draft model approval in March 2009, and the final draft document approval in June 2009 for mentorship programme.
“Meet the Experts” – A Status Evaluation Conference on Minimally Invasive Oesophagectomy in the UK. Trinity college, Oxford -September 2009
The proposed National Oesophago Gastric Cancer Resection Preceptorship /Mentorship Programme – ALSGBI was presented at “Meet the Experts”; A Status Evaluation Conference on Minimally Invasive Oesophagectomy in the UK, held at Trinity college, Oxford in September 2009.
This meeting was organised by ALSGBI. Professor Mike Parker (President ALSGBI) chaired the meeting and more than fifty eminent upper GI surgeons from United Kingdom attended the meeting. I participated as a member of faculty and organizer. I had four presentations in the conference sharing my 15 years’ experience and observations on Minimal Invasive Oesophageal surgery, with proposal of the programme and recommendations.
Collective recommendations were collated and a document submitted to ALSGBI council for approval and presentation to
the department of health.
AUGIS (Association of Upper Gastro Intestinal Surgeons) and ALS (association of Laparoscopic Surgeons) Oesophageal Cancer consensus meeting, Basingstoke, England -14th March 2008
I was invited to the meeting, which I attended and made positive contributions along with
a colleague from my center. Our views were relevant as us being one of the leading
centers in the country offering the Minimal Invasive Oesophagectomy for three years
prior to this meeting. At the time of the meeting we were conducting Minimal Invasive
benign and upper GI cancer surgery courses and offering mentorship to the surgeons
from the other regional cancer centers of the country and abroad, visiting our center.
The document from this meeting has been referred to by the Claimants Lawyers (Point 1), and also the defense expert witness report. The page of contributors has my name listed in it.
The document is titled, “A Consensus View and Recommendations on the Development and Practice of Minimally Invasive Oesophagectomy”
The Association of Upper Gastrointestinal Surgeons (AUGIS) and The Association of
Laparoscopic Surgeons of Great Britain & Ireland (ALS)