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Robotic Surgery: The Pluses and Minuses Compared to VATS

Thoracic Surgery Future of MIS. Robotic Surgery: The Pluses and Minuses Compared to VATS . Robert J. Cerfolio, MD, MBA, FACS, FCCP JH Estes Endowed Chair Lung Ca Research Professor of Surgery Chief of Thoracic Surgery, UAB. Future of Thoracic Surgery Financial Disclosure.

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Robotic Surgery: The Pluses and Minuses Compared to VATS

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  1. Thoracic Surgery Future of MIS Robotic Surgery: The Pluses and Minuses Compared to VATS Robert J. Cerfolio, MD, MBA, FACS, FCCP JH Estes Endowed Chair Lung Ca Research Professor of Surgery Chief of Thoracic Surgery, UAB

  2. Future of Thoracic SurgeryFinancial Disclosure Conflict of interest: $ Honorarium from Intuitive to coach – to teach Also I devised PRIIME … Written book …

  3. Released June 2014 Greenleaf Publisher … People Perform surgeons, teammates spouses, parents, mentors and performers Releae

  4. Future of Thoracic SurgeryPhilosophy Change – evolution – adapting – hard … When not forced to do so Top at field , charge hospital, political risk Legacy – we are teachers have a platform Be Honest, be mentors Future: Digital, air leaks, databases, computerized / robotic OR systems Genetics, in OR using robotics systems to cancer cell, sense tumors

  5. Robotics in Thoracic SurgeryLimitations $ … availability …. Hard palpate small nodule, VATS better Cause air leaks grasping lung – poorly trained Cannot feel tumors rock hard …. Ca LN’s .. Inexperienced team - injure pt placing instruments never happen with VATS Bedside assistant places stapler on vessels .. Problems, TRAINING, $, politics, ex video-med.. Cerfolio 10/10

  6. Cardica Micro-cutter

  7. Robotics in Thoracic SurgeryPlusses - Minus +: Completely portal nature … data?? +: Med tumors, esophageal op. true technical benefits -: If good VATS lobe surg and good LN  more costly, takes time learn +: Easier LN dissection learn day 1 -: If open, incisions too low can’t use +: lower access port, > room ribs, pain, tumor size -: Robot time, cost factor, training, credentialing +: Teaching device Cerfolio 10/10

  8. Future of Thoracic SurgerySolution P …rogrammatic R…obotic M.. I …nimallyI…….nvasive(I)2 M …..entoring E …… xperience PRI2ME

  9. Improving Hospital CareTraining / Credentialing

  10. Video Tells it All • Video of RUL or LUL .. Or RML bronchoplasty ….

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