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Welcome to PRI 2 ME -Robotic Esophagectomy

Robotic Thoracic Surgery. Welcome to PRI 2 ME -Robotic Esophagectomy . Robert J. Cerfolio, MD, FACS, FCCP JH Estes Endowed Chair Lung Ca Research Professor of Surgery Chief of Thoracic Surgery, UAB. Future of Thoracic Surgery Financial Disclosure. Conflict of interest:

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Welcome to PRI 2 ME -Robotic Esophagectomy

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  1. Robotic Thoracic Surgery Welcome to PRI2ME -Robotic Esophagectomy Robert J. Cerfolio, MD, 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: Yes- I have received honorarium from Intuitive - make the only FDA approved robotic system Also I devised PRIIME … Written a book However, $ goes UAB, unless CME or society sponsored talks

  3. PRIMEProblem Surgeon interested robotics Case observation …inconsistent Kick tires …. See pt value, surgeon value … Decide get trained Problems: type of robot, volume, knowledge of anatomy, inconsistent team Variabity, Lack of 10,000 hrs

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

  5. Robotics in Thoracic SurgeryResults CPRL-4 963 robots, 315 CPRL-4, 83 segments, over 200 mediastinal tumors, 73 Robotic Ivor Lewis Overall 30 day mortality: 4 pts (0.0054) or 0.54% , overall 90 d mortality: 5 (0.69%) Med tumors: 30 & 90 d mort., 0% Lobect: 30 (.0033) / 90 d mort., 0.0066,) Esophagect: 30 & 90 d mort, 0.028% Cerfolio 10/10

  6. Robotics in Thoracic Surgery Robotic Esophagectomy Robotic Esophagectomy Cerfolio 10/10

  7. Future of Thoracic SurgeryPositioning for R.I.L.

  8. Future of Thoracic SurgeryVideos • Show video of Robotic Rt sided Ivor Lewis esophagogastrectomy • Three on anastomosis …

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