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Cardiothoracic Surgery Update Non Profit Org. 200 Lothrop St. US Postage PAID Pittsburgh, PA 15213 Permit #3834 Pittsburgh, PA CARDIOTHORACIC SURGERY UPDATE Summer 2015, Vol. 01, No. 1 UPMC.com/ELSI ctsurgery.pitt.edu Chairman’s Message Upcoming CME-Accredited Conference: Welcome to the Inaugural Issue of the Departmental Newsletter Minimally Invasive Approaches to the Management of Esophageal Cancer It is a great privilege and Our aortic center is the fastest growing In this Issue DATE: Ryan M. Levy, MD clinical and molecular risk stratification, and honor to be the founding center in our department and oversees all December, 2015 Assistant Professor of Cardiothoracic Surgery the importance of lymph node dissection. Chairman of the Department aspects of aortic diseases. In addition, our Chief, Thoracic Surgery, UPMC Passavant Experts on the subject will present technical of Cardiothoracic Surgery. Pediatric Cardiac group oversees all aspects PAGE 2 COURSE DIRECTORS: aspects of various esophageal procedures, Previously functioning as the of cardiac and other disorders of the chest in Katie S. Nason, MD, MPH, FACS Robotic-Assisted General Thoracic James D. Luketich, MD, FACS along with risks, benefits, and outcomes. Heart, Lung and Esophageal Surgery Institute children. Our transplant group has been a Assistant Professor of Cardiothoracic Surgery Surgery at UPMC Henry T. Bahnson Professor of Because of our expertise in minimally (HLESI), the UPMC Esophageal and Lung leader in both heart and lung transplantation. Cardiothoracic Surgery Associate Director, Cardiothoracic invasive esophagectomy, we will be Surgery Institute (ELSI) became an academic Today, only a few dozen medical centers in PAGE 3 Chairman, Department of Research Program highlighting the indications, outcomes, department in the University of Pittsburgh the United States offer a complex array of A New Era in Cardiothoracic Cardiothoracic Surgery and technical aspects of that operation. School of Medicine in 2010. Our current faculty minimally invasive surgical procedures for Transplantation at UPMC Chief, Division of Thoracic and Foregut Surgery COURSE DETAILS: includes 38 cardiothoracic (CT) staff surgeons, The two day program will consist of a series of This course is designed for general and the heart, lung, and esophagus. Many of the eight CT residents, six CT integrated residents, PAGE 4 Inderpal Sarkaria, MD, FACS lectures, as well as live case demonstrations, thoracic surgeons, gastroenterologists, surgeons who perform these procedures at 10 fellows, a strong research group, and more UPMC Division of Cardiac Surgery Vice Chairman, Clinical Affairs highlighting the surgical management of minimally invasive team members (MD, DO, other centers received their training throughout than 170 staff members. Centers of Excellence Director, Thoracic Robotic Surgery esophageal cancer, including the role RN, PA, NP), allied health professionals, and our department and at UPMC’s Mark Co-Director, Esophageal and Lung of esophageal surgeons in the use of any interested medical, radiation, or surgical We are dedicated to using advanced diagnostic Ravitch/Leon C. Hirsch Center for Minimally PAGE 6 Surgery Institute oncology specialists. endoscopic and robotic therapies. With and surgical techniques to care for patients Invasive Surgery. Pediatric Cardiothoracic Surgery: world-renowned guest speakers and our own Jonathan D’Cunha, MD, PhD, FACS For more information, contact with diseases and disorders of the heart, lung, Our mission is to strive for excellence in Unparalleled Outcomes experts, we will cover the full spectrum of Associate Professor of Cardiothoracic Surgery Victoria Willman at 412-648-6342, and esophagus. Our experts are leading the patient care, to train the next generation of topics, including surgery, induction therapy, Associate Director, Lung Transplantation or email [email protected]. way in treating diseases like congestive heart cardiothoracic surgical leaders, and to advance targeted chemotherapy, endoscopic therapy, Associate Program Director, Thoracic Surgery failure, congenital heart disorders, heartburn our field through innovation and research. I and related problems, esophageal cancer, am extremely proud of our department, and and lung diseases. Our affiliations with the I look forward to keeping you up-to-date on University of Pittsburgh School of Medicine future progress and developments, starting and UPMC CancerCenters bring together all with this inaugural issue of our departmental Contact the UPMC Department of Cardiothoracic Surgery at: of the necessary components of a successful newsletter. We invite you to explore our research and patient care program: physicians, website (ctsurgery.pitt.edu) and consult Division of Cardiac Surgery Division of Pediatric Cardiac Surgery Division of Cardiothoracic Division of Thoracic and Foregut surgeons, and scientists, and patients who us for any patient needs you may encounter. 412-648-6200 412-692-5218 Transplantation Surgery agree to participate in clinical trials. UPMC Presbyterian Children’s Hospital of Pittsburgh 412-648-6202 412-647-7555 James D. Luketich, MD, FACS Suite C-700, 200 Lothrop St. of UPMC UPMC Presbyterian UPMC Presbyterian Our combination of resources and experience Pittsburgh, PA 15213 4401 Penn Ave. Suite C-900, 200 Lothrop St. Suite C-800, 200 Lothrop St. has enabled us to lead the way to better patient Henry T. Bahnson Professor and Chair, 5th Floor, Faculty Pavilion Pittsburgh, PA 15213 Pittsburgh, PA 15213 Department of Cardiothoracic Surgery care. For example, the UPMC Artificial Heart Pittsburgh, PA 15224 Chief, Division of Thoracic and Foregut Surgery Program was one of the first in the country Director, UPMC Lung and Esophageal Visit UPMC.com/ELSI or email [email protected] for more information. and continues to lead in the development of Surgery Institute artificial heart-assist devices. UPMC was also Director, Thoracic Surgical Oncology one of the first medical centers to perform minimally invasive surgery for esophageal and lung cancers, lung transplantation, and many other related procedures. TRANS415054 JAB/CS 05/15 ©2015 UPMC Robotic-Assisted General Thoracic A New Era in Cardiothoracic Surgery at UPMC Transplantation at UPMC By Inderpal Sarkaria, MD, FACS By Jonathan D’Cunha, MD, PhD, FACS and Robert Kormos MD, FAHA, FRCS The use of surgical robotics was first conceived and developed by procedures to these operations, greatly decreasing the pain and after discharge, we strive to maintain a Several aspects of our surgical care set us the U.S. military for remote battlefield surgery. Its use has increased morbidity associated with large, muscle splitting incisions. More team-based, patient-centric approach to apart from other programs. Our physicians tremendously over the past decade, with a wider range of procedures recently, the use of surgical robotics has allowed far greater patients with end-stage heart disease. are pioneers in the use of extracorporeal performed every year. The technology is essentially an extension sophistication in performing these procedures and may have Surgeons at UPMC were the second in the membrane oxygenation (ECMO) and of standard minimally invasive surgery techniques, which allow advantages in improving lymph node removal (a vital part of nation to implant the Jarvik™ Artificial Heart novel strategies to deliver oxygen to the for major operations to be accomplished through small incisions, surgery for lung cancer), allowing for minimally invasive in 1985 as a bridge to transplant. Since then, blood of patients in desperate need of lung but with far greater enhancements in visualization, instrumentation, parenchymal-sparing resections (segmentectomy), and we have implanted more than 800 ventricular transplantation. Our surgeons, pulmonologists, and control over the surgical field than ever before. In short, it further decreasing intercostal nerve trauma and pain. assist devices (VADs) and continue to critical care physicians, and perfusionists allows the surgeon far greater control over the conduct of the Surgery remains a mainstay of therapy for benign and malignant participate in nearly every major trial of new have performed pioneering work in this operation over standard techniques and represents the most diseases of the esophagus, such as esophageal cancer, VADs. Through our extensive clinical and area, which has recently received national sophisticated minimally invasive technology currently available. paraesophageal hernia, achalasia, and recalcitrant gastroesophageal research experience, our VAD Program recognition through research publications With a robust program and world-class faculty across several reflux. UPMC is a recognized pioneer in the development of continues to be recognized internationally and presentations at major surgical meetings. surgical specialties, UPMC has been at the forefront of this minimally invasive approaches to many of these complex in large part because of the world-renowned Ex vivo lung perfusion (EVLP) is a technology development, with more than 7,000 robotic-assisted operations operations of the esophagus, which in many centers are still work of Dr. Kormos. Whether these devices that has gained much momentum and performed in recent years. performed through large abdominal and chest incisions. In a are being used as a bridge to transplant, or excitement in the lung transplant community. While much of this expansion has been seen in specialties such as landmark report reviewing the results of more than 1,000 patients
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