
Robert James Cerfolio,MD,MBA
@Cerf_MD
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Professor, Chief of Thoracic Surgery, Former Executive VP & COO, over 19,200 operations, 2900 robotic operations, Academic All American, Tweets are my own.
Manhattan, NY
Joined August 2014
Cerfolio Robotics - Segmentectomy LUL, S1-2, with a Tornado ICG Fiducial via @YouTube Tornado placed two weeks before surgery. We use it for small nodules that CANNOT BE PALPATED (the coil can) and/or nodules that lie in-between segments on 3D recon.
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Cerfolio Robotics:L.1st Rib Removal & Muscle Decompress. Neurogenic & Ve. via @YouTube This patient had neurogenic Thoracic Outlet Syndrome and then developed a clot in the subclavian vein as well and now has both venous Thoracic Outlet Syndrome and nTOS.
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Cerfolio-Zervos-Robotics: LUL with Pulmonary Artery Sleeve after Neoadju. via @YouTube Intra-pericardial control of PA prox., distally is the inf. pulm vein and then how to sew PA end to end, with LUL after induction neoadjuvant chemo-immunotherapy.
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Completion Left Upper Lobe, After S3,4,5 & Dealing with intra-op Left Ma. via @YouTube Pt. underwent straightforward S3-4-5 of LUL which is shown-he returned 7 weeks later, required a completion LUL which was difficult, surgical techniques shown during.
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This video shows how to do a sleeve right middle lobectomy: "Cerfolio Robotic - Right Middle Lobe Sleeve - Bronchus Intermedius to RLL end to end anastomosis".
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Cerfolio Surgery: Robotic L Lower lobect. bronchoplasty after Tagrisso f. via @YouTube Pt had M1a pleural dis, N2 and N1 dis. Rx in Europe, CR except lung mass, told needed a pneumonectomy & thoracotomy at mult. major cancers centers in USA & Europe.
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How to Re-resect a staple line after segmentectomy too close to tumor fo. via @YouTube 3-D reconstruction predicted good margins with L S1/S2. However, were inadequate, video shows how to re-resect the staple line in this pt who was LIMA bypass dependent.
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RT @heidycos: Very inspiring talk by Dr. @Cerf_MD on pursuing excellence and building teams @WakeSurgEd
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Cerfolio: Robotic Right First Rib Resect. & Extensive Venolysis for Veno. via @YouTube .Video shows hypervigilance required ensure the entire subclavian vein (right side here) is freed up from the scar after the first rib has been resected robotically.
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Cerfolio: Robotic Resection First Left Rib & Extensive Venolysis L Subcl. via @YouTube .Pt with venous, arterial & neurogenic TOS, removal of left 1st rib, venolysis of left subclavian vein, release left subscapularis, middle and anterior scalene muscles.
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Robotic Segmentectomy Cerfolio - S3 of RUL via @YouTube .Video shows S3 of RUL, keys are: divide fissure between the RUL and RML first staying BELOW the V2 confluence, RUL vein. We also show the anatomy of the B2 and B3 clearly and the A1, A2 and A3.
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