#12, S1 Cutting Edge: Robotic 1st Rib Resection

You've finished training, landed your first job, and now stand at the operating room door with the patient prepped and your team watching. A sudden doubt hits: should you proceed open? This episode explores that pivotal moment every junior surgeon faces. We walk through the key factors to consider—patient safety, procedural complexity, your own experience, team dynamics, and long-term reputation—and offer practical frameworks and tips to help early-career surgeons make confident, patient-centered decisions in high-stakes situations.

This latest episode of Thinking Thoracic, an STS podcast, features host Erin Gillaspie, MD, in conversation with Jonathan Spicer, MD, a leading thoracic oncologist and clinical trial investigator. The two dive into the landmark CheckMate 816 trial, which helped usher in a new era for immunotherapy in lung cancer treatment. Dr. Spicer shares insights on trial design, clinical outcomes, and what these findings mean for the future of thoracic surgery and oncology. Listen today.

Efficiency in the operating room isn't just about working faster—it's about making every movement count, communicating clearly so needs are understood, and simplifying systems to support the team. True efficiency is a collective achievement that the surgeon can lead by understanding team needs and fostering coordinated, high-performing teamwork. When the team focuses on efficient processes and clear communication, the ultimate result is improved workflow and the highest quality patient care.

In this insightful episode, we explore the importance of planning for a stress-free retirement. Just as medication packages have clear dates of manufacture and expiration, individuals should also be mindful of their own timelines, from birth to retirement. We delve into the necessity of preparing for life after employment, emphasizing how failing to plan can lead to unnecessary stress. Join us as we discuss strategies and tips for ensuring a relaxed and enjoyable post-retirement life.

Don’t miss the latest Thinking Thoracic episode as host Erin Gillaspie, MD, is joined by Stephanie Worrell, MD, associate professor, University of Arizona, and thoracic surgeon, Banner Health, for a lively and insightful post-ASCO discussion. Together, they unpack the significance of the CheckMate 577 and Matterhorn trials, and explore what these groundbreaking studies mean for the future of esophageal and gastroesophageal junction cancer care.

Join us as we explore the transformative journey of a scholar selected for the prestigious Looking to the Future (LTTF) Scholarship Program by The Society of Thoracic Surgeons (STS). Dive into the 61st Annual Meeting held in Los Angeles, California, where academic inspiration meets profound personal growth. Discover how this unique opportunity went beyond expectations, offering invaluable insights and connections that extend far beyond the realm of thoracic surgery. Experience the highlights of the event and learn why it was much more than just an academic gathering.

In this episode of Thinking Thoracic, Dr. Elliott Servais, Lahey Hospital & Medical Center, joins host Dr. Erin Gillaspie to share how he developed a robotic 1st rib resection program. Recognizing an unmet need at his institution, he seized the opportunity to build a dedicated program. The result? A growing referral network and a newfound enthusiasm for a procedure he once dreaded. 

In this episode of Thinking Thoracic, hear from Christopher Seder, MD, professor of surgery and chief of the thoracic surgery division at Rush University, and Robert Habib, vice president of research and analytics at STS, about the development of the Society’s short-term risk calculators for pulmonary resection and esophagectomy, powered by the General Thoracic Surgery Database with more than 800,000 patient records. They discuss how these models reflect modern surgical practices and incorporate newer, evidence-backed variables, setting a new standard in personalized risk assessment for general thoracic surgery. And they discuss the launch of the widely anticipated STS risk calculator mobile app. Listen today.

In the latest episode of Same Surgeon, Different Light, host Dr. Sara Pereira welcomes three recent “You Belong” Scholarship recipients — medical student Manuel De La Garza, Dr. Sanjhai Ramdeen, and Dr. Humberto Rodriguez-Quintero — to discuss the career paths they are forging as future leaders in medicine.  They also share how attending the 61st STS Annual Meeting in Los Angeles strengthened their commitment to pursuing a career in cardiothoracic surgery.  Highlights of the three-day event included discussions on the importance of both organic and assigned mentorship, insights on how CT surgeons can benefit from coaching, and a lively debate that presented different perspectives on the Ross Procedure.