Robert James Cerfolio,MD,MBA
@Cerf_MD
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Professor, 4 year Executive VP & COO, Thoracic Surgeon, over 19,000operations, 2700 robotic operations, Academic All American in baseball, Tweets are my own.
Manhattan, NY
Joined August 2014
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Videos serve as a pathway for surgeons to learn Thoracic Robotic Surgery. We hope your patients get excellent outcomes with these proven techniques, which can be viewed here in sequential order.
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Important new finding for covid patients - some seem to form late pneumatoceles with pneumo and / or empyema - we have had to operate on 4 - if U do, important to open and drain pneumatocele some r infected - results r too early but it seems to help pts- video shows technique
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On Mother’s Day i think of my wife Lorraine.. Who like so many moms out there dedicated her entire life to her 3 boys .. gave up her career ..to drive her children to multiple activities and to love them unconditionally every day..
Happy Mother’s Day to all the dedicated moms ..
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The greatest honor of my professional career has been serving the staff , doctors and nurses of New York Hospital (NYU) Langone Health this past 5 weeks- amazing story book effort of professionalism humility and outstanding care of thousand of Covid 19 patients - I thank them
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Perhaps a greater honor then serving our pts is the opportunity to serve and mentor our medical students, residents and fellows - it’s easy to forget with 15 hrs day- but don’t
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Happy Father’s Day to all the fathers and to the many mothers who serves as fathers as well.. there is no more important role or higher honor than serving as a parent and modeling excellence to our children ..congrats
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Honored to accepted the chair of Thor surg at NYU and director lung cancer service line .. Will miss my family of UAB it will always be home
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The most important care of the patient .. is caring about and for the patient and family - high quality care starts first with caring
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Leaders make teammates better/ infrastructure appear better and the mood of every room they enter better/ go lead today
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To the hardest worker .. most giving and most available workers in the world-those of us in healthcare and service to others- happy family holiday
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Honored to have served as a visiting professor at the National Institute of Oncology in Budapest Hungary this week - a team of outstanding surgeons and leaders who provide their patients and healthcare workers exemplary care and concern
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We r lucky to have the chance to serve others .. whether it is Monday or a Sunday .. anyday to serve is an opportunity ..
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Surgeons r like an athlete .. our outcomes r based on proper preparation.. ability to inspire our operative team and our performance under pressure is guided by a mindset that can be taught
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Does any Olympic athlete eat half a banana and a cup of coffee prior to performing ... why do surgeons underestimate the importance of their diet, sleep, and nutrition .. can’t super perform without optimizing these arenas
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How can we help end this systemic racism that exists? It is not talking but rather listening- active listening more closely now than ever before to the many unheard voices that cry from our streets - if we listen carefully perhaps we can then act thoughtfully, in unity
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NYU Langone Hospital is proud to announce their 3 star STS database ranking for lung cancer surgery - only one of 7 out of 199 hospitals in US and Canada to achieve this highest score- congrats to the NYU Langone Cancer Center and the Thoracic and Pulmonary Teams
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NYU Langone Health is proud to offer a 1 yr robotic fellowship - we are only 1 of 2 NYC 3 star STS lobectomy- have two of the most experienced thoracic robotic surgeons in the world - starts July 2020- sleeves, distal tracheal resections etc. are all done robotically here
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As their are different love languages - there are different coachability languages - some respond best to words of praise some to a challenge - our paper on this is coming out soon
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Honored to coach and mentor our outstanding japenese surgeons here in germany
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The most accomplished champion is one whose path was most marred by failures .. the only road to success is one of failure.. High painful obstacles .. wrong Turns..
The key is our response to the adversity and return to the journey
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we just posted another right robotic tracheal resection for a mid- tracheal tumor - this one at the level of the innominate artery - on our you tube channel - shows technique to reduce tension - pt is on VV ECMO- has no chest tube, goes home in 23 hours and no chin suture used
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will be posting on our YouTube channel - cerfolio surgery - our 4 arm Xi robotic lung resection subcostal technique - seems to reduce postop pain by avoiding the intercostal nerves entirely - and we have been removing chest tubes before patient awakes for over a year now
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When crisis hits - in board room or operating room - remember the 3 p’s: poise- purpose- partner. Video coming to our you tube channel showing the p’s in the OR with PA injury : poise, pressure, Call partner, proximal control of PA, PRBC’s, prayers, peacefulness
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Posted a left intrapericardial pneumonectomy performed robotically on YouTube channel. Though rarely indicated, if necessary can be done robotically and safely during the Covid crisis if have to- technical details shown - T4N1M0, s/p rad/chemo/immuno done with Mike Zervos
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Congrats to ESTS and to all the high quality surgeons and talks in Ljubljana Slovenia .. for a high quality program .. an inspiring and emotional presidential address from Konstantinos and grace and humility from the many speakers.. my honor to play a small role till next year
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Honored to be a visiting professor here in Puerto Varas in Chile ... despite the rain the people r warm and loving
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Proud of uab med students meeting me to get their talk ready.. despite my lack of sleep they have engaged me
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We know our work metrics to the decimal point .. but do we measure or record the true metrics that matter ..how we r performing as spouse, children, parents .. do we measure record and improve that process ?
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Culture of an organization is projected by what it rewards and where it spends its money, not just their collective shared attitudes ideas values and behaviors
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We have championed a right upper lobe done posteriorly by taking the bronchus first - the same can be done with a difficult right lower lobectomy - We r privileged to post another instructional video on our YouTube channel - Cerfolio robotics - and a link on Twitter later
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it’s incumbent on all of us to share all of our medical data in order to elevate the care of all Americans who deserve to have the highest quality healthcare as a basic right regardless of race gender religion
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Reacting to and controlling major PA injury and repairing robotically without the need t... via
@YouTube
Video shows the techniques of how to quickly control a PA injury and ensure outstanding outcomes for patients
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I beat my boys in ping pong when were 5 and 6 to teach they r entitled to nothing no trophy to just play and to get better or lose a lot
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A leader loves to compete . Wants to be first to Reach the summit/ but is first to lend a hand to those behind to aid their path to the top
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Mara Antonoff talking about twitter and tweeting at the STS congrats
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Another tracheal resection on ECMO coming to our you tube channel- note technique of tension release - and where and how start and end anastomoses - patient goes home in 23 hours- was told elsewhere needed thoracotomy and chin needed to be sewn to the chest- both ludicrous
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Emotional intelligence starts with self awareness- never meet a leader who thinks he is below average .. but half of us have to be
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Robotic RUL after immunotherapy, with proximal control of the main PA via
@YouTube
shows how to divide airway first to make PA artery dissection easier, how to fix an opening in the RMSB robotically, and how to obtain R main PA control robotically- Cerf
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Mara Antonoff teaching us about social media in thoracic surgery here in NYC
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Very proud of dr Shanda Blackmon - who presented a challenging case at the STSA postgrad course of a right BPF- that she treated and cured-
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Highly functional teams have leaders that display IH OH...
Inner hubris with outer humility..
In the OR.. as with Warriors and Penguins
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Now at 1680 robotic cases we can teach how to prevent conversions to inexperienced surgeons - but we all have to learn - we all must start
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Great honor for opportunity to give Tudor Edwards lecture in Belfast Ireland-temp might be chilly but members of SCTS r warm and innovators
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We just posted on our YouTube channel - a left robotic thymectomy for an invasive B-2 thymoma that required resection of the pericardium, part of the left upper lobe and then clipping of the left atrial appendage to allow the patient can come off blood thinners because of a fib
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For all going to the AATS- sessions are on how we can care better for our patients- please make time to attend a session that is about how you can care better for you- the AATS wellness session - Saturday May 14 at 10 am
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New videos coming to my you tube channel: LUL with PA control, tracheal resection on ECMO and LUL for destroyed MAC
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The day an athlete or surgeon decides that they the best they can be, they should retire .. Super strivers always desire improvement
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This video shows another one of our tracheal resections performed robotically on VV-ECMO with a one day length of stay and shows our mobilization technique to avoid any guardian chin suture
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Nice interview son.. I’m proud of the teams ability to fight back .. a never quit attitude will serve them all well in life . Great leadership and coaching has led to this Columbia baseball culture ..
Matt Cerfolio got the walk-off interview with
@LanceMedow
yesterday after driving in three runs in Columbia's win over St. John's.
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Our Sub-azygous Technique for Removal of Stations 2R and 4R via
@YouTube
note this is our routine lymphadenectomy all most all pts
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Later tonight should be posting on my you tube channel .. Cerfolio robotic - robotic resection of a 6 1/2 cm tumor around the descending aorta with large collateral vessels- pt deferred embolization preop
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Honored to be a part of the Paris Sublobar meeting ...
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Just posted on our you tube channel - Cerfolio robotics - a RLL for 8 cm carcinoid with end to end anastomosis of RML to BI
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This video - link above - on our you tube channel - Cerfolio Surgery - shows the technical steps in a robotic segmentectomy of S6 and S10 in the left lower lobe
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Surgery has nothing to do with the Naval seals.. they prepare 50 times for one operation a month ... we perform 50 operations a month and only get to prepare once
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We complain over worked /fortunate have work/over burden family activities/but fortunate have families/ stress is opportunity in disguise
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we added a video to our you tube channel - that depicts how to perform a right lower lobectomy with sleeve anastomosis of the bronchus intermedius to the right middle lobe bronchus and adjust sutures placement given the significant lumenal difference of the two bronchi
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Joel Dunning steals the show .. again ... at the international vats symposium 2017 in London ...
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When performing an S6 superior segmentectomy take the V6 vein from the back prior - PRIOR - to the B6 bronchus and even the arterial A6 branch - it’s safer, leads to better N1 Lymph node dissection - and now theoretic oncologist advantage of vein before artery
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innovation continues. we remove chest tubes in 70% of our robotic lobectomy in the OR “chest tube less surgery” This video shows a “chest less incisional lung surgery” using the Xi robot since the SP robot will have many pecuniary and logistic challenges to be scaled globally
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This video shows the step-by-step process for how to respond in the OR when a robotic stapler misfires and freezes on the PA -
How to Handle when a Robotic Stapler Fires on only part of the PA During... via
@YouTube
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The Technique of how to do a right upper lobe sleeve in under 2 hours now posted on my you tube channel
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Complete thoracic lymphadenectomy after neoadjuvant immuno-chemotherapy: video shows our tech for resection of 2R, 4R and 10R and a metastatic node invading the azygous vein via
@YouTube
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New video on our you tube channel - Cerfolio robotic- shows a right mainstem bronchial resection of a carcinoid with pericardial patch
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The main import is there was low hanging fruit if I surgeons coming together and eliminate 80% of the unnecessary equipment on their tray.. less to count, clean s d carry ..
And less equipment
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A cancer service line aligns patient desires with payors & rewards highest quality at lowest cost. Excited to bring this to New York and NYU
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When asked why I started robotics:Successful athletes fear change, weigh potential value of it then add 10,000 hrs and strive for mastery
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A lingular sparing tri-segmentectomy (removal of LUL S1-3) using bronchial and venous ICG now posted on my robotic YouTube channel, Cerfolio robotics
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We as providers of the best health care In the world at the Lowest cost and thus Best values.. r not interested in your comfort level .. if you are not comfortable evolving and getting rid of non-valued steps -best you get out of medicine and surgery all together - as we improve
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Video shows one technique to remove all of the 2R, 4R and 10R LN's efficiently with no bleeding
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we have posted a new video on our YOUTUBE channel that shows a Segmentectomy - robotic S3,of the Anterior Segment of the Right Upper Lobe via
@YouTube
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Invasion of thymic or innominate vein is not a reason to open during robotic thymectomy - see video
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First you get the dean and the CEO to see the cost savings .. meetings take few month .... then u engage divisional and department chairs in profit sharing 10% of the hospital savings .. that leads to quick engagement
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Thank u.. it’s most
@important
article I have written .. its shows surgeon’s true value to institution.. not silly RVU’s ..
We r much more.. leaders.. cultural architectures and educators ..
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@maraantonoff
@GabeMenaMD
@ISMICS
@ctsnetorg
@tssmn
They can fly one second after tube is out - have done it safely for twenty years
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Redo-redo R Robotic Resection of Recurr. B-2 Thymoma Involves base of SV... via
@YouTube
This video shows how to take adhesions down with a robotic camera, obtain control of the SVC and R main PA and resect recurrent B-2 Thymoma on SVC and pericardium.
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Now posted on our You Tube Channel - "Cerfolio Robotics" is an S3 (anterior segment) of the LUL - note the pt has an A3a and an A3b
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The SP has limited availability. Subcostal and subxiphoid incisions avoid the intercostal nerves and provide optimal view of the thymus and phrenic nerves. A video on our YOU TUBE channel (Cerfolio Surgery) demonstrates a subcostal/subxiphoid thymectomy using an XI robot.
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Leadership in the operating room helps evolve process improvement into outcome improvement .. The 2 are often confused by the noncombatant
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My great honor to spend time and have the attention of some young urologists today at the AUA in Boston .. our future is bright
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Posting Dr Michael Zervos’ robotic left intra-pericardial pneumonectomy on you tube: Cerfolio robotics - rarely indicated, but when, can be done
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Link shows robotic RLL after immunotherapy, rad & chem: residual gross N1, enlarged path negative N2 disease
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Two new videos on our YouTube channel - Bi-lobectomy of RML and RLL and other optimal port placements in left chest
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latest video shows how to complete a difficult LUL when there are three structures remaining: Vein, bronchus and ant-apical PA branch
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When buy car do ask 30/90 day value?why view lobectomy for lung cancer myopically? Robotic value is best seen stage specific 5-yr. survival
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And then there were 3 - Video shows take the LUL vein then cut the bronchus, then safely take the PA - can...
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