Urologist leader in SP robotic/minimal invasive surgery, special interest in prostate cancer bladder cancer kidney cancer and reconstructive urological surgery
I was touched by two recent messages below. First from my Jr resident (2003). Usually don’t do proctoring. Second from the resident, just finished his
@HUMCUrology
rotation. These are priceless and thankful for the impact able to make for future urologist.
@AmerUrological
First day on the
@IntuitiveSurg
dV5. Many internal features..Auto smoke evac and tip warmer is great addition.
Entire cystectomy and intracorporeal diversion without cleaning camera
Real test comes tomorrow
@mdstifelman
@HMHNewJersey
@HUMCUrology
@domillima
True..and lucky to stand on the shoulders of the giants…we owe it to them..and cont to improve..here is an example of using
#SP
Intuitve robotic system and be able to perform the
#RPLND
via single 3cm infra umbilical incsion
Technique to do the intracorporeal robotic cystectomy and neobladder takes under 4hours. Off center closure saves suturing time without decreasing capacity.
First time used the
#SP
access port, easy to use, can reduce $ compare to gel port and most importantly can help to eliminate plus one for those who use it. As always
@HackensackUMC
leader in use of new technology,
@mdstifelman
.
@RUCgroup
. Pt consent
Started to do SP Robotic Transvesicle RARP. This one was 120g, size is not a factor. Anastomoses due to larger opening, and LND due to limited space can be laborious. Otherwise another great tool in the bag to have. Thanks
@drjkaouk
.
@SocietySURS
@Endo_Society
Just finished participating project RADAR. They told me I had the cleanest specimen and the fastest time - under 19mins.
@SurgicalRadar
@aghazimd
@GovMurphy
Dear Gov. wish you a speedy recovery. Being a urologist who treats many patients with this condition, I know you will do well. We
@HackensackUMC
has one of the highest volumes of treating this kind of case in the most innovative and successful way. Wish you considered NJ.
Here is another example of advancing technology in robotics allowing us to do complex cases just via one unique incision! Reduces postop pain, wound infection, hernia and going 🏡 same day.
#SProbot
@SocietySURS
@Endo_Society
@AmerUrological
Pleasure to have friends visit us for SP robot observation cases
@RoboUroMD
of RWJ Medical School, and
@GBarayan
of Henry Ford, great to share, demonstrate and discuss various uses of SP robot
It was my pleasure to host Dr Jim Hu
@jimhumd
for the SP robotic case observation
@HUMCUrology
. It was nice to spend the day together in the OR. He is excited to start SP robotics
@WeillCornell
Another example of expanded use of single port robot. It allowing us to use approaches we never imagined using the multi port robot. Guess what procedure was performed and approach that was used?
@Endo_Society
@SocietySURS
Capped off 5 robotics cases and 1 URS day with a radical Nx: 630am -630pm(3 SP RALPs, 1 MP RALP, 1 MP rad Neph).All robotic cases done in single room. Surgeon can be efficient but efficiency of our OR staff
@HackensackUMC
is what makes it possible
@mdstifelman
Day 2 post robotic cystectomy. Patient is ready to go home tomorrow. States “I am extremely happy to go home but this wing is better than a five star hotel”
@HUMCUrology
@HMHNewJersey
. Pic with patient’s consent.
Words cannot explain the excitement of our first year urology resident
@nathanc698
sitting for first time in the robot to do part of the prostatectomy
@HMHsomSHU
@mdstifelman
. Our resdents recieve well rounded experience.
@AmerUrological
Hello from Bangladesh
#BAUSCon24
@FSheckley
@m_dreschermd
first time in their life getting welcome with bouquet of flowers at the airport then to the market followed by exotic dinner..tomorrow will perform live laparoscopic cases
Three years in a row matched top choice for our Robotic Oncology Fellowship position
@NJU
/HUMC. This year little special
@SimplyUroMD
is one of our own thus getting special cake celebration, compliment of
@DoctaSnips
. 300 SP and over 200 MP cases.
@Endo_Society
@HUMCUrology
Pleasure to do one of the first Intuitve telepresence session in the country from
@HUMGUrology
with Dr. Snow at Swedish Medical Center First Hill, Sharing gained experience and teaching points during live surgery with SP robot without needing to travel thousands of miles
4 SP robotic cases; 3 partials, 1 RALP, and the day started with chapter review for residents, done by 6pm. Might think Amazing Friday but it’s routine for us. Welcome to come and see amazing teamwork in action
@HUMGUrology
@NJUrology
@HMHSchoolofMed
Proud of my partner
@CWCumarasamy
for starting to use SP
#Robotic
system. Today she’s performing her second SP RALP. She LOVES it and for her appears very natural transition from Xi system
September is
#prostate
cancer awareness month. Saw my third
#RALP
patient from Sept, 2003 in the office today. Wasn’t as slick back then but result was just as good as he is forever a happy fan. Thankful to have over 2200 RALP patients placing their trust in me.
For my residents..this is to show still can do laparoscopic cases and suturing, heminephrectomy done at BAUScon23 in Bangldesh among 5lap cases..like riding a bike once you learn it can’t forget..Its all about anatomy
@nathanch3ng
@brudnick1
@HUMCUrology
Performed 5
#SP
EP-RALP yesterday 630am-630pm. Amazing cooperation
@HUMC
between OR team, and anesthesiologist helps to make it possible using only single room. No cherry picking group 2-5. 2 patients went home same day. And certainly one incision looks better than 5. Pics w pp
End of year combo of vacation
#Maldives
and bit of work in
#Bangladesh
lecture at BSMMU to uro residents and also proud to received the Honorary Professorships at the highest academic med institute in BD for continuing humble effort to advance min inv surgery in BD since 2013
Honored to be part of the team that helped to perform the first SP
@IntuitiveSurg
case
#Kantonsspital
Luzern, Switzerland with Prof A. Mattei. EP RALP and RP pyeloplasty. He was impressed by regionalization ability of the SP. Glad to represent
@HUMCUrology
@AmerUrological
Congrats to my first exceptional robotic fellow
@brudnick1
and our graduating chief resident
@nathanch3ng
amazing guys and all beyond ready for the real world! And
@mdstifelman
amazing job last night hosting the event
@HUMCUrology
So nice to see our newly minted chief resident stepping up to SP robot..here
@DoctaSnips
getting into action with retroperitoneal UPJ repair using right variations of LAA incision in this case right Pfannenstiel.
Came to work this morning to do radical
#cystectomy
with intracorporeal diversion, one of the arm of
#Xi
robot not working. Proceeded with below setup, all went well.
@urorogerio
was strong assistant. Everyone was happy for not canceling most importantly the patient.
It was so nice for one of my post robotic
#cystectomy
patient stopping by to thank our entire GU and ostomy team
@HMHNewJersey
@mdstifelman
and sharing his experience with life changing surgery and helping others as well..
Having to convince
@AgostinoMattei
LuzernerKantonsspital to give up plus one in one out of four cases now at Karolinska Institute Stockholm
@oloakr
(Prof.Olof Akre)was able convince in 1 of 2 EP RALP to give up plus one..made my day..SP tour cont..Hamburg tomorrow
@HUMCUrology
Proud to be big part of nationally ranked urology program, only one in NJ
@HUMCUrology
providing great care with both Xi and Sp system and experienced with most SP cases in the world..taking minimal inv surgery to another level…”We're Ready”
@HMHNewJersey
@SummitHealthHQ
After a long hiatus due to
#corona
back again in Bangladesh for the live
#laparoscopic
workshop sponsored by BAUS. Great feeling to walk the junior attendings and residents through these cases. Best part is the local food in the OR between the cases.
@AUA
@Endo_Society
So nice to meet my friend from Saudi Arabia
@gbrobouro
during my trip..treated me with fabulous lunch and showed me around the number of educational projects he is involved with after completing his fellowship
@HenryFordHealth
@VattikutiUrol
and returning back to SA.
It’s nice to have a great relationship with your colleagues and team members… especially when they love you with their heart! Thank you!
@HUMCUrology
@HMHNewJersey
Excited to do my first case
@HMHNewJersey
HUMC..brand new state of art..all integrated OR. Amazing! Thanks to all the staff to get it going on time..lots of energy.
@HUMCUrology
Advantage of Summer, day is long, can do six
#robotic
cases and still have time to do gardening and this is the results. Very productive
#harvest
!
@daviesbj
the other productive urologist gardener.
Horrible non healing cutaneous fistula via symphysis pubis post salvage RT. Deep pelvic omental translocation to fill the radiated area after completing robotic cystectomy with intracorporeal diversion. Hope misery will end for this patient.
It always brings happiness and satisfaction when you see a twinkle in the eyes of residents when they are sitting in the robot for the first time, especially on the SP robot.
@LarryHouMD
,
@HUMCUrology
rocks!,
@NYSAUA
@AmerUrological
Proud to be with S. Korean colleagues at Samsung, Inha, St. Mary’s&Yeungnam univ..sharing experience gained after performing 700 SP robot cases. Highlighting air docking and the elimination of plus one and balloon dilator..streamline SP surgery to cut cost and increase efficiency
Getting ready for SP intuitive system proctoring tour in Central Europe. First, some spectacular view of Lucern, 🇨🇭. Tomorrow looking forward to their first SP case @ Kantonsspital Luzern, Switzerland with Prof A. Mattei.
Thanks to Bangladesh Urology Assoc.
@BAUScon23
allowing me to do 5 lap cases, partial, adrenal, 2 radicals, simple neph and 3 RIRS, pyeloplasty by
@DrVCMohan
, over 350 urologists benefitted from live work shop and was very engaged. Great team
#NIKDU
Happy to host second day with the teams from Karolinska University Sweden Dr. Kantonsspital, LuzernLucerne, Switzerland: Prof. Mattei
@HMHNewJersey
@HUMCUrology
to observe SP cases. 2RALPs, 1 LAA(SPAM) partial, 1 LAA nephrectomy. Will join them for their SP launch in 3 wks.
Privileged to have teams from Karolinska and Lucerne join
@HUMCUrology
@HMHNewJersey
to learn about SP. They both are launching their SP program next month. 2 retro partial and a ureterolithotomty for impacted 2 cm stone. Tomorrow….
@RoboticsUrology
Great to host
@BIDMChealth
leading robotic surgeons
@Peter
Chang and
@Andrew
Wagner shared ideas and expanded use of SP intuitive system, how we run duel room with SP and Xi and get through six cases in a single day
@HUMCUrology
Thank you to our own alumnus Dr. Ahmed
@RoboticsUrology
for an awesome talk on how robotic surgery is becoming even more minimally invasive! It is so great to see how even in robotics, you are pushing the envelope even further!
@HUMCUrology
#SinglePort
Did my first SP robotic perineal
#prostatectomy
went well. 61 yr old with h/o APR/chemo/RT for rectal ca. Really excited to be able to offer another option for select pt. Thanks
@drjkaouk
for inspiration.
@SocietySURS
European visitors from France and Germany (Mainz). Getting ready for SP in their institutions. Happy to host them. Monday 2 RALPs with
@mdstifelman
today with me 2 RALPs, 1 RPLND, 1 TransV RASP with diverticulectomy. Shared many tricks and tips. Excited to get going!
Single port robotic radical cystectomy with intracorporeal urinary diversion: a case series and review - Zhang - Translational Andrology and Urology. Truly revolutionary
@HackensackUMC
Completed my first skin to skin MP RALP. Thank you
@RoboticsUrology
for your patience and guidance. There is no better teacher for elite surgical technique in our field.
Another example: medial anterior large hilar mass can be approached without difficulty with SP robot via lower anterior SP access also known as SPAM, SARA
@jimhumd
@RoboDocX
Pleasure to welcome good friend Dr
@ElArabiUro
from
@LoyolaUrology
for SP surgeon observation, total of five cases.Also one of the 1st center
@HUMCUrology
to test out the
#intuitive
upgrade, CRC(custom remote center).It can help in preventing drifting by setting the pivot point
I want to thank all the front line people in the hospital across the country: cleaners, allied health, nurses, doctors and etc..I see them everyday coming to work putting themselves at risk without any hesitation.
#coronavirus
#Covid_19
@HackensackUMC
@holynamehealth
Got very excited to see that I am flying back home on the
#Boeing
#747
-400. Last time flew one was almost 15years ago. Rare jumbo bird “queen of the skies” miss them but glad to fly in one again before they are completely gone!
@BoeingAirplanes
2 of my pts 4 weeks post
#robotic
intracorp
#Cystectomy
with
#neobladder
had their catheter and stents removed today..they bonded along with their families. Feel very lucky to be in position to be able to bring
#happiness
and tranquility to our patients in most difficult time.
Rad cystectomy with intracorp div
@HackensackUMC
using SP. Pt w h/o prev large umb hern with mesh avoided the area. 12mm assist port used for bowel stapling at the end for stoma, stab incision for drain. OT similar to MP. pics with Pt’s consent. 0 narc.
@drjkaouk
@mdstifelman
It was honor to host today Dr. David Lee and his team from
@UCIrvineHealth
and share our experience with
#SP
robot
@HUMCUrology
. Shared three cases: EP-RALP, SPAM partial neph, transvesical simple prostatectomy. And exchanged ideas about same day discharge.
Got up this AM to go to OR to do unusual case (open) hearing very unusual sound upon stepping outside, looked up and this is what I saw,
#migratory
#birds
, here in Franklin lakes NJ. Open case went well first in 13months.
Dr. Micheal Schwartz of
@NorthwellHealth
made compelling argument to redefine Gleason 6 PCa
@NYSAUA
118th meeting…”it’s time to stop calling it a cancer and reduce stress on thousands of patients”
Over $4M raised past Saturday at Hackensack University Medical Center Gala. Hung out with friends, colleagues and J. Legend himself..great fun time for wonderful cause
@HackensackUMC
@HMHNewJersey
@mdstifelman
It was pleasure to host my junior resident
@PIlbeigi
who has become a successful robotic surgeon and
@saman_sh27
for SP observation. It was a good day 4 SP cases including rad cystectomy with intracorporeal diversion and lots of old memeory lane recounts with other ex resdents
Amazing exposure
@DavidJiangMD
. Here is more example of reduction pyeloplasty first pic right side exposure with crossing vessels, second left side, third LAA pic