In today’s presentation of the Clark Memorial Paper for General Thoracic Surgery, Lobectomy versus Sublobar Resection Among Lung Cancer Patients Understudied in Recent Clinical Trials, Gavitt Woodard, MD, a thoracic surgeon at Yale Medicine, will discuss the findings of a comprehensive evaluation of lung cancer surgery outcomes.
This study examined survival outcomes across groups to determine whether the trial’s results are widely applicable to a broader population, including older patients, those with reduced pulmonary function, and non-smokers.
Researchers analyzed data from the Society of Thoracic Surgeons General Thoracic Surgery Database, linking it with Medicare survival data to evaluate patient outcomes. The study included a diverse group of patients who underwent different surgical resections, including lobectomy, segmentectomy, and wedge resection.
“The study found that sublobar resection and lobectomy offer similar survival outcomes for many patients, including those over 75, with poor lung function, or who are lifelong nonsmokers,” said Dr. Woodard. "Inadequate lymph node evaluation during sublobar resection was associated with worse survival. These findings highlight the need for better nodal assessment, particularly for patients with compromised lungs or minimal lymph node spread."
On Thursday, Jan. 23, the Society of Thoracic Surgeons (STS) kicked off its pre-conference for STS 2025. The program featured three concurrent half-day symposia designed to enhance attendees' educational experience at this year's Annual Meeting.
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The symposium, Lung Cancer: Clinical Trials Meet Clinical Practice, explored the rapidly evolving landscape of early-stage and locally advanced non-small cell lung cancer. Through interactive formats, participants examined recent diagnostic breakthroughs and key clinical trials, gaining practical strategies to integrate this knowledge into their daily practice.
The STS APP Conference: Redesigning the Future Together marked the inaugural program dedicated to advanced practice providers (APPs) in cardiothoracic surgery. This event focused on innovative ways to enhance the role of APPs, strengthen clinical management, and present strategies for professional success and leadership. Expert-led sessions and collaborative discussions provided attendees with valuable insights into improving patient care, driving clinical excellence, and fostering career development.
The Aortic Universe: From Birth to Adulthood symposium provided a comprehensive overview of aortic disease across all age groups. Participants learned about diagnosing, treating, and managing the full spectrum of congenital and acquired aortic conditions. "Through videos, detailed case-based presentations, and surgical techniques, these courses helped strengthen our ability to provide the highest level of care to those affected by aortic disease," said course co-director Ibrahim Sultan, MD, a cardiothoracic surgeon at the University of Pittsburgh Medical Center.
The Society of Thoracic Surgeons is thrilled to reassemble for its 61st Annual Meeting Jan. 24-26 in Los Angeles, which brings together cardiothoracic surgeons from around the globe and features late-breaking scientific research, cutting-edge technologies, innovative cardiothoracic surgery products, dynamic and interactive training, and impactful networking and mentorship opportunities.
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STS 2025 will take place in Los Angeles.
Held at the Los Angeles Convention Center, the meeting offers attendees — more than 2,000 professionals at all career stages— a seamless experience with plenary sessions, breakout sessions, and the exhibit hall all conveniently located. That makes it easy for attendees to navigate and connect with colleagues and industry leaders.
On Thursday, Jan. 23, three concurrent half-day pre-conference symposia will enhance the educational experience. These sessions will cover advancements in lung cancer, the diagnosis and treatment of aortic disease for patients of all ages, and more.
The first day of the Annual Meeting will kick off with the Nina Starr Braunwald Extraordinary Women in Cardiothoracic Surgery Awards breakfast. The event, co-hosted by STS and Women in Thoracic Surgery, will celebrate women cardiothoracic surgeons who have excelled in clinical practice, made significant contributions to the field, and demonstrated leadership, mentorship, integrity, creativity, and expertise.
The inaugural Nina Starr Braunwald Lecture will be presented by Jennifer Doudna, PhD, a Nobel Prize-winning biochemist renowned for her pioneering work in gene editing. She will explore how scientific innovation is shaping the future of medicine. The Vivien T. Thomas Lecture will feature award-winning photojournalist and filmmaker Ami Vitale. A passionate advocate for social responsibility, she will demonstrate how authentic storytelling can drive meaningful, positive change.
The Society will honor President Jennifer Romano, MD, MS, for her invaluable contributions to the organization as the first female president to hold the office. A special reception will be held at the Natural History Museum of Los Angeles County, amidst a majestic backdrop of North American wildlife dioramas that adorn the hall. Space is limited for this event, so attendees are encouraged to add the reception to their cart during registration.
STS 2025 will offer practical courses on various surgical procedures, delivering an engaging and immersive learning experience for residents, early career surgeons, and all surgeons seeking to enhance their skills. The topics include aortic annular enlargement, TEVAR techniques for aneurysms and dissections, mitral valve repair, complex central airway reconstruction, and the Ross procedure.
For the second consecutive year, The Hub will serve as the focal point for cardiothoracic surgery trainees. The Hub’s lounge area will offer a variety of engaging sessions, including mock oral Interviews, job interview preparation, early career surgeon roundtable discussions, a trainee symposium with a luncheon, and more.
Attendees can also enjoy creative activities in The Hub, such as the collaborative mural project “Splashes of Hope,” where participants can contribute their creativity to artwork that will be donated to a local children's hospital. For those eager to capture memorable moments, the selfie station will offer a fun and interactive backdrop perfect for sharing on social media.
Additionally, a scavenger hunt will inspire attendees to engage in challenges via the Annual Meeting app, with opportunities to win prizes.
There’s still time to register, add ticketed events, and start planning your Los Angeles experience at sts.org/annualmeeting.
On day three of the STS 2025 Annual Meeting, Dr. Jeremiah Hayanga, professor of thoracic surgery, Department of Cardiovascular and Thoracic Surgery, West Virginia University, will present a session titled, Endobronchial Valve Therapy (EVT) versus Lung Volume Reduction Survey (LVRS) in the US. In this presentation, Dr. Hayanga and his research team will share new, risk-adjusted study results that provide fresh insights into treatments for severe emphysema.
Recent findings suggest that as surgical practices evolve, LVRS may offer better long-term results for patients with advanced emphysema compared to EBV therapy. Although EBV patients had shorter hospital stays, lower charges, and fewer pre-existing conditions, the study revealed they experienced more complications and a higher risk of death over time than those who underwent LVRS.
To be held Sunday, Jan. 25, at 8 a.m. during the larger “Modernized Solutions for Lung Failure, From Bench to Bedside” session, Dr. Hayanga will also discuss the limitations of lung transplantation as a solution for severe emphysema due to the shortage of donor organs.
“Surgical lung volume reduction, explored in the late 1990s, did not gain widespread acceptance due to its associated risks and the small pool of patients who were thought to benefit,” says Dr. Hayanga. “However, with advancements in surgical techniques and risk management, LVRS has seen improved outcomes, offering hope for patients who are not candidates for lung transplants.”
During the Saturday, Jan. 25 presentation of the James S. Tweddell Memorial Paper for Congenital Heart Surgery, Reilly Hobbs, MD, from the University of Utah Medical Center will explore the relationship between the volume of Norwood procedures performed at a center and patient outcomes based on findings from the National Pediatric Cardiology – Quality Improvement Collaborative Database study.
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Dr. Reilly Hobbs presented the Tweddell Memorial Paper on day two of STS 2025.
The Norwood procedure, a critical surgery for infants with single ventricle defects, has been extensively studied, but findings on how case volume affects outcomes have been inconsistent. This study examines data that clarifies the relationship between center case volume and survival and morbidity in patients undergoing this complex surgery.
In presenting the findings of the study, Congenital Heart Surgery, Volume-Outcome Relationship of Norwood Procedures: Insights from the National Pediatric Cardiology – Quality Improvement Collaborative Database, Dr. Hobbs will explain how centers were grouped based on their annual case volume—low, medium, and high—and how preoperative risk factors, complications, and survival outcomes were compared. He will also highlight how patients at high-volume centers had better outcomes than those at low-volume centers, including higher survival rates and lower mortality, particularly among patients with additional high-risk features.
“The findings indicate that the number of Norwood procedures performed at a center significantly impacts patient outcomes with high-volume centers consistently achieving better results than low-volume centers,” says Dr. Hobbs. “It’s essential to emphasize the role of case volume in complex congenital heart surgeries and explore the potential benefits of directing high-risk patients to more experienced centers. Further research is needed to identify the key factors that contribute to improved outcomes at high-volume centers, ultimately enhancing care for single ventricle patients.”
In a landmark achievement for healthcare in Southeast Asia, St. Luke's Medical Center has launched the region's first robotic cardiac surgery program. This historic initiative was made possible through a collaborative effort between St. Luke's multidisciplinary team, led by Drs. Marvin Martinez and Ramiro Pablo, and the expert team from West Virginia University's (WVU) Heart and Vascular Institute, including Dr. Vinay Badhwar, Dr. Lawrence Wei, and physician assistant Herald Fe.
The program debuted with a series of innovative robotic-assisted cardiac procedures, showcasing the transformative potential of this advanced technology. Among the groundbreaking surgeries performed were:
Robotic MIDCAB (Minimally Invasive Direct Coronary Artery Bypass)
Robotic bileaflet mitral valve repair for severe mitral regurgitation (MR) due to bileaflet myxomatous disease
Robotic mitral valve repair for endocarditis, including anterior mitral leaflet perforation
Robotic adult congenital atrial septal reconstruction using a bovine patch for a patient with a common atrium
Robotic aortic valve replacement (AVR) for a patient from Papua New Guinea
The first robotic valve surgery—a repair of a severely regurgitant mitral valve in a 40-year-old patient—marked a defining moment in the program's success. With guidance from WVU's Heart and Vascular Institute, the procedure was completed with precision and excellence, underscoring the collaboration's impact.
Dr. Pablo expressed his excitement, saying, "This is a monumental step forward for cardiac care in Southeast Asia. Our partnership with the WVU team has empowered us to provide patients with less invasive, highly precise procedures and faster recoveries."
Dr. Martinez added, "Establishing this robotic cardiac surgery program has been a dream realized through our team's dedication and the invaluable expertise of our WVU partners. This is just the beginning of a new era in cardiac care."
Reflecting on the collaboration, Dr. Badhwar remarked, "Teamwork truly makes the dream work. The exceptional multidisciplinary team at St. Luke's has shown that vision, determination, and collaboration can achieve extraordinary outcomes."
St. Luke's Robotic Cardiac Surgery Program is set to advance care across the region, offering minimally invasive options that reduce pain, recovery time, and the risk of complications.
CHICAGO, IL – December 10, 2024 – Annals of Thoracic Surgery Short Reports (Annals Short Reports), The Society of Thoracic Surgeons’ peer-reviewed, open-access journal, has been accepted for indexing in PubMed Central,1 expanding its reach and impact within the global medical community. Beginning in early 2025, all articles that have been published in Annals Short Reports will be indexed and viewable and included in general search results on PubMed/MEDLINE.
A groundbreaking surgical achievement has been made by the team at West Virginia University (WVU) Heart and Vascular Institute, led by Dr. Vinay Badhwar, the executive chair of the WVU Heart and Vascular Institute and the second vice president of the Society of Thoracic Surgeons. On October 31, 2024, the team performed the world’s first combined robotic aortic valve replacement (AVR) and coronary artery bypass grafting (CABG) through a single small incision.
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Dr. Vinay Badhwar
The pioneering procedure was performed on 73-year-old Poppy McGee, a patient with a complex medical history, including a stroke, brain surgery, and significant weight loss. Referred to Dr. Badhwar for treatment of both aortic valve disease and coronary artery disease, McGee initially faced the prospect of traditional open-heart surgery. However, when she and her family learned of its risks—over a 10% chance of mortality and nearly 50% likelihood of complications—they inquired about alternative options.
Dr. Badhwar explained his team had developed a novel robotic approach that had yet to be tested on a patient. After a thorough discussion of the risks and benefits, McGee and her family agreed to proceed with the innovative robotic surgery.
The procedure involved both AVR and CABG, performed entirely robotically through a single incision on the far right of McGee’s chest. The success of the surgery has sparked optimism about the potential for broader adoption of robotic heart surgery for patients with complex conditions.
“While we are still in the early days of this latest innovation, the ability to perform valve surgery and coronary artery bypass surgery fully robotically through a single incision has the potential to open up a new era of robotic heart surgery,” Dr. Badhwar noted in a prepared statement. “We must always keep quality outcomes at the forefront of all innovation. However, if surgeons adopt and gain experience with techniques such as this one, they will tackle this last frontier that previously limited a robotic approach. One day in the near future, this may serve as a platform to perform nearly all types of heart surgery.”
This revolutionary procedure potentially paves the way for less invasive operations. Dr. Lawrence Wei, a professor at the WVU Department of Cardiovascular and Thoracic Surgery, remarked on the impact of this advancement: "Patients who have both valve disease and coronary artery disease have traditionally been treated by open-heart surgery performed through the breastbone. This new robotic technique could redefine how we approach these cases."
Dr. Goya Raikar, an assistant professor at WVU and a member of Badhwar’s robotics team, also underscored the procedure's significance: "Until now, the main exclusion for us to perform a robotic approach has been the coexistence of valve and coronary artery disease. Building on our experience with robotic aortic valve surgery, this new approach may help us extend robotic surgery options to many more patients."
The patient’s daughter, Mollie Wilcosky, expressed gratitude for the groundbreaking care provided by the WVU team. “We are so thankful for Dr. Badhwar and the team at the WVU Heart and Vascular Institute for developing this robotic procedure to help my mother recover so well,” Wilcosky said. “She is getting stronger every day.”
The full details of the procedure will be in The Annals of Thoracic Surgery, highlighting how innovative approaches like this continue to redefine the future of cardiothoracic surgery.
References:
• Cardiovascular Business article on the WVU Heart and Vascular Institute's groundbreaking surgery.
• WV News article detailing the multidisciplinary team and procedural innovations at WVU Medicine’s WVU Heart and Vascular Institute.
It is time to reconsider the management of Aortic valve Disease (AVD) across the world. In South Asian and Sub-Saharan African nations, in low-income countries, AVD is treated with surgical aortic valve replacement (SAVR). Patients receive mechanical valves. The population is younger than in high-income countries and the disease is different, mostly of rheumatic origin.
CHICAGO, IL – October 17, 2024 – The Society of Thoracic Surgeons (STS) announces the release of two new risk calculators to inform physician-patient decision-making in thoracic surgery. Engineered using contemporary data from the STS General Thoracic Surgery Database, these interactive tools provide surgeons with accurate, preoperative risk estimations for outcomes of esophagectomy for cancer and pulmonary resection for lung cancer.
