会议上，来自New York University Langone Health Center的Prof. Robert Cerfolio就“MITS for Mediastinal Conditons”带来了精彩的演讲，此外，在“机器人与胸腔镜之争”的辩论环节中，Prof. Cerfolio更是有趣地阐述了他支持机器人手术的观点，赢得台下一片好彩。此次，AME出版社有幸邀请到Prof. Cerfolio进行简短采访，与我们分享他对机器人手术的情有独钟。
As director of Perlmutter Cancer Center’s Lung Cancer Center and chief of clinical thoracic surgery, Prof. Robert Cerfolio treats patients who have lung cancer and esophageal cancer and provides surgical treatment to manage abnormalities of the chest outside the heart.
Inspired to pursue medicine by his father, a urologist, Prof. Cerfolio has now performed more than 17,000 thoracic surgeries. His robotic surgical techniques, which have improved survival rates and reduced complications, have been adopted by experts across the country and around the world.
Prof. Cerfolio’s practice centers around the patient experience, innovating ways to care for people and improve treatment outcomes and recovery times. Working with a wide array of experts, including nutritionists, chemotherapy specialists, radiation oncologists, surgical oncologists, and psychosocial and spiritual care teams, Prof. Cerfolio strives to treat each patient as a whole person, rather than a part or a condition.
In addition to patient care, Prof. Cerfolio performs research to improve clinical outcomes and patient experience at hospitals. He has published more than 150 original peer-reviewed articles and 40 book chapters and previously served as the president of the Southern Thoracic Surgical Association. His first book, Super Performing at Work and at Home: The Athleticism of Surgery and Life, was published in 2014.
图1. Prof. Cerfolio与AME编辑的合照
对于机器人与胸腔镜之间的选择，虽Prof. Cerfolio钟爱机器人，但他认为这其中的选择取决于对病人的价值，而价值的得以实现又是取决于病人本身、外科医生以及手术的安全性。如今，机器人所带来的价值逐渐地让如今越来越多人学习并使用了机器人，也让更多的医生和病人选择了它。对此，Prof. Cerfolio认为未来五年机器人的应用会呈近四倍增长。随着竞争与标准化的出现，机器人手术的成本也会相对降低，机器人在手术中的优势与价值也会越来越明显。
除了成本，Prof. Cerfolio认为培训是另一个影响机器人手术发展的因素，因此，他也花了很多时间在机器人手术的培训与教育项目上。完善模拟手术，让学生点对点地回顾反省每个步骤，是Prof. Cerfolio日常培训的重点。此外，Prof. Cerfolio也与我们分享了他作为美国胸心外科协会（AATS）机器人项目主任所开展的一些教育项目。
虽已然是机器人手术大师，但Prof. Cerfolio并不相信所谓大师之说，他认为当一个人相信自己是大师级别时，他其实已经限制了自己前进的步伐，而当一个人认为自己无法做得更好时，其实已经有其他人做到了更好的结果。因此，Prof. Cerfolio总在不断地完善自我，其中分享到的一个方法便是定期回顾手术视频，分析不足，而后不断地提高技术。
Between Robotic Surgery and VATS, which is your preference?
In which condition will you choose the VATS?
What’s in Robotic Surgery that fascinates you so much to keep moving forward all the time?
Compared to the last few years, what do you think about the current application status of Robotic Surgery?
Do you think cost is the only factor that hinders its development?
Speaking of training, what would be your focus when train the young surgeons?
What are the common mistakes you think young surgeons will make?
Would you share with us some education programs that you’re doing?
As you’re already a master now, do you still expect to do any breakthrough in this field?
Today Dr. Jones is going to share a topic about “Will there be a role for thoracic surgeon in ten years”. Here would you share your idea about this topic?
What would you do if you were not a surgeon?
With the tight schedule in the work, what would you do to update yourself?
采写编辑：高凤平，AME Publishing Company
视频编辑：麦雪芳，AME Publishing Company