Surgical Hot Topics

In this episode of the STS Thinking Thoracic podcast, host Dr. Jeff Yang is joined by thoracic surgeons Dr. Seth Krantz and Dr. Christopher Seder, along with Harvard medical student Alexandra Potter, to discuss three landmark studies using the STS General Thoracic Surgery Database that are reshaping how lymph node evaluation is performed in lung cancer surgery. The panel explores current guidelines, quality standards, and how more comprehensive nodal evaluation can improve staging accuracy while maintaining patient safety.

The discussion highlights national trends in surgical quality, the importance of surgeon-pathologist collaboration, and the future of personalized lymph node evaluation, including the potential role of emerging technologies such as radiomics, genomic markers, and AI.

Effective leadership requires the ability to bring together individuals with different backgrounds, experiences, and perspectives. In this blog post, Evan Alicuben, MD, of the University of Pittsburgh Medical Center, reflects on a recent STS Leadership Institute session on leading diverse teams and implicit bias, where case-based discussions with peers explored practical approaches to fostering inclusion and navigating challenging workplace situations. Dr. Alicuben writes, "Only by purposefully leading will we bring success to a diverse team."

Jonathan Villena-Vargas, MD, sits down with Erin Gillaspie, MD, to examine key findings from the American Society of Clinical Oncology (ASCO) Annual Meeting, including advances in targeted therapy, dual-pathway immunotherapy, artificial intelligence, and adaptive treatment strategies that are reshaping thoracic oncology.

In this special joint episode of the STS Thinking Thoracic podcast and the American Association for Bronchology and Interventional Pulmonology (AABIP), Dr. Erin Gillaspie is joined by interventional pulmonologist Dr. Sameer Avasarala, of University Hospitals, and head and neck surgeon Dr. Britney Scott, of the CHI Health Clinic, to discuss the multidisciplinary management of malignant airway obstruction. The conversation emphasizes multidisciplinary collaboration among specialists, noting that treatment decisions depend not only on anatomy but also on patient-specific factors such as frailty, pulmonary function, and overall cardiopulmonary status.

Using a top-to-bottom anatomic approach, the discussion explores management of tumors involving the upper trachea, mid-trachea, and carina, covering bronchoscopy, tumor debulking, stenting, tracheostomy, and surgical resection. They also discuss preoperative planning, postoperative airway care, and the value of multidisciplinary tumor boards and real-time collaboration.

In this episode, co-hosts Dr. Sara Pereira and Dr. Ian Bostock celebrate the 20th anniversary and impact of the STS Looking to the Future (LTTF) Scholarship Program by speaking with three rising stars pursuing careers in cardiothoracic surgery: Tyler Wilson, MD, a general surgery resident at the University of Chicago; Molly Shields, MD, a general surgery resident at Walter Reed National Military Medical Center; and Tyrone Hill, a medical student at Meharry Medical College.

Reflecting on their unique journeys into medicine, the LTTF scholars share how attending the STS Annual Meeting and participating in the scholarship program provided invaluable access to mentors, expanded their professional networks, and reinforced their confidence in pursuing a highly competitive specialty.

The guests share their perspectives on wellness, family planning, and maintaining outside interests like running, cooking, and camping. They emphasize that success in cardiothoracic surgery isn't a single path, but is built on resilience, community, and mentorship—illustrating how programs like Looking to the Future make the specialty more inclusive and supportive for aspiring surgeons.