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behavioral scientists from the Melanoma Moon Shot, MD Anderson Governmental Relations and the cancer prevention and control platform were instrumental in that accomplishment. They joined advocacy organizations from across the state to educate legislators about the dangers of tanning beds. They’re also partnering with the American Cancer Society Cancer Action Network, a nonprofit advocacy affiliate of the American Cancer Society which promotes evidence-based policies at all levels of government to improve access to care and quality of life for cancer patients, additional cancer prevention and early detection programs, and increased tobacco regulation. Volumes Colorectal 18.36% Endocrine 8.88% Gastric/Hipec 12.22% General 6.89% Liver 8.39% 3.16% 18.36% 8.88% 12.22% 8.39% 6.89% 18.92% 3.05% 3.73% 16.42% Melanoma 18.92% Pancreas 3.05% Pedi 3.73% Port 16.42% Sarcoma 3.16% Surgical Oncology cases by section FY18 Hepatectomies 529 FY18 Colectomies 585 FY18 42 MD Anderson Cancer Center THORACIC AND CARDIOVASCULAR SURGERY Ara Vaporciyan, M.D. Department chair Adolfo Chavez Division of Surgery | Surgical Outcomes FY18 43 Cancers in the lung and esophagus account for more deaths than the next three most common cancers (breast, prostate and colon) combined. Surgery often provides the greatest opportunity for cure. Providing curative opportunities to a wider range of patients and delivering them with fewer side effects is the focus of Thoracic and Cardiovascular Surgery at MD Anderson. The department treats all cancers within the chest. These include: • Lung cancer • Esophageal cancer • Mesothelioma • Mediastinal tumors • Cancers of the chest wall • Cancers of major blood vessels • Cancers that originate in or invade the heart • Cancers that spread to the lungs The department treats these cancers using novel surgical techniques to ensure the best results for patients. These include: • Minimally invasive surgery (thoracoscopic and robotic surgery) • Organ-sparing resections (lung segmental and sleeve operations; esophageal endoscopic mucosal resection) • Endobronchial and esophageal ultrasound for cancer staging • Pancoast tumor resection with or without vertebrectomy • Complex chest wall resection and reconstruction • Jejunal and colonic interposition for esophageal reconstruction • Heated intraoperative chemoperfusion for pleural cancers In addition, the team performs conventional open procedures, including: • Wedge resection • Lobectomy • Pneumonectomy • Esophagectomy Surgery is often combined with chemotherapy, radiation therapy, immunotherapy or targeted therapies to further improve outcomes. Thoracic and Cardiovascular Surgery includes a team of 10 surgeons and four researchers. They provide complete care to patients in the Thoracic Center at MD Anderson and at MD Anderson in West Houston, Sugar Land and The Woodlands. The team saw 948 new patients and consults, and performed 1,790 operations in Fiscal Year 2015. “We offer unique diagnostics, treatments and survivorship programs so patients can come to our center for every aspect of their cancer care,” says Ara Vaporciyan, M.D., chair of Thoracic and Cardiovascular Surgery. “Plus, we work across disciplines to ensure our patients receive the best care.” The department hosts an active lung cancer screening program for current and former smokers to help detect lung cancer at its earliest stage, when treatment is most effective. Thoracic and Cardiovascular Surgery includes a Vascular Surgery Program. It provides diagnostic evaluation, medical, endovascular and operative care to cancer Finding less evasive surgical options By Kellie Bramlet Blackburn Never-smoker Lauren Rodriguez was shocked when she was diagnosed with lung cancer at age 18. She saw a surgeon near her hometown in Dallas who outlined a complicated surgery requiring multiple incisions and chest tubes to help her breathe after surgery. It made her nervous. Spotting her daughter’s anxiety, Lauren’s mom suggested they seek a second opinion at MD Anderson. On July 26, 2017, Lauren and her mom drove nearly four hours to see Mara Antonoff, M.D., associate professor of Thoracic and Cardiovascular Surgery, at MD Anderson in Sugar Land. “From the moment I met her, I knew this was the surgeon I needed,” Lauren says. Antonoff outlined the surgery she planned to perform. She would use a surgical technique that only required one incision and one chest tube, which would be removed before Lauren left the hospital. “I was so relieved,” Lauren says. On Aug. 25, 2017, Lauren underwent lung cancer surgery at MD Anderson’s Texas Medical Center Campus. The surgery went smoothly, and Lauren was declared cancer-free. That same day, Hurricane Harvey made landfall. Lauren and her mom looked out the hospital window onto Houston’s flooded streets. “Outside of the hospital, it looked like chaos, but inside, everything ran smoothly,” Lauren says. “The staff was constantly checking to make sure we were comfortable.” Seven days later, Lauren and her family returned home, happy to leave both lung cancer and Hurricane Harvey behind them. Today, Lauren is taking classes at Tarrant County College and making plans to transfer to a larger school next year. She returns to MD Anderson every six months for follow-up
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