1. Thoracic Surgery at UPMC Hamot Manisha Shende, MD, FACS Chief, Thoracic Surgery

2. Thoracic Surgery at Hamot, historically, has been “traditional” access surgery with large incisions. Patients in this area would often travel long distances to access “Minimally Invasive”, advanced Thoracic Oncologic Surgery as well as specialized thoracic surgery. This is difficult for patients and their families and caregivers, both logistically and financially.

3. UPMC Hamot made a commitment to bring advanced Thoracic Surgical care to the city of Erie. We are now developing a Lung and Esophageal Surgery program at Hamot which will offer the latest techniques and innovative modalities to patients in Erie.

4. Scope of the practice at Hamot Surgery for Lung cancer Surgery for Esophageal cancer Palliative options for lung or esophageal cancer Pleural effusions Surgery for Gastroesophageal Reflux disease Surgery for Hyperhidrosis (excessive sweating) Surgery for Pectus Excavatum (sunken chest) With the support of UPMC, we now have access to innovative research and Clinical trials.

5. Minimally Invasive Surgery Traditional chest surgeryMIS chest surgery

6. Pectus surgery TraditionalMIS

7. Minimally Invasive surgery has other advantages beyond small incisions Less pain Shorter recovery Faster return to work Patients that need chemotherapy can start treatment sooner as no need to wait for large incisions to heal, giving an Oncologic advantage as well.

9. Thank you. Manisha Shende, MD, FACS Chief, Thoracic Surgery UPMC Hamot T: 814 877 5600 F: 814 877 5601 shendem@upmc.edu