732-818-3811
Tracheobronchoplasty
Lung Cancer Surgery, Esophageal Surgery
Advanced Minimally Invasive Thoracic Surgery
Tracheobronchomalacia
I specialize in minimally invasive and robotic thoracic surgery with a particular focus on complex airway disorders, including tracheobronchomalacia and excessive central airway collapse. My mission is simple: provide accurate diagnosis, individualized treatment, and compassionate, evidence-based care through a multidisciplinary approach designed around each patient.
Program Highlights​
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First in the world to develop and refine robotic tracheobronchoplasty techniques
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Nationally recognized center for TBM diagnosis and treatment
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Comprehensive multidisciplinary team: thoracic surgery, interventional pulmonology, anesthesia, pulmonary medicine, respiratory therapy, nursing, and perioperative care
TRACHEOBRONCHOMALACIA (TBM)
What Is TBM?
Tracheobronchomalacia is a condition where the airway walls become weak and collapse during breathing, leading to airflow obstruction and debilitating symptoms.
Common Symptoms
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Shortness of breath
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Barking cough
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Recurrent bronchitis or pneumonia
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Wheezing misdiagnosed as asthma or COPD
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Difficulty clearing secretions
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Fatigue and exercise intolerance
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Why TBM Is Often Missed
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TBM mimics asthma and COPD, and many patients spend years without a correct diagnosis. Specialized dynamic imaging and expert evaluation are essential.
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How We Diagnose TBM
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Dynamic CT scan
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Dynamic bronchoscopy
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Pulmonary function testing
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Multidisciplinary review
Treatment Options
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Medical optimization
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Airway clearance strategies
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Stent trial (when appropriate)
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Robotic tracheobronchoplasty — the definitive surgical repair
Our Approach
We provide a comprehensive, patient‑centered evaluation that identifies the true cause of symptoms and builds a personalized treatment plan.
ROBOTIC TRACHEOBRONCHOPLASTY
What Is Robotic Tracheobronchoplasty?
A minimally invasive surgical procedure that reinforces the weakened airway using a posterior mesh splint, restoring normal airway structure and function.
Why Robotic?
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Smaller incisions
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Less pain
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Faster recovery
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Enhanced precision
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Superior visualization of the airway
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History of Robotic Tracheobronchoplasty
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Robotic tracheobronchoplasty represents one of the most significant advancements in airway surgery in decades.
Key Milestones
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Early open tracheobronchoplasty established the foundation for airway stabilization
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Robotic platforms introduced enhanced dexterity and visualization
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Dr. Richard Lazzaro and colleagues pioneered the robotic approach, refining techniques that improved safety, precision, and outcomes
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Today, robotic tracheobronchoplasty is considered the gold standard for definitive TBM repair in experienced centers
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Who Is a Candidate?
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Severe symptomatic TBM
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Confirmed airway collapse on dynamic imaging
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Patients who benefit from a stent trial
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Individuals whose quality of life is significantly impaired
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Expected Outcomes
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Improved breathing
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Reduced cough
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Fewer infections
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Increased exercise tolerance
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Enhanced quality of life
