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MESOTHELIOMA SPECIALIST SPOTLIGHT: DR. RAPHAEL BUENO

Dr. Raphael Bueno MesotheliomaAccomplished surgeon Raphael Bueno, MD, a longtime fellow and professor of surgery at Harvard Medical School, currently serves as Chief of the Division of Thoracic Surgery at Brigham & Women’s Hospital in Boston. Following the lead of his predecessor, Dr. David Sugarbaker, Bueno is known as an innovator in his field and performed the first successful Image-guided Video-Assisted Thoracic Surgery (or “iVats”) on a patient suffering from lung cancer. He also is Co-Director of the Brigham and Women’s Lung Center, Program and Research Director of the International Mesothelioma Program Vice Chairman of Surgery for Cancer and Translational Research, and senior surgeon at the hospital.

Bueno has focused much of his career on devising new therapies for lung cancer and mesothelioma, specifically the development of tests for detecting cancer and determining the prognosis of malignant thoracic cancer patients after surgery. In addition to his hands-on work at the hospital, work as a professor, and various leadership roles, he also is the lead investigator of several clinical trials related to cancer. One of the clinical trials Bueno leads involves biomarker responses in the tumors of surgical patients suffering from malignant pleural mesothelioma, which affects the lungs.

Graduating from Harvard Medical School in 1985, Bueno completed his residency program at Brigham & Women’s Hospital and a thoracic surgery fellowship at Massachusetts General Hospital before returning to Harvard. He received his general surgery board certification in 1993 and taught at the Harvard Medical College. The latter part of his career was spent treating malignant mesothelioma and lung cancer patients in both early and late stages.

Bueno’s research focuses primarily on extensive studies of mesothelioma at the cellular level, with the ultimate goal of incorporating these results into aggressive new mesothelioma treatment processes. Quite a bit of his peer-reviewed research has been published in the Journal of Thoracic Cardiovascular Surgery and other well-regarded medical journals, much of it focused on molecular-level therapies, chemotherapy drug resistance, and gene expression in lung tumors (and mesothelioma specifically). He also specializes in airway surgery and esophageal surgery.

One of Bueno’s greatest achievements – his development of iVats in 2013 – allows surgeons to remove lung tumors using minimally invasive techniques. While the typical method for locating lung tumors is imprecise and often results in more tissue being removed than necessary, while iVats uses real-time imaging and on-tissue markings to allow for more accurate and less-invasive surgeries. Use of this technique has led to more successful outcomes and longer life expectancies for patients.

Through Bueno’s leadership and guidance, he and other members of the International Mesothelioma Program took their expertise to Israel, where their thoracic surgery team taught Israeli surgeons how to perform minimally invasive esophagectomies. They also performed the first such procedure in Israel’s history.

Like his predecessor at Brigham & Women’s Hospital, Bueno is a highly respected expert in mesothelioma and regarded as one of the world’s experts in the field. He is listed in Castle Connolly’s list of Top Doctors and was named by Boston Magazine as a top thoracic surgeon.
 

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Did You Know?

  • Mesothelioma Facts
    Mesothelioma Facts
    The highest award of compensatory damages ever upheld on appeal in a mesothelioma case is $30.3 million.
  • Mesothelioma Facts
    Mesothelioma Facts
    The largest punitive damages verdict ever upheld on appeal in a mesothelioma case is $18 million.
  • Mesothelioma Facts
    Mesothelioma Facts
    There are over $30 billion in asbestos trust funds to compensate victims of mesothelioma and other asbestos-related diseases.
  • Mesothelioma Facts
    Mesothelioma Facts
    There are more than 50 bankruptcy trusts accepting claims to compensate victims of mesothelioma and other asbestos-related diseases.
  • Mesothelioma Facts
    Mesothelioma Facts
    There are many “asbestos dockets” that permit living mesothelioma patients to obtain a jury verdict in less than 1 year.
  • Mesothelioma Facts
    Mesothelioma Facts
    In 2015, more than 2000 mesothelioma cases were filed in the United States.
  • Mesothelioma Facts
    Mesothelioma Facts
    In some mesothelioma cases, settlements can be obtained in less than 1 year.
  • Mesothelioma Facts
    Mesothelioma Facts
    Thousands of different companies have been defendants in mesothelioma cases over the past 40 years.
  • Mesothelioma Facts
    Mesothelioma Facts
    According to a 2015 study of 77 peritoneal mesothelioma cases, the average life expectancy (median survival period) was 75.7 months, or over 6 years.
  • Mesothelioma Facts
    Mesothelioma Facts
    According to a 2015 study of 77 peritoneal mesothelioma patients, 73.8% were living after 3 years, and 65.3% were living after 5 years.
  • Mesothelioma Facts
    Mesothelioma Facts
    According to a 2015 study of 77 peritoneal mesothelioma patients, 64% were treated with HIPEC and cytoreductive surgery.
  • Mesothelioma Facts
    Mesothelioma Facts
    According to a 2015 study of 303 pleural mesothelioma patients, the average life expectancy (median survival period) was 18.4 months.
  • Mesothelioma Facts
    Mesothelioma Facts
    According to a 2015 study of pleural mesothelioma patients, 73.1% were still living after 1 year, and 22.9% were still living after 3 years.
  • Mesothelioma Facts
    Mesothelioma Facts
    In 2015, the largest number of mesothelioma cases were filed in the following 10 courts: (1) Madison County, IL; (2) Cook County, IL; (3) St. Louis, MO; (4) Los Angeles, CA; (5) New York, NY; (6) Philadelphia, PA; (7) New Castle County, DE; (8) Middlesex County, MA; (9)Middlesex County, NJ; (10) Kanawha County, WV.
  • Mesothelioma Facts
    Mesothelioma Facts
    The states with the largest number of diagnosed mesothelioma cases are: New York, New Jersey, California, Washington, Pennsylvania, Massachusetts, Virginia, Florida, Texas, Illinois, Wisconsin, Michigan and Ohio.
  • Mesothelioma Facts
    Mesothelioma Facts
    There are about 3000 mesothelioma cases diagnosed in the United States each year.
  • Mesothelioma Facts
    Mesothelioma Facts
    About 1 in 100,000 people in the United States will be diagnosed with mesothelioma each year in the United States.
  • Mesothelioma Facts
    Mesothelioma Facts
    More than 80% of all mesothelioma cases occur in the pleura (pleural mesothelioma).
  • Mesothelioma Facts
    Mesothelioma Facts
    Less than 20% of all mesothelioma cases occur in the peritoneum (peritoneal mesothelioma).
  • Mesothelioma Facts
    Mesothelioma Facts
    About 22% of all mesothelioma cases occur in women.
  • Mesothelioma Facts
    Mesothelioma Facts
    A history of asbestos exposure can be found in more than 80% of mesothelioma cases.
  • Mesothelioma Facts
    Mesothelioma Facts
    More than 30% of all mesothelioma patients in the United States were exposed to asbestos in the military.
  • Mesothelioma Facts
    Mesothelioma Facts
    Mesothelioma can be caused by laundering, or other household contact with, work clothing contaminated with asbestos.
  • Mesothelioma Facts
    Mesothelioma Facts
    Mesothelioma can be caused by work with (direct exposure) or around (bystander exposure) asbestos-containing products.
  • Mesothelioma Facts
    Mesothelioma Facts
    The average time between a person’s first exposure to asbestos and the development of mesothelioma (latency period) is more than 40 years.
 

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