The first month as an ESDE Fellow with Professor Peter Grimminger at the University Medical Center Mainz has passed, offering a moment for reflection and preliminary conclusions.
After advancing my training in visceral surgery and beginning specialized training in esophageal surgery under the guidance of Prof. Schneider, embarking on a fellowship at this stage in my career was a significant decision.
However, following my initial internship with Prof. Grimminger —made possible by the manufacturer post-training and after my first robot-assisted procedures with the Xi system—any reservations quickly dissipated. Being part of such an innovative team presents a unique opportunity for efficient personal and professional growth.
In Mainz, five to seven complex upper gastrointestinal procedures are conducted weekly, predominantly with robotic assistance. I have been particularly impressed by the diversity of these procedures, ranging from double-tract reconstructions using the Da Vinci Xi system to transcervical, robot-assisted esophagectomies with the single-port system (Da Vinci SP). Notably, some cases involve dual-team approaches, enabling simultaneous transcervical and transabdominal preparation.
Equally compelling are the numerous technical refinements Prof. Grimminger and his team employ, which contribute to making these challenging procedures both safer and more efficient.
In these initial four weeks in Mainz, I have already gained substantial experience and insight. One of the most valuable takeaways has been identifying specific technical skills I wish to prioritize and incorporate into my practice in Zurich as soon as possible.
Beyond surgical involvement, I am actively participating in several research projects, which is helping me pursue and further my scientific objectives.
This fellowship year holds the promise of being exceptionally stimulating, and I am genuinely looking forward to the journey ahead!