Gyn Oncology Surgery
Traditionally, hysterectomies for gynecologic cancers have been performed through open abdominal surgery, using a long vertical incision (from the pubic bone to just above the navel). Open abdominal hysterectomy can be painful for patients and involve heavy medications, risk of infection and significant blood loss during surgery. After surgery, a long recovery is necessary. For some patients, this may overlap with a secondary treatment – usually radiation or chemotherapy.
The da Vinci System is a robotic-assisted device that your surgeon is 100% in control of at all times.
The da Vinci System gives surgeons:
- A 3D HD view inside your body
- Wristed instruments that bend and rotate far greater than the human hand
- Enhanced vision, precision and control
da Vinci Hysterectomy offers the following potential benefits compared to traditional open surgery:
- 4-5 dime-sized incisions with minimal scaring
- Fewer complications
- Fewer blood transfusions
- Shorter length of stay
- Less estimated blood loss
- Cervical cancer:
- A Radical Hysterectomy is a special type of hysterectomy that is performed for women who have early stage cervical cancer. It is different from the more common type of hysterectomy (one that is performed for fibroids, for example), a simple hysterectomy, in that more tissue around the cervix needs to be removed. More dissection around the bladder, ureters (tubes that connect the kidney to the bladder), and rectum are required for a radical hysterectomy. Robotic surgery enables the surgeon to have better visualization and dissection over traditional laparoscopy when performing a radical hysterectomy.
- Most radical hysterectomies at Saint Thomas are performed robotically.
- Endometrial cancer:
- When a woman is diagnosed with endometrial cancer (cancer that starts in the lining of the uterus, or womb), a hysterectomy is usually recommended. Additionally, lymph nodes that surround blood vessels near the uterus are also removed so they can be tested to see if the cancer has metastasized, or spread.
- At Saint Thomas, most surgeries for endometrial cancer are performed robotically.
- Sentinel Lymph node identification:
- The first lymph node that drains from the organ where the cancer originates is known as the Sentinel Lymph node. When this lymph node is negative (no cancer), it is assumed that all the lymph nodes are negative.
- With use of the Firefly Technology, a Sentinel Lymph node can usually be identified when performing a hysterectomy for endometrial cancer.
- When a sentinel lymph node is identified, fewer lymph nodes need to be removed, which can lead to fewer complications and shorter operative time.
- The surgeons at Saint Thomas have years of experience performing sentinel lymph node identification for patients with endometrial cancer.