High-quality care and sensitivity to our patients' needs are the hallmarks of surgical oncology care provided at Miami Valley Hospital (MVH).
Your surgical experience depends on the disease being treated and the type of procedure being performed. Surgical oncology concentrates on the surgical aspects of cancer including biopsy, staging and surgical resection of malignancies. In most cases the surgeon removes the tumor and some tissue surrounding it. Removing nearby tissue may help prevent the tumor from growing back.
MVH Surgical Oncology is proud to offer our patients expert care by experienced, certified surgeons using advanced, cutting-edge technology. Through the use of the da Vinci® Surgical System, our surgeons offer a minimally invasive option for complex surgical procedures.
Surgical oncology procedures performed at MVH include:
Other surgical oncology procedures:
- Melanoma and sarcoma surgery
- Oncoplastic breast surgery
- Open and laparoscopic liver resection
- Pancreatic resection
- Robotic colorectal surgery
- Sentinel lymph node biopsies
- Thoracic oncology
- Video-assisted thoracic surgery
- Wedge resection
Robotic Oncology Procedures at MVH
MVH surgical oncologists utilize the da Vinci® Surgical System which offers many benefits to patients and physicians that traditional surgery and regular laparoscopic surgery cannot.
Stomach Cancer Surgery
Surgery is the most common treatment for stomach cancer. The type of procedure required depends on the extent of the cancer.
Surgical oncologists at MVH perform total and subtotal gastrectomy for stomach cancer. Total gastrectomy is the complete removal of the stomach and the establishment of a Gastric Bypass esophagojejunostomy (a direct passage from the esophagus to the middle part of the small intestine, bypassing the stomach). This procedure is done to remove large tumors or malignant (cancerous) lesions that are localized in the upper third of the stomach.
The traditional open procedure is performed through a long midline incision in the abdomen. Research has demonstrated that completely minimally invasive (using small incisions) total and partial gastric resections for non-cancerous and cancerous tumors have good results and were proven to be safe procedures.
The main advantages of the minimally invasive approach are:
- Faster recovery
- Decreased blood loss
- Better immunological response
- Less postoperative pain
- A more rapid recovery
- Early return of bowel function and food intake
- Shorter hospital stay
Robotic gastrectomy enables your surgeon to maintain the oncological standard of the open surgical technique while offering the benefits of minimally invasive surgery.
Colorectal Cancer Surgery
Depending on the stage of the tumor, surgery is often the primary treatment of rectal cancer. The rectum sits in the pelvis behind the uterus (in women) and the prostate and the bladder (in men). In rectal cancer surgery, the entire rectum needs to be removed.
MVH surgical oncologists use a surgical technique called total mesorectal excision (TME). Due to limited space in the pelvis, it is extremely difficult to perform these procedures with standard laparoscopy. The da Vinci® Robotic System allows for a precise dissection around the rectum with the help of miniaturized wristed instruments that move like the human wrist.
The highly magnified, 3D vision helps surgeons preserve structures such as the pelvic nerves. Recent clinical studies show promising results in the use of robotic technology for rectal cancer surgery.
Lung Cancer Surgery
Surgery for lung cancer removes tissue that contains the tumor and lymph nodes.
To remove a small part of the lung, your surgeon may use a wedge resection or segmentectomy. During a lobectomy, or sleeve lobectomy, your surgeon removes a lobe of the lung. This is the most common surgery for lung cancer. If the entire lung is removed, the procedure is called a pneumonectomy.
A video-assisted thoracoscopic surgery (VATS) may be done before or instead of a thoracotomy. The procedure involves inserting a long, thin, videoscope with a camera attached. Small surgical instruments are inserted into your chest through cuts made in your ribs. The procedure can be done to confirm the diagnosis of cancer, biopsy lymph nodes, or perform a resection of a lobe.
Pancreatic Cancer Surgery
Surgery is critical in the management of pancreatic cancer, and great advances in the surgical management of pancreatic cancer have been made in the last few decades. Most recently, minimally invasive approaches have been applied to pancreas surgery, including the use of the da Vinci robot. These minimally invasive approaches allow for smaller incisions, a shorter hospital stay, and a quicker return to normal activities.
Robotic surgery has successfully addressed the limitation of traditional laparoscopic surgery. In contrast to the awkward positions that are required for laparoscopic surgery, your surgeon is seated in an ergonomic and comfortable position at the robotic console which reduces the surgeon’s physical burden.
Instead of a flat, 2-dimensional image obtained through the traditional laparoscopic camera, your surgeon receives a highly magnified, 3-dimensional view. This view enhances depth perception and increases surgical precision. Another advantage is that the surgeon has complete control of the camera.
Manipulation of robotic arm instruments improves range of motion (360 degrees) allowing your surgeon to perform more complex movements and access hard to reach areas.
Specifically robotic technology offers obvious advantages in pancreatic surgery by enabling more precise dissection and superior suturing along major vessels which allows for spleen-preservation when possible. This results in:
- Decreased blood loss
- Better lymph node dissection (pulling apart)
- Less conversion rate
- Less surgical trauma
Urologic Cancer Surgery
Robotic surgery was first used to remove prostate cancer and later adapted for kidney cancer and bladder cancer procedures.
Minimally invasive surgery allows surgeons to perform complex procedures through small incisions. The potential benefits of the da Vinci prostatectomy are:
- Effective cancer control - Studies have shown that experienced surgeons have achieved excellent results in removing prostate cancer without leaving cancer cells behind.
- Improved and early return of sexual function - Studies have shown that most patients have a rapid return of sexual function.
- Improved and early return of urinary continence - Studies have shown that most patients have a rapid return of urinary continence.
- Improved results over traditional treatments - Patients may benefit from surgical treatment of localized prostate cancer. Surgery has a higher and longer survival rate than radiation or other treatments. Surgery also has a lower risk of long-term complications than radiation treatments.
Learn more about the da Vinci® Surgical System at MVH.
Several types of cancer can develop in the kidneys. Renal cell carcinoma (RCC), the most common form, accounts for approximately 85% of all cases. Treatment for kidney cancer depends on the clinical stage of the tumor.
The da Vinci® Surgical System enables MVH surgical urologists to perform partial, simple, and radical robotic nephrectomy (kidney removal) procedures. Robotic neophrectomy surgery is minimally invasive and results in less blood loss and fewer complications for patients.
There are two main surgeries for bladder cancer. Transurethral resection (TUR) removes cancerous cells from the bladder. Cystectomy removes all or part of the bladder if cancer has spread into the bladder muscle.
The 3D magnification offered by the da Vinci® Surgical System gives MVH surgical urologists better precision during this procedure, sparing vital nerves and muscle tissue. Robotic surgery offers bladder cancer patients an effective procedure with smaller incisions, less blood loss, and less post-operative complications.
Learn more about the da Vinci® Surgical System at MVH.
Learn more about minimally invasive surgery at MVH.
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