Laparoscopic vs abdominal

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I will be meeting with my gyn onc surgeon on the 19th.  I’ve been reading on pros and cons of surgical techniques.  Some say that the laporosc approach can spread cancer cells.  Anyone with further information?

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  • Kitmcd
    Kitmcd Member Posts: 2
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    Kitmcd, the surgery - that is

    Kitmcd, the surgery - that is NOT performed anymore because of the issue that it spread cancer - is morcellation.  

    Laparoscopic and/or DaVinci surgery is considered safe.  The benefit of these minimal invasive surgeries means it has a quicker recovery - a huge difference.  I was scheduled for the DaVinci and my gynecologic oncologist told me that if he got in there and saw something worse he would proceed with regular, abdominal surgery.  

    If the doc wants to do a laparoscopic or DaVinci then just ask to verify that it is not morcellation.  

    Thank you.  I will write

    Thank you.  I will write these questions down to ask.  

  • saltycandy13
    saltycandy13 Member Posts: 167 Member
    edited January 2018 #3
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    Morecellation

    But has the FDA banned morecellation?  I am upset because the doctor I just saw did not mention if he uses that or not.  I am trying to find out tomorrow.

    The other doctor I saw said she could "slide" the uterus down the vagina because it's small.  Does the size matter?

    Also I read that precancerous cells can stick someplace else because of the morecellation and then cancer starts all over again someplace else.  So what's the sense of this?

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,386 Member
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    Morecellation

    But has the FDA banned morecellation?  I am upset because the doctor I just saw did not mention if he uses that or not.  I am trying to find out tomorrow.

    The other doctor I saw said she could "slide" the uterus down the vagina because it's small.  Does the size matter?

    Also I read that precancerous cells can stick someplace else because of the morecellation and then cancer starts all over again someplace else.  So what's the sense of this?

    saltycandy, I went back and

    saltycandy, I went back and edited my post to make the NOT - bold.  

    Where I work we have a saying, "Trust But Verify".  I knew they weren't going to use morecellation but I still asked to verify.  

    As for 'sliding' the uterus - remember babies go out that orafice so it is pretty forgiving.  A normal uterus is about the size of a pear.  There are some women who have fibroids that make it larger, my friend had it bad, and she still had the DaVinci surgery where they take it out the uterus.  

    As for cancer cells 'sticking'.  I guess anything is possible but you want to get the diseased organ out and there are no sure fire ways.  

    I know this is scary and overwhelming.  Try to take a breath.  You are doing ok darling.

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,386 Member
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    Kitmcd, the surgery - that is

    Kitmcd, the surgery - that is NOT performed anymore because of the issue that it spread cancer - is morcellation.  

    Laparoscopic and/or DaVinci surgery is considered safe.  The benefit of these minimal invasive surgeries means it has a quicker recovery - a huge difference.  I was scheduled for the DaVinci and my gynecologic oncologist told me that if he got in there and saw something worse he would proceed with regular, abdominal surgery.  

    If the doc wants to do a laparoscopic or DaVinci then just ask to verify that it is not morcellation.  

  • MrsBerry
    MrsBerry Member Posts: 102 Member
    edited January 2018 #6
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    My laparoscopic robot

    My laparoscopic robot-assisted hysterectomy is tomorrow. I also asked for verification that he would not be using morcellation, just for peace of mind. Good luck with your appointment Kitmcd. Write down all your questions and take notes, I was so glad to have written answers because I was too anxious to really absorb all he told me. 

  • ConnieSW
    ConnieSW Member Posts: 1,681 Member
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    Good luck tomorrow, Mrs Berry

    I'll be sending good thoughts your way. Here's to everything going well, good news and a speedy recovery. 

  • JinVa
    JinVa Member Posts: 29
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    MrsBerry said:

    My laparoscopic robot

    My laparoscopic robot-assisted hysterectomy is tomorrow. I also asked for verification that he would not be using morcellation, just for peace of mind. Good luck with your appointment Kitmcd. Write down all your questions and take notes, I was so glad to have written answers because I was too anxious to really absorb all he told me. 

    Mrs Berry

    Just wanted you to know that you continue to be in my thoughts. Good luck tomorrow; hoping for the best outcomes!

  • MrsBerry
    MrsBerry Member Posts: 102 Member
    edited January 2018 #9
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    JinVa said:

    Mrs Berry

    Just wanted you to know that you continue to be in my thoughts. Good luck tomorrow; hoping for the best outcomes!

    Thank you! This is where it

    Thank you! This is where it feels “real.”

  • MrsBerry
    MrsBerry Member Posts: 102 Member
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    ConnieSW said:

    Good luck tomorrow, Mrs Berry

    I'll be sending good thoughts your way. Here's to everything going well, good news and a speedy recovery. 

    Thank you, Connie!

    Thank you, Connie!

  • saltycandy13
    saltycandy13 Member Posts: 167 Member
    edited January 2018 #11
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    thank you

    Thank you NotimeforCancer.  I called the office today and the nurse said my surgeon is against morcellation.  They have seen patients whom has already had hysterectomy and found cancer AGAIN in other "parts" because of it.

  • saltycandy13
    saltycandy13 Member Posts: 167 Member
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    good luck

    Mrs. Berry!Cool

  • Cass83
    Cass83 Member Posts: 151 Member
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    my surgeon said

    I had a complete hysterectomy Dec. 2016 and my surgeon did it the old fashioned (my wording) abdominal cut. She said with my tumor if you try to piece it out it is more likely to make the cancer spread. She does the Da Vinci but not in cases like mine. I would prefer to make sure they got it all the first time. :) Prayers for you!