FDA: Robotic surgery "unapproved" for cancer

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Tamlen
Tamlen Member Posts: 343 Member
edited February 2019 in Uterine/Endometrial Cancer #1

I'd posted a link to some research published last fall that cast doubt on the wisdom of robotic hysterectomy from a cancer spread / survival length point of view. I think that link got lost in the hacking/crashi this site had a few weeks back.

But apparently the FDA had similar concerns about that research:

"Patients and providers considering robotic surgery for cancer-related procedures such as mastectomy should be aware that currently available devices are not necessarily as safe or effective as conventional surgery...One particular publication got the agency's attention: a "limited report that compared long term survival after radical hysterectomy for cervical cancer either by open abdominal surgery or by minimally invasive surgery (which included laparoscopic surgery or robotically-assisted surgery)." (The agency didn't specify the publication; a PubMed search for "long term survival cervical hysterectomy robotically assisted" yielded only a single hit, from 2010.)

"In this report minimally invasive surgery appeared to be associated with a lower rate of long term survival compared with open abdominal surgery; however other researchers have reported no statistically significant difference in long term survival when these types of surgical procedures are compared," citing a November 2018 New England Journal of Medicine report. (Preliminary results were presented earlier last year at a meeting.)"

"...In essence, the agency advised patients and providers that using robotic assistance devices for oncologic purposes is poorly charted territory. Surgeons in particular should make sure patients understand that, and should discuss alternative treatments so patients can make informed decisions, the FDA urged."

I had robotic DaVinci and loved the short recovery time. I'm not loving it so much now, thinking about the role it could have played and may still play in the spread of my cancer.

Read more here: FDA: Robotic Surgery Unapproved for Cancer

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  • SF73
    SF73 Member Posts: 317 Member
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    Ouch! Both my surgeries were

    Ouch! Both my surgeries were laparoscopic. Within three months of the original hysterectomy I had a recurrence on my ovary. Even though I gave permission for the doctor to perform an open surgery he did the minimal invasive again. Hope we didn’t take an unnecessary risk.

  • zsazsa1
    zsazsa1 Member Posts: 565 Member
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    I have worried about this,

    I have worried about this, too.  The recovery from laparascopic was quick and easy.  But I was worried that the surgeon couldn't actually palpate the nodes, as they might have at an open surgery, and that all I had taken were 2 sentinel nodes, one of which had isolated tumor cells (UPSC/clear cell).  I remember having seen that study after the surgery, but if was only for cervical cancer.  I know my surgeon was doing the best she could, to weight the risk of the misery of lymphedema after the surgery if she took all the nodes, vs the known improved survival with surgical debulking taking all the nodes.  Our records are all going to be part of a retrospective analysis, I'm sure, down the road, to see if open vs lap hysterectomy and staging in uterine cancer shows the same results as with cervical cancer.

  • paris11
    paris11 Member Posts: 159
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    I had robotic surgery in 2007.

    Six months later the cancer had metastasized thru out my body.  I was given less than a year to live.

  • MoeKay
    MoeKay Member Posts: 479 Member
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    Discussion on this Issue in The Cancer Letter

    You may find this article on the subject interesting:  https://cancerletter.com/articles/20181102_1/

    With respect to endometrial cancer it states:  "We’ve all been so focused on decreasing the morbidity from surgery and improving patients’ quality of life, and we’ve had studies in other cancers including endometrial cancer that showed no impact on outcome in doing minimally invasive surgery.”  (emphasis added). 

     MoeKay

  • Forherself
    Forherself Member Posts: 975 Member
    edited March 2019 #6
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    MoeKay said:

    Discussion on this Issue in The Cancer Letter

    You may find this article on the subject interesting:  https://cancerletter.com/articles/20181102_1/

    With respect to endometrial cancer it states:  "We’ve all been so focused on decreasing the morbidity from surgery and improving patients’ quality of life, and we’ve had studies in other cancers including endometrial cancer that showed no impact on outcome in doing minimally invasive surgery.”  (emphasis added). 

     MoeKay

    What a good source

    Of Information.  Thanks for sharing this.   I have only read studies that showed minimally invasive procedures compared to open surgery for endometrial cancer showed no difference in survival.   Our cancer is so rare it is hard to get evidence either way.  I think that it would be nice for the CDC to address this issue for endometrail cancer patients.   it will be very interesting to follow this.   As said before, we are all members of the retrospective cancer study group.  They will follow us all and learn.

  • BluebirdOne
    BluebirdOne Member Posts: 656 Member
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    MD Anderson agrees.

    https://www.mdanderson.org/newsroom/minimally-invasive-surgery-associated-with-worse-survival-for-women-with-cervical-cancer-compared-to-open-hysterectomy.h00-159228090.html

    I read this a few months after I had my robotic surgery and was immediately depressed.  They stopped performing them. 

    I can't believe that the robotic surgery for hysterectomy produces a different outcome. Most of the women here I believe have had the robotic surgery.  

     

  • Forherself
    Forherself Member Posts: 975 Member
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    MD Anderson agrees.

    https://www.mdanderson.org/newsroom/minimally-invasive-surgery-associated-with-worse-survival-for-women-with-cervical-cancer-compared-to-open-hysterectomy.h00-159228090.html

    I read this a few months after I had my robotic surgery and was immediately depressed.  They stopped performing them. 

    I can't believe that the robotic surgery for hysterectomy produces a different outcome. Most of the women here I believe have had the robotic surgery.  

     

    I had both

    My surgeon asked me to sign a consent for both procedures pre op.  She decided my uterus was too big to remove per vagina (on the operating table) as I had never had children.   I was never able to become pregnant.  So I had both robotic puncture wounds, and a suprapubic incision.   I did not have any problems with recovery.   This was before October when this article came out.

  • BluebirdOne
    BluebirdOne Member Posts: 656 Member
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    I had both

    My surgeon asked me to sign a consent for both procedures pre op.  She decided my uterus was too big to remove per vagina (on the operating table) as I had never had children.   I was never able to become pregnant.  So I had both robotic puncture wounds, and a suprapubic incision.   I did not have any problems with recovery.   This was before October when this article came out.

    yes, I did as well.

    I had two previous C-sections and they did not know what they would find like adhesions etc. I would  only learn post op. 

  • EZLiving66
    EZLiving66 Member Posts: 1,483 Member
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    I had robotic surgery and,

    I had robotic surgery and, knock on wood, have had no recurrence. My recovery time after surgery was, I swear, a few hours. I literally dance out of the hospital the next morning and could have gone back to work if I would have had to.

    Love,

    Eldri

  • Soup52
    Soup52 Member Posts: 908 Member
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    After having two C sections I

    After having two C sections I found robotic hysterectomy much easier. I had also had a kidney removed 10 + years ago with minimally invasive surgery. So many have robotic now and I had mine October 2015 and I’m still kicking with no reoccurance.