Da Vinci Surgery
Hi ladies,
I have a friend, who has been diagnosed with uterine or endometrial cancer, not sure which. The doctors say she is stage I because the tumor is contained within the uterus and the muscles of the uterus. She is sceduled to have robotic surgery for a hysterectomy in a couple of weeks. My question is, since the incisions are small, can they remove her uterus without cutting it up? Is this method of hysterectomy common in cases where uterine or endometrial cancer is present? Thanks. I appreciate your input.
Comments
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I am sure someone else can
I am sure someone else can give you more info. I was scheduled for Da Vinci but because of a bladder sling, they did the old fashioned, cut you from above naval to pubic hair. The beauty of Da Vinci is not having the trauma of "opening you up". They go through the vagina and do a hysterectomy, don't think they target the tumor but since the tumor or cancer is within the uterus, by removing the uterus they have hopefully removed the cancer. In my surgery they had someone doing lab work in the surgery room and could look for cancer as he took out organs. With that reading he was able to clear up all cancer (or what was findable at the time) Healing time is greatly increased with Da Vinci and less infection (which I got and was a pain) had to have a wound vac for a couple of monthsl My ocologist prefers these surgeries and I know many women who have had extremely positive results with the procedure.
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I had davinci
and my cancer spread to my lung when it had less than 5% chance of spreading....I am really thinking it was having it done that way and cutting it up cause it to spread. Mind you I have no proof it is just the way I feel. If I could do it over I would have done it more traditionally and taken out in one piece. Also it spread quickly I has a very large tumor in my lung in less than 2 years after surgery.
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That stinks, Cindy. Just
That stinks, Cindy. Just stinks... My mom had lung cancer in 1985. They did a needle biopsy and drug that needle back through her body. I asked at the time why take the biopsy with a needle when you are going to take the lobe, one way or another? Don't think they answered. They had a successful surgery and cancer all gone for about 8 months. Don't know but pray you keep strong.
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Thanks
I had the needle biopsy also...was not fun. They took out the lobe and so far so good as far as it coming back....but my onco is not being encouraging about it not coming back, he says more of a chance it will than it wont i think he gave about 70/30 odds. Just hope I sat in that 30%
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You will be in the 30%...
You will be in the 30%... There are so many ways to treat that evil doer now. And you know doctors. Husband calls them crepe paper hanger (rather than crepe hangers) they always give us the very "worst" case scenario. So, take his dower warning and realize that the docs are right about equally to being wrong. My husband got a 25% chance to live through non hodgkins lymphoma... in 1996... well that was 30 years ago and he is still going and a real pain in the keester; but love him anyway.
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Original Question
I don't think the surgeon can really tell how extensive the cancer is until he/she goes in. I was scheduled for DaVinci but once the surgeon got in, my cancer was so extensive she had to do a traditional cut (like a c-section). The plan was to take the uterus out the vagina but it didn't work that way for me. Hopefully it will work that way for your friend because easier recovery time.
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Thank you
for the encouraging words Brissance....you made my day hearing about your hubby. Sending you love hugs and prayers, Cindy
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The simple answer is YES. I
The simple answer is YES. I had the da Vinci for a complete hysterectomy and when I asked was told they take it out through the vagina. My surgeon said if there is cancer they would never chop it up like they do in morcellation. She can call and ask and if they can't answer that will tell her everything she wants to know. Morcellation has probably caused more cancer and no doubt the lawsuits are making people rethink it all.
As already said, my plan was the da Vinci and I was told if it looked worse he would have preformed a traditional open surgery. I consider myself very fortunate.
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Thanks
Thank you ladies. Yes, that was my biggest concern, that if they chopped up the uterus, it could cause the cancer to spread. I did not realize that they remove the uterus through the vagina. I had only heard that was possible in patients who had previously given birth. Do you know whether this is true? My friend has never had any children. I wish she was more proactive with her doctor, but she asks very few questions.
Thanks.
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She should ask HOW it will be removed
I had DaVinci and my uterus, cervix, fallopian tubes, ovaries and lymph nodes were all removed vaginally. I asked and was told any time they suspect or know you have cancer, it is removed vaginally and intact. No chopping up. I'm not sure about the never having had children thing, I had heard that, too, but I had had children. I was evaluated to see if I was a good candidate for DaVinci -it wasn't automatic. I think they need to be sure they can access and remove organs vaginally which depends on size of uterus and opening of pelvic bones. I passed. I hope your friend asks some serious questions as not everyone is a candidate for robotic surgery and if cancer is present, I don't think it should be chopped up! I was also told that the physician would look around the area and it was possible (I assume if he identified any other suspicious areas) he may have to revert to open surgery, but that happened seldom. I recovered so quickly from the surgery and had to be reminded to take it easy as "it is still major surgery via small incisions".
Suzanne
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I have never had childrenEditgrl said:I had not had children
and my uterus was removed through the vagina, so yes, it can be done. As Double Whammy said, it was removed intact as they knew there was cancer there.
Like Editgrl, I have never had children either.
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No kids for me either. My
No kids for me either. My surgeon said as long as it would fit through the "door" he would do the DaVinci surgery. And, it did fit. I'm surprised that they can stage her cancer prior to surgery. Until they take samples of lots of areas they won't know if cells have spread.
I hope your friend has a successful surgery and recovers quickly!
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Hmmm, now you have me over
Hmmm, now you have me over-thinking, again. I need to change my board name to "Over-thinker". Lol!
It sounds like they still morcellate, in order to get it out. When I inquired about how they bagged it, the oncologist said they slice each section (ie, lymph nodes, left ovaries, right ovaries, etc.) and drop it down through the vaginal cuff into the "Pre-marked" bags.
And, because of me undergoing this particular procedure, I needed "Preventative" radiation. They think the knife, which previously cut out the tumor, smeared another section. The pathology report came back inconclusive as to whether the cancer had spread to that area or the knife smeared some of the cells to the other section. The doctor feels confident it was a smear, but couldn't say for sure. I guess time will tell, if it caused it to spread outside the area.
And possibly, because this is always a risk with DaVinci, this is the reason they have everyone do chemotherapy, regardless - which I didn't do. Hmmm? And, maybe this too is the reason they always want to brachytherapy this area, because the cancer was dropped down through the canal, which also would contribute to that area being the next place it would most likely spread/travel to. Now, this is all starting to make sense.
Oh well, I need not over-think this. What is done is done! I need to remain hopeful and with a positive outlook. And, as we all have learned, we are to live day-to-day, as none of us are guaranteed tomorrow. Let us always remember how fragile this life truly is, not taking anything for granted, but rather seeking out all the blessings before us in each new day.
Love, hugs, encouragement, and healing to all.
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I had Da Vinci as well....
I had the procedure done and everything was removed vaginally except my uterus (but was supposed to be removed in tact so as to keep the cells within the uterus. I couldn't have my uterus removed vaginally because it was "HUGE" (my Dr words...lol) so an extra little incision was made and it was taken out whole.
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