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DiVinci Surgery- partial

Posts: 6
Joined: Jan 2010

I had a right partial kidney removal using the DiVinci robotic equipment on Jan 20th. It reduced recovery time. My question is-

The margins did not come out clear. The doctor said that he nicked the top of the tumor and then "back out the blade". He said that this caused the path report to come back margins unclear. It sounds to me that he dragged cancer cells back into the kidney.

I'm getting a second opinion from on Oncologist. But has anyone heard of this?

Posts: 67
Joined: Sep 2010

No to your comment. I am awaiting this surgey about 2 weeks. Did you ask him if this is usual> Seeing someone else would be a good idea. I was under the impression that this surgery was fairly precise

Posts: 12
Joined: Sep 2010

If the margins aren't clear, I don't think all of the cancer cells were removed. There has to be a clear margin. I definitely would get a second opinion.

Posts: 6
Joined: May 2008

I had da Vinci partial nephrectomy in June 2008 and think it sounds like your surgeon may not have had enough experience to do the operation. But unclear margins means that not enough of the kidney was removed around the tumor to get a margin of kidney tissue with no cancer cells. I would pursue a new surgeon and get a new opinion on how to deal with this setback!

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