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Minimally Invasive and Robotic Surgery

City of Hope not only has the most sophisticated surgical robots and other equipment for performing minimally-invasive and robotic-assisted cancer surgeries; we also have the most experienced surgeons, who have performed more of these types of procedures than many other hospitals in the nation. This leadership reinforces our commitment to pioneering new, more effective cancer treatments. These minimally-invasive surgeries offer benefits to patients and doctors – such as smaller incisions, less blood loss and pain, and shorter hospital stays – that traditional surgery and regular laparoscopic surgery cannot.

Currently, City of Hope provides a number of robotic and minimally invasive surgical techniques, including:
 
  • Laparoscopic prostatectomy
  • Laparoscopic esophagectomy
  • Laparoscopic radical cystectomy(bladder)
  • Lung biopsy and lung resection
  • Laparoscopic colon surgery
  • Laparoscopic liver resection
  • Laparoscopic rectal surgery
  • Laparoscopic stomach surgery

The da Vinci Surgical Robot
City of Hope’s surgical teams utilize four da Vinci Surgical Systems – the only commercially available, Food and Drug Administration-approved technology that can provide the surgeon with the precision, dexterity and control of traditional open surgery, while only requiring 1-2 cm incisions.

City of Hope surgeons, already renowned internationally for their broad experience and expertise in oncologic surgery, now have a powerful advantage in performing their work. These state-of-the-art systems provide a three-dimensional computer visualization system to manipulate four robotic arms. One of the arms holds a pencil-sized video camera inserted through a tiny incision to provide magnified, three-dimensional images of the surgical site.

The surgeon uses hand controls to guide the other robotic arms, which hold laparoscopic surgical instruments. This technology converts the surgeon’s large hand movements into precise, small movements, resulting in greater dexterity. The robotic arms can even rotate a full 360 degrees, allowing the surgeon to move surgical instruments with greater accuracy, flexibility, and range of motion.
 
Extending the Surgeon’s Skills – and Benefiting the Patient

While laparoscopic techniques have become standard for many surgeries, the surgical robot extends even the most skilled surgeon’s capabilities by allowing for better visualization and greater surgical accuracy. “This robotic system allows doctors to see inside the body in three dimensions, and operate using tiny precision instruments that we can maneuver by using our hands in a more natural way than in a standard manual laparoscopy,” according to Timothy Wilson, M.D., Pauline and Martin Collins Family Chair in Urology and chief of the Division of Urology and Urologic Oncology at City of Hope.
 
The benefits to the patient often include:
 
  • Less post-operative pain
  • Less blood loss
  • Minimal involvement of delicate surrounding tissues and nerves
  • Fewer side effects
  • Shorter hospitalization time
  • Speedier recovery
 
Programs performing robotic & minimumally invasive surgery:
 
 
 

Minimally Invasive and Robotic Surgery

Minimally Invasive and Robotic Surgery

City of Hope not only has the most sophisticated surgical robots and other equipment for performing minimally-invasive and robotic-assisted cancer surgeries; we also have the most experienced surgeons, who have performed more of these types of procedures than many other hospitals in the nation. This leadership reinforces our commitment to pioneering new, more effective cancer treatments. These minimally-invasive surgeries offer benefits to patients and doctors – such as smaller incisions, less blood loss and pain, and shorter hospital stays – that traditional surgery and regular laparoscopic surgery cannot.

Currently, City of Hope provides a number of robotic and minimally invasive surgical techniques, including:
 
  • Laparoscopic prostatectomy
  • Laparoscopic esophagectomy
  • Laparoscopic radical cystectomy(bladder)
  • Lung biopsy and lung resection
  • Laparoscopic colon surgery
  • Laparoscopic liver resection
  • Laparoscopic rectal surgery
  • Laparoscopic stomach surgery

The da Vinci Surgical Robot
City of Hope’s surgical teams utilize four da Vinci Surgical Systems – the only commercially available, Food and Drug Administration-approved technology that can provide the surgeon with the precision, dexterity and control of traditional open surgery, while only requiring 1-2 cm incisions.

City of Hope surgeons, already renowned internationally for their broad experience and expertise in oncologic surgery, now have a powerful advantage in performing their work. These state-of-the-art systems provide a three-dimensional computer visualization system to manipulate four robotic arms. One of the arms holds a pencil-sized video camera inserted through a tiny incision to provide magnified, three-dimensional images of the surgical site.

The surgeon uses hand controls to guide the other robotic arms, which hold laparoscopic surgical instruments. This technology converts the surgeon’s large hand movements into precise, small movements, resulting in greater dexterity. The robotic arms can even rotate a full 360 degrees, allowing the surgeon to move surgical instruments with greater accuracy, flexibility, and range of motion.
 
Extending the Surgeon’s Skills – and Benefiting the Patient

While laparoscopic techniques have become standard for many surgeries, the surgical robot extends even the most skilled surgeon’s capabilities by allowing for better visualization and greater surgical accuracy. “This robotic system allows doctors to see inside the body in three dimensions, and operate using tiny precision instruments that we can maneuver by using our hands in a more natural way than in a standard manual laparoscopy,” according to Timothy Wilson, M.D., Pauline and Martin Collins Family Chair in Urology and chief of the Division of Urology and Urologic Oncology at City of Hope.
 
The benefits to the patient often include:
 
  • Less post-operative pain
  • Less blood loss
  • Minimal involvement of delicate surrounding tissues and nerves
  • Fewer side effects
  • Shorter hospitalization time
  • Speedier recovery
 
Programs performing robotic & minimumally invasive surgery:
 
 
 
Quick Links
Department of Surgery
For new patients, please call 800-826-HOPE (4673) or 626-471-7100 to make an appointment.
 

Progress of Cancer Research
Clinical Trials
Our aggressive pursuit to discover better ways to help patients now – not years from now – places us among the leaders worldwide in the administration of clinical trials.
 


NEWS & UPDATES
  • On Jan. 1, 2015, six City of Hope patients who have journeyed through cancer will welcome the new year with their loved ones atop City of Hope’s Tournament of Roses Parade float. The theme of the float is “Made Possible by HOPE.” The theme of the parade is “Inspiring Stories.” Repr...
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  • Even as the overall rate of oral cancers in the United States steadily declines, the rate of tongue cancer is increasing — especially among white females ages 18 to 44. An oral cancer diagnosis, although rare, is serious. Only half of the people diagnosed with oral cancer are still alive after five years, accor...
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  • When it comes to research into the treatment of hematologic cancers, City of Hope scientists stand out. One study that  they presented this week at the annual meeting of the American Society of Hematology suggests a new standard of care for HIV-associated lymphoma, another offers promise for the treatment of re...
  • Patients with HIV-associated lymphoma may soon have increased access to the current standard of care for some non-HIV infected patients – autologous stem cell transplants. Impressive new data, presented Monday at the annual meeting of the American Society of Hematology (ASH) in San Francisco, indicate that HIV-...
  • On Jan. 1, 2015, six City of Hope patients who have journeyed through cancer will welcome the new year with their loved ones atop City of Hope’s Tournament of Roses Parade float. The theme of the float is “Made Possible by HOPE.” The theme of the Rose Parade is “Inspiring Stories.”...
  • The holidays can create an overwhelming urge to give to people in need — especially to sick children and families spending the holidays in a hospital room. That’s a good thing. Holiday donations of toys and gifts can bolster the spirits, and improve the lives, of people affected by illness, and hospitals ...
  • On Jan. 1, 2015, six City of Hope patients who have journeyed through cancer will welcome the new year with their loved ones atop City of Hope’s Tournament of Roses Parade float. The theme of the float is “Made Possible by HOPE.” The theme of the parade is “Inspiring Stories.” Here...
  • Cancer has a way of “talking” to the immune system and corrupting it to work on its own behalf instead of defending the body. Blocking this communication would allow the immune system to see cancer cells for what they are – something to be fought off – and stop them from growing. A breakthrough Scientists [R...
  • On Jan. 1, 2015, six City of Hope patients who have journeyed through cancer will welcome the new year with their loved ones atop City of Hope’s Tournament of Roses Parade float. The theme of the float is “Made Possible by HOPE.” The theme of the parade is “Inspiring Stories.” By V...
  • On Jan. 1, 2015, six City of Hope patients who have journeyed through cancer will welcome the new year with their loved ones atop City of Hope’s Tournament of Roses Parade float. The theme of the float is “Made Possible by HOPE.” The theme of the parade is “Inspiring Stories.” The ...
  • On Jan. 1, 2015, six City of Hope patients who have journeyed through cancer will welcome the new year with their loved ones atop City of Hope’s Tournament of Roses Parade float. The theme of the float is “Made Possible by HOPE.” The theme of the parade is “Inspiring Stories.” In 2...
  • You’ve done the easy stuff – braved the toy store and the Black Friday frenzy, stayed up all night trolling deals online, picked up gift cards for your colleagues at work. There’s just one gift left, the one you’ve been putting off and the one that means so much. What do you give your friend who […]