A National Cancer Institute-designated Comprehensive Cancer Center

Make an appointment: 800-826-HOPE
Minimally Invasive and Robotic Surgery Bookmark and Share

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:
 
 
 
Department of Surgery
For new patients, please call 800-826-HOPE (4673) or 626-471-7100 to make an appointment.
 

Progress of Cancer Research
City of Hope Locations

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
  • For most prostate cancer patients, surgery or radiation therapy is the initial and primary treatment against the disease. But some patients can benefit from chemotherapy and hormone therapy too, especially if there are signs of a relapse or if the cancer has spread beyond the prostate gland. Here, Cy Stein, M.D...
  • Cancer research has yielded scientific breakthroughs that offer patients more options, more hope for survival and a higher quality of life than ever before. The 14.5 million cancer patients living in the United States are living proof that cancer research saves lives. Now, in addition to the clinic, hospital an...
  • Advances in cancer treatment, built on discoveries made in the laboratory then brought to the bedside, have phenomenally changed the reality of living with a cancer diagnosis. More than any other time in history, people diagnosed with cancer are more likely to survive and to enjoy a high quality of life. Howeve...
  • While health care reform has led to an increase in the number of people signing up for health insurance, many people remain uninsured or are not taking full advantage of the health benefits they now have. Still others are finding that, although their premiums are affordable, they aren’t able to see the do...
  • Kidney cancer rates and thyroid cancer rates in adults have continued to rise year after year. Now a new study has found that incidence rates for these cancers are also increasing in children — particularly in African-American children. The study, published online this month in Pediatrics, examined childhood ca...
  • Thyroid cancer has become one of the fastest-growing cancers in the United States for both men and women. The chance of being diagnosed with the cancer has nearly doubled since 1990. This year an estimated 63,000 people will be diagnosed with thyroid cancer in the United States and nearly 1,900 people will die ...
  • Older teenagers and young adults traditionally face worse outcomes than younger children when diagnosed with brain cancer and other central nervous system tumors. A first-of-its-kind study shows why. A team of researchers from the departments of Population Sciences and Pathology at City of Hope recently examine...
  • Cancer treatment can take a toll on the mouth, even if a patient’s cancer has nothing to do with the head or throat, leading to a dry mouth, or a very sore mouth, and making it difficult to swallow or eat. Here’s some advice from the National Cancer Institute (NCI)  on how to ease cancer-related dis...
  • Radiation oncology is one of the three main specialties involved in the successful treatment of cancer, along with surgical oncology and medical oncology. Experts in this field, known as radiation oncologists, advise patients as to whether radiation therapy will be useful for their cancer – and how it can best ...
  • There’s more to cancer care than simply helping patients survive. There’s more to cancer treatment than simple survival. Constant pain should not be part of conquering cancer,  insists Betty Ferrell, Ph.D., R.N., director of nursing research and education at City of Hope. She wants patients and caregivers...
  • Even its name is daunting. Systemic mastocytosis is a fatal disease of the blood with no known cure. But a new study suggests a bone marrow transplant may be the answer for some patients. While rare, systemic mastocytosis is resistant to treatment with drugs and, when aggressive, can be fatal within four years ...
  • Could what you eat affect the health of your chromosomes? The short answer is, “Yes.” Researchers led by Dustin Schones, Ph.D., assistant professor in the Department of Cancer Biology, and Rama Natarajan, Ph.D., director of the Division of Molecular Diabetes Research and the National Business Products Industry ...
  • September is Prostate Cancer Awareness Month. Here, Bertram Yuh, M.D., assistant clinical professor in the Division of Urology and Urologic Oncology at City of Hope, explains the importance of understanding the risk factors for the disease and ways to reduce those risks, as well as overall prostate health. “Wha...
  • ** Learn more about prostate health, plus prostate cancer research and treatment, at City of Hope. ** Learn more about getting a second opinion at City of Hope by visiting us online or by calling 800-826-HOPE (4673). City of Hope staff will explain what’s required for a consult at City of Hope and help yo...
  • Childhood cancer survival rates have increased dramatically over the past 40 years. More than 80 percent of children with cancer now survive five years or more, which is a tremendous feat. Despite the survival rate increase, cancer continues to be the No. 1 disease killer and second-leading cause of death in ch...