Finding out you have cancer may be one of the hardest things you’ve faced. That’s why it’s important to learn the facts about your condition, treatment options and surgery choices before selecting the best path forward.
Know Your Options
If your doctor suggests a hysterectomy for cancer, there may be two options: open surgery through a large open incision and minimally invasive surgery through a few small incisions (using traditional laparoscopy or da Vinci Surgery).
Why da Vinci Surgery?
The da Vinci System enables your surgeon to operate through a few small incisions (cuts), like traditional laparoscopy, instead of a large open incision.
The da Vinci System is a robotic-assisted device that your surgeon is 100% in control of at all times. The da Vinci System gives surgeons:
- A 3D HD view inside your body
- Wristed instruments that bend and rotate far greater than the human hand
- Enhanced vision, precision and control
As a result of its technology, da Vinci Hysterectomy offers the following potential benefits compared to open surgery:
- Lower rate of complications1,2,3,4
- Less need for narcotic pain medicine after surgery3,4
- Shorter hospital stay1,2,3,4,5
- Less blood loss and less chance for a transfusion1,2,3,4,5
As a result of its technology, da Vinci Hysterectomy offers the following potential benefits compared to traditional laparoscopy:
- Shorter hospital stay6,7,8
- Less blood loss6,7,8,10,11
- Less chance of surgeon switching to open surgery 7,9,11
The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world.
da Vinci Hysterectomy is the #1 minimally invasive hysterectomy performed in the U.S.12
Risks & Considerations Related to Hysterectomy, Cancer (removal of the uterus and possibly nearby organs): injury to the ureters (the ureters drain urine from the kidney into the bladder), vaginal cuff problem: (scar tissue in vaginal incision, infection, bacterial skin infection, pooling/clotting of blood, incision opens or separates), injury to bladder (organ that holds urine), bowel injury, vaginal shortening, problems urinating (cannot empty bladder, urgent or frequent need to urinate, leaking urine, slow or weak stream), abnormal hole from the vagina into the urinary tract or rectum, vaginal tear or deep cut.
- Elsahwi, Karim S., Charlene Hooper, Maria C. De Leon, Taryn N. Gallo, Elena Ratner, Dan-Arin Silasi, Alessandro D. Santin, Peter E. Schwartz, Thomas J. Rutherford, and Masoud Azodi. “Comparison between 155 Cases of Robotic vs. 150 Cases of Open Surgical Staging for Endometrial Cancer.” Gynecologic Oncology 124.2 (2012): 260-64. Print.
- Pant, Alok, Julian Schink, and John Lurain. “Robotic Surgery Compared with Laparotomy for High-grade Endometrial Cancer.” Journal of Robotic Surgery 8.2 (2014): 163-67. Print.
- Halliday, Darron, Susie Lau, Zvi Vaknin, Claire Deland, Mark Levental, Elizabeth Mcnamara, Raphael Gotlieb, Rebecca Kaufer, Jeffrey How, Eva Cohen, and Walter H. Gotlieb. “Robotic Radical Hysterectomy: Comparison of Outcomes and Cost.” Journal of Robotic Surgery 4.4 (2010): 211-16. Print.
- Estape, Ricardo, Nicholas Lambrou, Robert Diaz, Eric Estape, Natalie Dunkin, and Angel Rivera. “A Case Matched Analysis of Robotic Radical Hysterectomy with Lymphadenectomy Compared with Laparoscopy and Laparotomy.” Gynecologic Oncology 113.3 (2009): 357-61. Print.
- Feuer, Gerald A., Nisha Lakhi, Andrew Woo, Stephen S. Salmieri, Matthew Burrell, and Eli Serur. “Robotic Surgery for Staging of Serous Papillary and Clear Cell Carcinoma of the Endometrium.” The International Journal of Medical Robotics and Computer Assisted Surgery 10.3 (2014): 306-13. Print.
- Reza, M., S. Maeso, J. A. Blasco, and E. Andradas. “Meta-analysis of Observational Studies on the Safety and Effectiveness of Robotic Gynaecological Surgery.” British Journal of Surgery 97.12 (2010): 1772-783. Print.
- Lim, Peter C., Elizabeth Kang, and Do Hwan Park. “A Comparative Detail Analysis of the Learning Curve and Surgical Outcome for Robotic Hysterectomy with Lymphadenectomy versus Laparoscopic Hysterectomy with Lymphadenectomy in Treatment of Endometrial Cancer: A Case-matched Controlled Study of the First One Hundred Twenty Two Patients.” Gynecologic Oncology 120.3 (2011): 413-18. Print.
- Magrina, Javier F., Rosanne :M. Kho, Amy L. Weaver, Regina P. Montero, and Paul M. Magtibay. “Robotic Radical Hysterectomy: Comparison with Laparoscopy and Laparotomy.” Gynecologic Oncology 109.1 (2008): 86-91. Print.
- Magrina, J. F., V. Zanagnolo, B. N. Noble, R. M. Kho, and P. M. Magtibay. “Robotic Surgery for Endometrial Cancer: Comparison of Perioperative Outcomes and Recurrence with Laparoscopy, Vaginal/laparoscoy and Laparotomy.” European Journal of Gynaecological Oncology XXXII.5 (2011): 476-80. Print.
- Smith, Ashlee L., Thomas C. Krivak, Eirwen M. Scott, Jose Alejandro Rauh-Hain, Paniti Sukumvanich, Alexander B. Olawaiye, and Scott D. Richard. “Dual-console Robotic Surgery Compared to Laparoscopic Surgery with Respect to Surgical Outcomes in a Gynecologic Oncology Fellowship Program.” Gynecologic Oncology 126.3 (2012): 432-36. Print.
- Ran, Longke et al. “Comparison of Robotic Surgery with Laparoscopy and Laparotomy for Treatment of Endometrial Cancer: A Meta-Analysis.” Ed. Shannon M. Hawkins. PLoS ONE 9.9 (2014): e108361. PMC. Web. 18 Feb. 2015.
- Inpatient data: Agency for Healthcare, Research and Quality (AHRQ). Outpatient data: Solucient®Database – Truven Health Analytics. da Vinci data: Intuitive Surgical internal estimates. 2014
PN 1002185 Rev C 10/2015
Important Safety Information
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for Important Safety Information.