Nebraska Medicine has a robust surgical oncology program offering patients unique treatment options not available elsewhere. The program offers a comprehensive approach to cancer care with the largest number of fellowship-trained surgical oncologists in the Midwest.
Several areas of surgical therapies are available at Nebraska Medicine
- Head and neck
- Plastic and reconstructive
What used to begin with the sometimes painful placement of a wire in the patient's breast to mark the location of the tumor can now be done with a much more precise and less painful method.
Doctors call it radioactive seed localization, or RSL. The process uses a thin needle to place a tiny radioactive seed directly on the cancerous lump. It acts as a beacon on which the surgeon can hone in; removing the lump, the seed and ideally, cancerous tissue in the margins around the lump.
This procedure is less painful and allows patients to avoid the likelihood of a second operation to clear more cancer. The seed is the size of a pencil lead. The location of the tumor is mapped. This procedure also allows the scar to be placed in a cosmetically preferable place. The radiation in the seed is not dangerous. It gives off only enough radiation to act as a marker for the surgeon. There is no chance of causing any radiation damage.
A new form of treatment called intraperitoneal hyperthermic chemotherapy (HIPEC) or hot chemo is available at Nebraska Medicine. This approach is well-suited for treating cancer in the abdominal cavity since the organs and inner abdominal wall are at risk, and the cancer cells can spread from one area to another. After removing the visible tumors, surgeons actually close the abdomen, and fill the abdominal cavity with the heated chemo and bathe all the organs with the solution, to kill the microscopic cancer cells which almost certainly still remain.
The robotic surgical system combines robotics and computer-enhanced technology with the skill and expertise of our physicians to provide patients a minimally invasive alternative to surgery that is more accurate and precise than ever before.
Nebraska Medicine is one of the nation’s leaders in the use of robotic surgery and was one of the first sites in the country to acquire the technically advanced robotic da Vinci™ Surgical System. This sophisticated technology provides surgeons with intuitive control, range of motion and incredible precision and accuracy, while minimizing the impact on the body. Through 3-D visualization the surgeon is able to perform intricate tasks through small ports about the size of a dime as opposed to a large incision. For the patient, this means improved outcomes, fewer complications, less recovery time and less discomfort after surgery.
The surgery is performed using miniature instruments that are inserted through tiny incisions. The surgeon, seated at a control console near the patient, views high-definition, magnified, 3-D images from a tiny video camera. The robotic arms and tiny instruments are manipulated by the thumb and forefinger and the normal wrist movement of the surgeon. The mechanical "wrists" of the robot bend back and forth, side to side and rotate in a full circle, providing even greater range of motion than possible by a human. The system also eliminates the possibility of human tremors that can make intricate surgeries difficult.
Intrabeam is low-energy radiation therapy, which has been FDA approved, offers two advantages to traditional radiation therapy. First, it provides a targeted dose of radiation therapy to the surgical site at the time of surgery, rather than delivering total breast radiation. Secondly, it may eliminate the six-week daily regimen of radiation therapy that normally accompanies lumpectomy without compromising the outcome. Nebraska Medicine is one of only 13 hospitals in the country approved to use Intrabeam. MammoSite® 5 day targeted radiation therapy is a direct radiation treatment option for some early-stage breast cancer patients. After removing a breast cancer tumor, a balloon catheter is placed inside the breast. Targeted radiation therapy is delivered directly to area where cancer is most likely to recur, allowing a full course of radiation to be delivered in just five days.
Call 800-922-0000 to make an appointment with a surgical oncologist. For clinic location and hours use the Find a Physician link.
Breast Cancer Surgery
Gastrointestinal Surgical Oncology
Head and Neck Surgical Oncology
Lung Cancer Surgery
- National Cancer Institute (NCI) Designation
- National Comprehensive Cancer Network (NCCN)
- Foundation for the Accreditation of Cellular Therapy (FACT)
- Magnet Status awarded by the American Nurses Credentialing Center (ANCC)
- Oncology Certified Nurses
- Blue Cross and Blue Shield of Nebraska, Blue Distinction Center for Complex and Rare Cancers
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