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Procedures & Multidisciplinary Approach

Radioguided parathyroidectomy

A minimally invasive technique, in which a smaller incision is made and a probe is used to detect the hyperactive parathyroid gland. This surgery helps the surgeon identify the abnormal gland and perform the surgery through a smaller incision on the neck. 

Laparoscopic adrenalectomy

The surgeon will operate through small incisions using a high definition camera to remove the abnormal gland. The patient will experience less pain and shorter hospital stay compared to open surgery.

Multidisciplinary approach

Physicians of different specialties, usually surgeons, medical oncologist radiation oncologist, radiologist, pathologist and gastrointestinal physicians will meet on regular basis to discuss cases and recommend the best treatment for an individual patient.

Lymph node

Lymph glands are part of the immune system. The groin, neck and arm pit contain what is medically called major lymph node basin.  Certain malignant tumors tend to metastasize (spread) to the lymph nodes. Lymph node status is important in staging of the tumor.

Hyperthermic Intraperitoneal Chemotherapy (HIPEC)

A procedure in which a warmed chemotherapy solution is used to bathe the peritoneal cavity and intra-abdominal organs to prevent microscopic tumor left after surgery from growing back. HIPEC treatment is often performed directly after cytoreductive surgery.

Cytoreductive surgery (CRS) for peritoneal malignancy

This is an extensive, lengthy and complex procedure, usually lasting on average more than 10 hours. It entails the aggressive removal or destruction of all visible tumors present throughout the peritoneal surfaces and on intraperitoneal organs.

Sentinel lymph node biopsy

Is a minimally invasive approach used to determine if the tumor has spread to the lymph nodes. The sentinel lymph node is the first to be involved with cancer cells if cancer has spread to the lymph glands. Sentinel lymph node biopsy entails injection of a radio-labeled material around the tumor and perform a surgical biopsy (removal) the sentinel lymph node. If the sentinel node is free of cancer cells the patient is spared more radical and unnecessary surgery.

Cancer Surgery at Virginia Hospital Center
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