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endometrial cancer & vaginal hysterectomy endometrial cancer & vaginal hysterectomy

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Unread 08-21-2007, 05:58 AM
endometrial cancer & vaginal hysterectomy

Has anyone with grade 1 cells experienced a vaginal hysterectomy with "Da Vinci" robotic-aided surgery? I am a little concerned about my doctor ability to 'see everything'. He has assured me that this method gives him better vision than his naked eye peering into me. He also has told me that if anything looks/tests unusual he will proceed with an abdominal cut to be able to test extra lymph glands.

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Unread 08-21-2007, 07:42 AM
endometrial cancer & vaginal hysterectomy

Hi Librarylady,

I wish I could answer your questions, but my DaVinci isn't until Thursday of this week.

I'm interested in that your doctor said they would do abd approach if extra lymph node sampling was required. My doc said she could do lymph nodes with the DaVinci, if they were necessary.

Is your doc a gyn or a gyn/onc?
Unread 08-21-2007, 08:17 AM
endometrial cancer & vaginal hysterectomy

Hi! Yes, my DR is an oncology gyn. He is doing lymph sampling with the DaVinci, but I also have a cyst on one ovary that he is slightly concerned about, so if the pathology indicates anything worrisome, then he will change course during the surgery to check around liver, diaphragm, etc. I am soooo nervous. Hope all goes well on the 23rd!
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Unread 08-21-2007, 08:58 AM
endometrial cancer & vaginal hysterectomy

librarylady308 - I had robotic surgery. Since I had a cyst on my ovary that is the area where my Dr was most concerned about since no other test showed anything going on in the uterus. The only thing that showed was a fibroid. Even the quick path report they do when in surgery showed nothing. It wasn't until the indepth path report came back that it showed endo cancer stage 1 well hidden. The whole ssurgery team was shocked. I was not dx before surgery. My ovary cyst came back OK thank God. I am now doing precautionary rad because my uterus was not blocked during surgery. He did all the other things that needed to be done during surgery except that as all test showed nothing. Your dr knows going in so I am sure everything will be fine and will take the necessary precautions. Have faith and all will be fine. Be Well.
Unread 08-21-2007, 09:33 AM
endometrial cancer & vaginal hysterectomy

Stephanie, if you have time, could you tell me what a you mean by "uterus wasn't blocked"? Thanks.
Unread 08-21-2007, 11:44 AM
endometrial cancer & vaginal hysterectomy

It is extremely important that a wash is taken. Is that planned? I had stage 1 grade 1, very small superficially invasive endometrial cancer but had a positive wash, which needs to be treated differently.

Unread 08-21-2007, 01:10 PM
endometrial cancer & vaginal hysterectomy


I went into surgery with a diagnosis of complex hyperplasia with atypia. My regular gyn did the surgery and no lymphnodes or pelvic wash was done.

Soon after I awoke from surgery my gyn told me that I did not have cancer. It was only the next day that I was told that this was incorrect and that I did have a grade1 cancer. Apparently, it was a difficult pathology read and so my slides/path report ( and I think my uterus as well) were sent off to a cancer center. It was then determine/confirmed that I had a grade1 which had penetrated 31% into the uterine wall
( which made me a stage 1b)

If I had been having robotic surgery/vaginal hyst ( because nothing was seen initially on the surgical path report done while in surgery) they would have taken my uterus out in pieces. Therefore, possibly spilling the contents in my pelvic region. I then would have had to have more extensive treatments ( radiation/maybe chemo as well). While those treatments are doable ...they are to be avoided if at all possible/certainly if they would have not been needed in the first place.

You already have grade 1 cells so I am not sure why they would risk robotic surgery. You may want to find out if they intend to take your uterus out in one piece?? I admit, I don't understand it all. But, knowing what I know now...I would never risk the possiblity of having to have radiation just because the wrong procedure was done.

Just my two cents. I do know that robotic surgery has less complications and there are reasons to do it. Most likely it will turn out fine. For me.... knowing what I know now... I would not be willing to take even a small risk. But, that is just my opinion.

Hugs, Diane
Unread 08-21-2007, 01:20 PM
endometrial cancer & vaginal hysterectomy


I so agree with you. I have read of so many cases where laproscopic hyst also spreads cells. In my case my cells were spread by a simple D&C before surgery.

I should have been cured after my first surgery but the spread cells caused recurrences to the point I am now stage IV.

I would never submit to having my uterus taken out in pieces.

THIS is just MY opinion for what it is worth. The surgery is just not that big a deal to take the chance just to make it easier. I was not a young chick at the time of my surgery and I had no problems at all. Have had to have 2 major surgeries since that could have been avoided if not for the D&C.

Unread 08-21-2007, 03:05 PM
endometrial cancer & vaginal hysterectomy

The robotic surgery that is done for cancer does not take the uterus out in pieces. It is removed whole.. through the vagina...along with the cervix, tubes and ovaries. Pelvic washings and lymph node samplings can also be done with the robotic (DaVinci) surgery. MDAnderson, a noted cancer hospital, wouldn't be offering DaVinci's if they were more dangerous.

Believe me, if there was a chance that this type of surgery would facilitate the spread of cancer, I wouldn't be driving 4 hours, having to stay in a hotel prior to surgery and going through a thorough bowel prep to have a DaVinci surgery.
Unread 08-21-2007, 03:36 PM
endometrial cancer & vaginal hysterectomy


You are correct. Both LAVH and other assisted-type surgeries (like DaVinci) can be used in full cancer staging--and are being used at major comprehensive cancer centers in the U.S. I hope someone can explain how this misunderstanding persists about how the uterus is removed during hysterectomies for cancer and whether that causes more cancer risk to the patient.


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