FAQs about Minimally Invasive Gynecologic Cancer Surgery

Minimally Invasive Surgery: Frequently Asked Questions

Minimally invasive surgery can minimize pain, speed up recovery and decrease complications. In the simplest of terms, minimally invasive surgery is done through small incisions. Using specialized techniques, miniature cameras with microscopes, tiny fiber-optic flashlights, and high-definition monitors, our experts perform this type of surgery through a small incision.

How do I know if I am a candidate for minimally invasive gynecologic cancer surgery?

It depends on the type and the extent of cancer that you have. For instance, most patients with endometrial (uterine) cancer have a cancer that presents at an early stage, before it has spread to other parts of the body. Thus, many can have their cancers removed and staged with a minimally invasive approach. This usually includes removal of the uterus, the ovaries and the lymph nodes that drain the pelvis with a laparoscopic procedure.

However, patients with advanced or recurrent ovarian cancers are not likely to benefit from a laparoscopic approach. These bulky tumors are not easily removed from the small incisions that we make for a minimally invasive procedure.

I have been told that I have an ovarian mass that might be cancer. Am I a candidate for minimally invasive gynecologic cancer surgery?

This is a common situation for many patients and one that can cause a great deal of anxiety. Most masses near or on the ovary can be evaluated and removed with a minimally invasive approach. Once removed, our pathology team evaluates the mass under the microscope and determines if it is a cancer of the ovary. If so, in some cases it is possible to perform a procedure laparoscopically. This includes removing the uterus, the lymph nodes that drain the pelvis, and the other ovary.

Can minimally invasive gynecologic cancer surgery preserve my fertility?

My mother died of ovarian cancer. What can I do to prevent getting this?

Unfortunately, there is no screening test currently available that can identify early ovarian cancers when they would be most easily treated. Patients with a strong family history of ovarian or breast cancer may benefit from a preventive (prophylactic) surgery to remove the ovaries.

Minimally invasive surgery to remove the ovaries in such high-risk individuals has been shown to be safe and can significantly reduce the risk of developing ovarian and fallopian tube cancer. Pre-menopausal women must balance the risks of going into early menopause, due to the loss of the ovaries and their hormones, with the protective effects of the surgical procedure.