Robotic Surgery

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NHMike
Posts: 373
Joined: Fri Jul 21, 2017 3:43 am

Re: Robotic Surgery

Postby NHMike » Sat Aug 12, 2017 11:08 am

If you read a lot of threads, you come to learn that it's a pretty long road ahead when you start out and wonder how you'll get through it.
06/23/17: ER rectal bleeding; Colonoscopy+Biopsy
07/13/17: Stage 3B rectal cancer. T3, N1b, M0. 5.2 x 4.5 x 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6 mm, 5 x 5 mm.
Xeloda 3,400 mg/day + radiation 07/31/17 - 09/08/17.
CEA 2.7; after 14: 1.9; after 28: 1.8.
KRAS Mutant KRAS p.Gly12Asp
10/06/17: 2.7 x 2.2 x 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 mm (-75%), 5 x 3 mm (-40%).
Surgery Scheduled: 10/30/17

Basil
Posts: 200
Joined: Thu Mar 16, 2017 12:33 pm

Re: Robotic Surgery

Postby Basil » Sat Aug 12, 2017 9:45 pm

Like most situations involving this disease, my sense is that this challenge could go well, medium or poorly. So be it. Them are the facts of life and there is no changing it. I've been very fortunate so far and can do nothing more than taking my drs. advice in preparing and hoping for the best. My doctors think I have a good chance of having a positive result and I look forward to that.
40 y/o male, kids 6&9
Dx 3/16/17, rectal cancer S3,t3,n1,m0
PROSPCT trial (FOLFOX in lieu of chemorad)
FOLFOX 4/5/17 - 6/26/17
LAR 7/31/17, temp ileo
pathological complete response
Adjuvant chemo cancelled (IDEA Study)
Ileo reversed 9/25/17
NED

JJH
Posts: 164
Joined: Mon Apr 24, 2017 7:26 am
Location: Europe

Re: Robotic Surgery

Postby JJH » Fri Sep 01, 2017 11:02 pm

Basil wrote:Biopsy came back and I had a complete pathological response to preadjuvant chemo. Since rounds of FOLFOX completely destroyed the tumor. 41 nodes all negative. I am officially NED and require no further chemotherapy....
...
adjuvant chemo cancelled
reversal scheduled 9/25/17
(praying I don't have to add on from here) ...

Is your reversal still on for the 25th?
DX 2012: Stage IIc
Locations: upper-rectum T4b + mid-sigmoid T4b
Surgery: Open LAR + temp ileo
TX: chemo/rad (28 days) + Xelox (3 cycles)
Ileo reversal
5 years surveillance
7/3/2017: Final 5-year report -
"complete remission ... cured'

Basil
Posts: 200
Joined: Thu Mar 16, 2017 12:33 pm

Re: Robotic Surgery

Postby Basil » Sat Sep 02, 2017 8:56 am

Yes it is.
40 y/o male, kids 6&9
Dx 3/16/17, rectal cancer S3,t3,n1,m0
PROSPCT trial (FOLFOX in lieu of chemorad)
FOLFOX 4/5/17 - 6/26/17
LAR 7/31/17, temp ileo
pathological complete response
Adjuvant chemo cancelled (IDEA Study)
Ileo reversed 9/25/17
NED

User avatar
susie0915
Posts: 310
Joined: Wed Aug 02, 2017 8:17 am
Facebook Username: Susan DeGrazia Hostetter
Location: Michigan

Re: Robotic Surgery

Postby susie0915 » Sat Sep 02, 2017 11:53 am

I bet you can't wait. I hated my ileo, gave me nothing but problems. I know many people adjust quite well. Whenever I would change the bag my stoma would just start bleeding. The ostomy nurse could never figure out why. It made my so happy when the surgeon said he would reverse if he had to do surgery after I had a bowel blockage 4 wks after my resection. When the ostomy nurses came to see me in the hospital they stood over me and watched in dismay as my stoma began to bleed once the bag came off. So I was reversed early, made it a little more difficult during chemo with diarrhea but all is good now. Good luck with your reversal and so glad you don't have to have adjuvant chemo. I was quite disappointed when my surgeon recommended chemo after surgery since he told me I prob wouldn't need after chemo/radiation since all that was left was scar tissue. Have a great holiday weekend.
58 yr old mother of 3 Dx @ 55
5/15 DX T3N0MO/ 2A
6/15 5 wks of chemo/rad
7/15 sigmoid/scar tissue left
8/15 Pet scan NED
9/15 LAR
0/24 nodes
10/15 Bowel blockage. 3 1/2 weeks in hospital,early ileo rev since
surgery to repair blockage. c-diff inf
12/15 6 rds of xelox
5/16 Clear CT lung scarring/inflammation
9/16 clear colonoscopy
4/17 CT 4mm lung nod onc thinks scar tissue
monitored for autoimmune disorder
7/17 no change lung nodule
10/17 Clear CT

Basil
Posts: 200
Joined: Thu Mar 16, 2017 12:33 pm

Re: Robotic Surgery

Postby Basil » Sat Sep 02, 2017 3:53 pm

Thank you.

I absolutely, fully, wholly with all my being hate the ileo. I'm one of those people that hasn't adjusted and gotten used to it. I'm counting the days until the reversal.
40 y/o male, kids 6&9
Dx 3/16/17, rectal cancer S3,t3,n1,m0
PROSPCT trial (FOLFOX in lieu of chemorad)
FOLFOX 4/5/17 - 6/26/17
LAR 7/31/17, temp ileo
pathological complete response
Adjuvant chemo cancelled (IDEA Study)
Ileo reversed 9/25/17
NED

Lee
Posts: 5185
Joined: Sun Apr 16, 2006 4:09 pm

Re: Robotic Surgery

Postby Lee » Sat Sep 02, 2017 4:14 pm

Basil wrote:Thank you.

I absolutely, fully, wholly with all my being hate the ileo. I'm one of those people that hasn't adjusted and gotten used to it. I'm counting the days until the reversal.


Have you found out if you will be getting chemo or not? If you should get chemo, you might want to keep that ileo until you are finished with chemo. I understand your frustration. While I have a permanent colostomy without issues. I guess those ileo can be a real pain in the ass. Butt from what I understand, it can be helpful while on chemo.

good luck,

Lee
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 10 years and counting!

Basil
Posts: 200
Joined: Thu Mar 16, 2017 12:33 pm

Re: Robotic Surgery

Postby Basil » Sat Sep 02, 2017 5:25 pm

My case was referred to conference, which is a meeting of generally senior oncologists, surgeons and radiologists to discuss unique situations. The unanimous decision was no more chemo. My onc is good, but not senior, and he's going to have to make a hell of a case for me to go against my surgeon and the conference's advice. Factoring into this is that my surgeon is not just a cutter; he's a guru on all things colorectal cancer. He's also my primary care physician at MDA.
40 y/o male, kids 6&9
Dx 3/16/17, rectal cancer S3,t3,n1,m0
PROSPCT trial (FOLFOX in lieu of chemorad)
FOLFOX 4/5/17 - 6/26/17
LAR 7/31/17, temp ileo
pathological complete response
Adjuvant chemo cancelled (IDEA Study)
Ileo reversed 9/25/17
NED


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