lakeswim wrote:... What questions do you recommend I ask in terms of my surgery? ...
Is there a thread anywhere with a list specific questions to ask your surgeon? I clearly didn't have enough info when I met with them (it was so early on!)..
O Stoma Mia wrote:For questions to ask the doctor, there is a section on the Mayo Clinic website, with a good list of suggested questions to ask in the case of Rectal Cancer:
The list of questions is found near the bottom of the following web page under the topic, "Preparing for your appointment":
- I guess I should ask if it will be laproscopic or robotic or open surgery? (I think the surgeon here wants to do robotic. How is this different from laproscopic?)
- It seems there are different types of surgery. All I was told is that I'd have my rectum (and probably my uterus) removed and a "neorectum" created. (There was no "technical" name given to me and I didn't know then to ask.)
- It seems there are very specific questions I need to ask about nerves and things involved in the surgery. (This is where it gets confusing/overwhelming to me.)
- Clearly, based on the LAR syndrome thread, I need to ask about post surgery care? I assume you mean long-term - after the bag is removed and the surgery reversed?
"...Thus, pelvic autonomic nerve preservation during dissection in a narrow or deep pelvis, with adherence to the TME principles, is very challenging for colorectal surgeons. Recent developments in robotic technology enable overcoming these difficulties caused by complex pelvic anatomy....
"...Nerve-guided laparoscopic total mesorectal excision for distal rectal cancer is safe and feasible. This technique should be considered whenever possible as a means to prevent autonomic nerve damage and subsequent loss of urogenital function...
lakeswim wrote:O Stoma Mia. Thank you very much for the links! I took a quick look at the links (have to get the kids places soon) and it seems, on first glance, like these are mostly questions for the first appointments. I am thinking of the more detailed/specific types of questions that folks in the LAR Syndrome topic bring up - which nerves they will be cutting, post-operative support, etc. ... It seems that the "iceberg" questions (specifics that the surgeons don't get into or discuss or perhaps gloss over) are important ones and I need to find/look into those and figure out how (within this process) I get them answered. ...
A study found that deaths and injuries linked to surgery with the robots are going underreported to the U.S. Food and Drug Administration. And the American Congress of Obstetricians and Gynecologists said in a statement last year: “There is no good data proving that robotic hysterectomy is even as good as—let alone better—than existing, and far less costly, minimally invasive alternatives.”
O Stoma Mia wrote:More information on robotic surgery controversy, with some info on hysterectomy robotic surgeries.A study found that deaths and injuries linked to surgery with the robots are going underreported to the U.S. Food and Drug Administration. And the American Congress of Obstetricians and Gynecologists said in a statement last year: “There is no good data proving that robotic hysterectomy is even as good as—let alone better—than existing, and far less costly, minimally invasive alternatives.”
There is absolutely no denying the fact that colon cancer is one of the most lethal forms of cancer. And the incidence rate in the USA is shockingly high (1 out of 22 men and 1 out of 24 women will be detected with this type of cancer).
Studies reveal that in the past year more than 135,500 cases of colon cancer were reported in the USA. The most effective surgical considerations for colon cancer are laparoscopic surgery, colostomy, and cryoablation.
However, the ray of hope amongst these dreary facts is that doctors now believe in 90% of the cases the 5-year survival rate can be achieved by proper screening!
If people continue to keep their diet and weight in check, along with undergoing proper screening, the situation might improve soon...
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