Traditional (Open) Surgery
This time-tested technique requires a sizable incision to remove a large cancer or to perform a complex procedure not possible by minimally invasive techniques. Some of these procedures include liver resection and Whipple's procedure (a technically demanding surgery to remove cancer located in the pancreas). As technology continues to evolve, more open procedures will be done in a minimally invasive approach.
Minimally Invasive and Robotic Surgery
Patient experience less trauma and pain when minimally invasive and robotic techniques are used. These procedures employ special instruments and a videoscope inserted into a patient's body through small incisions Patients recover faster on average and do so with better cosmetic outcomes.
Intraoperative Radiation (Brachytherapy)
This form of treatment involves delivering brief but intense doses of radiotherapy to a tumor site. Techniques include direct implantation of radioactive seeds on the residual tumor, seeds implanted in the tumor bed during surgery, or placement of catheters in the operative site. Radioactive seeds will be inserted into these catheters for postoperative radiation.
Radiofrequency Ablation of Liver Tumors
This procedure uses heat energy through a needle-like probe to destroy liver tumors. It can be performed through a traditional large incision or small incisions using a minimally invasive approach. The process requires intraoperative ultrasound monitoring.
Endoscopic Ultrasound Localization and Staging of Cancer
This procedure uses an endoscope with ultrasound capabilities. It allows ultrasound examination of an area not easily reachable by routine ultrasounds (which are performed on the skin) such as the pancreas or inside gastrointestinal organs. It can help to detect lesions and stage cancer and guide interventional procedures such as biopsy.