Chabot

The Pancreas Center will be holding their annual Pancreatic Cancer Awareness Day this year on Saturday, November 8th from 1:00 PM to 3:00 PM at the Vivian and Seymour Milstein Family Heart Center.

“Awareness” is the appropriate name for this day. Yet, after attending several of these, a better title would be the annual Pancreatic Cancer “Hope” Day.

It’s undeniable that pancreatic cancer is a difficult disease. Yet in spite of this, the Pancreatic Cancer Awareness Day generates the utmost levels of positive energy, support and hope. Attendees learn about new advances in pancreatic care from clinicians. Survivors share their experiences and gratitude to Dr. John Chabot and the Pancreas Center team for their second leases on life. It would be difficult to leave this celebration unmoved.

Jonas Salk the inventor of the polio vaccine, once said, “Hope lies in dreams, in imagination, and in the courage of those who dare to make dreams into reality.” This quote personifies the mission of the Pancreas Center and its team.

To register for this year’s Pancreatic Cancer Awareness Day visit the registration page.

After the lectures and testimonials, there will be a vendor health fair, refreshments and an opportunity to speak with Pancreas Center clinicians in the Riverview Terrace.

If you need more information about the event contact Christine Rein at 212-304-7814 or through email at cmr2146@cumc.columbia.edu.

Related Link:
More Than Just A Diagnosis: Pancreatic Cancer Support Group

Dr. John Chabot & the Pancreas Center Team

Dr. John Chabot & the Pancreas Center Team


 

{ 0 comments }

Innovations in GI/Endocrine Surgery

by Columbia Surgery on June 7, 2014

Surgeons expand the use of the surgical robot to benefit patients undergoing complex pancreatic and gastric operations.

Yanghee Woo, MD

Yanghee Woo, MD

Readers may have heard about surgical robots, which surgeons are using in increasing numbers across the country. At NewYork-Presbyterian/ Columbia, surgeons now use the surgical robot to perform gynecologic, urologic, colorectal, and a number of abdominal procedures. According to Yanghee Woo, MD, Assistant Professor of Clinical Surgery and Director, Global Center of Excellence in Gastric Cancer Care, it provides “phenomenal advantages” during operations to remove abdom­inal cancers, allowing surgeons to perform highly precise dissections, to retrieve lymph nodes without blood loss, and promoting faster recovery. She now performs almost all gastric (stomach) cancer operations with the surgical robot.

Based on Dr. Woo’s extensive training and clinical experience with the surgical robot, as well as careful observation of published data, the Division of Gastrointestinal (GI)/Endocrine surgery is now expanding its use of the robot to a broader range of pancreatic and abdominal operations. Together with John A. Chabot, MD, FACS, Chief, Division of GI/Endocrine Surgery and Executive Director, Pancreas Center, Dr. Woo performed the first robotic Whipple procedures at NYP/Columbia this year.

Methodical approach to adopting new technology

Dr. Chabot explains how the Division of GI/Endocrine Surgery has approached the prospect of incorporating the surgical robot into its toolbox.

“We have taken a very methodical approach in evaluating the surgical robot’s benefits in gastrointestinal and endocrine operations,” says Dr. Chabot. “Dr. Woo gained extensive experience during training with the world’s foremost experts in Korea. Following this, other surgeons in our division went through extensive, rigorous training. Once we had a well-trained team assembled, we then began choosing our cases very carefully in order to use the new technology in the safest way possible.” During this process of training and evaluation, some surgeons determined that using the robot did not offer sufficient benefits. James A. Lee, MD, Chief, Endocrine Surgery, found that it did not improve upon other methods of performing thyroid surgery. Dr. Woo found that using the robot to remove the gallbladder through a single incision was possible, but not worth the larger incision it required, especially to perform a surgery that is already so highly successful and low in risk. “There is no proven benefit in this instance, and the cost is significantly higher,” she says.

Benefits for complex abdominal surgery

However, the team has found the robot to be of great benefit for other types of procedures, including many colorectal, liver, and gastric operations. During complex operations, the robot is equipped with four arms that are inserted through small ports into the patient’s abdomen. The arm with surgical instrumentation is wristed, meaning that it can articulate in all directions. Another arm is equipped with three-dimensional, magnified camera technology that provides far better visualization than the two-dimensional visualization that is available during laparoscopic surgery. “These advances give us far more freedom of movement as well as precision” explains Dr. Chabot. Dr. Woo says that because of these capabilities, she is confident that she is able to do complex gastric operations better with the robot than without, even though studies have not yet confirmed her experience.

Initially, the GI/Endocrine division has used the surgical robot in patients with less advanced cancers or premalignant conditions. Patients could not have had any previous upper abdominal surgery, and their tumors could not be attached to major blood vessels that would require blood vessel reconstruction.

Although studies have not yet directly compared robotic and traditional abdominal operations, Dr. Chabot and Dr. Woo believe that the robot offers important advantages to patients by reducing surgical trauma overall. “We are seeing patients have shorter hospital stays and shorter recovery time overall. For patients with pancreatic cancer, one of the most important aspects is that this quicker recovery may allow them to start chemotherapy sooner than they otherwise would.”

On the horizon: improved visualization and surgical outcomes

“We have developed confidence in ourselves to do more advanced cases,” says Dr. Chabot. “Our primary goal has been to maintain safety by being prudent with this new technology.” With that foundation, the team anticipates that the surgical robot will facilitate important innovations in pancreatic surgery, particularly as it allows new forms of surgical visualization. New technologies under development include the use of various wavelengths of light and injected substances that allow surgeons to better detect the boundaries of tumors or to find disease that is not visible using natural light. These innovations may allow surgeons to perform cancer operations more effectively in the future, but they­ will require laparoscopic or robotic access. “The new tools coming down the line won’t be available through traditional incisions,” explains Dr. Chabot.

To learn more about pancreatic and GI/endocrine surgery, visit pancreasmd.org

{ 1 comment }

Cytoreduction Surgery and Heated Intraperitoneal Chemotherapy

June 1, 2014

TweetOffering long-term survival for patients with cancers of the abdominal lining Diagnosis of cancer that has spread to the abdominal wall lining (peritoneum) is typically considered a lethal diagnosis. But at NewYork-Presbyterian/Columbia University Medical Center, many patients with these advanced cancers can expect long-term survival, thanks to refined surgical approaches and intra-abdominal chemotherapy. According to […]

Read the full article →

NewYork-Presbyterian/Columbia University Medical Center Announces Performance of First Robotic Whipple Procedure

March 12, 2014

TweetOn March 4, 2014, the first robotic Whipple procedure was performed by Dr. John Chabot, Executive Director of The Pancreas Center, and Dr. Yanghee Woo at NewYork-Presbyterian/Columbia University Medical Center. This is exemplary of The Pancreas Center’s mission to continually advance the quality of pancreatic care. What is a Whipple Procedure? For those who may […]

Read the full article →

Pancreas Center Spotlight on Staff: Lynette Marte-Gonzalez

March 24, 2013

TweetMission Possible: Access to Care for All. Lynette Marte-Gonzalez joined the Pancreas Center as the New Patient Coordinator in 2010. In her role as the new patient coordinator, Lynette helps to make new patients’ experience at the center as easy, efficient, and smooth as possible. In particular, Lynette is on the front line of the […]

Read the full article →

2013 GI Innovations: Second Annual Peter D. Stevens Course on Innovations in Digestive Care

February 21, 2013

Tweet Course: NewYork-Presbyterian’s Second Annual Peter D. Stevens Course on Innovations in Digestive Care Date: Thursday, April 25 – Friday, April 26, 2013 Location: Weill Cornell Medical College 1300 York Avenue at East 69th Street New York, NY 10065 Program Co-Directors: John A. Chabot, MD, FACS Michel Kahaleh, MD, AGAF, FACG, FASGE Charles J. Lightdale, […]

Read the full article →

Stories of Hope: David Mankuta

November 29, 2012

TweetAfter several weeks of abdominal pain last summer, I visited my primary physician. He ran a few tests, suspecting that my pain may have been related to previous issues, and I went home. By the time I went back two weeks later, I had developed some back pain. He promptly focused on the pancreas since […]

Read the full article →

Pancreatic Cancer – Personal Perspectives

October 4, 2012

TweetWhen you or someone you love has been diagnosed with pancreatic cancer, life can seem to be instantly turned upside-down. What now? A never-ending list of questions seems to grow: Why did this happen? Is recovery possible? What comes next? Know you are not alone. According to the American Cancer Society, approximately 43,920 new cases […]

Read the full article →

U.S. News & World Report Recognizes 33 Top Doctors at NYP/Columbia Department of Surgery

September 21, 2012

TweetCongratulations to the thirty three surgeons at the Department of Surgeon for being recognized by U.S. News & World Report in their 2012 list of Top Doctors. Of these top-ranked surgeons, U.S. News further identified seventeen physicians as being in the top one percent in the nation in their specialties. U.S. News & World Report’s […]

Read the full article →

NY Magazine Recognizes 16 Top Docs at NYP/Columbia

June 7, 2012

TweetCongratulations to sixteen surgeons at the Department of Surgery for being named top doctors by New York Magazine. This annual list recognizes 1160 physicians from New York, New Jersey, and Connecticut who are considered top in their fields of expertise. This year, the magazine recognized faculty from nine divisions at NYP/Columbia Department of Surgery: Plastic […]

Read the full article →