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Article Category: Highlights

Home in Less than 24 Hours

Patients love getting home faster after robotic prostate cancer surgery

Published on August 31, 2021

Last updated 04:06 PM August 31, 2021

Illustration of robotic-assisted technology

Surgery for prostate cancer has evolved, offering men with aggressive prostate cancer more treatment choices. One high-tech treatment is a robotic prostatectomy, where the prostate is removed robotically by a surgeon with specialized training.

Robotic prostate cancer surgery has several key advantages over the more traditional approach. It shortens the time spent in a facility following a surgery. This method also reduces surgery site blood loss, scarring and pain, and speeds up recovery as well as having the potential to preserve nerves.

“The robot allows us to see the prostate better and spare the nerves, which can preserve sexual function,” said Dr. Justin Watson, a urologist who performs robotic prostatectomies at Wellstar Kennestone Advanced Outpatient Center for Surgery in Marietta. Dr. Watson typically works closely with other prostate cancer specialists to offer patients a multidisipinary approach. This type of care helps patients get the most comprehensive and personalized care.

Read Steve Shelton's story, a man who had a robotic prostatectomy at Wellstar and is living life to his fullest today.

As we looked at the data and others showed it was safe, we learned how to enhance [our patients'] recovery so they would reliably be able to go home the same day.

- Dr. Justin Watson

Wellstar Urologist

Outpatient prostatectomy at Kennestone

While several Wellstar hospitals have offered robotic prostatectomies for a number of years, Wellstar is the first health system in metro Atlanta to offer the procedure at an outpatient surgery center.

“The patients love it,” Dr. Watson said. “One of our priorities is to enhance patient care and satisfaction. Patients are much happier to sleep in their own bed, eat their own food and watch their own television.”

He explained that when he began to offer robotic prostatectomies, patients would typically stay in the hospital for a day or two after surgery, which allowed them to go home a day earlier than what is typical for a traditional open prostatectomy. However, he noticed they often requested to go home much sooner, usually after walking the halls a few times the day of the surgery.

In 2019, Dr. Watson collaborated with Dr. Scott Miller — who performed the first robotic prostatectomy in the state — to make the procedure available to patients so they could go home sooner.

“As we looked at the data and others showed it was safe, we learned how to enhance their recovery so they would reliably be able to go home the same day,” Dr. Watson said.

Since he began to perform same-day prostatectomies in 2019, only about 10% of patients who have their surgery performed in the morning choose to stay overnight. Nearly all patients are able to be home in less than 24 hours.

Dr. Scott Miller, who serves as Wellstar’s director of Robotic Surgical Services, added, “What’s unique about Kennestone’s Outpatient Center is that it is attached to a hospital, so if a patient who was supposed to be outpatient needs to be admitted, there is a hospital with more complex care available right there.”

With advanced medical technology and expert care close to home, Wellstar is changing the way prostate cancer is treated.

Locations where patients can have a robotic prostatectomy

Talk to your urologist to learn more about treatment options for prostate cancer and whether a robotic prostatectomy may be right for you. Men with prostate cancer can have a robotic prostatectomy at Wellstar facilities, including:

  • Wellstar Kennestone Advanced Outpatient Center for Surgery 
  • Wellstar Cobb Medical Center
  • Wellstar Kennestone Regional Medical Center
  • Wellstar North Fulton Medical Center
  • Wellstar Paulding Medical Center

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Justin Michael Watson Scott David Miller Cancer Care
Mens Health
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A healthcare provider works with the Da Vinci 5 robot

Highlights

New Robotic Surgery System at Wellstar Kennestone Brings Next-Level Care to the Community

Touch-sensitive technology. More precision. Better surgical images. A new robotic surgery platform at Wellstar Kennestone Regional Medical Center features all this and more. What does that mean for people in our community facing a complex surgery? Everything.

The Da Vinci 5 (DV5) platform allows experienced surgeons at Wellstar Kennestone to be even more precise during delicate procedures. Patients bleed less, heal with smaller scars and usually go home sooner.

“At Wellstar Kennestone, we’re redefining what’s possible in surgical care,” said Lorrie Liang, senior vice president and president of Wellstar Kennestone and Wellstar Windy Hill. “The DV5 demonstrates that we’re not just adopting advanced technology—we are advancing the standard of care across the region.”

What is robotic surgery?

Robotic surgery is a type of minimally invasive surgery. The surgeon sits at a console and controls robotic arms equipped with tiny instruments. A 3D camera magnifies the surgical area. This allows the surgeon to see everything in high definition.

Wellstar Kennestone is one of the first hospitals in Georgia to offer the DV5. However, robotic surgery is not new at the hospital. Our surgeons began using Da Vinci Surgical System platforms in 2007. Today, we offer 17 state-of-the-art Da Vinci robotic surgical suites at several hospitals and two outpatient surgery centers. We use the system for many surgeries, including bariatric (weight loss), cancer and urology procedures.

A clear difference

Dr. Fritz Jean-Pierre has performed more than 2,500 bariatric surgeries in his career. And he’s excited about what the DV5 offers.

“The DV5 allows the surgeon to sense how much push-or-pull force they apply to delicate structures in the body,” said Dr. Jean-Pierre. “Essentially, the technology stops surgeons from putting too much strain on tissues as they maneuver the instruments. Less strain means less trauma and potential injury, leading to faster patient recovery.”

Dr. Jean-Pierre tailors surgery to each patient’s unique needs. The bariatric surgery he performs most often is the gastric sleeve. It involves removing a large portion of the stomach to limit food intake. Precision is essential, especially for patients who weigh more or have complex health conditions.

“After removing part of the stomach, the surgeon reconstructs the gastrointestinal tract. We use many sutures (stitches) to hold everything in place,” he said. “DV5 provides superior dexterity and control, leading to shorter, safer surgeries.”

Intuitive Surgical, the company that created the Da Vinci platform, designated Wellstar Kennestone as an “epicenter” for training in 2011. Surgeons from around the country come to Wellstar Kennestone to observe and learn robotic surgical techniques from Dr. Jean-Pierre and his colleagues.

The impact on outcomes

The DV5 allows surgeons to be more precise than ever, which affects patient outcomes. Dr. Scott Miller, a Wellstar urologist explained.

“The DV5 is ideal for many urologic procedures, such as prostate and kidney removal, bladder surgery and urinary tract reconstruction,” he said. “The improved range-of-motion and visualization features help us protect healthy tissues and nerves. As a result, we can lower the risk of serious side effects like infections and problems with bladder control and sexual function.”

Learn more about robotic surgery at Wellstar.

Keep reading
Robert, a new grandfather, poses proudly with his daughter and her infant son. With Wellstar helping him manage his HCM, he can keep making memories with his growing family.

PeopleCare

RobertCare

Robert Frederick was living a typical life, going to work and spending time with his mother, siblings and children. But then it became hard to breathe when walking short distances or climbing stairs. He got dizzy. Perhaps most disturbingly, he passed out several times—once at a Braves baseball game he attended with his siblings.

"I didn't know what was going on!" Robert recalled.

Difficulty controlling AFib with medication

After passing out the first time, he went to urgent care and was then taken to the hospital by ambulance. He learned his symptoms were caused by atrial fibrillation (AFib), an irregular heartbeat.

Robert began to see Dr. David Caras, a Wellstar general cardiologist, and learned AFib is related to high blood pressure. Successfully managing high blood pressure often helps people keep AFib under control. Despite their efforts, AFib sent Robert to the emergency room two more times.

Suspicion of HCM

Dr. Caras reviewed Robert’s hospital records and found he had increased wall thickness of the left ventricle and a gradient—a pressure difference between the left ventricle and the aorta when the heart pumps. These findings were consistent with a condition called hypertrophic cardiomyopathy (HCM). Characterized by abnormal thickening of the heart muscle, this disease makes it difficult for the heart to pump blood effectively.

Dr. Caras referred Robert to Dr. Melissa Burroughs, an HCM specialist at Wellstar. As a Center of Excellence designated by the Hypertrophic Cardiomyopathy Association, Wellstar is one of the leading providers of comprehensive HCM care in Metro Atlanta.

"We have physicians in the group—designated HCM specialists—that are the point person of the patient’s care," Dr. Burroughs explained. “This includes close communication and collaboration with electrophysiologists, surgeons, advanced heart failure specialists, social workers and behavioral health professionals.”

A rare finding leads to Mayo Clinic Care Network collaboration

Robert said, “Dr. Burroughs wanted to do genetic testing to verify that I had HCM."

But genetic testing revealed a rare genetic variant—one not known to be associated with HCM. Dr. Burroughs called it a “diagnostic conundrum.” The genetic variant found was typically associated with a different cardiac disease that Robert did not have. However, he did have clear signs of HCM.

To investigate further, Dr. Burroughs collaborated with other HCM experts through the Mayo Clinic Care Network, of which Wellstar is a member. Mayo Clinic, which is also an HCM Center of Excellence, provided access to its unpublished database, finding Robert’s rare mutation was present in two other family groups with HCM.

“It’s very important that we add to the science—that we include our patients in the registry to enhance what is already known about HCM,” Dr. Burroughs said.

Robert added, “Dr. Burroughs is very persistent. She wanted to know, ‘Why are you having these problems? What’s the root cause?’ She went above and beyond to find that out.”

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At 26, Maria receives chemotherapy as part of her breast cancer treatment plan, determined to complete her interior design degree on time.

PeopleCare

MariaCare

Maria Fernanda Ortiz was a college junior, pursuing a degree in interior design. But at just 26 years old, her life took an unexpected turn. She discovered a lump in her breast, which led to a cancer diagnosis and expert, multidisciplinary care at Wellstar that would shape her professional aspirations in the future. Maria feels her hopeful attitude and compassionate care team at Wellstar helped her come through treatment with positive outcomes.

Feeling heard in healthcare

After Maria discovered a lump, she initially saw a doctor who went through the motions but didn’t seem to take her concerns seriously. 

“He was so sure it was nothing because I am so young,” she remembered. “I didn’t think it was cancer, but I wanted someone who would get to the bottom of it.”

She then saw her OB/GYN who referred her to Dr. Laura Pearson, a Wellstar breast surgeon at Wellstar North Fulton Cancer Center, for a second opinion. 

Maria got what she was looking for: a doctor who listened and would help her find answers. 

“Maria is the perfect example of a patient advocating for themselves,” Dr. Pearson said. “She did exactly what she was supposed to do for someone her age who finds a lump. When it didn’t go away, she got it looked at. When she didn’t feel like she was being heard, she didn’t let it go.”

 

A surprising cancer diagnosis

Dr. Pearson immediately performed an ultrasound in the office, followed quickly by a biopsy, which came back positive for cancer. 

"The diagnosis was scary," Maria said. “Dr. Pearson made it as simple as possible to understand by making sketches. She took the time to answer my questions—and she gave me hugs.”

Dr. Pearson added, “I try hard to be methodical and build a story: ‘This is what this means. This is how it applies to you.’ It’s important for patients to understand their plan and how it’s based very specifically on their situation.”

Maria was diagnosed with stage 2A breast cancer, meaning it was a small tumor but had spread to a nearby lymph node. 

“The stage helps us understand how the patient is going to do with standard treatment,” Dr. Pearson explained. “At stage 2A, we’re looking at a 90% survival rate.”

Keep reading
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