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Article Category: Newsroom

Wellstar Experts Demonstrate the Latest Robotic Technologies Used in Lung Cancer Care

Published on March 08, 2024

Last updated 12:22 PM May 24, 2024

Dr. Timothy Udoji, Wellstar interventional pulmonologist, explains how the Ion bronchoscopy works and how to safely conduct the procedure.

Only 3.8% of those at high risk for cancer in Georgia are screened, according to the American Lung Association’s 2023 State of Lung Cancer report. To help enhance awareness and share the latest robotic technologies with healthcare professionals and community members, Wellstar held a Lung Cancer Showcase February 21 at the Atlanta Marriott Northwest in Cobb County. The event was held in a mobile laboratory with mock operating rooms and robotic surgical systems.

During the event, attended by several medical experts, Dr. Theolyn Price, Wellstar thoracic surgeon, and Dr. Timothy Udoji, Wellstar interventional pulmonologist, demonstrated how they use the Ion robotic bronchoscopy and da Vinci Xi surgical robotic system consecutively under a single anesthesia event to locate, biopsy and treat patients with early-stage lung cancer.

As she demonstrated how to control the da Vinci robot’s spider-like arms to perform surgeries, Dr. Price said, “See how I can use this clutch to move my arms up and down?” From there, she explained in detail how she cut away the cancerous tissue.

Dr. Udoji told participants how he uses the Ion robotic navigation bronchoscopy system to perform biopsies on potentially cancerous lung tissue, “This blue line shows exactly the pathway leading to the nodule inside the patient’s lung.”

The Ion robotic bronchoscopy system has safety features that ensure the instrument does not cause complications in other parts of the lung. Physicians can navigate and biopsy nodules in almost any part of the lungs.

Surgery is just one part of the treatment journey for some patients. Wellstar oncology nurse navigator Pam Plasket said, “We are dedicated to removing barriers to care and treatment. We promptly schedule appointments, connect patients to financial assistance and social support resources, and address transportation, housing and food insecurity needs.”

Wellstar nurse navigators know that shortening the journey for the patient is key and provides personalized care. At the Wellstar Specialty Teams and Treatments (STAT) Clinic, the goal is to move lung and esophageal cancer patients from diagnosis to initiating treatment within 14 days, which is facilitated by the multidisciplinary team of experts individualizing their care.

“It’s a privilege to help them. They have all my contact information and can reach out to me, and so can their caregivers,” Plasket said.

In addition to nurse navigators, several other teams were present to share information, including genetics, screening and lung cancer care. At Wellstar, patients have access to a suite of integrated services encompassing incidental lung nodule management, dedicated lung cancer screening and multidisciplinary lung cancer clinics (STAT Clinics).

Dr. Bill Mayfield, medical director of the Wellstar incidental lung nodule and lung cancer screening programs, explained, “Our goal is to broaden Wellstar’s ability to find lung cancers early and save more lives.” Additionally, patients with lung nodules not diagnosed with cancer but at high risk are monitored through regular lung cancer screening CTs or serial chest CTs if they do not qualify for lung cancer screenings.

Showcasing technologies and sharing the strengths of a comprehensive lung cancer program is just one step the team takes to enhance awareness of this unique and special program, available to all patients, from early detection to advanced treatment. Lung Cancer Awareness Month is held in November, but the team continues to increase outreach efforts year-round to build connections with consumers and educate the communities we serve.

You may learn more about the Ion robotic bronchoscopy and da Vinci Xi surgical systems online and read about our expert approach to comprehensive lung cancer at wellstar.org/lungcancer.

Left photo: Pam Plasket, Wellstar oncology nurse navigator, spoke with participants at the recent Lung Cancer Showcase. Right photo: Dr. Theolyn Price, Wellstar thoracic surgeon, explains how she uses the da Vinci robotic system to perform lung surgeries.

Left photo: Pam Plasket, Wellstar oncology nurse navigator, speaks with participants at the recent Lung Cancer Showcase. Right photo: Dr. Theolyn Price, Wellstar thoracic surgeon, explains how she uses the da Vinci robotic system to perform lung surgeries.

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Theolyn Nan Price Timothy Nnaemeka Udoji Media Room
Cancer Care Pulmonary Care
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Healthcare provider listens to his patient's lungs using a stethoscope

Highlights

What Happens After an Abnormal Lung Screening

The Weekly Check-up Atlanta


Annual lung cancer screenings are recommended preventive screenings—much like mammograms and colonoscopies. Yet in Georgia, fewer than 14% of patients who are eligible for lung cancer screenings get them.

Why the hesitation?

According to Dr. Daniel Fortes, a board-certified thoracic surgeon at Wellstar, the reasons for hesitation may include:

  • Guilt: “I smoked. If there’s a problem, I caused it.”
  • A lack of awareness about screening and insurance coverage
  • Fear that screening will find something abnormal

It's important for current and former smokers age 50 and older to champion their health and stay up to date on lung screenings. When caught early, lung cancer is more treatable and likely curable.

“Wellstar puts our patients at the center of their care,” Dr. Fortes said. “We do everything to minimize patient anxiety and maximize the speed at which they travel through the system, so that we can get them to their treatment as quickly as possible.”

What is lung cancer screening?

Lung cancer is the leading cause of cancer deaths among men and women. For many years, most cases were not detected until the disease was already advanced.

That began to change about 20 years ago. Research revealed that screenings with low-dose CT scans were finding cancer earlier, at a stage that is far more treatable. Today, we know that annual low-dose CT screenings for individuals at high risk have been shown to reduce lung cancer deaths by about 20%.

“That was a breakthrough,” Dr. Fortes said. “It was the first time we knew that there was something we could do to decrease the mortality of lung cancer proactively.”

The U.S. Preventive Services Task Force, a government agency, added annual lung cancer screenings to its list of recommended screenings. Medicaid, Medicare and most private insurance plans began covering the costs for patients over 50 whose smoking histories put them at risk.

The screening is painless and fast. Sometimes, the CT scan reveals a lung nodule, or a small, round growth. But not all nodules are cancerous. Old infections, scarring or inflammation can cause benign (non-cancerous) nodules. If the scan is abnormal, the patient will be referred to a Wellstar STAT Clinic for Lung Cancer.

Shorter time from diagnosis and treatment

At Wellstar, STAT Clinics (short for Specialty Teams and Treatments) provide dedicated guidance and help shorten the time from diagnosis to treatment. Within the STAT Clinic for Lung Cancer, the multidisciplinary care team may include a surgeon, pulmonologist, medical oncologist, radiation oncologist and a nurse navigator.

Before a patient visits the STAT Clinic, their team meets to review their scan and develop an initial plan. The patient and their family then meet with the appropriate team members on the same day. Their nurse navigator provides education, support and advocacy from diagnosis through treatment and recovery.

“This takes away a lot of anxiety from patients who are running from one office to another without an answer,” Dr. Fortes said. “They have a defined plan, and we expedite everything. Things happen much faster. Our average is about four to six weeks total from when we first identify a problem to the time a patient receives treatment. That’s compared to four months nationwide—and we’re trying to decrease the time even more.”

Advancements in lung cancer treatment

For patients with early-stage lung cancer, surgery to remove the affected portion of the lung and surrounding lymph nodes is often the center of the treatment plan.

“Many patients with early-stage cancer are candidates for minimally invasive techniques, either by video techniques or robotics,” Dr. Fortes said. “These techniques require small incisions in the chest without much disruption or trauma to the chest wall.”

As a result, patients have less pain after surgery and recover faster. They often leave the hospital after a day or two.

“There have been so many advancements that have changed lung cancer care,” Dr. Fortes said. “When we find lung cancer at the earliest stages and patients have surgery, they have up to an 85% chance of being cured.”

Who should get annual lung cancer screening

If you are 50 or older, currently smoke or smoked in the past, ask your healthcare provider if you should have lung cancer screenings.

The American Lung Association and the U.S. Preventive Services Task Force recommend annual screening for adults 50 to 80 who have a 20 pack-year smoking history. That could mean one pack a day for 20 years or two packs a day for 10 years.

The guidelines apply whether you still smoke or have quit within the past 15 years. You do not need to have symptoms to be screened.

Remember: Finding cancer early, when no symptoms are present, increases your chances of being cured or living longer with lung cancer.

Take the next steps toward screening

  • Learn more about lung cancer screening at Wellstar.
  • Call (470) 793-4AIR to learn more about eligibility, financial assistance or to schedule a screening.
  • Read about a patient whose lung cancer screening results showed cancer in an early stage.
  • Need a doctor? Find a Wellstar provider and book an appointment.
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Clinician looking through microscope

Highlights

Genetic Testing: A Critical Tool in Cancer Treatment

It's been over three decades since genetic testing was first introduced as a tool for patients at risk of hereditary cancer syndromes. In its early days, genetic testing was expensive and time-consuming (often taking up to eight weeks for results). Fast forward to today and genetic testing is now a routine part of cancer care. It’s more accessible, comprehensive and, perhaps most importantly, significantly impactful for patients and their families.

Physicians help identify patients who could benefit from genetic testing, especially when someone has a personal or family history of cancer. Genetic testing can improve treatment outcomes, guide preventive care and provide vital information for the patient's family.

Benefits of genetic testing

1. Understanding the cause of cancer

One of the most common questions from patients newly diagnosed with cancer is, "Why did this happen to me?" While many cancers are the result of environmental factors, aging and sporadic mutations, genetic testing can offer a more definitive answer. For patients with hereditary cancer, knowing their cancer is genetically driven can help ease feelings of uncertainty and guilt. 

For many, this knowledge brings a sense of empowerment, as they now have the opportunity to make informed decisions regarding their treatment and potential preventive measures for the future. This hereditary cancer risk was present since birth, and there was very little if anything the patient could have done differently throughout their life to prevent their diagnosis.

2. Personalized treatment options

For patients with cancers like breast, ovarian, pancreatic and prostate, identifying genetic mutations (like BRCA mutations) can open the door to personalized therapies. The earlier in the diagnostic process the genetic test is ordered, the quicker the patient can be matched with appropriate treatments.

Knowledge of genetic mutations can also guide surgical decisions. Patients with BRCA-positive breast cancer may be candidates for risk-reducing mastectomy or salpingo-oophorectomy—both of which can lower the risk of future cancers. These decisions are most effective when genetic results are available before surgery.

3. Identification of additional cancer risks

Cancer does not always occur in isolation, especially in patients with hereditary cancer syndromes. For instance, patients with Lynch syndrome, a leading cause of colorectal cancer, are also at increased risk for uterine cancer—up to 60%. If identified before a colon resection, this knowledge could allow a hysterectomy at the same time if necessary, minimizing the risk of a second cancer and optimizing care.

Beyond immediate cancer treatment, genetic testing can also lead to additional screenings that might otherwise be missed. For example, the ATM gene is a known contributor to prostate and breast cancer.  But patients with an ATM gene mutation are also at elevated risk for pancreatic cancer. While general population screening is not typically recommended, high-risk patients should begin annual imaging and/or endoscopic ultrasounds as early as age 50 or 10 years before the earliest known pancreatic cancer in their family.

4. Informed decisions for family members

A cancer diagnosis doesn’t only affect the patient—it impacts their entire family. Once a genetic mutation is identified, relatives can undergo testing to assess their own cancer risk and talk to their care teams about screenings. 

Testing the affected patient first is the most informative strategy for relatives. Patients with negative genetic test results can be reassured that relatives are not at significant risk for the same diagnosis. 

The role of genetic counseling in cancer care

Genetic counselors provide the expertise necessary to interpret complex genetic results, discuss the implications for patients and their families, and offer psychological support throughout the process. Genetic counseling not only helps patients make sense of their genetic test results, but also provides them with the tools to make informed decisions about their health.

Counseling also helps address the emotional and psychological aspects of genetic testing, from potential feelings of anxiety to guilt and even empowerment. Research shows that genetic counseling has a positive impact on patient knowledge, reduces anxiety and can improve overall psychological well-being during a cancer journey.

Learn more about genetic counseling at Wellstar. 

Keep reading
A friendly image of STS

Highlights

Wellstar Kennestone Earns 5 STS Three-Star Ratings, Joining the Nation’s Elite Cardiac Surgery Programs

Wellstar Kennestone Regional Medical Center has earned three-star ratings—the highest ratings possible—in five cardiac surgery categories from the Society of Thoracic Surgeons (STS), placing it among a select group of programs nationwide achieving top-tier performance across a broad range of procedures and making it the only program in Georgia to achieve this distinction.

The STS Adult Cardiac Surgery Database (ACSD) star rating system is one of the most comprehensive and respected measures of quality in the industry, evaluating outcomes from hundreds of hospitals in North America and serving as a leading benchmark for clinical excellence. A three-star rating indicates performance that is significantly better than the national average in key measures such as survival, complication rates and adherence to evidence-based care.

“The STS three-star rating is the highest distinction a cardiac surgery program can earn, and even a single category is rare. Receiving it in five is extraordinary, and it’s a direct reflection of the trust patients place in Wellstar every day,” said Ketul J. Patel, president and CEO of Wellstar Health System. “Our physicians, clinicians and care teams are setting a national standard for quality and safety, making Wellstar a center of excellence for cardiovascular care. This is one of the many ways that Wellstar’s care teams are improving health outcomes in the Southeast.”

In the previous reporting cycle, the program achieved three-star ratings in four categories—an already rare and notable achievement for cardiac surgery programs nationwide. Building on that success, Wellstar Kennestone has now expanded to five three-star categories, underscoring sustained excellence and a continued commitment to advancing high-quality cardiac care.

Wellstar Kennestone received a three-star overall composite quality rating in five of six evaluated procedure categories:

  • Coronary artery bypass grafting (CABG)
  • Aortic valve replacement (AVR)
  • Combined AVR and CABG procedures
  • Mitral valve repair and replacement (MVRR)
  • Multi-procedural cardiac surgery

The program also earned a two-star rating in the combined MVRR and CABG category.

“For patients, these ratings translate to better outcomes, fewer complications, improved survival and a smoother recovery after major heart surgery,” said Dr. Barry Mangel, chief of clinical service lines at Wellstar. “Achieving and sustaining this level of performance across multiple complex procedures is extraordinarily rare and reflects a deeply coordinated, team-based approach to care.”

Wellstar Kennestone’s cardiac surgery program brings together a highly integrated team of cardiac surgeons, cardiologists, anesthesiologists, intensivists, perfusionists, advanced practice providers, nurses, technologists and support team members. This collaborative approach enables the team to deliver consistently high-quality, coordinated care for patients with even the most complex heart conditions.

These results reflect a sustained commitment to clinical excellence, continuous improvement and delivering the highest standard of cardiovascular care to every person, every time.

For more information about heart care at Wellstar, visit wellstar.org/heartcare.

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