need help

[rupat]

Sent by rupat Jan 20, 2010 08:44PM
I am 39 years old. I have a 6.5 cm X 7.4 cm cystadenoma on my left ovary. One of my gyn doctor is saying to remove it by open surgery. I took a second opinion. The doctor says he can do it by robotics (da vinci) surgery. He says there is a chance of 95 % success with a 5 % chance of conversion to open surgery at the table. The doctor's name is in the list of doctors with da vinci robotic surgery. I can not find what is his experience.

Please suggest which is advisable.

Thanks

[MarieMichele]

The gyn/onc and robotic.  Gyn/onc is the best choice. They have about 1 more year of med school and more knowledge of ovarian cancer. Plus the surgery is easier on you, too.

[mary1750]

I am having the daVinci surgery (by an GYN/ONC) tomorrow (1/25) to remove a cyst the size of an orange.  I have decided to follow his advice and have all female organs removed at this time (I am a 69 YO).  I have great faith that this is the way to go and have confidence in the skill of the doctor!

Good luck to you!

[rupat]

Thanks for the response. The doctors are both gynecologist. One of the doctor is a ob/gyn and does this kind of open surgery. The robotics surgeon is gyn/oncologist and also does this kind of cases. Today we talked to one his fellow surgeon, he said they generally put the cyst and the ovary in a sac and then pull it out by robotics. Still I am confused which procedure to chose.

[MarieMichele]

Are both doctors in the same medical speciality? Gynecologists or something else?  I would go with whichever one has the most experience with ovarian cancer.  The robotic surgery is certainly preferable, but in the process of removing/testing the cyst, cells could get spilled inside you.  If benign, no problem. If cancer, it could adversely affect the spread of it into your body. I had open surgery myself and favor it because it gives the surgeon the ability to remove a cyst intact, but it is major surgery for a patient.

[rupat]

Thanks MarieMichele for your reply. The robotics surgeon says that after the surgery they will know for sure whether it is cancerous or not from the frozen sections test,. The other doctor wants to do open surgery.The CT exam and MRI reports says the growth most likely is a  cyst adenoma, but a cyst adenocarcenoma cannot be excluded. My ca-125 came out normal. The surgeon says if they find any thing they will open right there and takeout every thing (both ovary and uterus). I am scared and confused which of  surgical procedures should I choose (robotics or open) . Both the doctors are nice and confident.
Ruapat

[MarieMichele]

If the doctor is absolutely certain this will prove to be a benign cyst, then robotic surgery is much easier on you with a much shorter recovery.  

If, however, it tests to have cancer in it, then open surgery would remove it more safely.

Did the doctor describe what type of cyst it is and how confident he is that it is benign?