Surgical Oncology

Surgical oncologists undergo fellowship training in the surgical management of cancer. Our surgeons at Mills-Peninsula offer expertise in the treatment of a variety of gastrointestinal, thoracic, endocrine and soft tissue malignancies.

We focus on the treatment of malignant and benign tumors of the esophagus, stomach, pancreas, liver, gallbladder, bile duct, small intestine, colon and rectum, as well as lung, thyroid, parathyroid, adrenal, sarcoma and melanoma.

For patients with cancer, we as surgical oncologists actively collaborate with our team of specialists, including medical oncologists, radiation oncologists, gastroenterologists, pulmonologists, endocrinologists, dermatologists, plastic surgeons, radiologists, pathologists, and nurse navigators to tailor the work-up and treatment plan for each patient, and we start immediately after diagnosis. We offer various multidisciplinary tumor boards, including:

* Multidisciplinary Gastrointestinal Tumor Board

* Multidisciplinary Cutaneous Oncology Tumor Board

* Multidisciplinary General Oncology Tumor Board

where we develop a comprehensive approach for every patient.

Postoperative outcomes for cancer surgery are among the best in the United States because surgeons are highly trained, perform each operation as a team of two board-certified surgeons, and collaborate in multidisciplinary teams.  We perform extensive open surgeries with the goal of achieving a cure. Whenever possible, we perform minimally invasive surgery (laparoscopic or robotic) to minimize incisions and reduce pain. We also offer palliative procedures for patients with metastatic disease.

Areas of Expertise:

Hepatopancreaticobiliary

  • Liver cancer, primary and metastatic
    • Hepatocellular carcinoma
    • Metastastic colorectal cancer
  • Pancreas cancer
  • Bile duct cancer
  • Gallbladder cancer

Gastrointestinal

  • Esophageal cancer
  • Gastric cancer
  • Small bowel tumor
  • Gastrointestinal stromal tumor
  • Neuroendocrine/Carcinoid tumor
  • Colorectal cancer

Thoracic

  • Lung cancer
  • Esophageal cancer
  • Mediastinal tumor (thymoma, teratoma)

Endocrine

  • Thyroid cancer
  • Parathyroid adenoma/cancer
  • Adrenal mass

Soft tissue and skin

  • Soft Tissue Sarcoma
  • Melanoma
  • Squamous cell cancer of the skin

Procedures:

Hepatopancreaticobiliary

  • Major hepatectomy
  • Laparoscopic liver resection
  • Whipple procedure (laparoscopic and robotic-assisted)
  • Laparoscopic distal pancreatectomy
  • Laparoscopic microwave ablation of liver tumors

Gastrointestinal

  • Laparoscopic gastric resection
  • Laparoscopic small bowel resection
  • Laparoscopic colectomy
  • Robotic colectomy and low anterior resection
  • Abdominoperineal resection

Thoracic

  • Video-assisted thoracoscopic and robotic resection
    • Lung cancer (lobectomy, wedge resection)
    • Mediastinal tumors (thymoma, teratoma, posterior mediastinal masses)
  • Thoracoscopic esophagectomy
  • Transhiatal esophagectomy

Endocrine

  • Thyroidectomy
  • Minimally invasive parathyroidectomy
  • Parotidectomy
  • Laparoscopic/robotic adrenalectomy
  • Radical neck dissection

Skin and soft tissue sarcoma

  • Wide resection of soft tissue sarcoma
  • Wide excision of melanomas and squamous cell skin cancers
  • Sentinel lymph node biopsy
  • Axillary and inguinal lymph node dissection

Why Choose Mills-Peninsula Hospital for Cancer Surgery?

Regional Center of Excellence

U.S. News & World Report named Mills-Peninsula Health Services to its annual list of Best Hospitals 2014-15 for regional excellence in Gastroenterology/G.I. Surgery. The annual U.S. News rankings recognize hospitals that excel in treating the most challenging patients.  U.S. News also recognizes hospitals that perform at the level of their nationally ranked peers and represent valuable regional sources of quality care. Mills-Peninsula offers a wide array of surgical options and expertise that are available in a community setting.

Multidisciplinary Team Approach and Tumor Boards

Immediately after diagnosis, surgical oncologists actively collaborate with medical oncologists, radiation oncologists, gastroenterologists, pulmonologists, endocrinologists, dermatologists, plastic surgeons, radiologists, pathologists, and nurse navigators to tailor the work-up and treatment plan for each patient. We offer various multidisciplinary tumor boards, including Gastrointestinal, Cutaneous Oncology, and

General Oncology Tumor Boards, where we develop a comprehensive approach for every patient.

Minimally Invasive Surgery

When possible and oncologically sound, we perform minimally invasive operations, laparoscopic or robotic-assisted, which yield small incisions and lead to less pain and medications, shorter hospital stay, improved cosmesis, earlier return to normal activity, quicker initiation to chemotherapy.

*** Wetter, Allen, volume

Surgical Innovation

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Clinical Trials

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Lower Postoperative Mortality and Complications

In 2014, for the third year in a row, Mills-Peninsula Health Services achieved recognition for high-quality surgical care from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP).  Mills-Peninsula was one of only 44 hospitals (top 1% of private and academic hospitals), in the country commended for achieving “meritorious outcome performances” in the following eight outcome areas in all surgery cases from Jan. 1 – Dec. 31, 2013:

  • Mortality
  • Cardiac: cardiac arrest and myocardial infarction
  • Pneumonia
  • Unplanned intubation
  • Ventilator greater than 48 hours
  • Renal failure
  • UTI: urinary tract infection
  • Surgical site infection (SSI): super­ficial incisional SSI, deep incisional SSI and organ/space SSI

Mills-Peninsula has exceptional immediate surgical outcomes because of our collaborative nature, including our formal multidisciplinary tumor boards, informal multidisciplinary discussions between our surgical group and colleagues, our team of two board-certified surgeons for every major surgical oncology operation; and our dedicated hospitalist and nurse practitioner who help us to care for our patients postoperatively.