Center for Minimally Invasive Esophageal Therapies
Robotic Resection - Duplication Cysts
The Center for Minimally Invasive Therapies of the Esophagus at Boston Medical Center is dedicated to serving you and your family using the most advanced and effective medical treatment in New England. We perform innovative procedures such as myotomy robotic resection, and our staff of compassionate diagnosticians, surgeons, physician assistant, nurse practitioners, and surgical nurses collaborate to treat you and lead you on the path to recovery in the most comfortable way possible.
Duplication cysts are rare growths that may be present at birth. They vary in appearance, size, location and symptoms. A gastrointestinal duplication cyst is a spherical or tubular structure that is visible on the gastrointestinal tract; more commonly, these cysts appear in the small intestine. Duplication cysts cysts may also develop close to esophagus.
There are a variety of treatment options, one of which is robotic resection. In fact, Boston Medical Center was the first center in New England to perform robotic resection of tumors such as duplication cysts. For this procedure, your surgeon guides robotic instruments using a computer console. His or her natural hand movements are conveyed to the robotic instruments, which enables precise control during your operation.
How to Prepare
Tell your doctor if you have any allergies to medication or have had problems with anesthesia. Your surgeon will give you any specific instructions about dietary or activity restrictions and instruct you about whether you should take your regular medications on the day of the procedure. Please make a list of all medications you take and bring it with you. Include prescription and over-the-counter medications, herbs, supplements, aspirin and corticosteroids.
You may have a pre-admission appointment beforehand, during which you will have routine blood tests and consult with the anesthesiologist, who will administer medicine during your procedure that puts you to sleep and eases pain.
What to Expect
Before your procedure, you should receive a call from us. You will be given information about the day of your robotic resection, including where to go and when to arrive. When you arrive, you will be taken to a pre-surgery area so that we can take your temperature, blood pressure, pulse and listen to your heart and lungs. We will place an intravenous (IV) line in a vein in your arm, so that medications and fluids may be administered before, during and after the procedure.
Once you are asleep, your surgeon will insert a breathing tube and then make three or four small incisions in the chest area. He or she will insert a tiny camera as well as small surgical tools into these incisions using catheters. While viewing a screen of detailed images of your esophagus, your surgeon will guide the movement of the instruments using the computer console. The duplication cyst(s) will be located, separated from muscle fibers, and removed from your esophagus. Your surgeon will close the incisions when the resection is complete.
After surgery, you will be taken to the Post Anesthesia Unit and monitored for any changes in blood pressure, heart rate and breathing. An IV line will remain in your arm to keep you hydrated and administer pain medication, if necessary. The breathing tube may remain in place for a brief time.
With minimally invasive surgery, you will likely remain in the hospital for 1 to 2 days, and full recovery may take 2 to 3 weeks, as opposed to open surgery, which can take up to 6 weeks. It is important to follow your doctor's orders in regards to post-procedure eating, drinking and medications. Call us if you have any questions or changes.