David Emmott, MD, and his partner Scott Montgomery, MD, have become the first Kansas City area surgeons to perform more than 500 minimally invasive radical prostatectomies using the da Vinci® Surgical System available exclusively in Johnson County at Shawnee Mission Medical Center (SMMC). Emmott and Montgomery were also the first area surgeons to perform the procedure.
SMMC introduced the minimally invasive prostate removal technique using the da Vinci Surgical System in 2004. The procedure affords men a quicker recovery and better chance of retaining continence and sexual potency.
“Using the da Vinci, recovery time from radical prostatectomy can be reduced from weeks to days,” Dr. Emmott said. “It is possible for patients to be back at work within two weeks following the procedure.”
Radical prostatectomy treats early stage prostate cancer by removing the entire prostate gland and additional surrounding tissue. Traditionally, radical prostatectomy procedures were performed through large incisions, which often resulted in lengthy and uncomfortable patient recovery.
With the da Vinci Surgical System, surgeons are able to perform the procedure through minimally invasive “keyhole” incisions, significantly reducing blood loss and recovery time. In addition, the robot allows surgeons enhanced range of motion, precision and dexterity – all critical to the complex anatomy surrounding the prostate.
The da Vinci Surgical System consists of two primary components: the surgeon's viewing and control console and the surgical arm units that position and maneuver detachable surgical instruments. These pencil-sized instruments (with tiny, computer-enhanced mechanical wrists) are designed to provide the dexterity of the surgeon's forearm and wrist at the operative site through three incisions of less than one centimeter each.
One incision allows access for the endoscope, a tiny camera attached to a fiber-optic cable. The other two incisions provide access for the robot’s wrists, which hold surgical tools and provide greater range of motion than humanly possible.
The wrists of the robot mimic the motions made by the physician, who sits at a console beside the patient. The surgeon peers through an eyepiece that provides high-definition, full-color, magnified, 3-D images of the surgical site provided by the endoscope.
Palliative care is comfort care. It is active total care of patients whose disease is no longer responsive to curative treatment. It is about improving quality of life, while neither hastening nor postponing death.
It seeks to lessen physical, mental or spiritual pain and suffering to provide the greatest possible comfort.
The Palliative care team is made up of the patient’s primary care physician, a physician specially trained in palliative medicine, an advanced practice nurse, a social worker, a chaplain and a pharmacist.
Together, they apply scientific principles with compassion, continuity and respect for the autonomy and dignity of individual patients and their families.
Palliative services include individualized assessment and management of pain and other sources of discomfort, emotional and spiritual support for patients and families, crisis response from a member of the care team while in the hospital, assistance with advanced health care planning and decisions, assistance with referral and transition to hospice or other levels of care, patient and caregiver education, and grief counseling and bereavement support.
We make many promises to our patients with serious illnesses. Our main promise is to provide comfort. We promise to work towards helping patients and their families understand what is likely to happen. We promise to make the patients’ and their families’ concerns a part of the planning and services. We promise to help the patients and their families make the most of everyday.
April 23-25, 2014
Camp Bluebird is a special camp sponsored by Shawnee Mission Medical Center for adult members of our community who have been diagnosed with cancer. For three days and two nights campers have a unique opportunity for listening and learning, not only about their disease, but with others like themselves who live with cancer.
Nestled in rolling hills near Parkville, Mo., the camp is held twice yearly at the Heartland Presbyterian Retreat Center. Three-hundred-sixteen acres of forest and woodlands provide an ideal setting to get away from everyday living. In addition to hiking and horse riding trails, campfire and picnic facilities, the retreat center features indoor recreation areas, a chapel and dining facilities in the center’s lodge. In these rich surroundings, campers have an ideal setting to experience a supportive community of individuals. And that, really, is what Camp Bluebird is all about.
Of the forty-some individuals who gather, each has a unique story. Bringing a wealth of experience of living, an opportunity is created to share experiences with those who know the challenges of living with cancer. Campers make the transition from being supported by a caring, but healthy family to support from their peers. In camping with other cancer patients, one truly releases from normal living to a much deeper level.
Camp Bluebird is staffed by physicians, nurses, and other Shawnee Mission Medical Center health professionals on a completely volunteer basis. These individuals gladly give of time from their busy schedules to live out the mission of the Medical Center to heal the human spirit as well as the body. The camp gives physicians and nurses a chance to get closer to their cancer patients, as well as providing a thorough way to process the many mixed emotions of both patient and health care provider that are associated with this disease. Revenue from fees covers only a small fraction of the actual costs. Camp Bluebird is made possible by the generous gifts of donors to The Foundation for Shawnee Mission Medical Center.
“It made me realize this is not a lonely disease.”
“Not enough words or paper to explain…my spirit is so uplifted and ready to keep going. It fills me with strength that I don’t receive anywhere else."
Click here to download the Registration form.
Click here to download the Camp Bluebird brochure.
To donate to Camp Bluebird, use The Foundation for Shawnee Mission Medical Center's online giving page, or contact The Foundation for Shawnee Mission Medical Center at 913-676-2055.
Lymphedema is swelling that most commonly occurs in the arms and the legs. However, it may occur in any part of the body. There are two types of lymphedema. Secondary lymphedema is most common and may occur after lymph node dissection, radiation, infection, trauma or prolonged venous stasis. Primary lymphedema is caused by congenital abnormalities in the lymphatic tissue and is relatively rare.
If you are experiencing swelling in your arms and/or legs as a result of vascular problems or surgery, we can help. Our team of lymphedema specialists includes experienced occupational therapists with specialized training and certification in the comprehensive management of lymphedema who can counsel you on therapies that may reduce potential complications such as pain, decreased mobility and non-healing wounds.
Our comprehensive lymphedema treatment programs include:
The ultimate goal of our program is to ensure individuals are independent and confident in the long term management of their lymphedema. Although there is no cure for lymphedema, the treatment is very successful. Early diagnosis and treatment improves the prognosis considerably.
For more information, call TherapyPlus at 913-676-2444.
Open any newspaper or women’s magazine, or turn on the radio or television, and chances are you will read or hear something about breast cancer. It’s not surprising, since breast cancer is the most common cancer among women. It is estimated that in 2003, more than 200,000 new cases of breast cancer will be diagnosed and more than 40,000 women will die from this disease. The incidence of breast cancer will continue to increase as our population ages.
Breast care at the Breast Center includes screening, diagnosis, treatment and follow-up care, all provided by a multidisciplinary team of physician specialists, nurses, technologists, physical therapists and others. Patient care is enhanced when this broad range of services with multiple specialists is coordinated by a patient-focused system that concentrates on a patient’s entire continuum of care.
A Breast Center is a system for delivering coordinated, patient-focused care across the continuum of a woman’s breast health needs. This system fosters collaboration among providers of breast health care services. Breast health specialists examine every aspect of treatment to ensure that optimal care is provided at each step along the way, including screening, diagnosis, treatment and follow-up care. Breast care services offered at the Kansas City Breast Center include:
Early detection is the best defense against breast cancer. It greatly improves treatment options, the chances for successful treatment and survival. The Breast Center offers state-of-the-art methods for screening and diagnosis, including screening and diagnostic mammography, breast ultrasound, breast MRI and minimally invasive breast biopsy.
The Breast Center offers the latest surgical techniques, radiation therapy, chemotherapy, hormone therapy and research studies.
The emotional aspect of receiving a cancer diagnosis and subsequent treatment can be overwhelming. Most patients and family members can benefit from attending one of our breast cancer support groups, education and support from our nurse navigator or individualized supportive counseling.
Our newest Kansas City breast cancer support group is called Voices of Hope. This program provides an immediate and effective peer support system for individuals experiencing the isolation and uncertainty that can occur with a breast cancer diagnosis. Patients talk one-on-one with a trained survivor who can provide emotional support and practical information. Informed patients have less anxiety and more reason to hope, as well as a sense of control and confidence.
For more information about the Breast Center, call 913-676-2220.