Single-Site, Robotic-Assisted Gallbladder Surgery

Is It for You?

Tom Fahey, MD, FACS

Dr. Tom Fahey is the only surgeon in the region trained and experienced in single-site, robotic-assisted gallbladder surgery.

Dr. Tom Fahey Single-Site Robotic-Assisted Gallbladder Surgery

Single-Site Surgery

For patients with gallstones and gallbladder disease, single-site, robotic- assisted surgery may be an excellent option. It is virtually scarless and recovery time is usually much faster than conventional gallbladder surgery. There’s less pain and less bleeding, too.

About Your Gallbladder

Your gallbladder is a pear-shaped organ under your liver that stores and concentrates bile to help digest fat. Gallbladder disease includes inflammation, infection or blockage of the gallbladder. The most common blockage is a gallstone. Gallstones are pebble-like and solid. They can be as large as a golf ball or as small as a grain of sand.

Gallbladder disease is very common, affecting about 10-15 percent of adults in developed countries. It is more common in women, Native Americans, Hispanics, the obese and people over age 40.

Disease Symptoms

Gallbladder disease symptoms may include pain in the upper right side or middle of the abdomen, abdominal fullness, clay-colored stool, fever, nausea and vomiting, or yellowing of skin and whites of eyes.

Disease Treatment

Treatment for gallbladder disease may include lifestyle changes, medicines and procedures. However, when routine medical care does not ease your symptoms, surgery may be needed. Depending on how severe your symptoms are, doctors may need to remove your gallbladder. This operation is known as a cholecystectomy.

Gallbladder surgery is generally performed using manual laparoscopy. This technique uses several small incisions to access the gallbladder. The approach is intended to speed recovery, minimize pain, reduce blood loss and complications, while offering the added benefit of minimal scarring.

Surgeons may also perform laparoscopic surgery through one incision to virtually eliminate scarring. While single-incision manual laparoscopic surgery does minimize scarring, there are limitations for the surgeon, including reduced visibility, restricted instrument control, restricted reach and increased fatigue due to poor ergonomics. Also, some patients may not be candidates for single-incision laparoscopy if they have complex anatomy or adhesions from a prior surgery. Due to these challenges doctors may need to convert the procedure to multi-incision surgery.

A Virtually Scarless Option

For patients who have been told they need gallbladder surgery, ask about single-site robotic, assisted surgery. This procedure is performed through a single incision using state-of-the-art, precision instruments. Patients who choose single site surgery experience a virtually scarless procedure since surgery is performed through only one incision in the belly button to dramatically limit visible scarring. The primary potential benefits* of single-site gall bladder include:

  • Minimal scarring
  • Minimal pain
  • Low blood loss
  • Fast recovery
  • Short hospital stay
  • High patient satisfaction

* As with any surgery, these benefits cannot be guaranteed since surgery is unique to each patient and procedure.

The Technology

Lodi Health uses the da Vinci Surgical System to overcome the limitations of manual laparoscopy. The system has enhanced capabilities, including high-definition 3D vision and a magnified view.

A specially trained and experience surgeon uses the da Vinci system, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside a patient’s body.

Though it is often called a “robot,” the daVinci system cannot act on its own; the surgery is performed entirely by an experienced doctor.

Together, the da Vinci system instruments allow the physician to perform gallbladder surgery through a single incision. As a result, patients may be able to get back to their lives without the recovery or scars that usually follow major surgery.

All surgeries involve the risk of major complications. Before you decide on any surgery, discuss treatment options with your doctor. Understanding the risks of each treatment can help you make the best decision for your situation.

Click here for a printable brochure on Single-Site Robotic-Assisted Gallbladder Surgery.

da Vinci Prostatectomy (dVP)

prostatectomy comparison395x159Referred to by many as robotic surgery for prostate cancer or robotic prostatectomy, da Vinci® Prostatectomy is more accurately a robot-assisted, minimally invasive surgery that is quickly becoming the preferred treatment for removal of the prostate following early diagnosis of prostate cancer. In fact, studies suggest that  da Vinci Prostatectomy may be the most effective, least invasive prostate surgery performed today.1

Though any diagnosis of cancer can be traumatic, the good news is that if your doctor recommends prostate surgery, the cancer was probably caught early. And, with da Vinci Prostatectomy, the likelihood of a complete recovery from prostate cancer without long-term side effects is, for most patients, better than it has ever been.

da Vinci Prostatectomy is performed with the assistance of the da Vinci Surgical System – the latest evolution in robotics technology. The da Vinci Surgical System enables surgeons to operate with unmatched precision and control using only a few small incisions. Recent studies suggest that da Vinci Prostatectomy may offer improved cancer control and a faster return to potency and continence.1 da Vinci Prostatectomy also offers these potential benefits:

  • Significantly less pain
  • Less blood loss
  • Fewer complications
  • Less scarring
  • A shorter hospital stay
  • And a faster return to normal daily activities

If you are a candidate for prostate surgery, talk to a surgeon who performs da Vinci Prostatectomy.

Find a da Vinci trained surgeon >

Most effective minimally invasive surgery in terms of cancer control, potency and continence, cancer control being defined in part by margin rates and PSA test scores. The following studies provide support for da Vinci Prostatectomy's effectiveness in these three areas: Ahlering TE, Woo D, Eichel L, Lee DI, Edwards R, Skarecky DW. Robot-assisted versus open radical prostatectomy: a comparison of one surgeon's outcomes. Urology. 2004 May;63(5):819-22. Menon M, Tewari A, Peabody JO, Shrivastava A, Kaul S, Bhandari A, Hemal AK. Vattikuti Institute prostatectomy, a technique of robotic radical prostatectomy for management of localized carcinoma of the prostate: experience of over 1100 cases. Urol Clin North Am. 2004 Nov;31(4):701-17. Tewari A, Srivasatava A, Menon M; Members of the VIP Team. A prospective comparison of radical retropubic and robot-assisted prostatectomy: experience in one institution. BJU Int. 2003 Aug;92(3):205-10. Please also see the Clinical References section of the site for additional clinical support.

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

For additional information on minimally invasive surgery with the da Vinci® Surgical System visit www.davincisurgery.com.

da Vinci Hysterectomy

incision-comparison-hyst07-05If your doctor recommends hysterectomy, you may be a candidate for da Vinci Hysterectomy, one of the most effective, least invasive treatment options for a range of uterine conditions. da Vinci Hysterectomy is performed using the da Vinci™ Surgical System, which enables surgeons to perform with unmatched precision and control – using only a few small incisions.


For most patients, da Vinci Hysterectomy can offer numerous potential benefits over traditional approaches to vaginal, laparoscopic or open abdominal hysterectomy, particularly when performing more challenging procedures like radical hysterectomy for gynecologic cancer. Potential benefits include:

  • Significantly less pain
  • Less blood loss
  • Fewer complications 
  • Less scarring 
  • A shorter hospital stay 
  • A faster return to normal daily activities

Moreover, da Vinci provides the surgeon with a superior surgical tool for dissection and removal of lymph nodes during cancer operations, as compared to traditional open or minimally invasive approaches.1 da Vinci Hysterectomy also allows your surgeon better visualization of anatomy, which is especially critical when working around delicate and confined structures like the bladder. This means that surgeons have a distinct advantage when performing a complex, radical hysterectomy involving adhesions from prior pelvic surgery or non-localized cancer, or an abdominal hysterectomy. 2

As with any surgery, these benefits cannot be guaranteed, as surgery is both patient- and procedure-specific. While radical hysterectomy or abdominal hysterectomy performed using the da Vinci Surgical System are considered safe and effective, these procedures may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

Learn More

If you are a candidate for hysterectomy, talk to a gynecologist or gynecologic oncologist (a cancer specialist) who performs da Vinci Hysterectomy.  

Find a da Vinci trained surgeon >

1. Boggess JF. da Vinci® Hysterectomy for Endometrial Cancer with Staging. Presented at ISI WWSSM 1/06. 871391_rev B_dVH Endometrial Cancer Presentation
2. UNC Department of Obstetric & Gynecology Health & Healing in the Triangle Vol 8 No 3 pp 22-23.

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

For additional information on minimally invasive surgery with the da Vinci® Surgical System visit www.davincisurgery.com.

Prostatectomy

The gold standard treatment option for men under 70 with early-stage, organ-confined cancer is surgical removal of the prostate using nerve-sparing radical prostatectomy. Prostatectomy is also the most widely used treatment for prostate cancer today in the US.1

male anatomy 395x355

The primary goal of prostatectomy is removal of the cancer. A secondary goal is to preserve urinary function and -- when applicable -- erectile function. Preservation of the nerves necessary for erections can be an extremely important goal for patients. These nerves run alongside the prostate and are often damaged when removing the prostate. A nerve-sparing prostatectomy attempts to preserve these nerves so that the patient may be able to return to his prior erectile function.

Types of Prostatectomy

Approaches to this procedure include traditional open surgery, conventional laparoscopic surgery or da Vinci ® Prostatectomy, which is a robot-assisted laparoscopic surgery.

With a traditional open procedure, your surgeon uses an 8-10 inch incision to access the prostate. This approach often results in substantial blood loss, a lengthy, uncomfortable recovery and a risk of impotence and incontinence.

Conventional laparoscopy uses a specialized surgical camera and rigid instruments to access and remove the prostate using a series of small incisions. This approach provides your surgeon with better visualization than an open approach. In addition, it provides patients the benefits of a minimally invasive procedure.

Despite these advantages, conventional laparoscopy relies on rigid instruments and standard 2D video, technical limitations that can be challenging for the surgeon. Because of these drawbacks, conventional laparoscopy doesn’t lend itself well to complex procedures like prostatectomy. Therefore, very few urologists use this approach for prostatectomy. Moreover, neither laparoscopy nor open surgery can provide adequate visualization for a very precise, nerve-sparing prostatectomy.

Learn More

Read about the potentially most effective, least invasive approach to prostatectomy – da Vinci® Prostatectomy.

Find a da Vinci trained surgeon >

1. The National Prostate Cancer Coalition: http://zerocancer.org home > education > treatment > treatment options > surgery

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

For additional information on minimally invasive surgery with the da Vinci® Surgical System visit www.davincisurgery.com

Gynecology

Gynecologic Surgery

When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. These include, but are not limited to, cervical and uterine cancer, uterine fibroids, endometriosis, uterine prolapse and menorrhagia or excessive bleeding.

Traditional open gynecologic surgery, using a large incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process and threat to surrounding organs and nerves. For women facing gynecologic surgery, the period of pain, discomfort and extended time away from normal daily activities that usually follows traditional surgery can understandably cause significant anxiety.

Fortunately, less invasive options are available. Some gynecologic procedures enable surgeons to access the target anatomy using a vaginal approach, which may not require an external incision. But for complex hysterectomies and other gynecologic procedures, robot-assisted surgery with the da Vinci® Surgical System may be the most effective, least invasive treatment option. Through tiny, 1-2 cm incisions, surgeons using the da Vinci System* can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.

Learn More

Uterine conditions:

To learn more about da Vinci Hysterectomy or any other gynecologic surgery utilizing the da Vinci Surgical System, click here.

Our Experts

adam doddP. Adam Dodd, MD
Board-certified gynecologist
Office location:
999 S. Fairmont Ave., Ste. 205
Lodi, California 95240
Tel: 209.334.3333



 

Photo gill-paramParam Gill, MD
Board-certified gynecologist
Office location:
999 S. Fairmont Ave., Ste. 230
Lodi, California 95240
Tel: 209.334.4924 

Photo phung-jenniferJennifer Phung, MD
Board-certified gynecologist
Office location:
999 S. Fairmont Ave., Ste. 230
Lodi, California 95240
Tel: 209.334.4924

lsackschewskyLeslie Sackschewsky, MD
Board-certified gynecologist
Office location:
999 S. Fairmont Ave., Ste. 205
Lodi, California 95240
Tel: 209.334.3333

  

Find a da Vinci trained surgeon >

* Also referred to as the da Vinci robot

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

 

Prostate Cancer & Treatment

The prostate is a male reproductive gland that produces a fluid found in semen. Located below the bladder and in front of the rectum, the prostate surrounds the urethra — the tube that empties urine from the bladder.

Prostate cancer affects the prostate gland and may spread to surrounding structures. While most men with prostate cancer have no symptoms, physician can find prostate cancer male anatomy 395x255during a regular checkup, using a combination of a blood test called a PSA and a digital rectal exam (DRE).

Nearly one in six American men will be diagnosed with prostate cancer during his lifetime.1 With greater awareness, prostate cancer detection is on the rise and mortality is declining. Moreover, better treatments are allowing more men to return to active and productive lives after treatment.

Treatment Options

If the you have an early diagnosis of prostate cancer, there is usually a range of treatment options. These may include conservative management, radiation therapy with either external bream or brachytherapy therapy, cryosurgery and prostatectomy – surgical removal of the prostate. Your treatment options will depend on a number of factors, including the stage of the disease, your age and health or personal preference.

Learn More

Find a da Vinci trained surgeon >

1. The National Prostate Cancer Coalitionhttp://zerocancer.org/education/treatment/surgery/

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

For additional information on minimally invasive surgery with the da Vinci® Surgical System visit www.davincisurgery.com

da Vinci Trained Surgeons

davinci-group

Surgeons undergo intensive training to use the da Vinci Surgical System.  Lodi Health's experts include:

Fibroids & Treatment Options

Uterine fibroids* are benign (non-cancerous) tumors occurring in at least one quarter of all women.1 They can grow underneath the uterine lining, inside the uterine wall, or outside the uterus.

Many women don’t feel any symptoms with uterine tumors or fibroids. But for others, these fibroids can cause excessive menstrual bleeding (also called menorrhagia), abnormal periods, uterine bleeding, pain, discomfort, frequent urination and infertility.2

Treatments include uterine fibroid embolization – which shrinks the tumor – and surgery. Surgical treatment for uterine tumors most often involves the surgeon removing the entire uterus, via hysterectomy.3

While hysterectomy is a proven way to resolve fibroids, it may not be the best surgical treatment for every woman. If, for example, you hope to later become pregnant, you may want to consider alternatives to hysterectomy like myomectomy. Myomectomy is a uterine-preserving procedure performed to remove uterine fibroids.

Types of Myomectomy

Each year, roughly 65,000 myomectomies are performed in the U.S.4 The conventional approach to myomectomy is open surgery, through a large abdominal incision.5 After cutting around and removing each uterine fibroid, the surgeon must carefully repair the uterine wall to minimize potential uterine bleeding, infection and scarring. Proper repair is also critical to reducing the risk of uterine rupture during future pregnancies. Menorrhagia is extensive menstrual bleeding.

While myomectomy is also performed laparoscopically, this approach can be challenging for the surgeon, and may compromise results compared to open surgery.6 Laparoscopic myomectomies often take longer than open abdominal myomectomies, and up to 28% are converted during surgery to an open abdominal incision.7

A new category of minimally invasive myomectomy, da Vinci® Myomectomy, combines the best of open and laparoscopic surgery. With the assistance of the da Vinci Surgical System – the latest evolution in robotics technology – surgeons may remove uterine fibroids through small incisions with unmatched precision and control.

Learn more

If you would like to explore whether you are a candidate for myomectomy, ask your doctor. 

Find a da Vinci trained surgeon >

* Uterine fibroids are also called fibroids, uterine tumors, leiomyomata (singular – leiomyoma) and myomas or myomata (singular – myoma)

1. Newbold RR, DiAugustine RP, Risinger JI, Everitt JI, Walmer DK, Parrott EC, Dixon D. Advances in uterine leiomyoma research: conference overview, summary, and future research recommendations. Environ Health Perspect. 2000 Oct;108 Suppl 5:769-73. Review.

2. National Institutes of Health: Fast Facts about Uterine Fibroids. www.nichd.nih.gov/publications/pubs/fibroids/sub1.htm#where

3. Becker ER, Spalding J, DuChane J, Horowitz IR. Inpatient surgical treatment patterns for patients with uterine fibroids in the United States, 1998-2002. J Natl Med Assoc. 2005 Oct;97(10):1336-42.

4. Lumsden MA.Embolization versus myomectomy versus hysterectomy: Which is best, when? Hum Reprod. 2002; 17:253-259. Review.

5. Becker ER, Spalding J, DuChane J, Horowitz IR. Inpatient surgical treatment patterns for patients with uterine fibroids in the United States, 1998-2002. J Natl Med Assoc. 2005 Oct;97(10):1336-42.

6 .Kristen A. Wolanske, MD; Roy L. Gordon, MD. Uterine Artery Embolization: Where Does it Stand in the Management of Uterine Leiomyomas? Part 2. Appl Radiol 33(10):18-25, 2004. Medscape.10/27/2004.

7. Advincula AP, Song A, Burke W, Reynolds RK. Preliminary experience with robot-assisted laparoscopic myomectomy. J Am Assoc Gynecol Laparosc. 2004 Nov;11(4):511-8.

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

For additional information on minimally invasive surgery with the da Vinci® Surgical System visit www.davincisurgery.com.

General Surgery

When medication, lifestyle changes and other non-surgical treatments cannot relieve sydavinci generalmptoms, surgery is the accepted treatment for a broad range of conditions. Surgery can be a scary proposition for a patient, no matter how routine the procedure.

Here are the types of surgeries performed at Lodi Memorial Hospital:

While surgery is generally the most effective treatment option for a range of abdominal and other conditions, traditional open surgery with a large incision has its drawbacks – pain, trauma, long recovery time and risk of infection.

Fortunately, less invasive options are available to many patients facing surgery. The most common of these is laparoscopic surgery, in which smaller incisions are used. While laparoscopy is effective for many routine procedures, it has inherent limitations when more intricate and complex surgery is required. 

A New Category in Minimally Invasive Surgery

Thanks to the latest evolution in surgical technology, physicians now have an effective alternative to traditional open surgery and laparoscopy that allows them to provide patients with the best of both approaches. With the assistance of the da Vinci™ Surgical System, surgeons can now operate using only 1-2 cm incisions, but with greater precision and control than ever before. da Vinci can help surgeons minimize the pain and risk associated with surgery while increasing the likelihood of a fast recovery and excellent clinical outcomes.1

 

1. Jacobsen G, Berger R, Horgan S. The role of robotic surgery in morbid obesity. J Laparoendosc Adv Surg Tech A. 2003 Aug;13(4):279-83. Review.

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

For additional information on minimally invasive surgery with the da Vinci® Surgical System visit www.davincisurgery.com

About Hysterectomy

Physicians perform hysterectomy – the surgical removal of the uterus – to treat a wide variety of uterine conditions. Each year in the U.S. alone, doctors perform approximately 600,000 hysterectomies, making it the second most common surgical procedure.1

female anatomy 395x255

Types of Hysterectomy

There are various types of hysterectomy that are performed depending on the patient’s diagnosis:

  • Supracervical hysterectomy – removes the uterus, leaves cervix intact
  • Total hysterectomy – removes the uterus and cervix
  • Radical hysterectomy or modified radical hysterectomy – a more extensive surgery for gynecologic cancer that includes removing the uterus and cervix and may also remove part of the vagina, fallopian tubes, ovaries and lymph nodes in order to stage the cancer (determine how far it has spread).

Approaches to Hysterectomy

Surgeons perform the majority of hysterectomies using an “open” approach, which is through a large abdominal incision. An open approach to the hysterectomy procedure requires a 6-12 inch incision. When cancer is involved, the conventional treatment has always been open surgery using a large abdominal incision, in order to see and, if necessary, remove related structures like the cervix or the ovaries.

A second approach to hysterectomy, vaginal hysterectomy, involves removal of the uterus through the vagina, without any external incision or subsequent scarring. Surgeons most often use this minimally invasive approach if the patient’s condition is benign (non-cancerous), when the uterus is normal size and the condition is limited to the uterus.

In laparoscopic hysterectomy, the uterus is removed either vaginally or through small incisions made in the abdomen. The surgeon can see the target anatomy on a standard 2D video monitor thanks to a miniaturized camera, inserted into the abdomen through the small incisions. A laparoscopic approach offers surgeons better visualization of affected structures than either vaginal or abdominal hysterectomy alone.

While minimally invasive vaginal and laparoscopic hysterectomies offer obvious potential advantages to patients over open abdominal hysterectomy – including reduced risk for complications, a shorter hospitalization and faster recovery – there are inherent drawbacks. With vaginal hysterectomy, surgeons are challenged by a small working space and lack of view to the pelvic organs. Additional conditions can make the vaginal approach difficult, including when the patient has:

  • A narrow pubic arch (an area between the hip bones where they come together)2
  • Thick adhesions due to prior pelvic surgery, such as C-section3
  • Severe endometriosis 4
  • Non-localized cancer (cancer outside the uterus) requiring more extensive tissue removal, including lymph nodes

With laparoscopic hysterectomy, surgeons may be limited in their dexterity and by 2D visualization, potentially reducing the surgeon's precision and control when compared with traditional abdominal surgery.

da Vinci Hysterectomy

A new, minimally invasive approach to hysterectomy, da Vinci Hysterectomy, combines the advantages of conventional open and minimally invasive hysterectomies – but with far fewer drawbacks. da Vinci Hysterectomy is becoming the treatment of choice for many surgeons worldwide. It is performed using the da Vinci System, which enables surgeons to perform surgicall procedures with unmatched precision, dexterity and control. Read about what may be the most effective, least invasive approach to hysterectomy – da Vinci Hysterectomy.

1. Center for Disease Control. Keshavarz H, Hillis S, Kieke B, Marchbanks P. Hysterectomy Surveillance — United States, 1994–1999. Morbidity and Mortality Weekly Report. Surveillance Summaries. July 12, 2002. Vol. 51 / SS-5. Page 1. www.cdc.gov/mmwr/PDF/ss/ss5105.pdf

2. Harmanli OH, Khilnani R, Dandolu V, Chatwani AJ. Narrow pubic arch and increased risk of failure for vaginal hysterectomy. Obstet Gynecol. 2004 Oct;104(4):697-700.

3. Paparella P, Sizzi O, Rossetti A, De Benedittis F, Paparella R. Vaginal hysterectomy in generally considered contraindications to vaginal surgery. Arch Gynecol Obstet. 2004 Sep;270(2):104-9. Epub 2003 Jul 10.

4. Johnson N, Barlow D, Lethaby A, Tavender E, Curr L, Garry R. Methods of hysterectomy: systematic review and meta-analysis of randomised controlled trials. BMJ. 2005 Jun 25;330(7506):1478. Review.

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

For additional information on minimally invasive surgery with the da Vinci® Surgical System visit www.davincisurgery.com.

Minimally invasive surgery

The Lodi Health Physicians Plaza Surgical Care team are board certified surgeons who provide treatment for a full array of general surgery conditions. Our surgeons use their 36 years of combined surgical experience to determine the best surgical option for their patients. Whether it is traditional or minimally invasive surgery, our surgeons are committed to providing the best surgical options resulting in exceptional patient outcomes. Lodi Health’s state-of-the-art robotic surgical system is an option for minimally invasive surgery. It features a high-definition, 3-D system and special instruments that enable our surgeons to operate with enhanced vision, precision, dexterity and control.

The benefits of minimally invasive surgery include:

  • A few small incisions
  • Low rates of wound infection
  • Short hospital stays
  • Quicker recovery periods
  • Minimal scarring
  • Higher patient satisfaction
  • Improved emotional and general health after surgery
  • Improved quality-of-life after surgery 

Meet the surgeons sorour-pic

Nagui Sorour, MD

Nagui Sorour, MD, is a board-certified general surgeon. He completed medical training at the University of Cairo and at Deaconess/Buffalo General Hospital.

Dr. Sorour also trained at the Royal Infirmary, in Sterling, Scotland and the Isle of Thanet and Royal Sea Bathing Hospital, in Margate, England.

He joined the Lodi Health medical staff in 1978 and has served as chief of staff, chief of surgery and member-at-large on the Lodi Health board of directors.

Tom Fahey, MD, F.A.C.S

Tom Fahey, MD, F.A.C.S, is a board-certified general surgeon who is highly experienced in performing minimally invasive surgery for a wide variety of conditions.

Dr. Fahey uses state-of-the-art technology to reduce hospital stay and improve the general health of his patients after surgery.

A graduate of the Medical College of Georgia, he completed his internship and residency programs in surgery at the UCSF Fresno, Medical Education Program.

fahey “Over the last 10 years as a practicing general surgeon, I have developed a philosophy of what patient care and surgery means to me. My principal goal is to improve my patient’s quality of life. When I begin caring for my patients, I determine whether each patient will truly benefit from surgical intervention. It is my plan to do the surgery in the least impactful way as possible. This can involve robotic, laparoscopic or sometimes traditional surgery. In order to help make these decisions, I attend surgery conferences yearly to keep up with the latest in surgical technique. Overall, I hope to provide minimally invasive procedures that can reduce recovery time. I believe the most important thing in recovery after surgery is returning to normal daily activities as soon as possible. After most of the procedures I perform, patients can return to work, gardening, fishing and exercising within one to two weeks. This philosophy stems from reports of professional athletes getting back to playing their sport after surgery and my own experience as a lifelong athlete and two time national cycling champion. The passion and commitment it takes to become a national champion in cycling is the same passion and commitment I bring every day to providing the best possible surgical care for my patients.” -- Tom Fahey, MD

Robotic expertise

Dr. Fahey performs surgeries with robotic assistance for improved and more precise outcomes. Robotically assisted surgeries generally reduce hospital stay and pain. Why use a board-certified F.A.C.S. surgeon? A surgeon certified by the American Board of Surgery has met the highest standards of education, training and knowledge in the field of surgery. Board certification is voluntary and demonstrates a surgeon’s commitment to quality patient care.

Doctors Sorour and Fahey are also Fellows of the American College of Surgeons. They possess the education, training, professional qualifications, surgical competence and ethical conduct consistent with the high standards of the F.A.C.S.

For more information on how Lodi Health Physicans Plaza Surgical Care can help you or your family call 209.334.2010.

Click here to download a printable brochure for Plaza Surgical Care.