Welcome Darcy Shaw, M.D.

The surgeons at Advanced Surgical Associates are pleased to welcome Darcy Shaw, M.D. to the practice this summer. Dr. Shaw brings with him a new surgical specialty to our community as a Fellowship trained Colorectal Surgeon. Dr Shaw is also Board Certified in General Surgery. Watch for more details in coming months!

Amazing Advances Allow Physicians to Genetically Predict Certain Cancers

Exerpt from Health & Wellness Magazine, December, 2014

Amazing technological advances are now available providing physicians and geneticists with the ability to screen, and even genetically predict, the probability of developing certain cancers for patients and their family members. This service is being offered and managed by a highly qualified team of physicians in Lee’s Summit.

Dr. Christie Brock, a Board Certified General Surgeon and member of the American Society of Breast Surgeons, sees many patients in her practice that have genetic family history of breast disease. Depending on the diagnosis and other medical factors, a variety of non-surgical or surgical treatment options are offered and discussed. If intervention is not needed immediately, regular follow up appointments are scheduled for monitoring. As a general surgeon, Dr. Brock also examines, diagnoses and treats colon and skin cancer which now have screening recommendations in place as well.

If you are interested in a consultation appointment with Dr. Brock, please call the office at 816.246.0800.

Robotic Surgery – Defying the Myths

Exerpt from Health & Wellness Magazine, November, 2014

Learning that you may need to have a surgical procedure can be quite frightening. In the past, this meant that you would need to have a large incision and an extended hospital stay to recover. In the 1980s, minimally invasive laparoscopic procedures were developed that allowed patients to have similar operative procedures done through smaller incisions, which led to faster recovery and less pain. The progression of laparoscopic surgery is now becoming more sophisticated with the introduction of Robotic Assisted technology. This technology allows surgeons to perform a wide range of surgical procedures with more precision. This tool enhances the surgeon’s ability to perform complex operations while minimizing adverse effects. The robot extends the surgeon’s range of motion and reach, allowing surgeons to operate deep within the body with unparalleled accuracy. The robotic system includes a surgeon’s console, a robotic cart with four arms controlled by the surgeon and a high definition, three-dimensional camera. The surgeon performs operations by making small incisions and placing tubes into the body. Instruments are placed through the tubes and attached to the robotic arms. Sitting at the console nearby, the surgeon, using both foot and hand controls, moves the instruments and camera, performing the same procedures as with open procedures but with more precision.

Enhanced Features of Robotic Technology
The enhanced features of robotic technology allow surgeons to perform very complex procedures exceeding the limitations of other surgical procedures. Features of robotic surgery include:

  • High definition, three-dimensional cameras that magnify images to 10 times greater than what the human eye can see
  • Instruments that provide precision and range of motion greater than that of a human hand
  • Exceptional control – the surgeon controls all movements of the instruments and camera throughout the procedure
  • Safeguards that protect patients from uncontrolled movements
  • Firefly technology that allows surgeons to view blood flow and structures to prevent adverse events during surgery.

Less Pain, Faster Recovery, Less Scarring
Robotic surgery has also allowed surgeons to perform some procedures through a single, small incision called single-site procedures. The increased visualization and precise hand movements allow surgeons to complete these procedures quickly and safely. Patients have less pain and faster recovery with less scarring. The most frequently performed single-site surgery is gallbladder removal which is usually performed as an outpatient.

To learn more, please call us at 816-246-0800

da Vinci® Robotic Surgery

The da Vinci System is a sophisticated surgical platform designed to facilitate complex procedures using a minimally invasive approach. da Vinci provides surgeons with enhanced capabilities, including high-definition 3D vision and a magnified view. The surgeon controls the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside the body. Though it is often called a “robot,” the da Vinci System cannot act on its own - surgery is performed 100% by the physician. Together, da Vinci technology allows surgeons to perform complex procedures through just a few tiny incisions. As a result, patients may get back to their lives faster without the usual recovery following major surgery.

To date, Dr. Kramer is utilizing the da Vinci platform for cholecystectomies (gallbladder removal) performed at Centerpoint Medical Center, Lee’s Summit Medical Center and Truman Lakewood. The da Vinci System allows for less pain, blood loss, shorter hospital stays, fewer complications and a faster return to normal activities.

The da Vinci System is a remarkable improvement over conventional laparoscopy, in which the surgeon operates while standing and uses hand-held, long-shafted instruments that cannot bend or rotate. With conventional laparoscopy, the surgeon must look up and away from the instruments to a nearby 2D video monitor to see an image of the target anatomy. In conventional laparoscopy, the surgeon must also rely on his/her patient-side assistant to position the camera correctly. In contrast, the da Vinci System’s ergonomic design allows the surgeon to operate from a comfortable, seated position at the console, with eyes and hands positioned in line with the instruments. To move the instruments or to reposition the camera, the surgeon simply moves his/her hands. By providing surgeons with superior vision, enhanced dexterity, greater precision and ergonomic comfort, the da Vinci Surgical System makes it possible for more surgeons to perform minimally invasive procedures involving complex and delicate dissection or reconstruction.

Advanced Surgical Associates is pleased to offer this option for our patients. Feel free to ask your physician about da Vinci during your consultation.

ASA Performs Laparoscopic Surgery Using Single Incision with the Covidien Sils™ Procedure

Gallbladder Removal through Belly Button Potentially Leaves No Visible Scar

In March of 2010, Adam Kramer, DO, successfully completed his first surgery using the next generation SILS™ procedure. The cholecystectomy, or gallbladder removal, was performed for the treatment of cholecystitis. Advanced Surgical Associates, LLC (ASA) has now performed the SILS procedure for over two years, and has expanded the application of the SILS technique to appendectomy and lap band.

Dr. Kramer said the patient may not even see evidence of the surgery. One of the major advantages of the SILS™ procedure is that it utilizes only one access point, through the patient’s umbilicus, or belly button, ultimately resulting in the potential for no visible scar. By comparison, traditional laparoscopic cholecystectomies involve four ½-inch or smaller incisions that may leave scars.

“With the successful completion of this procedure, ASA is now equipped to offer patients the most advanced form of laparoscopic cholecystectomy,” said Dr Kramer. “We are thrilled to be at the forefront of a new kind of surgery that continues to transform the minimally invasive arena, resulting in even better experiences for patients.”

Currently, more than 80 percent of all cholecystectomies performed in the United States are done laparoscopically with multiple access points. Using the next generation SILS™ procedure, surgeons can make a single 20mm incision through the belly button, minimizing the pain that may be associated with the additional sites of entry.

Approximately 500,000 procedures are performed each year in the U.S. to remove the gallbladder, a small pear-shaped organ located in the upper abdomen beneath the bladder. While the gallbladder’s main function – to store bile produced by the liver and release it for digestion – is important to the body, it is not essential. Gallbladder surgeries are usually performed for the treatment of gallstones – small solid formations of cholesterol and bile salts within the gallbladder – or inflammation of the gallbladder, known as cholecystitis.

“At ASA, patient care is our highest priority. Procedures including the SILS™ technique are instrumental in helping us fulfill our goal of offering patients the latest advancements in medicine,” added Dr. Kramer.

Accomplished by using specialized Roticulator™ instruments – manufactured by Covidien – the SILS™ procedure is performed in surgeries related to gynecologic, bariatric and urologic conditions. Covidien’s newest technological advancement, the SILS™ Port, is available for SILS™ procedures across multiple surgical specialties. This instrument, the first of its kind, replaces the multiple ports currently utilized in single incision surgeries.

Advanced Surgical Associates
3460 NE Ralph Powell Road • Lee's Summit, MO 64064  •  816-246-0800