Sergei Dolgopolov MD General Surgeon NYC
Valery Dronsky MD General Surgeon NYC
Roman Grinberg MD General Surgeon NYC
  • best-general-surgeons-ues-nyc

Surgical Experts Dedicated to Improving Lives


In the light of events associated with COVID-19 we would like to assure our patients that our office continues to function at full capacity. We will continue to take care of our patients in full compliance with current rules and regulations.


At Lenox Hill Surgeons, our dedicated team of nyc surgeons and medical professionals provide compassionate care with the highest ethical & professional standards. In our state of the art facility, we offer surgical services using only the most cutting edge and current procedures and treatments.We specialize in general surgery, including extensive experience in performing hernia repair surgery. Our expertise is in minimally invasive surgery and robotic surgery. Minimally invasive and robotic surgery often allow patients to experience easier recovery than traditional open surgery. They also allow for more precise and less traumatic surgery. When robotic and minimally invasive surgery is not an option, we are also skilled and experienced in traditional open surgical procedures.

All of our doctors are experienced and skilled surgeons having undergone extensive training in school, residency and fellowships. They all practice medicine with ethical behavior, compassion and superb bedside manner. In the operating room they all exhibit precise mechanical abilities, analytical thinking and the ability to visualize tissue in three dimensions. These innate and learned skills allow our surgeons to be some of the most dexterous and skilled professionals in all of New York City and the Country.

Call us: 646-846-1136

Lenox Hill Surgeons

Recent Awards

Healthgrades Americas 100 Best Doctors Awards

Americas 100 best cardiac care award | HealthgradesAmerica’s 100 Best Hospitals for Cardiac Care Award™ (2021, 2020, 2019)
Superior clinical outcomes in heart bypass surgery, coronary interventional procedures, heart attack treatment, heart failure treatment, and heart valve surgery.
Americas 100 best coronary intervention award | HealthgradesAmerica’s 100 Best Hospitals for Coronary Intervention Award™ (2021, 2020, 2019)
Superior clinical outcomes in coronary intervention procedures (angioplasty with stent).
Americas 100 best general surgery award | HealthgradesAmerica’s 100 Best Hospitals for General Surgery Award™ (2021, 2020, 2019)
Superior clinical outcomes in bowel obstruction treatment, colorectal surgeries, gallbladder removal, esophageal/stomach surgeries, and small intestine surgeries.

Click to see all of our Healthgrades best doctors awards

 


2019-best-gastrointestinal-surgeons-award-new-york-NY-awards
Award for Best Gastrointestinal Surgeons in NY for 2019.

Tag Archives: Pancreatic cancer

Pancreas Surgery – NYC General Surgeon

Pancreas Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis

pancreatic-surgery-expert-surgeon-medical-information-01The pancreas being a key organ of the endocrine and digestive systems of the body is indispensable for the smooth functioning of the human body. Hence, a diseased condition of the pancreas, like a tumor, abscess or malignancy that causes pancreatitis and makes the dysfunctional organ calls for pancreatic surgery. There are different methods, or kinds of pancreas surgery and the type that a patient will have to opt for will depend upon whether his or her pancreatitis is chronic or acute.

More often than not, the condition or syndrome can be treated and managed without going for invasive intervention or surgery. Nevertheless, if an infection or degeneration of the pancreatic tissues becomes longstanding and acute, surgery is the only treatment option.

Steps

healthy-vs-inflamed-pancreas-top-nyc-surgeons-cancer-02The most common pancreatic surgery procedures include minimally invasive pancreatic resection, spleen-preserving pancreatectomy, ‘The Whipple’, and Enucleation of pancreatic tumor.’ Minimally invasive pancreatic resection surgery is conducted laparoscopically giving the interventional radiologist or gastroenterologist good access to the abdomen via tiny keyhole notches. This surgical method is appropriate for patients having pancreatic cysts.

Spleen-preserving pancreatectomy is conducted laparoscopically where the pancreas is excised, but the spleen is kept intact for preserving its immunological functionality as well as minimize the risks of complications and infections in the future. The traditional pancreatectomy method entails the removal of the spleen along with the metastatic pancreas for reversing the spread of cancer. Nevertheless, if the surgery is carried out for a benign condition like pancreatic tumor or cyst, then spleen resection is not necessary.

Enucleation process is appropriate for dealing with benign or non-cancerous tumors where these are scraped out carefully instead of expurgating a large pancreatic section.

‘The Whipple’ surgery or ‘pancreaticoduodenectomy’ is the go-to procedure for treating pancreatic cancer and also for dealing with complications or abscesses related to the bile duct, intestine, and pancreas. The surgery where the top of the pancreas, bile duct, gallbladder, and duodenum are removed can be extremely complex and demanding, fraught with risks.

Benefits

If the surgery is for treating pancreatitis or tumors, then opting for laparoscopic surgery is the best option. In such a case, recuperation is faster necessitating a shorter hospital stay. However, if the surgery is for pancreatic cancer, then the operation lasts for several hours and the patient may have to be in the hospice for at least a week.

Complete recovery might take many weeks and even months. Benefits of going for a major pancreatic surgery are:-

  • Best treatment technique for remedying cancer and reversing chronic pancreatitis
  • Increased lifespan
  • Digestive issues and complications associated with pancreas might be resolved post surgery
  • Chemotherapy and radiotherapy for continued treatment in case cancer recurs

Side Effects

pancreatic-cancer-surgeons-specialists-experts-nyc-03Pancreatic surgeries for dealing with cancer tend to be extremely complicated, and it is no wonder that such operations have a very high mortality rate. Nearly 50% of the patients report grave complications and about 2%-4% expire. The most common risks include:-

  • Wound infection or cardiac infection
  • Hemorrhage (bleeding)
  • Leakage from pancreas from the point where it is linked with the intestine
  • Allergic reaction to general anesthesia (very rare)

Precautions

Fully recuperating from a complex pancreas surgery takes time and the convalescing process could be exhausting, especially for older patients. You’ll be required to report to your surgeon 1-2 times in a month following your recovery. The doctor will evaluate your progress and may recommend CT or MRI scans, and blood tests to ensure that there is no recurrence of cancerous tumors or lesions.

Dietary and lifestyle changes to have to be made to maintain overall health and also to reduce the risks of relapse.

Prognosis

Pancreatic cancer and all other serious complications of the pancreas are, by and large, regarded as untreatable and hence incurable. Nevertheless, the mortality rates related to pancreatic cancer (post surgery) have steadily declined over the decades.

Concluding Remarks

Living without a pancreas can be a challenge for any individual. If you’re diagnosed with a tumor or inflammation of your pancreas, you can continue to live an almost normal life, provided you opt for an appropriate treatment plan and abide by our physician’s guidelines. If you’ve cancer, then surgical removal of the pancreas is the only option. However, you’ll have to keep your fingers crossed on whether cancer will recur or not.

References

  1. https://www.mayoclinic.org/tests-procedures/whipple-procedure/about/pac-20385054
  2. https://stanfordhealthcare.org/medical-treatments/c/cancer-surgery/types/complex-pancreatic-surgery.html
  3. https://www.mskcc.org/blog/drug-reduces-risk-serious-pancreatic-surgery-complication
  4. https://stanfordhealthcare.org/medical-treatments/p/pancreatic-surgery/types/spleen-preserving-pancreatectomy.html
  5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2023932/
  6. https://www.ariahealth.org/programs-and-services/surgery/general-surgery/pancreatic-surgery
  7. http://columbiasurgery.org/pancreas/what-expect-after-operation
  8. https://www.cancer.org/cancer/pancreatic-cancer/treating/surgery.html
  9. http://pancreatic.org/pancreatic-cancer/about-the-pancreas/prognosis/

 

 

     

 

Surgical Treatments for Pancreatic Cancer

Pancreatic cancerPancreatic cancer is one of the most aggressive forms of cancer in humans and often the prognosis for patients is poor. There are several different types of pancreatic cancer and while many of them are often deadly, there is at least one type that is highly survivable.

Because of the lethality of pancreatic cancer, most treatments focus on prolonging the patient’s life and ensuring that they retain a reasonable quality of life. Surgical interventions can be very effective as a part of this process.

Diagnosing the Cancer

Pancreatic cancer Once pancreatic cancer has been established, diagnostic tests are required to determine the stage and type of the cancer. The stage refers to how far advanced the cancer has advanced and ranges from stage 0, indicating that the cancer is still contained within the pancreas, to stage 4 which means the cancer has spread to other organs in the body.

A battery of tests is required to determine the stage of the cancer and usually diagnostic pancreas surgery NYC is required. Because surgery will always carry some risk, doctors must first determine whether the tumor is removable before any surgery is performed. If imaging tests indicate that the cancer is removable, then it will fall into one of two types. Either the cancer has not spread, or if it has then it is limited, and is therefore removable.

Around 10% of pancreatic cancers are unresectable; this indicates that the cancer has grown into a major blood vessel or has metastasized and thus cannot be removed safely via surgery.

Treating Resectable Cancer

Pancreatic cancerIf the cancer is considered to be resectable then there are three surgical options. The Whipple procedure (a pancreaticoduodenectomy) is when the head of the pancreas is removed, sometimes along with a small portion of the stomach or small intestine. This is a difficult and complex surgery. A Distal pancreatectomy involves the removal of the tail of the pancreas. A total ancreatectom is the removal of the entire organ, although this surgery has fallen out of favor.

Patient Outlook

In around half of all cases, as soon as a surgeon opens a patient up they discover that what they thought was a resectable cancer is in fact inoperable. Usually, surgery will be followed by the administration of chemo and radiotherapy to ensure that any lingering cancer cells cannot reproduce.

Pancreatic cancer is one of the most aggressive forms of cancer there is and the prognosis is often poor, but sometimes surgical interventions can help. Visit our pancreas surgery NYC clinic for a consultation if you are concerned about your pancreas.

 

Contact us at 646-846-1136 to schedule an appointment.