Minimally Invasive & Robotic Surgery
Our Thoracic Surgeons take advantage of the latest technologies to provide minimally invasive and robotic options that are at the forefront of surgical care, including video-assisted thoracoscopic surgery (VATS), robotic video-assisted thoracic surgery (RVATS) and robot-assisted esophagectomy (RAMIE). We specialize in the use of these advanced options for diagnosis, staging and treatment of thoracic malignancies to decrease pain, shorten recovery time and improve outcomes for patients, and to advance surgical practice in cancer treatment, particularly of late stage and complex disease.
Our program offers the only interventional pulmonology service in northern New England. Interventional pulmonology provides less invasive methods of diagnosis that decrease the need for some surgeries. Diagnosis of lung cancer is made easier and safer by combining ultrasound and bronchoscopy into endobronchial ultrasound (EBUS). This new technology allows doctors to get a clearer picture of the lungs for more accurate biopsy and diagnosis. EBUS improves "staging" of the extent of a tumor and so can help avoid unnecessary surgery. We offer advanced care of tumors within the airway using techniques including laser therapy and stenting.
Interventional bronchoscopy has advanced the treatment of lung cancer. Combined with a bronchoscope, technologies such as lasers and electrocautery are used to burn cancer tissue and then remove it. These procedures can allow patients to breathe more easily and decrease shortness of breath and oxygen use.
A stent is an important option when removal of tissue alone is not effective, or for late stage lung cancer. A stent is a metal or plastic tube placed in the airway to open a blocked airway or support a weakened one.
New technologies are enabling radiation oncologists to use radiation therapy as an alternative to standard surgery. Our team offers state-of-the art treatment plans for radiation therapy including advanced radiosurgery with Trilogy™. PET-CT scans with hardware that tracks a patient's breathing cycle allow radiation beams to be switched on and off in time with the patient's breath—so the beams hit only the tumor in the lung as it moves. Radiation treatment recommendations can often be coordinated with physicians and hospitals throughout the New England Area.
Stereotactic radiosurgery with the Trilogy™ system
The Trilogy system combines high definition x-ray and CT imaging with precise radiation delivery so a radiation oncologist can perform radiosurgery in the lung. Treatment is less invasive and can shorten treatment times and reduce side effects.
For the care of patients with esophageal cancer, we offer the most advanced techniques, including esophageal ultrasound, laser therapy, stenting therapy, endomucosal resection, and radiofrequency ablation.
Endobronchial radiation is a team effort between the pulmonologist and the radiation oncologist. Using bronchoscopy, a catheter is place at the tumor site in the patient's airway, and then temporarily filled with high-dose iridium beads to kill the tumor.
Access to clinical trials and new treatments
Our rigorous review of trials ensure the safety of patients who wish to participate in clinical trials.
We have a team of nurses who work closely with the patients and families to help navigate the treatment of cancer. They bridge the communication between physicians, patients, and families. They serve as a "point person" to simplify and personalize each patient’s care.
We have a team of physicians and nurses dedicated to treating the patient as a whole. We focus on alleviating symptoms caused by cancer and treatment.
We have a dedicated social worker who addresses the personal side of cancer care. This person can help with financial assistance and transportation, and address the many unforeseen problems that arise with cancer care.
Sub-specialized surgical pathology services
Our surgical pathologists are available for consultation and second-opinion review of neoplastic and non-neoplastic lung disease.