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Surgery offers the best chance to stop many types of cancer. It also plays a part in diagnosing, staging and supporting cancer treatment.  

Having surgery for cancer is different for every person. The type of surgery will vary depending on the type of cancer and the person's health. 

MUSC Hollings Cancer Center's surgical team specializes in treating cancer patients and includes fellowship-trained surgical oncologists – doctors who completed a surgery residency and then did extra training in surgery for specific cancers. 

We are at the forefront of laparoscopic and endoscopic techniques for cancer surgeries that have previously been done via a full, open incision. These minimally invasive techniques improve precision and reduce the surgical impact on patients, including the reduction of tissue damage and post-surgical pain while promoting a faster recovery. 

A team of surgeons are trained in the use of the da Vinci® Surgical System, a robot that helps to increase surgical precision and shorten recovery time. Surgeons receive specialized training on the device, which is being used to treat prostate, thoracic, head and neck and gynecologic cancers. 

Our surgeons also participate in research to improve care. Examples include a clinical trial of a fluorescing dye to see whether it can illuminate nerves during head and neck cancer surgery and a trial of whether Heated Intraperitoneal Chemotherapy (HIPEC) during surgery for ovarian cancer improves outcomes.  

Cancer Surgery Locations

MUSC Health Surgical Oncology at Ashley River Tower

Address
Ashley River Tower
25 Courtenay Drive
1st Floor
Charleston, SC 29401
Get Directions
Specialties
  • Surgical Oncology

MUSC Health Surgical Oncology at Hollings Cancer Center

Address
86 Jonathan Lucas St
3rd Floor
Charleston, SC 29425
Get Directions
Hours
Specialties
  • Surgical Oncology

MUSC Health Gynecology Oncology at Florence Medical Center

Address
805 Pamplico Hwy
Florence Medical Pavilion A, Suite 320
Florence, SC 29505
Get Directions
Hours
Specialties
  • Gynecology Oncology
  • OB/GYN

Types of Surgery

This surgery removes the cancerous tumor from the body. Surgeons use it when the tumor is limited to a specific area of the body. This type of treatment is often considered the primary treatment. However, other types of cancer treatments, such as radiation, may be used before or after the surgery.

This surgery is used to remove tissue that does not have cancerous cells, but may develop into a malignant tumor. For example, a prophylactic mastectomy removes the breast before cancer is found. A patient might choose this if she learns she has a high risk of developing breast cancer.

This surgery removes a part, though not all, of a cancerous tumor. It is used in certain situations when removing an entire tumor may cause damage to an organ or the body. Other types of cancer treatment, such as chemotherapy and radiation, may be used after this is done.

This surgery helps to determine whether cells are cancerous. Diagnostic surgery is used to remove a tissue sample, called a biopsy, for testing and evaluation. The tissue samples help to confirm a diagnosis, identify the type of cancer, and determine the stage of the cancer.

Sometimes surgery is used to treat cancer at advanced stages. It does not work to cure cancer, but to relieve discomfort or to correct other problems cancer or treatment may have created.

Surgery is sometimes used as a follow-up to curative or other surgeries. It helps to change or restore a person’s appearance or the function of a body part. For example, women with breast cancer sometimes need breast reconstruction surgery to restore the shape of the affected breast.

This surgery works to uncover the size of the cancer or the degree of the disease in the body. Laparoscopy is an example of a surgical staging procedure. This type of surgery allows the doctor to look inside the body and remove tissue samples through a small incision.

Supportive surgery is similar to palliative surgery. It does not work to cure cancer. Instead, it helps other cancer treatments work more effectively. An example of supportive surgery is the insertion of a catheter to help with treatments and to draw blood instead of putting needles in the arm.

Specialized surgical techniques

This technique uses very cold temperatures to kill cancer cells. Cryosurgery is used most often with skin cancer and cervical cancer. Depending on whether the tumor is inside or outside the body, liquid nitrogen is placed on the skin or in an instrument called a cryoprobe. It is being evaluated as a surgical treatment for several types of cancers.

Skin cancer and oral cancer are sometimes treated with electrosurgery. This technique uses a high-frequency electrical current to kill cancer cells.

This technique uses highly focused beams of light energy instead of instruments to remove very small cancers, shrink or destroy tumors, or activate drugs to kill cancer cells. Laser surgery is a very precise procedure that can be used to treat areas of the body that are hard to reach, including the skin, cervix, rectum, and larynx.

This surgery is useful when cancer affects delicate parts of the body, such as the eye. Layers of skin are removed and looked at under a microscope until cancerous cells can’t be found.

Managing Cancer Surgery Treatment

Before Surgery

Before cancer surgery, a nurse may call you to tell you how to prepare. He or she may tell you about tests and exams you need to have before the surgery.

Common tests that you may need, if you have not had them lately, are:

  • Blood tests.
  • Chest x-ray.
  • Electrocardiogram (ECG).

You may not be able to eat or drink for a certain period of time before the surgery. It is important to follow the instructions about eating and drinking. If you don’t, your surgery may need to be rescheduled.

You may also be asked to have supplies on hand for taking care of your wounds after surgery. Supplies might include antiseptic ointment and bandages.

During Surgery

Once you are under anesthesia, the surgeon removes the cancer, usually along with some healthy tissue around it. Removing this healthy tissue helps improve the chances that all the cancer has been removed. Sometimes, the surgeon might also remove lymph nodes or other tissues near the tumor. These tissues will be checked under a microscope to see if the cancer has spread. Knowing if the nearby tissue contains cancer will help your doctors suggest the best treatment plan for you after surgery.

After Surgery

Once you are ready to go home after surgery, the nurse will tell you how to take care of yourself. He or she will explain:

  • How to control pain.
  • Activities you should and should not do.
  • How to take care of your wound.
  • How to spot signs of infection and steps to take if you do.
  • When you can return to work.

You will have at least one more visit with the surgeon a week or two after you go home. For more complex surgeries, you may need to see the surgeon more often. You may have stitches removed, and the surgeon will check to make sure you are healing as you should.

Working After Surgery

You will need to take time off from work to have and recover from surgery. You may need only one day or many weeks.

How long you need to recover depends on many factors, such as:

  • The type of anesthesia you have. If you have local or regional anesthesia, you will probably return to work more quickly than if you have general anesthesia.
  • The type of surgery you have, and how extensive it is.
  • The type of work you do. If you have an active job, you may need to take off more time than if you sit at a desk. If your job allows, you may want to see if you can work at home, or start back part time, to help you ease back into a full work day.

Ask your doctor how long you will need to recover from your surgery. If you expect a longer recovery time, talk with your employer to find out if you can take medical leave. Check to make sure your health insurance will cover costs if you are on medical leave and not working for a time.

Risks and Possible Side Effects

Risk is a part of any surgery. Though technology has made surgery a safe and reliable treatment option, there is always the risk of possible problems and side effects. In many cases, however, the positive effects of surgery outweigh the risks. This is one of the reasons why learning about your cancer and its treatment is important. The more you know about surgery for cancer, the more informed your choices will be. Talk about possible complications with your cancer care team before undergoing treatment.

Problems that may happen during or after surgery may include:

  • Damage to organs in the body.
  • Blood loss or clots.
  • Adverse reactions to medicine.
  • Pain or discomfort.
  • Infection.
  • Other illnesses, such as pneumonia.

This content was provided by the National Cancer Institute. For more information, please visit their website.