Blog Archive

Pancreas Cancer - Associated Weight Loss Mar 8th, 2019

The importance and integration of nutrition into the surgical treatment plan has always been a keystone in my oncology armamentarium; particularly in Pancreatic and Liver cancer which are known to be associated with significant malnutrition. This focus stems from my early post surgical residency training 35 years ago as a...

The Role of Nanoknife in Improving Stage III and IV Outcomes Mar 7th, 2019

The "gold standard of care" in the cure of Pancreatic Cancer, as small as that may be at around 10%, has been surgical resection via Whipple for Head of Pancreas Cancer or Distal Pancreatectomy for cancers arising in the Body or Tail of the Pancreas. One must have negative margins...

Understanding Cellular Pathways in Pancreatic Cancer & how the selection of therapy impacts outcome Jan 29th, 2019

The Role for early Pancreatic IRE-Nanoknife. The above metabolic and cancer cell-cycle pathway charts are meant to overwhelmingly identify the complexity associated with the many levels and sites where cancer treatment can be directed. Each chemotherapeutic agent typically targets only one site and so combination therapies(eg,FFX,G/A,etc) were designed to impact...

South Florida surgeon uses unique nanoknife procedure Dec 14th, 2018

South Florida Surgeon Offers Those with Pancreatic, Liver Cancer Hope Through Unique Procedure Watch video here: http://www.local10.com/video/south-florida-surgeon-offers-those-with-pancreatic-liver-cancer-hope-through-unique-procedure

Probiotics and the Cancer Patient Jul 16th, 2018

Recently a number of Cancer patients and their caregivers have asked about the safety of taking Probiotics around their surgery. In my case that means around the time of their Pancreatic, Liver and NanoKnife operations. There is no fixed  answer about Probiotics as there are many factors that influence whether it...

Pancreatic NanoKnife Mar 15th, 2018

What’s new in Pancreatic Cancer and NanoKnife after AHPBA 2018 Last week was the annual 2018 meeting of the American Hepatobiliary-PancreaticoBiliary association held in Miami Beach at the Lowe’s Hotel. Altogether 350 lectures and poster sessions; with 10 dedicated NanoKnife. Overall it was rather prosaic with many discussions of marginal...

Pancreatic Nanoknife Ablation demonstrating benefit of Open over Percutaneous technique. Jan 8th, 2018

  I have written numerous times that in order for Nanoknife ablation of the Pancreas to be successful the probes must be placed entirely around the tumor. This requires 3D planning and multi-planar positioning. In the attached photo of a Pancreatic Duct Adenocarcinoma (PDAC) of the head the arrows point to ...

Pancreatic Nanoknife by Dr. Robert B Donoway Jan 2nd, 2018

Pancreatic NanoKnife by Dr. Donoway, Atlas Oncology.