Robotic/Laparoscopic Surgery

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When it comes to your health, you expect nothing short of the best. At Premiere Surgical Specialists, our knowledgeable and attentive staff supplement our Expert Surgeons in delivering the outcomes that will meet your high expectations. Just make an appointment

Our surgeons bring vast experiences (over 120 years combined) with many procedures, which include:

Laparoscopic Cholecystectomy

The gallbladder is a pear-shaped organ located under the liver that collects and releases bile to help in the digestion process. When the chemistry inside is imbalanced, gallstones may form. These may irritate the lining of the gallbladder, causing heartburn, abdominal pain, nausea and vomiting. These stones and other gallbladder problems may be treated with cholecystectomy – surgery to remove the gallbladder. This procedure is one of the most commonly performed surgeries in the United States.


Cholecystectomy is usually performed laparoscopically. This involves making several small incisions rather than one large incision to remove the gallbladder. A camera and special surgical instruments are then used to remove the gallbladder.


Cholecystectomy through the belly button can be done using traditional single incision laparoscopy or da Vinci® Single-Site® Surgery. The da Vinci System features a magnified 3D high-definition vision system and flexible Single-Site instruments. These features enable your doctor to operate with enhanced vision and precision.


It is important to discuss all treatment and surgical options with your doctor, as well as the risks and benefits of each. If your doctor believes you are not a candidate for da Vinci Single-Site Surgery, ask about multi-port da Vinci Surgery. Your surgeon can remove your gallbladder through a few small incisions (ports) with a 3D HD view of your anatomy for enhanced vision, precision, dexterity and control.


Hemorrhoids are a common condition requiring surgical evaluation and care. Hemorrhoids are dilated veins normally present in the anal canal which may become symptomatic causing swelling, pain, bleeding, protrusion, itching, and hygiene problems. Most people have hemorrhoid problems at some point in their lives. Other conditions of the anus and rectum may be mistaken by the patient or provider and require careful surgical examination to avoid misdiagnosis. These conditions can range from chronic anal fissure to cancers. These problems will generally not improve with treatments aimed to improve hemorrhoids. Careful examination by our experienced surgeons will affect precise diagnosis and appropriate therapeutic intervention.


Treatment of hemorrhoids is usually non-surgical with recommendations for dietary fiber, adequate fluid intake, bowel movement habits, anal hygiene and appropriate prescription medical treatments.


Hemorrhoidal veins may sometimes clot or thrombose. The thrombosed hemorrhoid will be hard, very painful and possibly bleed. This painful condition is effectively treated by removal of the clot under local anesthesia in the office.


This is best done as early as possible and we will make every effort to get patients into the office on an emergency basis. Prompt and early treatment will lead to a quicker and less painful recovery.

Laparoscopic Appendectomy

The appendix is a small organ located near the beginning of the large intestine that helps with local immune function. Appendectomy is necessary when the appendix swells or ruptures – a condition called appendicitis. Symptoms of appendicitis include abdominal pain and tenderness, elevated temperature, nausea, and vomiting. Always seek immediate medical attention if you think you have appendicitis, as waiting could result in a ruptured appendix and further complications.


Laparoscopic appendectomy, utilizes camera and special surgical instruments inserted through 3 or 4 small incisions to remove the appendix without making a large incision. Patients can sometimes return home the day of surgery.

Colon Resection

A colon resection is a surgical procedure to remove either part of or the entire large intestine. A colon resection may be performed to treat the following colon conditions:

• Diverticulitis
• Large bowel obstruction
• Gastrointestinal bleeding
• Inflammatory bowel disease
• Intestinal polyps
• Colon cancer


While the patient is under general anesthesia, an incision is made in the abdomen and the diseased part of the colon is located and removed. The remaining healthy colon is usually sewn back together. In cases of more extensive disease, a colostomy may be performed: a surgical opening is made through the abdomen to provide a path for waste elimination. A colostomy may be temporary or permanent


In certain cases, this procedure may be done laparoscopically: Several small incisions are made instead of one large one and the colon is removed utilizing a camera and specialized instruments. As with other minimally invasive surgeries, laparoscopic colon resection results in a faster recovery, less post-operative pain, and smaller scars.


If your surgeon agrees, this procedure can also be done with the da Vinci Surgical Robot. Please click here for more information with regard to robotic surgical options.

Pilonidal Cyst Removal

Pilonidal cysts arise in the gluteal cleft or between the buttocks. These cysts may become painful or infected and require surgical therapy and or antibiotics. Patients usually have small openings in the midline skin which may contain hair follicles. The hairs may work their way into the skin and lead to inflammation and infection. Surgical therapy may be simple to complex depending on presentation and duration of symptoms. Prompt and early assessment is ideal. For complex pilonidal cysts the preferred surgical treatment involves excision and flap reconstruction aimed at flattening the gluteal cleft to prevent inspissation of hair and allow for more thorough washing away of shed hair. Our Surgeons have considerable interest and expertise in the treatment of this condition.


Thyroid surgery is used to treat several different thyroid conditions such as nodules, cancer and hyperthyroidism. Surgery is often considered a last resort for thyroid conditions and may be used if medication based treatments have failed, a condition is recurrent, or cancer is present.


Thyroid surgeries are performed through an incision in the middle of the neck. The procedure usually takes about two hours and is done under general anesthesia. The different types of thyroid surgery include:


• Thyroid lobectomy – only the lobe of the thyroid is removed if a thyroid nodule is confined to just that area.
• Subtotal thyroidectomy – one complete lobe, and part of the other lobe is removed. This is typically used for hyperthyroidism caused by Graves’ disease and small cancers.
• Total thyroidectomy – the entire thyroid gland and surrounding lymph nodes are removed. This is the most common procedure for thyroid cancer to completely remove the disease.