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Treatments

Many factors determine the best treatment for your cancer: tumor size, location, and stage; your body; your lifestyle; and your overall health. The experts at Sylvester will work together to devise your most effective treatment plan.           

  • Surgery

    • Cholecystectomy: Removal of the gallbladder in early or pre-cancerous disease stages (simple cholecystectomy) or removal of the gallbladder and nearby tissue, organs in more advanced cases (extended cholecystectomy).

    • NanoKnife radiosurgery (irreversible electroporation or IRE): Short, repetitive, high-energy pulses of electricity destroy cancer cells. IRE occurs before or during surgery.

    • Biliary bypass: A surgically created pathway for the body to drain bile into the small intestine when bile ducts are blocked.
    • Endoscopic stent placement: A minimally invasive laparoscopic (“keyhole”) surgery that places a stent (flexible mesh tube) in the bile duct to drain bile outside of the body or into the small intestine.

    • Percutaneous transhepatic biliary drainage: IUltrasound-guided stent placement to hold bile ducts open. This procedure may be used when endoscopic stent placement isn’t possible.

    • Radiofrequency Ablation: High-energy radiation beams safely treat pain and symptoms caused by inoperable tumors blocking the bile duct.

    • Robotic-assisted Whipple procedure (pancreaticoduodenectomy): Removal of nearby organs affected by cancers in the lower part of the bile duct. Our expertise offers smaller incisions, less blood loss, and potentially faster recovery time.
  • Radiation Therapy 

    External beam radiation: Radiation that’s precisely targeted to your tumor and delivered from outside your body. This technique is also used to relieve symptoms. Our advanced technology includes intensity modulated external radiation therapy (IMRT) and ViewRay MRI-guided radiation therapy.   

  • Chemotherapy (Systemic Medical Therapy):
    Chemotherapy is a combination of cancer-fighting medicines administered intravenously or taken as a pill. It’s usually combined with surgery or radiation therapy to increase impact.

    • If you require intravenous (infusion) chemotherapy, you can receive it at the Comprehensive Treatment Unit (CTU) at Sylvester's main location in Miami. This 12,000-square-foot unit includes 33 recliners and 11 private rooms. Or, you can also have your infusion treatments at the Kendall and Deerfield Beach locations.  

  • Targeted Therapy

    Targeted therapy is designed to attack the molecular changes that make cancer cells grow and spread. Targeted therapies are available for select patients, as recommended by your Sylvester oncologist.

  • Immunotherapy (Biologic Therapy)  

    This approach helps boost the body's natural defenses to fight cancer.