Our UHN programs and services are among the most advanced in the world. We have grouped our physicians, staff, services and resources into 10 medical programs to meet the needs of our patients and help us make the most of our resources.
University Health Network is a health care and medical research organization in Toronto, Ontario, Canada. The scope of research and complexity of cases at UHN has made us a national and international source for discovery, education and patient care.
Our 10 medical programs are spread across eight hospital sites – Princess Margaret, Toronto General, Toronto Rehab’s five sites, Toronto Western – as well as our education programs through the Michener Institute of Education at UHN. Learn more about the services, programs and amenities offered at each location.
Maps & Directions
Find out how to get to and around our nine locations — floor plans, parking, public transit, accessibility services, and shuttle information.
Ways You Can Help
Being touched by illness affects us in different ways. Many people want to give back to the community and help others. At UHN, we welcome your contribution and offer different ways you can help so you can find one that suits you.
The Newsroom is the source for media looking for information about UHN or trying to connect with one of our experts for an interview. It’s also the place to find UHN media policies and catch up on our news stories, videos, media releases, podcasts and more.
(Toronto – February 27, 2020) – A team comprised of breast surgeons from UHN's Sprott Department of Surgery and a visiting French surgeon performed Canada's first bilateral nipple-sparing mastectomy and immediate breast reconstruction with the use of the surgical robot. This procedure was developed in Paris and Milan and is available in only a handful of centres around the world.
UHN surgeons are leading the way in Canada through a clinical trial that will investigate the surgical and quality of life outcomes for robotic nipple-sparing mastectomies. This innovative technique will help women who are at high risk for developing breast cancer and those that need breast cancer treatment.
The ground-breaking surgery was the first in Dr. Tulin Cil's clinical trial and a Canadian first. A very experienced surgeon in the open nipple-sparing technique, Dr. Cil performed the minimally invasive robotic operation with visiting surgeon, Dr. Benjamin Sarfati of France, who had instructed her on the technique in France. Dr. Sarfati is a pioneer in this new application of robotics and has performed over a hundred robotic nipple-sparing mastectomies.
The data from research in multiple centres supports the short-term safety of robotic mastectomy as well as the potential for greater benefits over the traditional open approach to the mastectomy, which involves an incision around the nipple or under the breast fold. Since the robotic mastectomy uses a smaller incision in the underarm area, there are lower rates of infection and complications such as lack of blood supply to the skin and nipple. Despite the smaller incision, there is no compromise of the cancer principles in performing the robotic mastectomy – all of the tissue is removed in one segment, just as surgeons do in the open approach, due to the improved visualization and instrumentation provided by the robotic approach.
"One of the challenges in the open nipple-sparing mastectomy is the ability to visualize the extent of the breast tissue, especially the farther you get from the incision," says Dr. Cil. "The robotic approach allows us to have a better view and more precise access to the entire breast tissue that needs to be removed. This has the potential to actually improve the surgery we do." Furthermore, the cosmetic results of the operation are superior. More data will be expected from a large Italian study soon to be completed.
For the team at UHN, this is just the beginning. Dr. Cil and her co-investigators in plastic surgery, Drs. Stefan Hofer and Anne O'Neill, hope to enroll 30 patients in the trial over the next year. The goal is to establish a state-of-the-art program in robotic breast surgery that will incorporate excellence in clinical care, cutting edge research and surgical education.
For more information or to book an interview with Dr. Tulin Cil please contact:
Rosa Kim, Senior Public Affairs Advisor Toronto General Hospital and Peter Munk Cardiac Centre Phone: 416 340 4800 ext. 3895 Email: firstname.lastname@example.org
About University Health Network
University Health Network consists of Toronto General, recently voted one of the Top 10 Hospitals in the World according to Newsweek Magazine, and Toronto Western Hospital, the Princess Margaret Cancer Centre, Toronto Rehabilitation Institute, and the Michener Institute of Education at UHN. The scope of research and complexity of cases at University Health Network has made it a national and international source of discovery, education and patient care. It has the largest hospital-based research program in Canada, with major research in cardiology, transplantation, neurosciences, oncology, surgical innovation, infectious diseases, genomic medicine and rehabilitation medicine. University Health Network is a research hospital affiliated with the University of Toronto. www.uhn.ca