Robotic Transanal Surgery

Overview

Robotic Transanal Surgery is a minimally invasive surgical technique that allows the surgeon to operate on problems in the mid and upper rectum without having to make an incision through the abdomen. The instruments are specially designed so that the procedure can be performed through the anus and in the rectum.

Procedure

An operating proctoscope is placed through the anus and positioned over the lesion. A special microscope is used to look at the area directly and with a video camera. Long instruments are then used to grasp, cut, and suture.

This technique may be recommended for patients with polyps that are too large to be removed with a colonoscope and small cancers that have not yet invaded into the muscle layer of the bowel wall.

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What Our Patients Are Saying

Steve S. ★★★★★ Dr. Coffey is amazing pretty much a pain free experience. Thank you!Carl G (. ★★★★★ Friendly. Professional and courteousMary D. ★★★★★ I had worried myself to the point of being very anxious. Dr. Oprenau and his staff calmed me and very gently and efficiently took care of my problem. I’m so grateful.Mrgf D. ★★★★★ Dr Jones has a great demeanor and he's willing to investigate and give you peace of mind regarding your concerns. Family members were also very happy with his explanations after procedureFaye N. ★★★★★ I was very apprehensive about having a colonoscopy but Allison was so knowledgeable, personable and friendly in scheduling my procedure. Dr. Opreanu was so patient and respectful in listening and answering my questions. He was very skillful in removing 2 pre-cancerous polyps. Thank you for an excellent experience.Terri H. ★★★★★ Everyone at this office from the front office staff, to the clinic assistant, to the scheduler, to the physicians are professional, friendly and helpful.Desiree Q. ★★★★★ I was treated with excellence! Thanks to everyoneS K. ★★★★★ Don Laird is the best!Christina F. ★★★★★ Everyone was extremely professional and kind. The process was very efficient, and the center was well run. I was told what to expect and everything happened as expected.Tracy M. ★★★★★ so far i like him a lot . takes things seriously and cares. he doesn’t mess around when he thinks something is wrong unlike the many many Dr’s i have seen in the past .. 10 stars!Anita ★★★★★ Everyone from the beginning to the end of my procedure were professional and very nice. The facility was clean and I felt comfortable while in their care.p S. ★★★★★ Friendly, courteous staff. Quick processing with minimal waiting time for appointment. Friendly, personable, professional Physician and assistant. Very good experience at DHI/CS.steve M. ★★★★★ To the point and direct. Your in and out a very professional group.Cate M. ★★★★★ Brooke is always so thorough, she addresses any concern I have. She's even willing to talk with my insurance about not paying for my medication. She makes me feel like an individual, not just one patient of many.Robert K. ★★★★★ the team was friendly and professionalBarry G. ★★★★★ Communication was excellent. I was able to ask questions without interruptions and received the information that I needed in detail.Paula T. ★★★★★ This was my 2nd time needing to see a specialist at D.H.I., and highly recommend this professional office to anyone requiring their help.The Dr. and his staff have always been very kind, caring, detailed, and professional.My specialist, (who I'll call Dr. O. , ) is a very caring, smart, and through physician. He and his staff always do thier best to make me feel as comfortable as possible, and to take the stree out of the visit by being respwctful, considerate, and calm.Dr. O. recommended I get a specialized kind of physical therapy before I have any surgery.Thanks to him and his recommendation, the issue I had, has all but resolved itself. He gave me a choice to go ahead with surgery or not and see how things go. I chose to waylay surgery, and he agreed. That told me he actually does care about his patients, and is more concerened about me, than lining his practices pocket.I'm extremely grateful for having the Digestive Heath Instute in my line up of my personal physicians. Thank you again Dr.O., and all of your kind, caring staff.Rebecca T. ★★★★★ From check in to exit, everyone was amazingly helpful and friendly. I felt like a human and not a number which is refreshing now days. The doctor was amazing and the nurses were great. Thank you for a wonderful experience.Cynthia D. ★★★★★ Dr Opreanu and staff are great! Professional and caring and helpful.Brenda N. ★★★★★ Excellent care! I am always impressed by all the employees there. The definition of quality care!Candace A. ★★★★★ Very thorough staff. Well explained medical info.Florensio H. ★★★★★ Great visit to this facility. Dr. Grace asked the right questions, and I felt my concerns were answered.Jasmine S. ★★★★★ I always get the care I need to the fullest and the doctor makes sure I understand things correctlyleanne M. ★★★★★ Have been extremely Blessed!! Had major surgery in 2020. Dr. Coffey and his team plus All of the office staff were wonderful. I have beeb released from Dr. Coffey's care unless of course problems arrive in the future. The 7N unit @ Sparrow where I stayed have an Amazing team of RN's as well. Thank you AllEdita H. ★★★★★ Very positive and pleasant. Nice staff and very pleased with Dr. Julien.Catherine L. ★★★★★ The PA, Grace, listened intently as I explained my health concerns. Grace is an active listener and she gave me viable suggestions and reasons for what she was recommending to me. The time in the waiting room was maybe 1 minute. The time waiting to be seen in the exam room was under 5 minutes. Checkout was prompt and efficient. Well done everyone!Shirley P. ★★★★★ My experience at DHI had always been excellent. We are always greeted & welcomed immediately upon arrival. All caregivers & physicians have met or exceeded our expectations - Scott in particular is very thorough and explains thoroughly in a way that we understand. We highly recommend DHI.Amy B. ★★★★★ Dr Plaehn was very professional and timely. Both office visit and procedures went smoothly and on timeChris Mac D. ★★★★★ Doctors and staff are super friendly and helpful.Jan B. ★★★★★ Efficient pleasant staffAntoinette S. ★★★★★ I am thoroughly impressed by my doctor Dr. Julian Lucas and the staff that were so attentive to making sure my needs are met.Caedmon V. ★★★★★ Great experience. They even got to my appointment 30 mins early. Super professional, and quick to resolve issues.David S. ★★★★★ Was an excellent experience and they take great care of you! Thank to all the staff who made my unpleasant surgery go as smooth as possible.Debbie P. ★★★★★ Had a wonderful experience the staff was great with the most pleasant bedside manner made me very comfortable everyone was very professional.Betsy A. ★★★★★ Very caring, efficient and well organized.moustafa H. ★★★★★ Outstanding physician clinically and ethicallylori K. ★★★★★ He is the most caring physician and pays great attention to detail. He listens to the patient and makes sure they get the best care possible. He is one of a kind for sureDarryl H. ★★★★★ Great experience every timeTheRealOG ★★★★★ The office and medical staff were very professional. My procedure went 100% better than I anticipated.Dawn C. ★★★★★ I see Dr Plahen and have for years he's my Gastro Doctor and I have always been very happy with him he's a great Dr, The staff is also very nice and helpful! I highly recommend this office.Angie ★★★★★ From check-in to discharge the entire staff were friendly and professional. The procedures went smoothly with follow-up provided by the doctor during the short recovery period. I would highly recommend the Lansing Surgery Center!Brian F. ★★★★★ Staff is extremely professional and friendly. Plan to return for future needs.Mark S. ★★★★★ Dr. Yusuf is a terrific physician, providing excellent specialty care. The office itself is a little cramped and dated, but the staff is efficient and I’ve never waited too long to be seen. Recommend this group and especially Dr. Yusuf.Anita S. ★★★★★ Everyone there is so nice and the Dr. Is very thorough. I highly recommend them.Danielle D. ★★★★★ He is an amazing Doctor and is very caring. He listens and is genuine.Mark F. ★★★★★ All the people involved in this procedure were very nice and professional. Thank youKeri E. ★★★★★ Professional yet personal. Very efficient. I always have a good experience which makes an unpleasant procedure more pleasant. Great staff who make me feel special. Thanks!Anna F. ★★★★★ I need at least TEN stars to express how appreciative I am of DHI today!!! They went so over and beyond to help me; it was truly unbelievable and far exceeded my expectations! I had severe pain all through the night in my lower right groin area. I thought it might be a diverticulitis flare and tho my pain warranted a trip to the ER, I did not want to go there! So I presented to DHI on Ramblewood and said "I think I'm in a diverticulitis flare, I have a lot of pain, do you have any emergency fit-in appointments today?" Turns out they took me right back, even though I have not been seen there in over 10 years! Brooke Janke was SPECTACULAR! She explained everything, answered all my questions, devised an excellent treatment plan AND will see me back in 1 week! Less than 1 hour later, I was on my way with a treatment plan that was sure to reduce my pain and clear up the flare. This kind of skill, responsiveness, and compassion I thought was a thing of the past. I'm beyond grateful that the team at DHI proved me wrong. This whole experience today was exceptional! Thank you SOO much! I am feeling much better as I write this.Evie H. ★★★★★ Super friendly staff and fastest in / out procedure ever. Highly recommend.Daniel M. ★★★★★ Professional, knowledgeable, and compassionate staff! I was impressed at every step.David F. ★★★★★ Staff at the DHI's Grand Ledge Office were very nice and worked together to come up with a treatment plan that would work best for me. They listened and answered all my questions which made me feel better regarding my health concerns. I would highly recommend this office to anyone seeking help with their digestive issues.Bob C. ★★★★★ Phenomenal, extremely competent, honest and caring Doctor.Ed S. ★★★★★ This was a great experience.Malvin B. ★★★★★ I had a clearly outstanding experience with digestive health systems. Everyone was courteous and kind and was very relaxing to me. I was nervous coming in and was at ease and just a few minutes was in and out and less than an hour thank you for a clearly outstanding experience in the medical profession.Mona D. ★★★★★ They were pretty quick, friendly and efficient.Kenneth F. ★★★★★ My experience was positive from the front office staff to my medical interaction with Ms Kelly Heart, PA.Cherolyn S. ★★★★★ All the staff and Dr Julien were very kind and caring.Doug B. ★★★★★ It took several minutes before I was called back to a exam room. But pink shoes called me back. Did vitals and asked a few questions, then left the room. In a matter of seconds Don came into the room did his exam, wrote me a script for lab work, and I was on my way out. Quick exam.Carmen Q. ★★★★★ Very friendly and professional team of people. They make you feel very comfortable during the procedure.Roxann E. ★★★★★ Leslie was wonderful. I had a very positive appointment with her.SANDRA L. ★★★★★ Best experience here, perfect!Wilma R. ★★★★★ The quality of care is among the highest I have ever received .The staff is awesome and very pleasant. The doctors truly care about their patients and it shows in the care they give.Lois C. ★★★★★ This was my first visit to Dr. Julien’s office. The day before, the office called me to confirm information on my referral which was not correct. That was straightened out. On the day of the visit, the office staff was friendly and I did not wait long to be called back. DR. Julien was pleasant, and took his time answering my questions. I felt good about the appointment and left with confidence in him as my doctor.Kt ★★★★★ Efficient, kind &friendly. Good communication with Doctor Jonathan Thelen and staff. 👍Candis D. ★★★★★ ALL STAFF VERY HELPFULL AND FRIENDLY, AND FOLLOW-UP NEXT DAY MAKES IT NICE THAT PEOPLE CARE ABOUT YOU.Cherrye Marchelle M. ★★★★★ He has been my doctor since 1995 when he first started his business inmuch smaller office.I have 3 other family members that also go to him now that I referred them to Dr.Ross. Everyone one of us loves him.I refuse family members to see him for their troubles like I have. He is the best in the Lansing area.Daralee G. ★★★★★ I trust Johnathan with my life literally. I have been with this group for over 25 years Chrones IBS etc. A few months back hospitalized for 13 days after a very long remission. Every day one of the GI drs were there to see me.They continued daily to assess and answer all my concerns.I will continue to see Jonathan as needed as he is by far one of the most compassionate educated of any GI I've worked with on remaining healthy 😀Rosie D. ★★★★★ I have the most wonderful experience with Dr. ALBERT Ross BEEN MY DOCTOR! He have brought me through so much. I have been under his care for about 20 years or longer. He is the most wonderful and caring DOCTOR and person. He take time time to explain to you what is going on with which make you feel comfortable. He have time for his patient. His patient always come first. Thank youROSIE DAVISJody F. ★★★★★ Everyone was so nice, explained steps as they happened. Made sure I was comfortable.Brenda H. ★★★★★ Very friendly environment. They meet every need and listen to what your concerns are. Thorough, courteous, and excellent staff.Jacquelyn Church (. ★★★★★ Grace the PA that saw me was very nice, cureteous, and took time with me to answer all my question. Made me get feel confident that I was there.Dan K. ★★★★★ Outstanding staff. Office runs smoothly. I would highly recommend Lansing Surgery Center to anyone needing surgery.Carrie H. ★★★★★ Quick and easy colonoscopy. All female staff associated with my procedure, from check-in to post, which I appreciated greatly. Everyone was friendly, informative, professional. If I need another procedure, I won't go anywhere else. (Female, 65yo, first colonoscopy)Debra S. ★★★★★ Friendly and professional staff.Kim F. ★★★★★ Office staff smiling and friendly. PA was very thorough and answered questions. Scheduling was very accommodating.Jamie S. ★★★★★ I was sent for a referral for possible surgery on a lipoma in my intestine… After meeting with Dr Coffey and discussing my case and options I was relieved to know surgery wasn’t really a necessity at this time …I had many questions about my issues which he very professionally addressed in terms that were understandable to me … office and staff were warm friendly and professional…. I would give a high recommendation to this practice and Dr CoffeyKrista Jo L. ★★★★★ Dr. Yusuf was very thorough and made me confident that he was checking my gastro system completely so I could relax about this area of my health.Jennifer A. ★★★★★ I would like to thank everyone. You all are so helpful, take time to answer questions and made me fell very welcome. I wish I would of found you first before I had my operation. If I need another operation this is where I would come. Thank you.Edwina S. ★★★★★ Absolutely 💯 % professional and yet very personal care. I was very comfortable and no problems after my colonoscopy procedure. A great team who obviously are committed to their patients and work well together. Yes, it's a very unique atmosphere and I was grateful for that. Dr Jones and everyone were top notch healthcareBob R. ★★★★★ Over all the experience was very positive. There were a lot of people in the waiting room but I was taken in very quickly and guided through the process very smoothly. Everyone was very nice and caring. They were all peasant and answered any questions I asked. They even laughed at a dad joke or two. A colonoscopy is not pleasant but they all did everything they could to help ease it all. I'd like to mention the receptionist (sorry I can't remember her name). I forgot my driver's license and proofs of insurance. My fault, it is clearly noted in the directions you get before the procedure. But she went the extra mile to suggest, and then, contact my doctor to get the info. I would have had to go home and reschedule the whole procedure otherwise. Thanks to everyone there for a decent, helpful visit.Jonda W. ★★★★★ I had great service with Dr Plaehn.he explained everything very clear to me.so glad I found him for my drKathleen L. ★★★★★ They don’t give up even though the answers don’t magically appear. And they do it with care and hopefulnessQiana Green S. ★★★★★ Everyone is super nice and informative. Dr. Opreanu is fantastic!Joseph M. ★★★★★ Staff was kind and very professional.Joe A. ★★★★★ Very positive experience! Service was great! Is a very organized team from start to finish, as well as on time. Very professional.Mark T. ★★★★★ Dr Julien's office is always efficient and professional just like the Doctor.charlene P. ★★★★★ The staff is very friendly, efficient, and show concern for their patients. I appreciate that Dr. Julien is attentive, thorough, and knowledgeable in his field as he cares for my medical needs.Julie T. ★★★★★ Dr. Coffey and his staff, in my experience, are the best in the business of Colorectal Surgery. I would not hesitate to share what I've been through with anyone who required these specific surgical procedures.Hope H. ★★★★★ All the staff were polite they explained everything. They made me feel comfortable. The procedure went well. The doctor was so nice. I thank them for making me feel confident in there abilities. I recommend the digestive Health InstituteJulia S. ★★★★★ Everyone very nice and Donald very informativelisa ★★★★★ Everyone was wonderfulBrandon H. ★★★★★ John Walling Jr. was professional and knowledgeable. I felt comfortable with his service. If having a colonoscopy done I would highly recommend him and his staff at the Lansing Surgical Center. Thanks John!Robert H. ★★★★★ Good first time experience.gena G. ★★★★★ Jonathan Thelen, PA, is a very thorough and compassionate provider. He takes time to know his patients history and has their best interest with their care.Heidi D. ★★★★★ Dr. Jones is very knowledgeable, intuitive, kind and a pleasure to work with. The staff are very complimentary of him, and I felt very well cared for.Annette F. ★★★★★ A very welcoming environment.The receptionist was pleasant, professional & thorough. She pointed me to a waiting area & told me I will be called shortly.The nurse was friendly & reassuring. The Doctor examined everything as he was examining me which helped me to understand my condition and I could ask any question pertaining the condition & he patiently explained. Privacy was paramount. I have a fruitful, relaxing visit.Denise D. ★★★★★ Wait time was short. And everyone I interacted with was pleasant and friendly.Jaclyn S. ★★★★★ I had a great experienceJohn C ★★★★★ I've have had three, if I remember correctly, Colonoscopies and an endoscopy in the last 20 years with Dr. Yusuf. I found him to be very nice and the procedures went without a problem. In addition he prescribed Omeprazole when it was first coming out, before it could be found over the counter. My esophagus was pitted and damaged from GERD. His prescription was life changing for me. At last it didn't feel like I was burping lava all day long.Paul E. ★★★★★ I felt like they truly care about every person who walked thru there doors. From the receptionist to the nurses and Dr Walling, they made it a very pleasant visit. I would recommend there services to anyone.Sandra T. ★★★★★ Quick service superior staffKathy W. ★★★★★ The whole staff of nurses anesthesiologist and Dr Lee-Allen was the best. Very knowledgeable caring and polite.Ray H. ★★★★★ Staff very friendly, communication good, procedures quickly done.Irish F. ★★★★★ Obviously we wish we never would’ve had to have a visit here, but the staff made a terrible situation better through their expertise, kindness, empathy and honesty. My daughter and I particularly appreciated Nicole’s down to earth demeanor and kind heart. We appreciated Dr Coffey’s skill, honesty and approachability and thoroughness with our questions.Kristine C. ★★★★★ Speedy at registration. Kind staff. Excellent surgery with Jannel Lee-Allen. Grateful and thankful for such caring staff. Vernor's was my end of surgery reward! 😁Brian ★★★★★ Aesome!Michael J. ★★★★★ Without exception, everyone that interacted with me was pleasant, patient, competent and made the entire experience as easy as possible.Jody H. ★★★★★ First time I seen Britney I believe her name was. Very personable I liked her a lot she seemed to care and address my needs and issues. Hopefully her ideas will work.D L. ★★★★★ I was referred to the Digestive Health Institute (Capital Colorectal) by my primary care physician and have been very happy with the care and expertise of the doctor I am seeing there (Lucas Julien). The support staff are also very nice.Josh D. ★★★★★ Excellent!Jane M. ★★★★★ The doctor was considerate and friendly. Service at the clinic was prompt and efficient. All in all, a very professional groupdon K. ★★★★★ very professionaljs_loader

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, click their image or visit our providers page.

Dorian Jones, MD

Lucas Julien, MD

Razvan Opreanu, MD

Scott Plaehn, DO, FACOI

Albert Ross, MD

John Walling, Jr., DO, FACOI

Siaka Yusuf, MD

Our Locations

FAQs

What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?
An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If an Digestive Health Institute physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.
How do I get test results?
We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. You may call 517-332-1200 and press “8″ and your call will be directed to the triage nurse.
What insurances do you accept?
Digestive Health Institute accepts payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 517-332-1200 #6.

What if I need to contact the doctor?
To contact your doctor during business hours please call our main number 517-332-1200. If you have an urgent need to speak with the doctor after hours please call our answering service at 517-483-9124 and the doctor on call will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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