Expertise In Cancer Treatment
Cytoreductive Surgery and HIPEC
Cytoreductive Surgery + Hyperthermic Intraperitoneal Chemotherapy or CRS + HIPEC as it is commonly called is a specialized procedure to remove the cancer tissues that has spread to the peritoneum. Commonly treated cancers with CRS +/- HIPEC are peritoneal mesothelioma, pseudomyxoma peritonei, ovary, colorectal, and stomach. With advance in cancer research and practice along with development of anesthesia and critical care, this is a modern method that is a combination of surgery called cytoreductive surgery that entails removal of all grossly visible cancer tissues within the abdominal cavity and giving chemotherapy within the abdominal cavity at a particular temperature and for a particular duration at the same setting after ensuring complete removal of all tumor tissues. It is a complicated procedure that involves operating up to or more than 10 to 12 hours.
Gastrointestinal Cancers and Colorectal Cancers
Comprehensive treatment for esophagus, stomach, small intestines, colon and anorectal cancer. The gastrointestinal cancers include esophagus, stomach, small intestines, larges intestines (colon) & rectal cancer. Colo-rectal cancers are one of the commonly occurring gastrointestinal cancers in India and worldwide. The incidence is rising amongst young individuals. The cells that line the colon or rectum grow abnormally which interferes with the functioning of the organs and tissue around the organs. This cancer is managed by staging and multi-disciplinary joint clinic which involves the surgeon, medical oncologist, and radiation oncologist. The line of treatment depends on the stage of the tumor. All patients with anorectal cancers do not have to be undergo permanent colostomy, and appropriately selected patients can undergo anal sphincter preserving surgery
Gynecological Cancers
Comprehensive treatment for ovary, fallopian tubes, uterus, cervix, vagina & vulva. The gynecological cancers include ovarian, fallopian tubes, uterus, cervix, vagina & vulval cancers. Ovarian cancers are amongst the most common gynecological cancers. Majority of the ovarian cancer patients present in advanced stage and often require extensive surgery (exenterations; CRS +/- HIPEC) and can achieve long-term control when appropriately operated. Patients with early cervical cancers can be treated with radical surgery alone. Patients with uterine cancers can be operated laparoscopically with minimal pain, blood loss and small scars.┬а
Hepato-Pancreatico-Biliary (HPB) Cancers
Cancer affecting the liver, bile duct and pancreas encompass this sub-group. As the symptoms are very silent, a highly experienced specialist should diagnose and treat HPB cancers. People at a very high risk of liver cancers are the ones with Hepatitis B & C, or cirrhosis secondary to alcoholic liver disease, non-alcoholic fatty liver disease, and smoking. Patients who are diagnosed at an early stage can be treated with surgery. Cancer from other organs (e.g., colon and rectum) also commonly spread to liver. With appropriate patient selection, these patients can also be operated upon and achieve long-term control. Common surgeries include hepatectomy, Whipple surgery, and radical cholecystectomy
Retroperitoneal Tumors
Tumors arising from within the abdomen but located behind the intestines adjacent to adrenal glands, kidneys, ureters, large intestines, abdominal aorta, and inferior vena cava are called retroperitoneal tumors. These tumors are rare and affect one or more adjacent organs. The tumor along with the affected organ is removed or the tumor with surrounding organs are removed which is called compartmental excision. This requires surgical expertise and critical decision making before and during the surgery. At times vascular (major blood vessels) resection is required.
Uro-Oncology
Patients with kidney, ureter, bladder, prostate, urethra & penile cancers require special considerations. Patients with kidney cancers can often be operated saving the rest of the kidney (partially removing the kidney with tumor) and this can be done laparoscopically. Patients with bladder cancer often require removal of the bladder completely and creating a new pathway (ileal conduit or neo-bladder). That procedure can be done laparoscopically with minimal blood loss and pain. Similarly, patients with prostate cancer too can be treated surgically with minimal invasive approach.
Laparoscopic Surgery
To look inside the abdomen and pelvic cavity, a thin tube with camera attached is used. This is called the laparoscope. Small incisions are made in the abdomen from which the laparoscope and other instruments are inserted into the cavity. It is a minimal invasive surgery (MIS) with very few and manageable side effects, lesser blood loss and faster healing. MIS is a revolutionary approach towards abdominal cancer surgery.
Robotic Surgery
Robotic surgery involves a robotic-arms being controlled by the surgeon sitting at a console away from the operating table to conduct the surgery. The world standard robot is the Da-Vinci Intuitive Robotic System.
Thoracic Cancer
Organs or glands that are in the thoracic cavity are affected in this type of cancer. This includes cancer of the lungs, mediastinal, esophagus, thymus, pleural and other organs and structures. Thoracic cancer is hard to diagnose in the early stages as there are no symptoms until the advanced stage.
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