Surgical Oncology

We have on our panel dedicated surgical specialists, for management of cancers of the head and neck, breast, thorax, gastrointestinal tract, female reproductive system and genitourinary tract. We offer surgical expertise for all oncology cancers through excellent teamwork, the best in both human and robotic surgeries. We treat all types of malignancies with very low mortality and morbidity rates. Along with the support of radiation oncology department and medical oncology we have been successful in downstaging many malignancies to an operable stage where we are able to send the patient home cancer free. Malignancies like head and neck cancers with complex reconstructions, breast and thyroid malignancies, all intestinal and gastric malignancies are performed on a regular basis. Robotic technology is at our service and the expertise to operate on difficult tumours, plus handling large, complex abdominal tumour surgeries where masses as large as 30 kg in weight and above have been successfully operated upon

Surgical Oncology

Surgical Oncology

One of the cornerstones of cancer treatment is surgery. In recent times, therapeutic approaches such as minimally invasive surgeries and robotic surgeries have made surgery one of the most effective and powerful cancer management approaches.

The Ushta Medicare surgical oncology team is comprised of trained and experienced surgical oncologists who are experts in managing simple to complex primary and secondary cancers, and place equal importance on maintaining patients’ quality of life. In some cases, organ removal is necessary to prevent the cancer from spreading and improve the chances of survival. In these cases, reconstruction of the organ is necessary. Ushta Medicare has an excellent team of reconstruction experts who are trained to restore the structure and function of the affected organ and help patients regain confidence and lead a normal life.

The Role of Surgery In Cancer Treatment

Surgery removes the tumor along with a small amount of surrounding healthy tissue known as the margin. Surgery is used at various stages of cancer treatment:

  1. Surgery or a biopsy is considered when various types of cancer are diagnosed. A biopsy helps oncologists determine the type, stage, and size along with other parameters related to a particular cancer.
  2. Surgery removes the tumor and affected lymph nodes and organs and prevents the cancer from spreading to other areas.
  3. Surgery can also help rebuild parts of the body that have been operated on to treat cancer.
  4. Surgery may also be done as part of palliative care to relieve cancer symptoms.

There are a number of factors that surgical oncologists consider before recommending surgery for a cancer patient. Key factors include the type of cancer, size, tumor stage, location, and grade along with general parameters such as the patient’s age, underlying medical conditions, and general physical condition.

Treatment techniques like radiation therapy, chemotherapy, or hormone therapy are frequently combined with surgery. This multimodal approach has been shown to be more effective in treating cancer and preventing recurrence than single-line treatment.

Advanced Surgical Procedures at Ushta Medicare

Organ-Sparing Surgery:

During organ-sparing surgery, specialists remove only the tumor and not the entire organ. Organ preservation surgeries play an important role in the management of cancer of the breast, tongue, throat, prostate, etc.

The main advantages of organ preservation surgeries:

  1. Organ-sparing surgery helps you recover faster from treatment
  2. Organ-sparing surgeries cause less damage to surrounding healthy tissue
  3. These surgeries help preserve quality of life and a sense of trust between patients.

Reconstructive Surgery:

For some types of cancer, the organ affected by the cancer must be removed along with the surrounding tissue and sometimes the lymph nodes as well. These organ removal surgeries can change the appearance or decrease the function of the organ affected by the cancer, which can be the region of the head and neck, breast, bladder, colon, etc. to restore the appearance or function of an organ that was once affected by cancer.

Reconstructive surgery involves moving tissue or bone from a different part of the body to the part where the cancer surgery is done. These tissues can come from the abdomen, upper back, buttocks, or inner thighs.

Reconstructive surgery has the following advantages:

  1. Reconstructive surgeries help restore the function of the organ affected by the cancer.
  2. Reconstructive surgeries further restore the appearance of the surgically removed organ and have a positive impact on aesthetics.
  3. Patients may regain their sense of self-worth and confidence after these procedures. Reconstructive surgeries can have an overall positive impact on the psychosocial well-being of cancer patients.

The latest technologies, such as 3D printing, are helping surgical oncologists today to convert 2D MRI/PET/CT scans into a detailed and viewable 3D model. Oncologists may be able to plan treatments more effectively as a result of this. 3D modeling also aids in reconstruction surgeries by providing a better picture of cancer damage.

Minimally Invasive Surgery

Minimally invasive surgeries, unlike open surgeries, require very few, smaller incisions to operate on and remove tumors. These surgeries cause less damage to surrounding healthy tissue. Other benefits of minimally invasive surgeries include less pain and blood loss, faster recovery, shorter hospital stay, and overall fewer complications.

Endoscopic surgery or minimally invasive surgery uses an endoscope to study the internal organs and look for abnormalities through very small incisions. During endoscopic surgery, a thin, flexible tube with a camera and light along with a surgical tool is inserted through small incisions or natural openings such as the nostrils and mouth. Some of the more popular endoscopic procedures are thoracoscopy, laparoscopy, gastroscopy, and colonoscopy.

High-intensity light beams are used in laser surgery to harm cancer cells. Laser surgeries can be used to reduce or destroy cancerous and precancerous growths. This form of surgery is most commonly used to control superficial cancers, such as early-stage cancers of the cervix, vagina, lungs, and skin. Laser surgeries are also used to relieve symptoms of cancer, control the spread, and slow the progression of the disease.

Robotic surgery is a modality of surgical approach that redefines precision and flexibility and therefore makes the surgical management of tumors more effective. Robotic surgeries give oncologists more control – this helps them to precisely operate on the tumor without causing much damage to surrounding healthy tissue. Like other minimally invasive procedures, robotic surgery uses small incisions to reach the tumor and operate on it.

During robotic surgery, robotic arms perform the operation and these arms are controlled by the surgeon sitting at the console. The available high-definition 3D images help the surgeon understand the location of the tumor and perform surgery more precisely.

The main benefits of robotic surgery include less pain, lower risk of infection, shorter hospital stay, less scarring, and faster recovery.

At Ushta Medicare, we house the innovative da Vinci Robotic Surgery System that allows the surgeon to perform surgeries with greater freedom and precision than ever before. This robotic surgery system allows surgical oncologists to comfortably perform complex surgeries and improve the chances of positive clinical outcomes. The system’s intuitive EndoWrist technology improves the efficiency of the procedure by offering a greater range of motion of the arm.

At Ushta Medicare, we begin treatment planning with a comprehensive assessment of the patient’s general condition. Then comes the prognosis of the various treatment approaches and potential side effects along with methods to proactively manage them. A team of oncologists, dietitians, rehabilitation experts, and other physicians work with the surgical oncologist to help patients make a full recovery and have a better quality of life after surgery.

FAQs on Surgical Oncology

Surgical oncology is a specialized area of surgery that focuses on the diagnosis, treatment, and management of cancerous tumors. It involves the use of surgical procedures to remove tumors and surrounding tissue in order to prevent the spread of cancer and improve a patient’s chances of survival. Surgical oncologists work closely with other medical professionals, such as oncologists, radiation oncologists, and pathologists, to develop a comprehensive treatment plan for each patient.

Surgical oncology is used to treat many different types of cancers. Some common cancers treated with surgical oncology include breast cancer, lung cancer, colon cancer, prostate cancer, and pancreatic cancer. However, almost any type of cancer may be treated with surgery, depending on the location and stage of the cancer. In some cases, surgery may be the primary treatment, while in other cases, it may be combined with other treatments such as chemotherapy or radiation therapy.

Surgical oncology differs from other cancer treatments, such as chemotherapy or radiation therapy, as it involves the removal of cancerous tissue through surgery. It is often used as a primary treatment for cancer or as a part of a multi-modal approach, where surgery is combined with other treatments to achieve the best possible outcome. Surgical oncology may also be used for the diagnosis and staging of cancer, as well as the management of cancer-related complications. The aim of surgical oncology is to remove as much cancerous tissue as possible while preserving surrounding healthy tissue and minimizing side effects.

As with any surgery, there are risks associated with surgery for cancer. These risks may include bleeding, infection, complications from anesthesia, blood clots, and damage to surrounding organs or tissues. In some cases, there may also be risks associated with the removal of lymph nodes, which can lead to lymphedema, a swelling condition that can be long-term or permanent. However, the risks of surgery are generally outweighed by the potential benefits of removing cancerous tissue and preventing the spread of cancer to other areas of the body. Your surgeon will discuss the specific risks and benefits of your surgery with you prior to the procedure.

The duration of surgery for cancer depends on the type and stage of cancer, the size and location of the tumor, and the complexity of the surgery. Simple surgeries may only take a few hours, while more complex surgeries can take several hours or even days. Your surgeon will discuss with you the estimated time for your surgery during your consultation.

It depends on the type of cancer surgery and the extent of the procedure. Some surgeries may be performed on an outpatient basis, while others may require a hospital stay ranging from a few days to several weeks. Your surgeon will discuss the expected length of your hospital stay and recovery time with you prior to the surgery.

The recovery period after surgery for cancer can vary depending on several factors such as the type of cancer, the location and extent of the surgery, and the overall health of the patient. Generally, patients can expect to spend a few days in the hospital after surgery and may require several weeks or months to fully recover. During this time, patients may experience pain, fatigue, and limited mobility. It is important for patients to follow their doctor’s instructions for post-operative care and attend any recommended follow-up appointments. In some cases, patients may also require additional treatments such as chemotherapy or radiation therapy after surgery to help prevent the cancer from returning.

It depends on the type and stage of cancer. In some cases, surgery alone may be sufficient to remove the cancerous cells. In other cases, chemotherapy or radiation therapy may be necessary to destroy any remaining cancer cells and reduce the risk of recurrence. Your surgical oncologist will work closely with you to develop a personalized treatment plan based on your individual needs and the specifics of your cancer.

Yes, surgery for cancer can be performed using minimally invasive techniques. This is known as laparoscopic or robotic surgery. These techniques involve making small incisions and using specialized tools to perform the surgery. The advantages of minimally invasive surgery include smaller incisions, less blood loss, less pain, shorter hospital stays, and quicker recovery times. However, not all types of cancer can be treated with minimally invasive surgery and it depends on the individual case. Your surgeon will be able to determine whether or not you are a candidate for this type of surgery.

Yes, it is likely that you will have scars after surgery for cancer. The size and location of the scars will depend on the type of surgery you have and the location of the cancer. Your surgeon will make every effort to minimize scarring and may use techniques to make the scars less noticeable. It is important to follow post-operative care instructions carefully to promote proper healing and minimize scarring.

Preparing for surgery for cancer involves several steps:

  1. Consultation with the surgical oncologist: The first step is to schedule a consultation with the surgical oncologist. During this appointment, the surgeon will evaluate your medical history, perform a physical exam, and may order some tests to determine your overall health and to identify the extent of your cancer.
  2. Pre-operative testing: Depending on the type of surgery, the surgeon may order some additional tests such as blood work, EKG, chest X-ray, CT scan, or MRI.
  3. Medication review: It is important to inform the surgeon about any medications or supplements that you are taking, as some of these may need to be stopped prior to surgery.
  4. Fasting: The surgeon will provide instructions on when to stop eating and drinking prior to surgery. Generally, patients are required to fast for several hours prior to surgery.
  5. Smoking cessation: Smoking can interfere with healing after surgery, so it is important to quit smoking several weeks before surgery.
  6. Arrangements for after-care: The surgeon will provide instructions on what to expect after surgery and how to care for yourself at home during recovery. It is important to arrange for someone to drive you home after surgery and to have someone available to help you with daily tasks for the first few days after surgery.
  7. Follow-up appointments: The surgeon will schedule follow-up appointments to monitor your progress and to discuss any further treatment options if needed.

During your initial consultation with a surgical oncologist, the doctor will review your medical history, perform a physical exam, and ask about your symptoms. They may also order additional tests such as imaging scans or biopsies to help diagnose and stage your cancer. The doctor will discuss the various treatment options available, including surgical options, and the risks and benefits of each option. They will also provide information on what to expect during and after surgery, including any potential side effects or complications. The consultation is an opportunity to ask questions and discuss any concerns you may have about your diagnosis or treatment plan.

The type of anesthesia used for surgery for cancer depends on the specific procedure and the patient’s medical history. It could be general anesthesia, where the patient is completely unconscious, or regional anesthesia, where only a specific area of the body is numbed. The anesthesiologist will discuss the options and risks with the patient prior to surgery.

No, patients are not awake during surgery for cancer. General anesthesia is used to keep the patient unconscious and pain-free during the procedure. The type of anesthesia used will depend on the type of surgery being performed and the patient’s individual health factors. The anesthesia team will discuss the options with the patient prior to the surgery.

Yes, robotic-assisted surgery is becoming more common in surgical oncology. This technique allows for smaller incisions, less blood loss, and faster recovery times. However, not all surgical oncology procedures can be done with a robot and it depends on the expertise of the surgeon and the specific case.

The success rate of surgery for cancer depends on various factors such as the type and stage of cancer, location of the tumor, the patient’s overall health, and the surgical technique used. Generally, surgical removal of cancerous tumors is considered one of the most effective treatment options, especially when the cancer is localized and has not spread to other parts of the body. However, the success rate may vary from patient to patient, and some may require additional treatments such as chemotherapy or radiation therapy to prevent cancer from recurring. It is important to discuss the expected outcomes and risks with your surgical oncologist before undergoing surgery.

The long-term outlook after surgery for cancer depends on various factors, such as the type of cancer, the stage of cancer, the patient’s overall health, and whether the cancer has spread to other parts of the body. In some cases, surgery may be able to remove all the cancer cells and cure the patient of cancer. However, in other cases, surgery may only be able to remove some of the cancer cells, and the patient may need additional treatments such as chemotherapy or radiation therapy to destroy any remaining cancer cells. It is important to discuss the long-term outlook with your surgical oncologist and to follow all recommended follow-up care to ensure the best possible outcome.

The cost of surgery for cancer in India can vary widely depending on the type of cancer, the complexity of the procedure, the hospital and surgeon’s fees, and other factors. It is best to consult with a surgical oncologist and the hospital’s financial department to get an estimate of the total cost of the surgery and any additional treatment that may be required. Insurance coverage and financial assistance programs may also be available to help cover some of the costs.

During your follow-up appointments after surgery for cancer, your surgeon will monitor your recovery and check for any signs of recurrence or complications. You may undergo imaging tests such as CT scans or X-rays, as well as blood tests to check your overall health. Your surgeon will also discuss any ongoing treatment, such as chemotherapy or radiation therapy, and provide recommendations for managing any side effects or symptoms. Additionally, you may receive advice on making lifestyle changes to reduce your risk of cancer recurrence or developing new cancers. It is important to attend all follow-up appointments to ensure the best possible outcome after surgery for cancer.

There are several lifestyle changes you can make to reduce your risk of developing cancer. These include:

  1. Quitting smoking: Smoking is a major cause of several types of cancer, including lung, throat, and bladder cancer. Quitting smoking can significantly reduce your risk of developing these cancers.
  2. Maintaining a healthy weight: Obesity has been linked to several types of cancer, including breast, colon, and prostate cancer. Maintaining a healthy weight through exercise and a healthy diet can reduce your risk.
  3. Eating a healthy diet: Eating a diet rich in fruits, vegetables, and whole grains can help reduce your risk of developing cancer.
  4. Limiting alcohol intake: Excessive alcohol consumption has been linked to an increased risk of several types of cancer, including liver, breast, and colon cancer.
  5. Protecting your skin from the sun: Exposure to the sun’s harmful UV rays can increase your risk of developing skin cancer. Protect your skin by wearing protective clothing and using sunscreen.
  6. Getting regular exercise: Regular exercise can help reduce your risk of developing cancer, as well as other chronic diseases such as heart disease and diabetes.
  7. Getting regular cancer screenings: Early detection is key to successful treatment of cancer. Regular cancer screenings, such as mammograms, colonoscopies, and skin exams, can help detect cancer early when it is most treatable.
  8. Managing stress: Chronic stress has been linked to an increased risk of several types of cancer. Managing stress through relaxation techniques such as meditation, yoga, or deep breathing can help reduce your risk.

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