Cancer Surgery
Cancer Surgery is performed to remove cancer-affected tissue / tumor from the body. Cancer (also known as malignancy) is a group of diseases, which is caused due to the abnormal and uncontrolled growth of cells in the body. These abnormal cells divide uncontrollably and invade the adjacent parts of the body. Some of the common types of cancer include breast cancer, lung cancer, stomach cancer, colon cancer, prostate cancer, etc…
The treatment for cancer typically includes chemotherapy, radiation therapy, and/or surgery. Surgical management of cancer may be essential to prevent metastasis.
Dr. R. Padmakumar performs different cancer surgeries:
- Thyroid Cancer, Papillary Thyroid Carcinoma – Thyroidectomy for Thyroid cancer
- Stomach Cancer Surgery
- Colorectal Cancer Surgery
- Colon Cancer / Intestinal Cancer – Colectomy, Laparoscopic Abdominoperineal resection (APR), Anterior Resection without colostomy
- Breast Cancer – Mastectomy, Lumpectomy, Axillary Dissection, Breast Reconstruction Surgery
- Chest Cancer – Thoracoscopy
- Soft Tissue Sarcomas
- Cervical Cancer Surgery – Radical hysterectomy
- Ovarian cancer – Hysterectomy, Bilateral salpingo-oophorectomy, omentectomy, Lymph node clearance.
- Esophageal Cancer Surgery
- Uterine Cancer – Radical Hysterectomy
- Anal Cancer
- Endometrial Cancer – Radical Hysterectomy
- Gallbladder Cancer
Endoscopies performed to detect Cancer
| Procedure | Part of the body | Where scope is inserted |
|---|---|---|
| Bronchoscopy | Performed with a Bronchoscope and used to examine the Lungs or respiratory tract | Mouth or nose |
| Colonoscopy | Used to examine the rectum and intestines | Anus |
| Colposcopy | Colposcopy is done to examine the vagina, cervix and vulva to identify any abnormal or precancerous areas. | Vagina |
| Cystoscopy | Done with a cystoscope to visualize the bladder and urethra | Urethra |
| Gastroscopy | Performed using a gastroscope and is also called upper endoscopy and is used to examine the esophagus, stomach and the first section of the small intestine. | Mouth |
| Hysteroscopy | Performed with a hysteroscope to examine the Uterus and cervix | Vagina |
| Laparoscopy | Performed with a laparoscope to visualize the abdomen or pelvis. | Small cuts in the abdomen |
| Laryngoscopy | Performed to examine the larynx, vocal cords, the back of the throat and the upper airway region | Mouth |
| Mediastinoscopy | Performed with a mediastinoscope to diagnose conditions like lung cancer | Small cut in the lower neck |
| Pyeloscopy | Performed with a pyeloscope to examine the kidneys and ureter. | Urethra |
| Sigmoidoscopy | Performed to visualize the lower part of the large intestine that includes the rectum and sigmoid colon. | Anus |
| Thoracoscopy | Performed with a thoracoscope to view the inside of the chest. | Small cut in the chest |
| Ureteroscopy | Used to examine the upper urinary tract and kidneys to diagnose and treat urothelial cancers | Urethra |
Thyroidectomy for Thyroid Cancer
Thyroid cancer can be of different types: Medullary thyroid cancer, anaplastic thyroid cancer, papillary thyroid cancer, follicular thyroid cancer, Hurthle cell cancer. Surgery to remove the thyroid is the most common treatment for thyroid cancers. It is also termed thyroidectomy. Depending on the type and stage of the thyroid cancer, it may be necessary to remove the entire thyroid gland (total thyroidectomy) or part of it (hemithyroidectomy).
Thyroidectomy can be performed as Open, Endoscopic, or Robotic. In Endoscopic Thyroidectomy, small incisions are made at the axilla, and the thyroid is removed through these small incisions. Parathyroid tumors can also be removed by endoscopic method. Robotic Thyroidectomy involves the aid of robots in carrying out the procedure. In Open Thyroidectomy, the thyroid is removed by making a large incision at the neck.
Radical neck dissection is performed for surgical control of metastatic neck disease. This can also be performed endoscopically. In case of lymph node metastasis from thyroid cancer, cervical lymphadenectomy is the treatment choice. Endoscopic Cervical lymphadenectomy can be performed without neck cut or neck scar.
Stomach Cancer Surgery
Laparoscopic Gastrectomy is performed to remove part of stomach affected with cancer. Laparoscopic Gastrojejunostomy is performed for stomach cancer if the tumor in the stomach obstructs food from leaving the stomach. This allows the food to leave the stomach through new bypass route.
- Keyhole cancer surgery for cancer stomach
- Stapler anastomosis to promote perfect healing
- Early resumption of activities without prolonged rest
Colon Cancer Surgery
- Colectomy
- Laparoscopic Abdominoperineal resection (APR)
- Anterior Resection without colostomy
– Avoids major trouble for patient for taking care of stoma
– Avoids Ressurgery
Advantages of Laparoscopic Surgery
- Avoids abstinence from work
- Helping early initiation of adjuvent therapy (chemotherapy, radiotherapy)
- Avoids wound related problems like pain, infection and hernia
- Better cancer clearance
- Better lymph node clearance
- Reduced recurrence.
- Significantly improve quality of life
Mastectomy (Breast Cancer Surgery)
Mastectomy is performed to remove the cancer-affected breast. Depending on the size and severity of the Breast Cancer, the surgeon may decide to proceed with any of the following surgical treatment:
- Mastectomy: Surgery to remove the complete breast
- Lumpectomy : Wide excision or removal of breast lump along with surrounding normal tissue.
- Axillary Dissection: Surgery to remove associated lymph nodes
- Reconstruction Surgery: To renovate lost breast with breast implants
There are different types of mastectomy which is performed depending on the severity of the cancer. These include:
- Total Mastectomy / Simple Mastectomy
- Double Mastectomy / Bilasteral Mastectomy
- Skin-Sparing Mastectomy /
- Nipple-Sparing Mastectomy
- Mastectomy with Breast Reconstruction
- Modified Radical mastectomy
- Radical Mastectomy
- Breast Conservation Surgery (BCS)
Thoracoscopy for Chest Cancer
- Significantly reduced pain
- Avoids major thoracotomy
- Maximum preservation of lung tissue.
Hysterectomy and Bilateral Salpingo-oophorectomy for cancers related to uterus and cervix
Radical hysterectomy, Bilateral salpingo-oophorectomy, omentectomy, Lymph node clearance are some of the surgeries performed for Cervical Cancer / Ovarian Cancer / Endometrial Cancer / Uterine Cancer.
Soft Tissue Sarcoma
Soft tissue sarcomas start in body’s soft tissues like fat, muscle, nerves, lymph, fibrous tissues, blood vessels, or deep skin tissues. There are different types of soft tissue sarcomas like liposarcoma, angiosarcoma, etc. Surgery is the usual treatment for soft tissue sarcomas and might include radiation therapy and chemotherapy.
Image shows Liposarcoma mass weighing 4.2 kg and 1.2 kg removed from the abdomen. Liposarcoma is a rare type of cancer and starts in the fat cells. Liposarcoma can affect the fat cells in any body part, but mostly occurs in the limb muscles or in the abdomen. Cancer Surgery may be essential to remove these masses. There are four types of liposarcoma: Well-differentiated liposarcoma, Myxoid liposarcoma, Pleomorphic liposarcoma, Dedifferentiated liposarcoma
Department of Minimally Invasive Surgery, VPS Lakeshore Hospital, headed by Dr. R. Padmakumar, offers Cancer Surgery and comprehensive surgical care of a variety of cancers including, stomach cancer, colon cancer, breast cancer, chest cancer, soft tissue tumors etc.
The Department of Minimally Invasive Surgery (MIS) has an efficient team with vast experience in laparoscopic surgeries. Dr. R. Padmakumar is one of the few surgeons in the world performing keyhole surgery for Thyroid Cancer.
About Dr. R. Padmakumar
Dr. R. Padmakumar is one of the Best Hernia Surgeon in India. He has been changing lives through Keyhole Surgery. He has got more than 30 years of hands-on experience in laparoscopic Surgery in major hospitals across India and has completed more than 7000 cases of Laparoscopic Hernia Surgeries. Dr. Padmakumar has trained more than 300 surgeons from all over the world the art of laparoscopic surgery especially Laparoscopic Hernia Surgery. Dr. Padmakumar is also hailed as one of the Best Bariatric Surgeon in India & UAE. He is renowned for new and improved treatment techniques and the first in the World to perform Scarless Bariatric Surgery with Tummy Tuck / Abdominoplasty. He is also one of the very few thyroid surgeons in India doing Endoscopic Thyroidectomy (scarless thyroid surgery).
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Anal Fissure Treatment
- Piles / Hemorrhoids Treatment
- Varicose Veins Treatment
- Laser Treatment for Varicose Veins
- Diabetic Foot Treatment
- Gynaecomastia
