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Cytoreductive Surgery for Ovarian Cancer

Cytoreductive Surgery

Cancer Treatment Doctors in Bhubaneswar

Cytoreductive Surgery is an advanced cancer surgery, specifically to reduce the cancer cells in the abdomen for patients in whom the cancer has spread intraabdominally. After this surgery, the cavity is bathed with hot Chemotherapy, which is heated at 42 degrees Celsius to kill any remaining microscopic cancer cells. In this way, Cytoreductive Surgery aims at reducing or minimising a potentially immunosuppressive tumour burden and other symptoms such as abdominal pain, as well as preventing complications. This surgery lasts up to six to nine hours and may take longer. This process is often used to treat ovarian cancer, but it can also be used for other abdominal malignancies. Visit our expert surgical oncologists in Bhubaneswar for the best cytoreductive surgery for ovarian cancer in Bhubaneswar.

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FAQ's

This surgery is performed to remove the cancerous tumour cells. The main goal is to remove all the macroscopic disease, which helps in the prevention of symptoms and further complications. This surgery itself is not a simple process; it requires expert surgeons to perform the surgery.

Cytoreductive Surgery may be considered for various types of cancer, including ovarian cancer, colorectal cancer, gastric cancer, pancreatic cancer, and certain types of sarcomas. 

The specific approach to Cytoreductive Surgery depends on factors such as the type and location of cancer, the extent of tumour involvement, and the patient's overall health. Surgical techniques may involve open surgery (Laparotomy or Thoracotomy), minimally invasive surgery (Laparoscopy or Thoracoscopy), or robotic-assisted surgery. The surgeon carefully removes visible tumour tissue during the procedure while sparing critical structures and organs whenever possible.

Cytoreductive Surgery, also known as Debulking Surgery, is a medical term used for treating visible cancerous tumour cells that are removed from the affected area. This helps to prevent the spread of cancer and its symptoms. This surgery is performed through an open incision in your abdomen, and this is sometimes also possible via a laparoscopic approach. Surgery may involve various procedures depending on the specific circumstances of the cancer, such as:

  • Total Abdominal Hysterectomy: The womb and cervix are removed, followed by stitching together the top of your vagina to create a vaginal vault.

  • Salpingo-oophorectomy: Removal of fallopian tubes and ovaries.

  • Omentectomy: Surgery to remove some part or entire omentum, a fatty tissue, to prevent the spread of cancer.

  • Lymphadenectomy: Surgical removal of all or some part of the lymph nodes in the pelvic area.

  • Diaphragm Stripping: Removal of a part of the diaphragm.

  • Resection of the large bowel (colon): Removal of a large piece of bowel due to cancer spreading.

  • Resection of the small bowel: Removal of a small part of the small bowel to stop the spread of cancer.

  • Appendicectomy: Surgical removal of the appendix, as cancer in the appendix can sometimes spread to the ovary and cause cysts and tumours.

  • Splenectomy: Surgery to remove the entire spleen.

  • Peritonectomy: Surgical removal of the lining of the abdomen and pelvis, a site where tumours spread easily.

  • Depending on the affected organ and level of risk of cancer, the particular organ and nearby areas, like lymph nodes and tissues, are removed, respectively.

Candidates for Cytoreductive Surgery have cancer that is localised or confined to a specific area of the body and are deemed suitable for surgical intervention by their healthcare team. The decision to undergo Cytoreductive Surgery depends on factors such as the type and stage of cancer, the location and extent of tumour involvement, and the overall health and medical history of the patient.

In Cytoreductive Surgery, the patient's posture is like a supine position; the patient is facing up with their head resting on a pillow, and their neck is in a neutral position with their legs folded to the end of the operating table, which allows the doctor to have full access to the perineum during the surgical procedures. If you do not have any other health condition that may interfere with your supine position and the surgery, then it is one of the best positions for surgery.
 

The entire procedure takes around eight to ten hours to complete; after this, you may require three months for recovery.

The potential risks of Cytoreductive Surgery include bleeding, infection, damage to nearby organs or structures, and complications related to anaesthesia. However, the benefits of Cytoreductive Surgery may include improved survival rates, increased response to adjuvant therapies, and enhanced quality of life for cancer patients.

In some cases, alternative treatments such as Radiation Therapy, Targeted Therapy, Immunotherapy, or Systemic Chemotherapy may be used alone or in combination with Cytoreductive Surgery to manage cancer. 

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