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Gastrointestinal Science treatment in Hebbal, Bangalore

Debulking and peritonectomy for advanced gastrointestinal malignancies

Peritonectomy Procedure in Bangalore

Debulking and peritonectomy are surgical procedures that remove cancerous tissue from a patient's abdomen. These procedures are usually done to treat advanced gastrointestinal malignancies, such as oesophageal, stomach, and pancreatic cancer. These are the most common types of cancer that affect the gastrointestinal tract, which is the pathway from your mouth to your anus. Debulking and peritonectomy may also be used as a treatment for patients with liver or colon cancers that have spread to other organs in their abdomen.

Several ways debulking and peritonectomy may be used as a treatment for cancer. It may be performed before surgery to remove the primary tumour, or it can be done after surgery to remove the original tumour but leave some cancer cells behind. This is called a “resection” or “removal,” and it's done to ensure that all cancerous tissue has been removed from your body.

Debulking and peritonectomy often treat advanced colon, liver, stomach and pancreas cancers. In these cases, removing as much of the cancerous tissue as possible is essential so that it does not spread to other organs in your body.

The surgery is performed during gastrointestinal science treatment in Hebbal, Bangalore by an abdominal surgeon who will use tools such as laparoscopy or keyhole surgery to access and remove any cancerous tissue.

The surgeon will remove any remaining cancerous tissue through another incision in your abdomen. This is called an “abdominocentesis”, and it's usually done to remove fluid from your abdominal cavity so that the surgeon can see what's happening inside.

The doctor may then perform a lymph node biopsy, which is the removal of one or more lymph nodes for examination. This allows your doctor to determine whether cancer has spread from the colon, liver, stomach or pancreas. If it has, additional treatment will be necessary.

Why Is This Procedure Performed?

This procedure removes all of the cancerous tissue from inside the abdomen to improve the patient's chance of survival. It is also used to shrink tumours, which allows for easier removal through surgery. This procedure aims to remove as much tumour tissue as possible while preserving healthy organs such as the liver and intestines. The healthier organs preserved during surgery, the better your chance of living longer after treatment ends. 

This procedure is used when tumours are too large to remove through laparoscopic surgery alone. It can be used with other minimally invasive procedures, such as endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). EUS uses a thin tube with a camera attached at the end to look inside the body, while ERCP uses an endoscope to examine the bile ducts.

In some cases, patients may need a second surgery after their initial debulking surgery if some tumour cells were left behind during the first operation or if there were complications during surgery (such as bleeding).

The surgeon will remove any remaining tumour cells and any other diseased tissue. The patient may need to stay in the hospital for a few days after surgery or return home the same day, depending on how large the original tumour was, what type of surgery was done, and whether there were complications.

If the patient has ERCP instead of surgery, they may need to stay in the hospital for several days after the procedure. This depends on how large the tumour was and what type of surgery was done.

How Is This Procedure Performed? 

During debulking and peritonectomy, surgeons make an incision in your abdomen (open surgery) or laparoscopic surgery. They remove the tumour and surrounding fatty tissue (called the peritoneum). The surgeons also take out any organs damaged by cancer, such as the spleen, appendix and lymph nodes. For some types of cancers, surgeons may remove the colon, called a colectomy. In some cases, all or part of the pancreas may also need to be released (called a pancreaticoduodenectomy).

The surgeon will then close the incision and sew it up. Doctors might use staples or stitches to close your incision if you had laparoscopic surgery. If you have colon cancer, doctors may also remove your lymph nodes. They'll check these for cancer and send them to a lab for testing.

Surgeons will then close the incision and place a drain in your abdomen to remove any excess fluid. This is called an ileostomy or colostomy. You may have one or both of these procedures, depending on your cancer type and how much of your intestine needs to be removed. After surgery, you may be able to go home within a day or two. Or you may need to stay in the hospital for up to a week after surgery.

You'll have a few different options for recovery. You can stay home and rest, or you may choose to go to a facility that specialises in post-surgical care. This might be an outpatient surgery centre or a hospital with special units for people who need help recovering from major surgery.

You'll likely need to follow up with your doctor after surgery (also called postoperative visits). Your doctor at Manipal Hospitals will check how your incision is healing and any other areas of concern—such as possible infections or reactions to medications.

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