Surgical Oncology

Best Surgical Oncology Treatment in Bangalore

Surgical oncology is a branch of surgery that focuses on diagnosing and treating cancer. A surgical oncologist is a surgeon who specializes in removing cancerous tumours. Surgical oncology has come a long way in recent years due to advancements in cancer therapy. Modern technologies and advances in cancer treatment have made it possible to remove more cancerous tumours with less invasiveness. In certain types of cancers, surgery may be the only treatment necessary to cure cancer. Surgical oncology aims to remove the cancerous tumour while minimizing the impact on the surrounding healthy tissue, allowing the patient to recover more quickly and with fewer side effects.

Oncology doctors in Bangalore use a variety of techniques to treat cancer. They may use traditional surgery, which involves making an incision and removing the tumour. They may also use less invasive techniques, such as laparoscopic and robotic intervention, which uses small incisions and specialized instruments to perform the surgery. In some cases, surgery and other treatments, such as radiation therapy or chemotherapy, may be necessary to achieve optimal results.

Why Manipal Hospital, Old Airport Road?

Manipal Comprehensive Cancer Centre is a top choice for patients looking for the most advanced cancer care and treatment. The facility is equipped with Robotic Surgery with the assistance of the Da Vinci Surgical System, Minimally Invasive Procedures, Laparoscopic surgeries, HIPEC, and PIPAC techniques. In fact, Manipal Hospital Old Airport Road is the pioneer in performing robotic cancer surgeries in the entire Karnataka in 2009 with more than 6000 successful robotic-assisted cancer surgeries to date and has emerged as one of the top centres where robotic surgery is preferred for most cases. 

The talented oncologists at Manipal Hospital Old Airport Road, Bangalore offer a customized approach to patients in diagnosing and treating cancer. They are assisted by a separate team of nurses and caregivers, as well as, paramedical staff who are committed to providing round-the-clock care for cancer patients. Manipal Hospitals has been at the forefront of surgical innovation and is dedicated to giving patients the finest results possible. 

Treatments and Procedures 

Robotic Surgery

The field of robotic surgery concerning cancer care is ever-evolving. In the past, cancer surgeons had to conduct surgery using their manual dexterity. This implied that the scope of what could be accomplished by surgery was limited. Because of advancements in robotic surgery, the limits have been reduced. A computer-assisted system is used in robotic surgery to give surgeons more control over the treatments. The device comprises robotic arms that the surgeon may operate and a camera that provides a three-dimensional picture of the operating region. Robotic surgery has the advantage of allowing for more exact motions and reaching deeper regions inside the body which are otherwise difficult to reach and treat. Robotic surgery is also associated with fewer incisions, which reduces scarring and speeds up healing. Robotic surgeries are carried out in cancers of the breast, rectum, kidney, liver, lung, prostate, and thyroid cancer.

• Is robotic surgery done entirely by robots?

No, robotic surgery is not done entirely by robots, even though this has been the most common misconception among people when they hear the word robotic surgery. In fact, the robotic system is controlled by a highly skilled surgeon who operates the robotic arms to achieve great precision and greater results.

• Is robotic surgery riskier than traditional surgery?

Robotic surgery is the most advanced method to perform surgery assisted by a robotic arm and other necessary equipment. Hence, it is not riskier as compared to traditional surgery. The use of robotic technology can lessen some hazards, such as blood loss and infection, and also lead to early recovery and fewer hospital stays.

• Is robotic surgery only for simple procedures?

No, robotic surgery may be utilised for various treatments, including complicated surgeries. Indeed, the accuracy and control given by robotic technology can make it an excellent choice for difficult cancer procedures when surgical intervention is required. 

• Is robotic surgery more expensive than traditional surgery?

Due to the expense of the requisite training and equipment, robotic surgery might be more expensive than standard surgery. But, it can also lead to fewer hospital stays and quicker recovery times, which can eventually lower total healthcare expenses.

• Does robotic surgery leave bigger scars?

No, robotic surgery typically results in smaller incisions and, therefore, more minor scars. This is because robotic instruments are more precise and require smaller incisions than traditional surgical instruments.

• Is robotic surgery completely painless?

Robotic procedure is associated with reduced pain and discomfort. Patients may feel some discomfort following the operation, but this may be handled with medicine and other therapies. It's critical to talk about pain treatment choices with your doctor before and after surgery.

Minimally-Invasive Surgery

Minimally invasive surgery (MIS) is a type of surgery that uses small incisions and specialized instruments to treat a variety of conditions. It is less invasive than traditional surgery, and as a result, patients often experience less pain, fewer complications, and a shorter hospital stay. Minimally-invasive surgery is used to treat various cancers, including Breast cancer, Colon cancer, Endometrial cancer, Kidney cancer, Liver cancer, Lung cancer, Ovarian cancer, Pancreatic cancer, Prostate cancer, Sarcoma, Skin cancer, and Thyroid cancer. It can also be used to remove tumours and perform biopsies. Minimally invasive surgery is a safe and effective alternative to traditional surgery. 

• Laparoscopic surgery

Laparoscopic surgery is a prevalent form of minimally invasive surgery that involves introducing a tiny camera and specialised tools through small incisions in the belly. This permits the surgeon to examine the body and execute the surgery without requiring a major incision. 

• Laser surgery

Laser surgery is another type of minimally invasive surgery that uses a laser to remove or destroy cancer cells/tissue. Laser surgery is often used to treat cancer of the skin, head, neck, Gastrointestinal Cancer, Genitourinary cancer, as well as Lung cancer. 

• Robotic surgery

Robotic surgery is also known as minimally invasive surgery which employs a specialised robot to help the surgeon conduct the treatment. Manipal Hospital Old Airport Road was the first in Karnataka to introduce robotics surgery in June 2009, using the Da Vinci Surgical System. This technology enables even more accuracy and control during surgery, improving patient outcomes.

• How long does a minimally invasive surgery take, and how does it work compared to standard open surgery?

Minimally invasive surgery is often faster than traditional open surgery. The length of a minimally invasive surgery might vary based on the procedure's kind and complexity, although these operations usually take less time than standard open surgeries. This is a result of the tiny surgical incisions and the use of specialised instruments by the surgeon.

• Is there a lower chance of complications with minimally invasive surgery?

Compared to open surgery, minimally invasive surgery has a shorter hospital stay, quicker recovery and lower risk of infection. The patient has less pain and suffering as a result of the procedure's small incisions, and they may often resume their regular activities sooner (within 2 to 6 weeks, depending on the severity of the cancer). Furthermore, minimally invasive surgery frequently enables greater visualisation and accuracy, improving surgical results.

• Will minimally invasive surgery reduce my pain and scarring?

Yes, patients typically experience less pain and scarring with minimally invasive surgery than with traditional open surgery. Minimally invasive surgery performed by Cancer Surgeons at Manipal Hospital Old Airport Road, Bangalore uses tiny incisions to induce less tissue stress, resulting in less discomfort and scars. In addition, many minimally invasive operations are carried out with specialised devices, which allow for higher accuracy and control during the process.

• What is the recovery time after minimally invasive surgery?

Recovery times after minimally invasive surgery are generally shorter than traditional open surgery. The nature of the treatment and the patient's overall condition will determine the precise recovery time. 

• Will I have any restrictions on my activities following minimally invasive surgery?

Following minimally invasive surgery, patients could be subjected to various activity limitations. The type of surgery and the patient's specific requirements will determine these limitations. However, patients may return to regular activities sooner than with conventional open surgery since minimally invasive surgery reduces tissue stress, discomfort, and scarring.

• Is minimally invasive surgery always the best option for every patient?

No, every patient may not benefit from minimally invasive surgery. Although compared to traditional open surgery, minimally invasive surgery often has fewer risks, it may not be practical for some aggressive types of cancers or when cancer has metastasized. The appropriateness of minimally invasive surgery can be affected by critical aspects such as the patient's general health, medical history, and the intricacy of the treatment. The choice to have minimally invasive surgery should be made by an experienced oncologist surgeon who can examine each patient's circumstances and choose the best method for their situation.

Hyperthermic Intraperitoneal Chemotherapy - HIPEC & Pressurized Intraperitoneal Aerosol Chemotherapy - PIPAC

The newer and advanced cancer therapies hyperthermic intraperitoneal chemotherapy (HIPEC) and pressurised intraperitoneal aerosol chemotherapy (PIPAC) are used for patients with peritoneal surface malignancies, which are malignant growths on the lining of the abdomen. Following surgical excision of malignant tissue, HIPEC involves the delivery of heated chemotherapeutic medicines straight into the abdominal cavity. The heat improves the efficiency of chemotherapy medications and increases their penetration into malignant cells. PIPAC, on the other hand, is a minimally invasive treatment that entails utilising a laparoscope to give chemotherapy medicines in the form of an aerosol. 

Manipal Hospital Old Airport Road, Bangalore was the first hospital to introduce HIPEC and PIPAC in Bangalore in 2012 and has been successfully performing the procedure since then. The hospital was also the first to introduce PIPAC in Bangalore. A team of highly qualified oncologists and surgeons perform the treatment, using cutting-edge technology and equipment to deliver the best possible outcomes for patients with peritoneal surface cancers. The hospital's cutting-edge facilities and competent personnel make it a good choice for advanced cancer treatments.

• What is the recovery time after HIPEC and PIPAC? 

The recovery duration after HIPEC and PIPAC can differ according to individual patient factors and the extent of the surgical procedure. Following the procedure, hospitalisation for a few days to a week is common. Medical personnel will monitor the patient's food and beverage consumption, and pain treatment will be supplied as needed. 

• How effective are HIPEC and PIPAC in treating cancer?

HIPEC is regarded as an effective treatment for some forms of cancer, particularly those that have progressed to the peritoneal cavity. PIPAC is a form of palliative care which is used to control cancer when it is advanced. According to studies, people receiving HIPEC plus PIPAC have a greater chance of survival than those receiving standard chemotherapy.

• Are HIPEC and PIPAC painful procedures?

HIPEC and PIPAC are performed under general anaesthesia, so patients should not feel any pain during the procedure. However, patients could feel discomfort and agony while recovering, which painkillers might help.

• What are the risks associated with HIPEC and PIPAC?

Like any surgical procedure, HIPEC and PIPAC come with certain risks. These might involve anaesthesia-related issues or infections, but these can be managed by choosing a skilled and experienced surgeon, following postoperative instructions, and quickly contacting medical help if any issues occur.

• How much time does the process require?

The patient's health and the complexity of the surgery might affect how long the HIPEC and PIPAC procedures take. The surgery may require 6 to 12 hours due to the necessary recovery and monitoring time.

• After the surgery, would I have to stay in the hospital?

Following a surgical procedure, patients usually require a hospital stay ranging from a few days to a week. This is done to monitor their recovery, control discomfort, and prevent problems.

• Can HIPEC and PIPAC be used to treat all types of cancer?

No, HIPEC and PIPAC are commonly used to treat tumours that have progressed to the peritoneum, such as ovarian, colorectal, and stomach cancers. A doctor will assess a patient's health and determine if HIPEC or PIPAC is the best therapy choice for them.

Organ Preservation Surgery

Organ preservation is a critical aspect of modern surgical practice, particularly in the field of oncology. To retain as much healthy organ tissue as possible, organ preservation aims to remove malignant tumours exclusively. This method has been especially useful in breast cancer surgeries, where it was formerly typical to remove the entire breast. With improvements in surgical methods, it is now feasible to preserve the remaining breast tissue while just removing the cancerous cells or lumps. This method leads to better overall results and a higher quality of life for the patient by preserving the organ's function while also enhancing the aesthetic outcome. Common types of organ preservation surgery are Transoral laser microsurgery (TLM) and Transoral robotic surgery (TORS).

• What should I expect after organ preservation surgery?

You can expect pain, oedema, and discomfort in the operative region. Your doctor will prescribe pain relievers and teach you how to care for the surgery site to promote a speedy recovery. Additionally, it's common and expected that you can feel exhausted and have less energy following organ preservation surgery. To speed up your recuperation, you must adhere to the food and exercise regimen advised by your doctor. When you resume regular activities your work will also be determined by your healthcare practitioner. Remember that throughout all of your follow-up visits, your healthcare provider will track your development and search for any potential problems.

• How is organ preservation different from traditional surgery in terms of cancer treatment?

Organ preservation surgery differs from standard surgery in that it seeks to remove only malignant tissue while conserving as much healthy tissue as feasible. This method improves the operation's aesthetic effect while preserving the damaged organ's function. In contrast, standard surgery frequently entails the full removal of an organ or tissue, which may have more profound effects on the patient's physical and psychological health. 

• Can all types of cancer be treated with organ preservation techniques?

Organ preservation procedures cannot be used to treat all forms of cancer. The type of cancer, its stage, and other characteristics will decide if you are eligible for organ preservation surgery. A few types of cancer that are treated with organ preservation surgery include breast cancer, head and neck cancer, laryngeal cancer, and oesophagus cancer. TLM has proven to be effective followed by radiation therapy for early-stage laryngeal cancer.

• Is there any danger involved in organ preservation surgery?

Organ preservation surgery is a safe and effective treatment for cancer. Organ preservation surgery, like any surgical procedure, has risks such as bleeding, infection and harm to nearby organs. However, the risks are usually modest and may be adequately managed with careful attention and follow-up. 

• How long is the recovery time after organ preservation surgery?

The recovery period following organ preservation surgery varies based on the operation and the individual who underwent it. Your doctor will tell you exactly what to expect throughout your rehabilitation time.

• What can my family and loved ones expect during my recovery from organ preservation surgery?

During rehabilitation, your family and loved ones may anticipate offering support and help. This might entail assisting with daily duties like cooking and cleaning, as well as providing emotional support.
Are there any special precautions or lifestyle modifications I should make after organ preservation surgery; such as changes to my diet or exercise routine?
The cancer surgeons at Manipal Hospital Old Airport Road, Bangalore will provide you with precise advice on any precautions or lifestyle adjustments that you must take following organ preservation surgery. This might include limitations on particular activities, dietary adjustments and special instructions on caring for the surgery site. It is critical to follow these recommendations to promote good healing and recovery carefully.

• What to expect after breast cancer surgery?

  • Pain and discomfort: Following breast cancer surgery, it is normal to have some pain and discomfort. Your doctor will prescribe pain relievers to assist you in managing the discomfort.

  • Changes to your breast: Depending on the complexity of the procedure, you can observe alterations in the size, shape and appearance of your breast during the recovery period.

  • Drainage tubes: Your doctor may implant drainage tubes at the surgery site to assist in removing extra fluid in some circumstances.

  • Follow-up visits: Regular follow-up visits with your doctor are required following breast cancer surgery to check your recovery and ensure that the cancer has not returned.

  • Possible radiation therapy: Radiation therapy may be recommended after surgery to help prevent cancer from returning, depending on the kind and stage of your breast cancer.

It's crucial to note that each patient's experience will be distinctive, and your doctor will give you precise instructions and expectations depending on your stage and situation. 

Reconstruction Surgery for Cancer

Onco-reconstructive surgery is a type of surgery that is frequently performed following cancer therapy. This procedure is intended to restore the look and function of the cancer-affected bodily component.

Depending on where the cancer is situated, any region might undergo reconstruction surgery. Cancer treatment may include removing the afflicted bone when bone cancer is evident. To restore the lost bone, reconstructive surgery may utilise prosthetic devices or bone transplants. Reconstruction surgery aims to improve the patient's quality of life while restoring mobility and function to the affected region.

Onco-reconstructive surgery is a complex and delicate procedure. It is important to choose a surgeon who is experienced in this type of surgery. The surgeon should be able to explain the risks and benefits of the procedure, as well as the expected outcome. To know more about reconstructive surgery in Bangalore, visit Manipal Hospital's Old Airport Road.

• What is the recovery time after reconstruction surgery?

The recovery duration after reconstruction surgery might differ depending on several factors, including the type of reconstruction surgery, the location of the procedure and the patient's overall health. Patients should anticipate recuperating for several weeks to months before resuming regular activities. 

• Will there be scars after reconstruction surgery?

Yes, there will be scars after reconstruction surgery. However, the surgery aims to reduce scarring as much as possible and make them undetectable.

Will I need additional surgeries after reconstruction surgery?

To get the desired outcomes, multiple procedures could be required in some circumstances. Your doctor will review your alternatives with you and aid in your decision-making.

• Will I lose sensation in the reconstructed area?

Some sensations may be lost in the repaired region, depending on the location and degree of the operation. Your doctor may go through this with you in further detail.

• How long will the results of reconstruction surgery last?

The results of reconstruction surgery are intended to be permanent. The extent of the impact may vary based on factors such as age, overall health, and lifestyle habits.

• What risks come with having surgery for reconstruction?

Reconstruction surgery risks include infection, haemorrhage, and anaesthesia-related complications, just like any other type of surgery. Your doctor will go through these risks with you and try to mitigate them. 

Cancer Pain Management

Cancer Pain Management is a medical speciality focusing on reducing pain and other symptoms caused by cancer and its treatment. The ultimate goal of pain management is to improve cancer patients' well-being by reducing their pain and suffering. A committed team of Interventional Pain Management experts with expertise in treating cancer pain works at Manipal Hospitals Old Airport Road. They use a variety of cutting-edge procedures and strategies to reduce pain caused by cancer and improve the overall quality of life of their patients. Interventional pain management procedures, such as nerve blocks, epidural injections, and radiofrequency ablation, are used at Manipal Hospitals.

What cancer stage is the most painful?

The most severe cancer pain is experienced by those with stage IV malignancy. Cancer discomfort is also a side effect of cancer surgery, therapies, or examinations. Compression of the spinal cord might result from a tumour that has spread to the spine and is pressing on the spinal cord's nerves.

What brings about the discomfort associated with cancer?

The tumour pushing on bones, nerves, or other bodily organs causes the majority of cancer discomfort. Your cancer therapy may occasionally cause pain. For instance, many chemotherapy medications may result in tingling and numbness in your hands and feet.

How frequently will I require pain medication?

Depending on the pain level, the kind of cancer, and how each patient responds, different patients require different amounts and frequencies of pain medication. You and your doctor will collaborate to adjust the medicine as necessary.

Can different therapies help with cancer pain management?

Yes, different therapies can help with cancer pain management. They include relaxation techniques, meditation, movement therapies, acupuncture, and massage. Techniques such as these can help relieve acute pain during certain procedures, acute postprocedural pain, and some forms of chronic pain.

Will the use of cancer pain medications daily lead to addiction?

When used as directed by a healthcare expert, painkillers are safe. Addiction is uncommon when the drugs are taken as directed for the treatment of cancer pain, even though they may be habit-forming.

Consult us if you need the best surgical oncology treatment in Bangalore. 

FAQs (Frequently Asked Questions) 

• How is cancer treated by surgical oncology?    

Surgical oncology is a surgical discipline that focuses on cancer detection and therapy. Surgical oncology surgeons utilise surgery to remove malignant tumours and surrounding tissue. Surgery is also used to stage cancer and choose the most effective course of therapy.    

• What are the types of surgeries available for cancer treatment?

Depending on the kind and stage of cancer, the surgical treatment modality may entail open, minimally invasive, or robotic surgery. At Manipal Hospital Old Airport Road, our once-surgeons specialise in all types of surgical interventions coupled with chemotherapy and other targeted therapies to cure and manage cancer for our patients.

• How do I prepare for my cancer surgery?

It may be necessary to modify medicines, make lifestyle changes, and undergo tests and examinations to evaluate general health in preparation for surgery. Additionally, patients might need to plan for transportation and post-operative care. It's crucial to review every preparation with the surgical oncologist and medical staff. 

• What types of cancer can be treated with surgery?  

All types of cancer can be treated with surgery. The most common types of cancer that are treated with surgery are breast cancer, colon cancer, and lung cancer.

• Do I require aftercare following surgery for my cancer?

Yes, all patients will require aftercare following their surgical oncology surgery. Regular check-ups with your surgeon, imaging tests to track the disease, and even further therapies like chemotherapy or radiation therapy are all possible. Based on your particular requirements and circumstances, your care team will collaborate with you to develop a personalised follow-up plan.