Surgical Oncology

Types of Oncology Surgery Services

Head and Neck Surgeries

• Composite Resections for Oral Cavity Cancers
• Functional and Radical Neck Dissections
• Total and Partial Laryngeectomies
• Hemi and Total Thyroidectomies
• Conservative and Radical Parotidectomies
• Localisation of Parathyroid Adenomas and Parathyroidectomies
• Microvascular Reconstruction of Head and Neck cancer defects by a Dedicated Plastic Surgery team.

Thoracic Surgieres

• Three field Esophagectomies
• Lobectomy and Pneumonectomies for Lung cancer
• Mediastinal Lymph Node Dissections
• Video-Assisted Thoracic Surgery

Hepatobiliary surgeries

• Whipples Procedure for Pancreatic cancer
• Hepatectomy
• Radical Cholecystectomy

Abdominal Surgery

• Partial and Total Gastrectomy for Gastric cancer including D2 Lymph node dissection
• Hemi and Total Coelctomies
• Sphincter Preservation Surgery for Rectal Cancer
• Anterior Resection and Abdominoperineal Resection

Breast Surgeries

• Modified Radical Mastectomy
• Breast Conservation Surgery
• Oncoplastic Breast Surgery
• Sentinel Lymph Node Biopsies
• Mammographic Wire Localization for Non-Palpable Breast Lesions
• Partial/ Whole Breast Reconstructive procedures including Implants and DIEP flap

Genito-Urinary oncology surgeries.

• Radical cystectomies with Ileal conduits for Bladder cancers
• Adrenalectomies
• Nephron Sparing surgery (Partial Nephrectomy) for Renal Cancer
• Radical Nephrectomy for Renal cancer
• Partial and Total Penectomies
• Inguinal and Pelvic Lymph Node Dissections

Gynecological Oncology

• Wertheim’s hysterectomies for Cervical cancer
• Cytoreductive surgeries for Ovarian malignancy
• Fertility Preservation Surgery for Ovarian malignancy
• HIPEC
• Laparoscopic total abdominal hysterectomy

Sarcoma Surgeries

• Limb Salvage surgery for Soft tissue and Bone Sarcomas
• Reconstruction of Bone defects with Modular Prosthesis
• Microvascular Reconstruction of Soft tissue Defects

Supportive Surgical Procedures

• Tracheostomies
• Venous access procedures, including Chemoports and PICC
• Diagnostic Laparoscopy and Thoracoscopies

Specialty Clinics

The department runs three Speciality Clinics

Outdoor Facilities in Surgical Oncology

• 4 Outpatient examination chambers
• Dedicated waiting zone
• Minor OT
• Daycare facility
• Social worker services every day
• Counseling rooms

Indoor Facilities in Surgical Oncology

Wards

The Surgical Oncology department is located in the six-floor Oncology block at Vydehi Institute of Medical Sciences and Research Center. It consists of 60 beds divided into female and male wards. The wards are staffed by trained surgical oncology nurses who deliver high-quality nursing care to patients undergoing complex cancer surgeries.

Intensive care

The surgical oncology department has a dedicated 6-bed intensive care unit with ventilatory and monitoring support.

Operation theatre

The department has a separate Major Operation Theatre with HEPA filters and a laminar flow facility. Additionally, there is a minor operation theatre and a flexible scope suite.

Various Support Facilities

Full-fledged Pathology Department with Frozen Section service and a full range of Immunohistochemistry
24 Hrs. blood bank with component therapy
Nuclear Medicine services - PETCT
24 Hrs. Radiology service-MRI/CT/EUS/ Mammogram/ Tomosynthesis/Digital X-Ray/ USG
24 Hrs. dialysis support.

Treatment & Services for All Types of Oncology Surgery

The Surgical Oncology Department is dedicated to providing advanced, multidisciplinary cancer care. Equipped with state-of-the-art technology and a team of highly skilled surgeons, our department offers a comprehensive range of services designed to treat complex malignancies with precision and care.

Comprehensive Cancer Surgery:

Our services extend to the surgical management of a wide range of cancers, including but not limited to gastrointestinal, head and neck, gynecological, thoracic, and soft tissue tumors. Each patient receives a personalized treatment plan developed in collaboration with our multidisciplinary team, ensuring a holistic approach to cancer care.

Patient-Centered Care:

Our department emphasizes patient-centered care, ensuring that each individual receives tailored support throughout their treatment journey. From preoperative counseling to postoperative rehabilitation, our team is committed to providing compassionate, comprehensive care.

By integrating cutting-edge technology with a patient-focused approach, the Surgical Oncology Department is at the forefront of cancer treatment, offering hope and improved outcomes for patients battling cancer.

Robotic Surgery:

We utilize the latest in robotic-assisted surgical systems (Da Vinci X), allowing our surgeons to perform intricate procedures with unparalleled accuracy. Robotic surgery offers benefits such as smaller incisions, reduced blood loss, shorter hospital stays, and faster recovery times, making it a preferred option for many oncologic surgeries.

Laparoscopic Surgery:

Our department is a leader in minimally invasive laparoscopic surgery, providing patients with a less invasive alternative to traditional open surgery. Using advanced 3D laparoscopy and fluorescence-guided techniques like Indocyanine Green (ICG), we enhance the safety and efficacy of tumor resections, lymph node dissections, and other oncologic procedures.

A 3D laparoscopy unit enhances minimally invasive surgery by providing surgeons with a stereoscopic view, offering greater depth perception and spatial orientation than traditional 2D systems. This technology is particularly valuable in surgical oncology, where precise dissection and identification of anatomical structures are critical.

Indocyanine Green (ICG) is a fluorescent dye used in conjunction with 3D laparoscopy to improve visualization during surgery. When injected, ICG binds to plasma proteins and emits fluorescence under near-infrared light, allowing for the real-time identification of blood vessels, lymph nodes, and tumor margins. This combination enhances the accuracy of tumor resections, lymph node mapping, and identification of critical structures, leading to better surgical outcomes in oncology patients.

Hyperthermic Intraperitoneal Chemotherapy (HIPEC):

We offer HIPEC as a specialized treatment for patients with peritoneal surface and advanced ovarian malignancies. This innovative procedure involves the direct application of heated chemotherapy agents into the abdominal cavity during surgery, targeting residual cancer cells more effectively while minimizing systemic toxicity.

Frozen Section Analysis:

Our Surgical Oncology Department provides intraoperative frozen section analysis, a critical service that allows for real-time evaluation of tissue samples during surgery. This technique involves rapidly freezing and slicing a specimen, which is then examined under a microscope to determine if cancerous cells are present. Frozen section analysis is particularly valuable for ensuring clear surgical margins, helping surgeons make immediate decisions about the extent of tissue removal needed. By offering this service, we enhance the precision of oncologic surgeries, reduce the need for additional procedures, and improve overall patient outcomes by ensuring that the most effective surgical approach is taken in real-time.

Sentinel Lymph Node Biopsies:

Our Surgical Oncology Department is highly proficient in performing sentinel lymph node biopsies, a minimally invasive procedure crucial for accurate cancer staging, particularly in breast cancer and melanoma. This technique involves identifying, removing, and examining the first lymph node(s) to which cancer cells are likely to spread from the primary tumor. By focusing on these sentinel nodes, we can determine the presence or absence of metastasis with precision, minimizing the need for more extensive lymph node dissections. Sentinel lymph node biopsy helps reduce complications such as lymphedema, while providing essential information to guide further treatment decisions, making it a cornerstone of personalized cancer care in our department.

Organ Preservation

Limb Salvage Surgeries:

Our Surgical Oncology Department is renowned for its expertise in limb salvage surgeries, a critical option for patients with bone and soft tissue tumors. These complex procedures aim to remove the tumor while preserving the limb's function and appearance, offering an alternative to amputation. Our surgeons collaborate with orthopedic specialists to design individualized surgical plans, often incorporating advanced techniques like custom prosthetics and reconstructive surgery to optimize outcomes. Limb salvage not only improves the patient's quality of life but also enhances long-term mobility and functionality.

We run one of the largest limb salvage surgery programs in Karnataka and the country. Our ties with Mishra Dhatu Nigam Limited, a Ministry of Defence organization, allow us to procure Titanium Prostheses for extremities.

Partial Nephrectomy:

Our Surgical Oncology Department offers partial nephrectomy, a kidney-sparing procedure ideal for patients with localized kidney tumors. This surgery involves the removal of only the cancerous part of the kidney, preserving as much healthy tissue as possible. By maintaining kidney function, partial nephrectomy reduces the risk of chronic kidney disease and the need for dialysis, providing a significant benefit over radical nephrectomy, which removes the entire kidney. Utilizing advanced techniques, including robotic and laparoscopic approaches, our surgeons ensure precise tumor excision with minimal impact on the surrounding tissues, leading to quicker recovery and excellent long-term outcomes for patients.

Partial Laryngectomy:

Our Surgical Oncology Department is skilled in performing partial laryngectomy, a voice-preserving surgery for patients with early to moderately advanced laryngeal cancer. This procedure involves removing only the cancerous portion of the larynx (voice box), while retaining as much of the normal laryngeal structure as possible. Partial laryngectomy allows patients to maintain their ability to speak and swallow, significantly improving their quality of life compared to a total laryngectomy. Our surgeons utilize meticulous techniques to ensure complete tumor removal while preserving essential functions, offering a balanced approach to cancer treatment that prioritizes both oncologic control and functional outcomes.

Oncoplastic Breast Surgery:

Our Surgical Oncology Department excels in Oncoplastic breast surgery, an innovative approach that combines cancer removal with plastic surgery techniques to achieve optimal oncologic and cosmetic outcomes. This procedure allows for the removal of breast tumors while simultaneously reconstructing the breast to maintain its natural appearance and symmetry. Oncoplastic surgery is particularly beneficial for patients with larger tumors or those requiring significant tissue removals, as it minimizes deformities and enhances aesthetic results. Our team of skilled surgeons works closely with each patient to tailor the surgery to their individual needs, ensuring both effective cancer treatment and a preserved quality of life.

Plastic and Reconstructive Services

Microvascular Reconstruction for Complex Head and Neck Cancer Defects:

Our Surgical Oncology Department specializes in microvascular reconstruction, a cutting-edge technique used to restore function and appearance after the removal of head and neck tumors. These procedures involve transplanting tissue, along with its blood supply, from one part of the body to another to reconstruct complex defects. This approach is essential for preserving vital functions such as speech, swallowing, and facial aesthetics. Our team of expert surgeons employs advanced microsurgical techniques to ensure precise blood vessel connections, leading to better healing, reduced complications, and improved quality of life for patients undergoing head and neck cancer treatment.

Whole Breast Reconstruction:

Our Surgical Oncology Department offers comprehensive whole breast reconstruction services, providing patients with options to restore the breast’s appearance following mastectomy. This procedure can be performed using autologous tissue (from the patient's own body), implants, or a combination of both, depending on the patient's preferences and medical needs. Whole breast reconstruction is an integral part of the healing process, helping patients regains a sense of normalcy and confidence after breast cancer surgery. Our team of expert surgeons collaborates closely with each patient to create a personalized reconstruction plan, focusing on achieving natural-looking results that enhance the overall quality of life.