GIT Oncology :

Surgical Procedures

  • Upper GI: Total Gastrectomy + D2 dissection, Extended Total Gastrectomy + D2 dissection, Transhiatalesophagectomy, Distal Gastrectomy + D2 dissection.
  • Hepato-pancreatico-biliary: Pancreaticoduodenectomy, Distal pancreaticosplenectomy, Resection of Klatskin's tumor, Liver resections, Radical Cholecystectomy, Portal vein/SMV resection for Pancreatic tumors
  • Lower GI: Small bowel resections, Hemicolectomy, Anterior resection, Low anterior resection, Intersphincteric resections, Total proctocolectomy, Abdominoperineal resection, Extralevatorabdominoperineal excision, Pelvic exenteration, Trans anal endoscopic microsurgery(TEM), Laparoscopic colorectal surgeries
  • Peritonectomy + HIPEC for Pseudomyxomaperitonei, Peritoneal mesothelioma, Colorectal primaries.

Innovative Procedures

  • ExtralevatorAbdominoPerineal Excision(ELAPE) :

    recently described technique aimed at obtaining wider margins during APE for rectal cancer.
  • Intersphincteric resection with coloanal anastomosis :

    This is the ultimate in sphincter preservation in low rectal cancer. Using this technique, many patients who would have otherwise required an APR with permanent colostomy can have sphincter preservation avoiding a permanent colostomy.
  • Laparoscopic colorectal surgery :

    This is now being routinely practised at the institute and we have published the short-term advantages of laparoscopic surgery in rectal cancers.
  • Peritonectomy with Hyperthermic Intraperitoneal chemotherapy (HIPEC) :

    This is a very major procedure for peritoneal surface malignancies and is the recommended standard of care. We are one of the very few centres in India offering this technique.
  • Vascular resection and reconstruction for pancreatic tumors :

    is recommended for selected tumors of the pancreas involving the PV/SMV complex in isolation. This is now being practised at the institute.
  • Major hepatectomy :

    with caudate lobe resection for Klatskin tumors