Combating Cancers with Advanced
Surgical Procedures

The year 2019 marks the third year of the launch of the ‘I Am and I Will’ campaign. ‘I Am and I Will’ is an empowering callto-action urging for personal commitment and represents the power of individual action taken now to impact the future, and as we arrive at yet another day dedicated to raising awareness about Cancer, our approach should be more solution oriented rather than just remorsing about the huge Cancer figures. The figures, over the years, are rising alarmingly, and this is happening because people don’t give importance to early diagnosis and screening of Cancer due to the stigma and the myths associated with the word ‘Cancer’. And when they do, many a times, they aren’t aware of the multiple treatment options available mainly due to socio-economic conditions, poor education and lack of awareness. Cancer treatment is a multidisciplinary approach consisting of Surgical, Medical and Radiation Oncology.

Robotic Surgery: This new technology has come as a boon for Cancer patients. In minimally invasive techniques of surgery of which Robotics is the latest and the most advanced, surgeons can operate with greater control, precision and vision. It provides a magnified, 3-D view of the surgical site and helps the surgeons operate with utmost surgical precision, flexibility and control, allowing them to perform safe and less invasive procedures with improved outcomes.

We have treated several cases where the patient underwent Robotic Left Lower Lobectomy with Mediastinal Lymph Node Surgery under general anaesthesia. Due to excellent magnification and 3D view under minimally invasive surgery techniques, their tumuors were removed with relatively much less blood loss intraoperatively and at the same time with minimal handling and conservation of the normal lung tissues which translates into faster recovery and better post-operative outcomes with minimal morbidity. The same principles and benefits apply to every Robotic Surgery be it Head and Neck, Thorax, GI, Uro or Gynaec Cancers. During Robot-assisted Surgery, surgeons operate from a console equipped with two master arms that manoeuvre the four robotic arms working at the patient site. By viewing a high-definition 3-D image on the console, the surgeon is able to perform the surgical procedure precisely than ever before. Computer software takes the place of actual hand movements and can make movements very smooth, omitting the chances of human errors.

Hyperthermic Intraperitoneal
Chemotherapy (HIPEC):
HIPEC is an advanced surgical technique of delivering the Chemotherapy inside the peritoneum /abdomen during the Cytoreductive Surgery and finds application in Ovarian, GI and other peritoneal malignancies. It helps improve survival and outcomes, especially in recurrent Cancers

Conservation of Organs: Another
breakthrough technique in the treatment of Cancer is “Limb Salvage Surgery” performed to treat bone and soft-tissue Cancers in limbs to evade amputation. This organ conservation treatment involves the multidisciplinary approach and helps to retain the cosmesis and function of affected limbs without compromising on oncologic safety.

Dr. Surender K. Dabas

Dr. Surender K. Dabas
Director – Surgical
Oncology &
Chief – Robotic Surgery
BLK Super Speciality Hospital, New Delhi