Laparoscopic Surgery in Cancer
Surgery for cancer usually involves tumor manipulation and removal. Laparoscopic (minimally invasive surgery) is now standard for several benign and malignant cancers. Minimally invasive approaches for resection of several types of cancers are growing exponentially.
It has transformed the field of abdominal and thoracic surgery.
It is one of the most important innovations in the last few years that has changed surgery practice entirely. Surgeons have developed this novel approach to minimize suffering and at the same time improve outcomes.
What is Laparoscopy?
Laparoscopy is a surgery that utilizes tiny cuts to operate on the affected area of the body. Laparoscopy is also termed minimally invasive surgery or keyhole surgery.
During this procedure, the doctor uses a laparoscope (a thin, metallic tube with a light and a small video camera in the end) to look inside the abdomen (belly) and chest cavity. This tube is inserted inside the body through a small cut made through the abdominal wall near the belly button.
A few more small cuts ( 5-12mm) (incisions) will be required in other parts of the abdomen to insert other instruments required for the surgery.
Use of laparoscopic surgery in cancer treatment
A Laparoscopic expert surgeon performs Laparoscopic surgery to treat a variety of cancers.
Types of cancer treated with Laparoscopy
- Gynecological cancer:
- Ovarian cancer
- Endometrial cancer
- Cervical cancer
- Digestive system cancers
- Oesophageal cancer
- Gastrointestinal cancer
- Colon cancer
- Rectal cancer
- Kidney cancer
- Bladder and prostate cancers
- Mediastinal tumors
- Lung tumors
How is laparoscopic surgery for cancer performed?
In a typical laparoscopic surgery, a few tiny holes, also called as ports, are made on the abdominal area. A specially designed slender high resolution camera is inserted through one of the holes. A magnified view of the insides of the abdomen is projected on a high-definition monitor.
The other ports are used for putting specially designed thin and long instruments. While looking at the monitor, the surgeon deftly maneuverers the instruments to remove the tumors.
For all the cancers, the tumor-affected part of the organ is removed, along with surrounding tissues and lymph nodes.
Benefits of Laparoscopic surgery
Minimally invasive surgery, or keyhole surgery, is beneficial for the patient in many ways. This surgery does not require making major cuts in the abdomen to access the tumors. Post-operative pain and stress are markedly reduced, leading to a quick recovery and short hospital/ICU stay.
The amount of blood loss during surgery is also reduced. After the operation, there is a quicker return of intestinal movement, which is lost after an open abdominal operation. There is a significant decrease in the overall complication rate.
- Faster healing time
- Shorter hospital stay
- Early mobilization
- Earlier oral intake
- Lesser risk of infection
- Less risk of hernia formation
- Reduced administrations of painkillers
- Improved quality of life
Removing the affected organ to clear margins and all draining lymph nodes is essential in any cancer surgery. This surgical principle should not be compromised in an attempt to do the surgery laparoscopically.
It would be best to get it done by an experienced and skilled surgeon. Many advanced GI cancers need complex steps that cannot be performed with only laparoscopic techniques.
In such cases, the traditional open approach is recommended. Discuss and clear all your doubts with your surgeon before opting for laparoscopic surgery.
FAQs Related To Laparoscopic Surgery in Cancer
Q1)What are the benefits of laparoscopic surgery?
There are several advantages of laparoscopic surgery compared to the previous old-fashioned, conventional surgical methods.
- Small scars
- Shorter stay in the hospital
- Less tissue cutting
- Mild pain while scar heals
- Lesser use of painkiller medications
- Quicker return to normal life
- Quick healing, as the scar is tiny
- With reduced exposure of internal organs to external contaminants, infections are reduced.
Q2) Is a laparoscopy a major surgery?
Laparoscopy is a way of accessing the affected area to perform surgery. Whether it is a minor or major surgery depends on the extent of disease spread and extent of planned resection.
You need to discuss with your surgeon to understand the severity of your surgery.
If laparoscopy is being performed only to look inside the abdomen to assess disease spread and take a few biopsies it can be considered a relatively minor surgery.
However a laparoscopic removal of the stomach or colon for cancer is a major surgery.
Q3) How Long Does It Take
If laparoscopic surgery is done to diagnose a condition, the procedure will usually take 30-60 minutes. However, depending on the type of surgery being carried out, it will take longer if the surgeon is operating upon a cancer.
On average, the laparoscopic cancer surgical procedures take about 4-6 hours. The duration varies depending on the complexity of the procedure.
Q4) How safe is laparoscopic surgery?
As a result, only three out of every 1,000 may experience complications. Potential complications can include:
- Injury to surrounding organs and blood vessels.
- Inflammation of the abdominal wall.
- Formation of blood clots that could enter the bloodstream, causing plugging of blood vessels in your legs, brain, heart, pelvis, or lungs.
Discuss all the possible complications with your doctor and explain your risk for these issues.
Q5) How long is the hospital stay after laparoscopy?
The hospital stay varies based on the severity of the disease, complexity of the procedure, and recovery time. Generally, patients stay for 2-3 days after laparoscopic hysterectomy.
For digestive system cancers the hospital stay is little longer and may be upto 6-7 days when the recovery is smooth.
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He’s a very good doctor. And has experience in cancer surgery. I’ve consulted him and he’s done a colon cancer surgery – laparoscopic right colon removal. Would highly recommend Dr Praveen Kammar for surgeries.
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Why Dr. Praveen Kammar
A Surgical Oncologist Practicing In The City Of Mumbai
- Experience of a decade in treating cancer
- Expertise in Laparoscopic cancer surgery, Robotic cancer surgery
- Expertise in Digestive System Cancers, Colorectal cancers , Peritoneal cancers, advanced abdominal cancers
- Expertise in Cytoreductive Surgery, HIPEC, PIPAC
- Affiliated to all major hospitals in Mumbai
- Consultations at a center near you
- Excellent support staff to help you during treatment
- Home care services
- 360 degree care
Years Of Experience
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