Surgical Oncology

Shalby Cancer & Research Institute is the most advanced centre for the diagnosis and treatment of all types of cancers. The state-of-the-art infrastructure and adoption of professional standards (both national and international) makes it a centre of excellence. Patients with solid tumors, breast cancer, head and neck cancer, ovarian cancer, cervix cancer, esophageal cancer, liver cancer, pancreatic cancer, colorectal cancer, bladder cancer, brain tumors etc. can now avail world class diagnosis and treatment for cancer, backed by a well trained and experienced team at Shalby Hospital.

Cancer surgery is one of the most important modality of cancer treatment used for curing early stages of cancer in any part of the body from head to toe. Cancer surgery is also used for providing symptomatic relief to patients with advanced disease. Cancer & Research Institute at Shalby Hospital undertakes all routine, high risk and emergency surgeries. High success rate with minimal complications has been the tradition of the Centre. Depending on indications and patient’s preference, laser surgeries, endoscopic surgeries or open surgeries are performed. Shalby Hospital offers organ specific treatment and brings together all of the surgical units under one roof:

Unit of Minimally Invasive Surgery/ Keyhole Surgery:

Over the past two decades, the range of abdominal surgical procedures that can be performed with minimally invasive (or laparoscopic) techniques has expanded enormously. Now, a growing amount of cancer surgery can also be carried out safely, quickly, and efficiently through a number of small incisions. Shalby Hospital’s oncology team applies these cutting edge techniques while never compromising the principles of cancer surgery.

Minimally Invasive Surgery/ Keyhole Surgery Unit at Shalby Hospital offers minimally invasive surgery for cancer of the esophagus, uterus, stomach, liver, pancreas, colon and rectum, and peritoneal malignancies. There are a number of advantages to the patient with laparoscopic surgery versus the more common, open procedure. Pain and blood loss are reduced due to smaller incisions, recovery times are shorter, quicker return to normal activities and less damage to surrounding healthy tissue are some of the advantages. The key element in laparoscopic surgery is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location.

Unit of Head & Neck Cancer Surgery:

Head and Neck Cancer Surgical Unit at Shalby Hospital, is exclusively dedicated to the patients who are suffering from head and neck cancers, which include cancers of the throat, larynx, nose, sinuses, and mouth. Head and neck cancers are different from any other cancer because they affect how you eat, speak, socialize, and express yourself. In other words, the head and neck cancers strike at your identity. The main objective of Head and Neck Cancer Centre is to restore our patient’s normal facial appearance, chewing, swallowing and speech capabilities and ensure a cancer free good quality of life.

Unit of Esophageal Cancer Surgery:

Esophageal Cancer Surgery Unit at Shalby Hospital offers comprehensive care for patients with esophageal cancers, including advanced diagnosis, best treatment options and rehabilitation services. Because successful esophageal cancer treatment can be extremely complex, the institute brings together a team of specialists that includes gastroenterologists, thoracic surgeons, medical oncologists, radiologists, radiation oncologists, pathologists, pain management specialists, and nutritionists to assess each patient’s needs.

Treatment teams at Esophageal Cancer Surgery Unit at Shalby Hospital consider each patient’s type and extent of esophageal cancer to recommend the most appropriate treatment plan. They also carefully consider and select the treatment option that will allow the patient to maintain quality of life with good survival rate.

Unit of Breast Cancer Surgery:

Breast Cancer Surgery Unit at Shalby Hospital is exclusively dedicated to the patients who are suffering from breast diseases, which include Breast Cancers, Breast Benign Tumors, Fibrocystic breast disease, Phyllodes, etc. Our breast surgeons understand the anxiety associated with breast cancer/ breast diseases and are dedicated to providing state-of-the-art and compassionate care to all our patients. They work with reconstructive surgeon, medical oncologists, radiation oncologists, and other specialists at our Breast Cancer Centre of Excellence are always with our patients in every step of the way, from diagnosis through treatment, surgery, and reconstruction.

Our multi-specialty team works with each patient to develop an individual treatment plan to ensure the most effective, thorough cancer care. We explain the benefits of every surgical option such as:

  • Lumpectomy
  • Mastectomy—partial or radical
  • Removal of lymph nodes
  • Breast conserving surgery
  • Image-guided breast surgery
  • Minimally invasive surgery

Our surgeons consult with each patient about the medical treatment plan and her wishes for reconstruction following treatment. There are two main options for reconstruction that help patients achieve a natural look and feel:

  • Implant reconstruction: Saline or silicone-filled prosthetic form is implanted

    under the chest muscle to recreate the look and feel of the breast.

  • Tissue flap reconstruction: A section of tissue from your abdomen, buttock, thigh, or back is used to rebuild the breast.

Shalby offers cosmetic breast surgery including breast augmentation, breast reduction, and breast lift as well as other contouring procedures.

Unit of Gynecological cancers Surgery:

Gynecological Cancers Surgery Unit at Shalby Hospital, is committed to providing expert, compassionate care for patients with gynecological cancers, including cervical cancer, endometrial/ uterine cancer, gestational trophoblastic disease, ovarian cancer, vaginal cancer and vulvar cancer.

We have one of the most experienced and equipped centres at Shalby Hospital for minimally invasive surgeries for the management of endometrial, cervical, and ovarian cancers .A multispecialty team offers the most comprehensive treatment options. This means the level of specialized experience is high, which leads to better outcomes.

Unit of Gastrointestinal Cancers Surgery:

Gastrointestinal Cancers Surgery Unit at Shalby Hospital, offers comprehensive care for patients with Gastrointestinal Cancers including advanced diagnosis, best treatment options and rehabilitation services. Our skilled and experienced Gastrointestinal Cancer Surgeons are backed by powerful interdisciplinary insights and extensive training. The unit provides minimally invasive techniques, bariatric surgery and treatment of gastro-esophageal reflux conditions, esophageal cancer, wound care, hepatobiliary, and pancreatic cancer, and neuro-endocrine disorders of the pancreas. Diseases and cancer of the colon and rectum are specialty areas of our colorectal surgeons. Each surgeon practices subspecialty surgery limited to each individual’s area of expertise and interest.

Unit of Genitourinary Cancers Surgery:

Genitourinary Cancers Surgery Unit at Shalby Hospital provides a comprehensive, multidisciplinary approach in diagnosis, treatment and management of all urological cancers, disorders and diseases including cancers of the bladder (including the urethra), kidney, prostate, testicles, and penis. Our minimally invasive surgical techniques lead to faster recovery times with less pain throughout the treatment process. We offer the most-advanced technologies and techniques to pinpoint the location and extent of the cancer with an ultimate goal to control the cancer and preserve the best quality of life after treatment.

Unit of Bone and Soft Tissue Cancers Surgery:

Bone and Soft Tissue Cancers Surgery Unit at Shalby Hospital, provides comprehensive care for bone and soft tissue sarcomas in adults and children, cancer metastatic to bone and soft tissue, and benign bone and soft tissue tumors of the extremities. Malignant bone tumors include osteosarcoma, Ewing’s sarcoma, chondrosarcoma, fibrosarcoma, metastatic carcinoma and others .Our team of Bone and Soft Tissue Cancers have an exceptional depth of clinical experience because they see a high volume of patients with soft tissue and bone tumors. Our multidisciplinary team applies this expertise to develop a plan of treatment that is customized to the unique needs of each patient. Our surgeons have extensive experience with some rare and challenging forms of osteosarcoma that require special surgical procedures, including limb salvage surgery and amputation.

Unit of Brain Tumors Surgery:

Brain Tumor Surgery Unit at Shalby Hospital is committed to the diagnosis and treatment of brain tumors and skull base tumors. At Shalby Cancer & Research Institute, a multidisciplinary team work together to diagnose and treat people with brain tumors and provide them with the high-quality, integrated care.
A team of Neurosurgeons, Neuro-oncologists, radiation oncologists, medical oncologists and other medical specialties work together to treat each Brain Cancer patient. They consider each patient’s type and extent of Brain Cancers to recommend the most appropriate treatment plan. They also carefully consider and select the treatment option that will allow the patient to maintain improved quality of life with good survival rate.

Unit of Cosmetic and Reconstructive Surgery:
Cosmetic & Reconstructive Surgery Unit at Shalby Hospital have been pioneers in this field. The team of cosmetic and reconstructive surgery deals with surgical correction of body disproportions and allows rejuvenation of the effects of ageing thereby improving the self-image, social adequacy and the level of self-confidence. Plastic surgery is the only surgical specialty that covers all the visible soft tissues from ‘head to toe’.
Our plastic surgeons work collaboratively with other specialists — such as oncologists, gynecologists, dermatologists, bariatric and orthopedic surgeons — to provide you excellent comprehensive patient-centered care.

What makes us Different & Effective?

  • We hold a mandatory daily Tumor Board Evaluation by a team of oncologists (Head and neck surgeons, Breast Cancer Surgeons, Gynae-oncology Surgeons, Gastrointestinal Surgeons, Uro-oncology Surgeons, Bone and Soft Tissue Surgeons, Neuro Surgeons, Laparoscopic Surgeons, Medical and Radiation oncologist) and other allied specialists (Dentist or Maxillofacial Surgeon, Reconstructive Surgeon, Nutritionists, speech, voice, and swallowing therapists) to ensure optimum and tailor made treatment plan for every patient to ensure best outcome. The institute continues its leadership in the multidisciplinary treatment approach for the patients with malignancies for long term outcomes.
  • Shalby offers Most-advanced treatment support including IMRT/ IGRT with Volumetric Modulated Arc Therapy (VMAT), Targeted Therapies, etc.
  • Our Evidence based treatment plans leading to higher cure rates
  • Highly skilled Team of Surgical Oncologists including Head and Neck surgeons, Breast Cancer Surgeons, Gynae-oncology Surgeons, Gastrointestinal Surgeons, Uro-oncology Surgeons, Bone and Soft Tissue Surgeons, Neuro Surgeons, Laparoscopic Surgeons work together with Medical and Radiation oncologist, Dentist or Maxillofacial Surgeon, Reconstructive Surgeon, Nutritionists, social worker and speech, voice, and swallowing therapists
  • Innovative minimally invasive techniques for all types of cancer, including Laparoscopic (keyhole), endoscopic and laser surgery

Gastrointestinal Cancers Surgery

Gastrointestinal Oncology Division at Shalby, comprises a specialized team of professionals who are dedicated to diagnosing, preventing, treating, and managing cancers of the gastrointestinal system (also called the digestive system). These include cancers of the colon, rectum, anus, bile ducts, gallbladder, liver, pancreas, small intestine, and stomach. The gastrointestinal oncology team brings together experts in gastroenterology, surgery, medical oncology, radiation oncology, radiology, pathology, and nursing. This specialized approach to treating gastrointestinal cancers provides patients with the exact type of services they need to battle their specific disease.

Diseases Treated

  • Anal cancer
  • Bile Duct Cancer
  • Colorectal Cancer
  • Esophageal Cancer
  • Gallbladder Cancer
  • Gastrointestinal Carcinoid Tumors
  • Pancreatic Cancer
  • Primary Liver Cancer
  • Stomach (Gastric) Cancer

Surgical Procedures includes Hepatobiliary & Pancreatic resections, Gastrectomies, and Colorectal Resections (open or lap assisted).

Neuro – Oncology Surgery

Neuro-Oncology Division at Shalby Hospital comprises of a specialized team of professionals who are dedicated to diagnosing, preventing, treating, and managing cancers of the brain and spinal cord. The central nervous system oncology team brings together expertise in neurology, neurosurgery, medical oncology, radiation oncology, neuro-radiology, otolaryngology, maxillofacial surgery, plastic and reconstructive surgery, pathology and nursing.
This specialized approach to treating central nervous system cancers provides patients with the exact type of services they need to battle the disease, holistically.

Diseases Treated

  • Brain and Spinal Cord Tumors

Surgical Procedures includes Lobectomies, craniotomies, craniofacial, and resection of intracranial metastatic lesions.

Head & Neck Cancer Surgery

Head and Neck Oncology Division at Shalby comprises of a specialized team of professionals who are dedicated to diagnosing, preventing, treating, and managing cancers of the head and neck. These include cancers of the mouth, throat, tongue, thyroid, and sinuses, excluding those of the brain, eye, and scalp.

The head and neck cancer team brings together experts in otolaryngology (ear, nose, and throat medicine), plastic and reconstructive surgery, medical oncology, maxillofacial surgery, dentistry, radiation oncology, radiology, and nursing.

Surgical Procedures Include routinely performed procedures such as Total Laryngectomies with Voice Rehabilitation, Composite resections, Maxilectomy, Mandible Arch and Floor of Mouth resections, Free Flap Reconstructions, Skull Base & Craniofacial Surgery, Carotid Body Tumor Surgeries, Peripheral Nerve Sheath Tumor Resection, Parapharyngeal Tumor Resection and CO2 Laser surgeries for organ and function preservation. High success rate with minimal complications are the hallmarks of this procedures.

Breast Cancer Surgery

Shalby Cancer & Research Institute, has a complete team of on-site full-time breast surgeons. The division’s multidisciplinary approach to diagnosis and treatment includes working together with a team of surgeons, radiologists, pathologists, plastic surgeons, oncologists, specialized nurses, and experts.

Pre-and Post-Operative Breast Surgery Program

Shalby offers a comprehensive pre- and post-operative program to help patients understand and manage all aspects of their breast surgery.
Surgical Procedures include Breast conservation surgery, MRM, Immediate and delayed breast reconstruction.

Thoracic Oncology

Thoracic Oncology Division at Shalby comprises of a specialized team of professionals who are dedicated to diagnosing, preventing, treating, and managing lung cancer and other malignancies of the chest, including cancer of the esophagus, thymus, and mediastinum (the space in the chest between the sacs containing the lungs). The division brings together experts in medical oncology, radiation oncology, thoracic surgery, radiology, pulmonology and nursing.

Diseases Treated

  • Lung Cancer

Surgical Procedures includes Lobectomies, Pneumonectomies, Thoracoscopic Surgery, Chest Wall Resections, and Reconstruction.

Gynecological Cancer Surgery

Gynecologic Oncology Division at Shalby comprises of a specialized team of professionals who are dedicated to diagnosing, preventing, treating, and managing cancers of the female reproductive system. These include cancers of the uterus, ovaries, cervix, endometrium, vagina, and vulva. The gynecologic oncology team brings together experts in gynecologic surgery, medical oncology, radiation oncology, radiology, genetics, and nursing. This specialized approach to treating gynecologic cancers provides patients with the exact type of services they need to battle their specific disease.

Diseases Treated

  • Cervical Cancer
  • Endometrial Cancer
  • Ovarian Cancer
  • Vaginal Cancer
  • Vulvar Cancer

Surgical Procedures includes Cytoreductive Surgery, Radical Hysterectomy, Vulvectomy and all forms of resection procedures for malignancy of female genital tract. LEEP cone Biopsy and other fertility preservation surgeries are done wherever indicated. Laparoscopic, laser and Hysteroscopic surgeries are a routine.

Cosmetic and Reconstructive Surgery

Department of Cosmetic and Reconstructive Surgery at Shalby is dedicated to the restoration of function and correction of deformities resulting from birth defects, cancer, trauma, surgical correction of disproportion and rejuvenation of the effect of ageing. Some common reconstructive procedures being performed by the department are:

Cosmetic Surgery

  • Breast lift
  • Breast asymmetry correction for birth defect
  • Liposuction and sculpting
  • Tummy tuck (Abdominoplasty)
  • Thigh and arm lift (after massive weight loss)
  • Breast reduction
  • Eyelid bags removal (Blepharoplasty)
  • Lip augmentation
  • Wrinkle reduction with injection
  • Facial line erasure with Botox
  • Breast augmentation
  • Face lift
  • Facial Implant
  • Forehead lift
  • Prominent ear correction
  • Ear lobe correction
  • Nose reshaping (Rhinoplasty)

Reconstructive Surgery

  • Cleft lip & palate
  • Removal of birthmarks and vascular anomalies
  • Tissue expanders
  • Microsurgery
  • Head and neck reconstruction after cancer surgery
  • Breast and neck reconstruction after cancer surgery
  • Skull base cancer surgery and reconstruction
  • Burns reconstruction
  • Facial restructuring after complex Facial fractures
  • Trauma reconstruction for complex leg compound fractures
  • Hand surgery for trauma, carpel tunnel and birth defects
  • Hand and limb re-plantation surgery

Genitourinary Cancer Surgery

Urologic Oncology Division comprises of a specialized team of professionals who are dedicated to preventing, diagnosing, treating, and managing cancers of the sexual and urinary systems. These include: cancers of the kidney, adrenal glands, ureter, bladder, prostate gland, testes, and male genitalia. The urologic oncology team brings together experts in urologic surgery, medical oncology, radiation oncology, and pathology.

Diseases Treated

  • Bladder Cancer
  • Kidney Cancer
  • Prostate Cancer
  • Testicular Cancer
  • Surgical Procedures include Radical Nephrectomy, Radical Cystectomy, Radical Prostectomy, Penectomy, Groin Dissection, and other Reconstructive Procedures.

    Musculo-skeletal Oncology

    Orthopedic cancer specialists are available to treat patients diagnosed with a wide variety of cancer-related orthopedic conditions, including benign, malignant and metastatic diseases of the musculoskeletal system. Specialty-trained orthopedic oncologists work closely with radiologists, pathologists, oncologists and radiation oncologists to create an individualized treatment plan that aggressively treats the cancer while ensuring the highest quality of life for patients.

    Orthopedic cancer specialists are available to treat patients diagnosed with a wide variety of oncologic problems and conditions, including:

    • Benign, malignant and metastatic diseases of the musculoskeletal system
    • Musculoskeletal neoplasia
    • Benign bone and soft tissue tumors, such as osteochondroma, rhabdomyosarcoma, and other cartilage tumors
    • Bone cancers and malignant soft tissue tumors such as osteosarcoma, Ewing sarcoma, chondrosarcoma, and all soft tissue sarcomas of the extremities, spine, and sacrum
    • Bone cysts
    • Giant cell tumors
    • Nerve sheath tumors

    Why Shalby is the best?

    Individuals with bone and soft tissue tumors have several treatment choices depending on the type of cancer and extent of the disease, including chemotherapy, radiation and surgery. The goal of any surgery is to completely remove the tumor while preserving and maximizing extremity mobility and function. In more than 90 percent of cases, we are able to avoid amputation because of our extensive experience in innovative limb salvage techniques. Specific surgical procedures used in reconstructing a limb after tumor removal includes:

    • Metallic endoprosthetic (artificial device) bone and joint reconstruction
    • Large fragment allograft tissue reconstruction
    • Vascularized fibular graft reconstruction
    • Expandable endoprosthetic implants are available for growing children or adolescent patient. In the event that amputation is required to control a tumor, we have the skill and experience to perform these procedures safely and effectively, including technically demanding amputations around the limb girdles, such as hemi -pelvectomy (removal of one leg and half of the pelvis) and forequarter (arm and shoulder) amputations.

      Rehabilitation starts soon after treatment, once a patient is surgically and medically stable. Inpatient rehabilitation focuses on teaching patients how to move and function safely with reconstructed limbs and continue on an outpatient basis.

      Multidisciplinary Team Approach

      Our Surgical cancer experts evaluate and treat all types and stages of head and neck cancers, from early lesions to the rarest and most challenging cases. Depending on the type of treatment, our treating team may include Head and neck surgeons, Breast Cancer Surgeons, Gynae-oncology Surgeons, Gastrointestinal Surgeons, Uro-oncology Surgeons, Bone and Soft Tissue Surgeons, Neuro Surgeons, Laparoscopic Surgeons, Medical and Radiation oncologist, Dentist or Maxillofacial Surgeon, Reconstructive Surgeon, Nutritionists, social worker and speech, voice, and swallowing therapists.

      Our trained and skilled Surgical Oncologist plays the major role while selecting the operable cases, performing a complete surgery by removing the cancerous body part which has clear margins and removing all the lymph nodes. During surgery dissected specimen is sent for a frozen section to the Oncopathologist for immediate report on the margins. If the margins of the dissected body part are not free from cancer, further dissection is carried out to achieve clear margins to prevent recurrences. The quality of the surgery determines the postoperative quality of the life of the patient.

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