Robotic-Assisted Surgery Offers Better Outcomes for Rectal Cancer
Robotic-Assisted Surgery Offers Better Outcomes for Rectal Cancer
Dr Harsh Shah is one of the leading colorectal cancer specialist in India. He has more than 15+ years of experience & has performed hundreds colo-rectal cancer operations.
The management of rectal cancer involves prompt diagnosis & early treatment. Rectal cancer is diagnosed on Colonoscopy & CT Scan. The treatment involves operation to remove part of the rectum.
Maulana Azad Medical College, Delhi, GB Pant Hospital, Delhi
Holds the highest degrees in Oncology – DrNB, MCh
Having 15+ years of experience in treating
11750+ Patients have been successfully
treated
15+ years of work experience
22+ Awards received by Dr. Shah for his achievements
Rectal cancer is a type of cancer that develops in the cells of the rectum, which is the final part of the large intestine before the anus.
Causes of rectal cancer can include genetic factors, family history, certain lifestyle choices (such as smoking and a diet high in red meat), inflammatory bowel disease, and age.
Symptoms of rectal cancer may include changes in bowel habits, blood in the stool, abdominal pain or discomfort, weight loss, and fatigue.
Treatment of rectal cancer typically involves a combination of surgery, chemotherapy, radiation therapy, and targeted therapies, depending on the stage and extent of the cancer.
Rectal cancer is a type of cancer that starts in the cells of the rectum, which is the last part of the large intestine located just above the anus. It typically begins as abnormal growths called polyps that can become cancerous over time.
Symptoms of Rectal Cancer:
– Rectal bleeding or blood in the stool
– Changes in bowel habits, such as persistent diarrhea or constipation
– Abdominal discomfort or pain, including cramps
– Unexplained weight loss
– Fatigue or weakness
– Feeling like the bowel is not completely empty after a bowel movement
– Narrow stools or pencil-thin stools
– Persistent urge to have a bowel movement
– Iron deficiency anemia (low red blood cell count) without an obvious cause
– In some cases, a visible lump or mass in the rectum
Rectal cancer is typically staged using the TNM system, which stands for tumor, lymph nodes, and metastasis. The stages of rectal cancer are as follows:
Stage 0: Cancer cells are found only in the inner lining of the rectum.
Stage I: Cancer has grown into the deeper layers of the rectal wall but has not spread to the lymph nodes or other organs.
Stage II: Cancer has spread through the rectal wall but has not reached the lymph nodes or distant sites.
Stage III: Cancer has spread to nearby lymph nodes but not to distant sites.
Stage IV: Cancer has spread to distant organs or lymph nodes far from the rectum.
Recurrent: Cancer has returned after previous treatment, either locally or in distant organs.
Staging for rectal cancer are as follows:
Treatment options for rectal cancer:
Surgery: Surgery is often the first-line treatment for colon cancer. It involves the removal of the tumor and nearby lymph nodes. The extent of surgery depends on the stage and location of the cancer.
Chemotherapy: Chemotherapy uses drugs to kill cancer cells or prevent their growth. It can be administered before or after surgery to eliminate any remaining cancer cells or reduce the risk of recurrence.
Radiotherapy for rectal cancer is a treatment method that uses high-energy radiation beams to target and destroy cancer cells in the rectum. It is commonly used as part of a multimodal approach, along with surgery and chemotherapy, to improve outcomes.
People trust Dr. Harsh Shah with their health when it comes to dealing with rectal cancer – His results speak for themselves!
My mother was operated by Dr Harsh shah. She had a tumour. We were informed by other doctors that she will have a permanent bag. But Dr Harsh assured us & did the operation. She is alright now & without bag. Thank you sir
My friend had rectal cancer. Dr Harsh sir did robotic surgery and we could go back home in few days. He is efficient and too good. Highly recommend Dr harsh shah for Gastrointestinal Cancer treatment.
Wonderful experience with Dr harsh shah.He is best Robotic surgeon in Ahmedabad. The services that I recieve from Dr harsh sir is excellent .It’s rare to find a doctor that combines such personal touches and care for patient. Thank you so much sir.we are very happy.
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The operation theatre is equipped with latest robotic system, HD laparoscopy system, Laser system, Laminar flow – Hepafilter & many more such technologies.
The Hospital also has 50+ bedded ICU with the latest support systems such as ventilators, dialysis machines & a team of best critical care doctors.
Radilogy department is fully equipped with latest CT Scan & MRI machines. The hospital also has an interventional radiology suit.
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Robotic surgery has revolutionized the field of rectal cancer treatment by providing surgeons with enhanced precision, control, and visualization. Here are some types of robotic surgeries commonly used for rectal cancer treatment
Robot-Assisted Low Anterior Resection (LAR): This procedure involves removing the cancerous part of the rectum while preserving the sphincter muscles.
Robot-Assisted Total Mesorectal Excision (TME): TME is a technique used to remove the entire rectum along with its surrounding fatty tissue called the mesorectum.
Robot-Assisted Abdominoperineal Resection (APR): APR is performed when the rectal cancer is located too close to the anus, necessitating the removal of the anus and the creation of a permanent colostomy.
Transanal Total Mesorectal Excision (TaTME): TaTME combines the advantages of transanal surgery and robotic assistance. It involves accessing the rectum through the anus and performing the mesorectal dissection using a robotic platform.
Robotic Intersphincteric Resection: When the cancer has involved a part of anal sphincter, then only the involved part of the sphincter is removed along with the cancer.
Single-Incision Robotic Surgery: This approach involves performing the entire rectal cancer surgery through a single incision, usually in the patient’s belly button.
When the rectal cancer is at least 3 cm away from the anal verge, the surgeon can salvage the sphincter & perform the connection necessary to pass the stool from the natural route. This procedure involves the use of special staplers & surgical dexterity. Sometimes, an operation called inter-sphincteric resection is possible.
When the tumour is located in the distal most part of the rectum, it is usually not possible to preserve the anal sphincter. The surgeon will remove the tumour along with the anus to prevent any future tumour recurrence in the local area. The surgeon will perform an end sigmoid colostomy over the abdominal wall for stool passage.
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