SURGICAL ONCOLOGY
Dr. Arun Katari
MBBS,MS,FAIS,FMAS, FELLOW IN SURGICAL ONCOLOGY & ROBOTIC SURGERY
Surgical oncology is a specialized field of medicine focused on the surgical management of cancer. It encompasses the diagnosis, staging, treatment, and postoperative care of patients with cancer. Surgical oncologists work closely with medical oncologists, radiation oncologists, pathologists, and other healthcare professionals to provide comprehensive care to cancer patients. In this comprehensive discussion, we will explore various aspects of surgical oncology, including its history, principles, common procedures, advancements, challenges, and future directions.
Principles of Surgical Oncology:
Principles of Oncologic Surgery
Goals of Surgical Treatment (Curative vs. Palliative)
Importance of Margin Assessment
Preservation of Function and Quality of Life
Common Cancers Managed by Surgical Oncologists:
Breast Cancer
Colorectal Cancer
Lung Cancer
Prostate Cancer
Thyroid Cancer
Ovarian Cancer
Pancreatic Cancer
Liver Cancer
Head and Neck Cancers
Sarcomas
Surgical Procedures in Oncology:
Resection of Primary Tumors
Lymph Node Dissection
Organ-Sparing Surgery
Minimally Invasive Surgery (Laparoscopic, Robotic)
Complex Reconstructive Surgery
Cytoreductive Surgery and HIPEC (Hyperthermic Intraperitoneal Chemotherapy)
Isolated Limb Infusion/Perfusion
Multidisciplinary Approach to Cancer Care:
Tumor Boards and Multidisciplinary Conferences
Collaboration with Medical and Radiation Oncologists
Preoperative and Postoperative Care Coordination
Rehabilitation Services
Advances in Surgical Oncology:
Minimally Invasive and Robotic Surgery Techniques
Image-Guided Surgery
Intraoperative Molecular Imaging
Sentinel Lymph Node Biopsy
Enhanced Recovery after Surgery (ERAS) Protocols
Targeted Therapies and Immunotherapy in Combination with Surgery
Oncoplastic Surgery in Breast Cancer
Challenges in Surgical Oncology:
Surgical Morbidity and Mortality
Surgical Complications (Infection, Bleeding, Wound Healing)
Tumor Recurrence and Disease Progression
Functional and Aesthetic Considerations
Addressing Health Disparities in Cancer Surgery Access
Surgical Training and Workforce Shortages
Future Directions in Surgical Oncology:
Precision Surgery and Personalized Medicine
Advances in Oncologic Imaging and Navigation
Development of Novel Surgical Techniques and Instruments
Integration of Artificial Intelligence in Surgical Decision-Making
Immunotherapy and Targeted Therapies in Neoadjuvant and Adjuvant Settings
Innovations in Surgical Education and Simulation
Global Collaboration in Cancer Surgery Research and Practice
