Robotic GI Cancer surgery: Da-Vinci Robotic System for Precision Cancer Surgery
The world has witnessed a sea of change in the surgical world in the last decade...
Our Centre of Excellence in Oncology practices a holistic approach in treating the entire spectrum of cancers at all stages. The department has a complete spectrum of Clinical Specialties in Oncology including Surgical, Medical (Chemotherapy, Immunotherapy, and Hormone Therapy), Radiation Therapy, Hematology, and bone marrow transplant. Our team of experts is extremely adept at diagnosing the most challenging cases, staging the disease, treating with medications, radiotherapy, or operating with the advanced technology that Manipal Hospitals is equipped with, to combat cancers across all ages including children. Quaternary care is at the core of our healing ethos and our specialized experts are aces in this discipline.
Manipal Hospital is the best cancer hospital in Dwarka, Delhi providing comprehensive cancer diagnosis and treatment programs in Delhi. We have the best cancer doctors in Dwarka, Delhi having extensive experience in the diagnosis and treatment of every kind of cancer.
Our oncology team consists of highly experienced and dedicated Oncologists and nurses and is also equipped with state-of-the-art facilities required for advanced patient care.
We offer comprehensive oncology services with Surgical, Medical, and Radiation sub-specialties and allied specialties of Radiology, Nuclear Medicine, Pathology, Psychology, Reconstructive Surgery, etc needed for providing world-class oncology care.
Personalized Medicine- It is our sincere effort that our patients are empowered to make the right decisions for themselves. With the advent of Molecular tools including Next-generation Sequencing, the branch of Medical Oncology has evolved to Personalized medicine and gives gratifying results.
We encompass Clinical nutrition, physiotherapy, and palliative care services for all patients in our department.
The Department boasts of a multidisciplinary tumor board consisting of highly experienced clinicians, pathologists, and radiologists who help the patients to chart out a personalized treatment plan. The board meets twice a week to discuss treatment plans for all the patients.
Chemotherapy daycare facility- We are equipped with a fully functional 15 bedded chemotherapy daycare where the patient can take the therapies in their comfort zones. Our highly trained Oncology nursing staff ensures that therapy is delivered with utmost care. Nearly 2000 + daycare chemotherapies have been completed at our daycare so far.
Other Ancillary services which are offered for our patients during their treatment are Holistic cancer care – Psycho-Oncology counseling by counselors and a personalized diet plan. We also conduct workshops pertaining to these issues on a regular basis to facilitate the rehabilitation of our cancer patients.
Telemedicine -With the outbreak of COVID 19 this is very relevant and has enabled the patient and physician to connect remotely, in times of need. Modern technology has enabled our doctors to consult patients by using a video conferencing tool.
A core biopsy is a procedure where a needle is passed through the skin to obtain a sample of tissue from a mass or lump. The tissue sample is then examined under a microscope for any abnormalities.
Cancer that affects the bone marrow where blood cells are produced or other parts of the immune system like lymph nodes are called blood cancer. Over 50,000 people in India are diagnosed with leukaemia (blood cancer) and about 3.7% of fresh cases are reported every year.
The stomach lies on the left side of the upper abdomen. When we eat, food passes down the food pipe (esophagus) into the stomach. It makes acid and some chemicals (enzymes) that help to digest food. The muscles in the wall of the stomach tighten (contract) to mix the food and force it to pass into the first part of the small intestine (duodenum). Cancer…
Immunotherapy is a type of biological therapy that is used to boost your immune system to fight cancer, and other infections and diseases.
Cancer is a life-threatening condition and requires early medical management to improve survival rates and quality of life in patients. The current management of cancer involves surgery, radiation therapy and chemotherapy. These treatments are either used alone or in combination with one another depending on the type and stage of cancer and various…
Targeted therapy, also known as precision medicine or personalized medicine, is a cancer treatment that uses drugs to specifically identify and attack only the cancer cells and mostly leave healthy, normal cells alone. Targeted drugs prevent cancer cells from dividing and making new cancer cells. This therapy can be used by itself or in combination…
Colposcopy is a diagnostic procedure in which a colposcope (a dissecting microscope with various magnification lenses) is used to provide an illuminated magnified view of the cervix, vagina, vulva or anus to identify precancerous and cancerous lesions so that they may be treated early.
This therapy of cancer treatment uses the body's immune system to kill cancer cells. Biological therapy for cancer is used in the treatment of many types of cancer to prevent or slow tumor growth and to prevent the spread of cancer.
Intracavitary chemotherapy involves the injecting of chemotherapy through a tube (catheter), directly into a body cavity. It gives a very high dose of chemotherapy to the tumour, but only a very low dose to the rest of the body. Intracavitary chemotherapy can be injected into the bladder – intravesical, the abdominal cavity – intra peritoneal, or the…
Day care chemotherapy is extended to those patients who have been advised short therapies or cancer procedures that do not require a night stay in hospital. Domiciliary chemotherapy involves making chemotherapy services available to cancer patients in their homes. This is mostly for the elderly who cannot reach the hospital for chemotherapy sessions.
Bone marrow transplant is a procedure where a person's faulty bone marrow stem cells are replaced by healthy ones. Bone marrow transplants are done to treat patients suffering from leukemia, and severe blood diseases such as thalassemias, aplastic anemia, and sickle cell anemia, as well as multiple myeloma and certain immune deficiency diseases.
A PICC is a thin, flexible tube that is inserted into a vein in the upper arm and guided into a large vein above the right side of the heart called the superior vena cava. It is used to give intravenous fluids, blood transfusions, chemotherapy, and other drugs. Bone marrow aspiration is the removal of a small amount of this tissue in liquid form for…
In order to reach inaccessible tumours, shorten surgery time or to reduce side effects, onco surgeons prescribe the innovative robotic surgery.
In some cancer patients, chemotherapy is safely delivered through a standard (or “peripheral”) IV line. Other times, infusions must be administered through a central line catheter, such as a PICC, CVC or port.
Palliative care is the holistic approach to cancer care that addresses the patient as a whole, not just their disease. It also means learning to manage the cancer symptoms and side effects.
Child life specialists focus on the optimal development and well-being of infants, children, adolescents, and young adults suffering from cancer. They help in promoting coping skills and minimizing the adverse effects of hospitalization, health care, and other potentially stressful experiences.
Play is a natural part of childhood and is important in child development. Through play therapy children also learn self-control, self respect, to express their feelings, problem solving, communication skills, and to modify problem behaviors. In children afflicted with cancer, play therapy is a comforting tool.
Counseling is an integral element of oncology treatment. A counselor is trained to listen to the patient and the physical, mental, emotional and spiritual problems that he or she might face
SBRT is also known as stereotactic ablative radiotherapy. This machine administers very high doses of radiation, using several beams of various intensities aimed at different angles to precisely target the tumor.
SRS refers to the precise and focused delivery of a single, high dose of radiation in a single session and has been used to treat various intracranial and skull base lesions.
This is the latest non-invasive, non-melanoma skin cancer treatment option through delivering a precise and calibrated dose of radiation that penetrates just below the skin's surface, only a mere 5 millimeters. It safely and effectively destroys malignant non-melanoma skin cancer cells.
3D-CRT, involves creating 3-D computer images and delivering highly focused radiation to tumors while sparing nearby healthy tissue. 3D-CRT is a type of external beam radiation therapy (EBRT), which is the most common radiation treatment used for cancer of the inner lining of the chest or lungs.
Palliative radiation therapy is one form of palliative therapy which treats the symptoms of the cancer. The radiation is used to shrink a tumor or tumors that are causing the symptoms.
For tumors in the thorax and abdomen, reducing the treatment margin for organ motion due to breathing reduces the volume of normal tissues that will be irradiated. ABC apparatus is constructed consisting of 2 pairs of flow monitor and scissor valve, 1 each to control the inspiration and expiration paths to the patient. The patient breathes through…
The smart arc machine is designed to provide the tools to create rotational intensity-modulated radiation therapy (IMRT) plans using a conventional linear accelerator and a conventional multileaf collimator (MLC). Plans are delivered while the gantry rotates around the patient. The intensity of the radiation is modulated and the shape of the beam is…
Two Linear accelerator – Elekta Precise and Elekta Infinity along with Gamma med brachytherapy system offering complete range of radiation oncology service. Manipal Hospital sports the highly advanced brachytherapy system using precision radiation medicine to work towards a future where all patients can benefit from precise and individually tailored…
Brachytherapy involves placing radioactive material inside your body. Brachytherapy is one type of radiation therapy that's used to treat cancer and is sometimes called internal radiation. Brachyvision is a complete 3D treatment planning system that introduces a new paradigm of patient-centric, image-based planning.
IGRT is one of the most advanced innovations in cancer technology available. It uses advanced 2D and 3D imaging to ensure that the positioning of the tumor will match the dose delivery on this state of the art machine. Since tumors can move during treatment because of the patient’s breathing, IGRT allows doctors to locate and track the tumor during…
IMRT is an advanced mode of high-precision radiotherapy that uses computer-controlled linear accelerators to deliver precise radiation doses to a malignant tumor or specific areas within the tumor.
The VMAT is a unique radiation therapy technique that delivers the radiation dose continuously as the machine rotates.
Why choose Manipal
Brachytherapy treatment involves placing radioactive sources such as a catheter, needle or applicator into a device called an interstitial implant. This device is then inserted into the vagina, uterus or body tissues. The interstitial implant is surgically placed into your pelvis first.
The ICR is a type of internal radiation therapy in which radioactive material sealed in needles, seeds, wires, or catheters is placed directly into a body cavity such as the chest cavity or the vagina. Radiation therapy uses high energy x-rays or radioactive particles to kill cancer cells and may be used for cervical cancer treatment.
IGB uses advanced imaging techniques to make brachytherapy more precise, safe, and effective. Brachytherapy is done through four phases that include the placement of hollow catheters or hollow carriers, CT or MRI imaging of the site, computer calculations of the dose distribution, and robotic radiation treatment.
This expansive discipline includes:
- SLNB – Sentinal Lymph Node Biopsy
- MIRP – Minimal Invasive Radio-guided Parathyroid Surgery
- ROLL – Radio-guided Occult Lesion Localisation for CA breast(early breast cancer)
In women who have undergone breast surgery which involved mastectomy or the removal of the breast, breast reconstruction is the best option. Breast reconstruction is to reform or reshape one or both breasts after a mastectomy, or even lumpectomy where the affected portion of the breast is cut away.
The mammogram or an X-ray of the breast is the most effective screening tool for breast cancer. It can detect breast cancer up to two years before the tumor can be felt by you or your doctor. Women aged 40 - 45 or older, or those at average risk of breast cancer should undergo a mammogram annually.
Oncoplastic surgery is a technique that improves cosmetic outcomes in breast cancer patients. Onco plastic surgeons combine breast cancer tumor removal (a lumpectomy or partial mastectomy) and plastic surgery techniques (reconstructive surgery) at the same time of breast conservation surgery.
This involves removing the tumor and some normal tissue around it but not the breast itself. Some lymph nodes under the arm may be removed as well as a part of the chest wall lining if the tumor is near it.
Voice Prosthesis Surgery for CA Larynx A voice prosthesis is the most common way to restore speech after a total laryngectomy surgery to remove your whole voice box. This is usually the result of laryngeal cancer when cancer starts in the voice box (larynx). It is a rare type of head and neck cancer. Tracheo oesophageal puncture (TEP) is the most common…
Musculoskeletal oncology specialists treat bone and soft tissue tumors including other musculoskeletal system issues in adults and children. These include the efficient treatment of bone cancer, bone metastases, osteomyelitis, and multipla myeloma.
In complex head and neck cancers, patients tend to lose parts of their facial features to cancerous growth. Micro vascular reconstruction of the face and neck region is the only solution. This highly advanced surgical technique to rebuild the face and neck uses the blood vessels, bone, tissue, as well as muscle and skin from other parts of the body.…
Proven worldwide, a multidisciplinary approach involving a team of multi-specialists is the standard of care for all cancers. The multidisciplinary Tumour Board at Manipal Hospital provides a forum for cancer specialists to present their cases and discuss the complex nature of the cases with their colleagues across all cancer specialties. This team…
The extremely efficient and effective robotic surgery is known for its efficacy and precision in treating gynaecological cancer cases of all types. This technique is also adopted to perform hysterectomies for uterine fibroids, myomectomies for fibroids, and resections for endometriosis.
For both gastro-intestinal and digestive diseases, minimally invasive robotic surgery has been the benchmark of treatment procedures. Our multidisplinary team of gastro intestinal surgical oncologists and colorectal surgeons are of high calibre in the domain of treatment.
Centre of Excellence: Department of Oncology
Cancer is a disease that invades without any discrimination or seasonal bias and it has had a significant impact on people over centuries. As our knowledge about cancer has evolved with time so have the diagnostics and treatments associated with it.
Our center offers diagnosis and treatment for all malignancies, including:
Breast Cancer, Gastrointestinal and Hepatobiliary Cancers, Gynecological Cancer, Head and Neck cancers, Genitourinary Cancer, Bone, and Soft-tissue Sarcomas, Thoracic malignancies, etc.
Hematolymphoid malignancies including Multiple Myeloma, Lymphomas- like T cell and B cell lymphomas, and Hodgkin Lymphomas and Leukemias (both Acute Lymphoblastic and Acute Myeloid Leukemia)
1. Surgical Oncology Services
Manipal Hospital, the best cancer treatment hospital in Delhi, Dwarka provides comprehensive surgical treatment for solid tumours of various organs. Numerous cancers of the breast, head, and neck, gastrointestinal tract, uro-gynecologic system, thorax and musculoskeletal regions, etc have been successfully operated upon in line with the internationally accepted standards to achieve complete tumour control with preservation of organ/form and function to maximize the patient's quality of life. We also offer Minimally Invasive Surgery including Robotic Surgery for suitable patients.
Our team comprises Surgical Oncologists trained from reputed institutes including Tata Memorial Hospital, Mumbai. We conduct nearly 300 complex cancer surgical procedures every year on patients coming to us from various parts of India and other countries.
Procedures available (OPEN as well as MINIMALLY INVASIVE & ROBOTIC SURGERY)
Tru Cut / Core Biopsy / Image-guided biopsy / Bone Biopsy
Fibre-optic / Direct Laryngoscopy & Bronchoscopy and biopsy
Therapeutic Procedures (Surgery for all types of cancers in the following areas)
Head & Neck Surgery (Oral cavity, throat, voice box, parotid, neck tumours, etc) with microvascular reconstructive surgery
Breast cancer – Breast Conservation, Oncoplastic Breast Surgery, Sentinel Lymph Node Biopsy, Wire localization Surgery, Mastectomy, Breast Reconstruction, and Prophylactic Surgery. Surgery for Lymphedema prevention and treatment.
Gastrointestinal Cancers – Esophagus (food pipe), Stomach, Pancreas, Liver, Gallbladder, Colon (Large intestine), Rectum – Sphincter preserving Surgery, Robotic Surgery, Retroperitoneal tumours, Cytoreductive Surgery with HIPEC
Thyroid and Parathyroid tumors
Thoracic Cancers – Lung, Thymus, Mediastinum, Chest wall, Thoracoscopic Pleurodesis
Urologic Cancers – Prostate, Bladder, Kidney, Testes, Penile cancers,
Gynecologic Cancers – Uterus, Cervix, Ovary, Vulva, Cytoreductive Surgery with HIPEC
Cytoreductive Surgery with HIPEC for Gastro-intestinal and Gynecologic Cancers
Bone and Soft Tissue – Bone (Osteosarcoma, Giant Cell Tumor etc.), Soft Tissue Sarcoma, Skin Cancers
Day Care Surgery – Chemoport insertion, Biopsy under GA
2. Medical Oncology Services
The Department provides personalized services through the use of chemotherapy (a cytotoxic drug for cancer) and allied drugs. We make use of the various form of treatment for the best possible outcomes in patients, including:
Chemotherapy- For all subsites of Cancers- Breast cancer, Lung cancer, Gynecology cancer, and GI cancer
Immunotherapy- This is a type of cancer treatment that helps the immune system to fight cancer.
Metronomic Chemotherapy – Where in repetitive low doses of chemotherapy drugs are used to exert an effect not only on tumour cells but also on their microenvironment.
Targeted therapies - Targeted therapy uses drugs to target cancer's specific genes, proteins, or the tissue environment that contributes to cancer growth and survival.
Endocrine therapy (both tablets and Injections) - Hormone therapy, also called endocrine therapy either increase, decreases or stops the action of various hormones associated with cancer growth in the body. Eg.; Breast and Prostate cancer is treated with hormonal therapy.
PICC Line insertions and Chemo-ports usage - Peripheral inserted central venous catheters and chemo-ports are useful central lines for delivery of intravenous cancer therapies.
Hyperthermic Intraperitoneal Chemotherapy - HIPEC treatment, also known as heated or hyperthermic intraperitoneal chemotherapy, is the process of heating chemotherapy drugs and delivering them into the abdominal cavity.
Comprehensive Palliative care – The Medical Oncology Department believes that the way “to Beat cancer is Small steps every day.” And therefore, looks into the details of Cancer pain or discomfort and works in close liaison with the department of palliative medicine.
Pediatric Oncology Services
3. Radiation Oncology Services
To provide personalized and advanced cancer care, the Department of Radiation Oncology at Manipal is fully equipped for patients looking to get world-class cancer treatment. The department combines clinical expertise, next-gen radiation therapies, and kind-hearted care to deliver the safest result-oriented treatments for cancer and benign tumours.
Physicians at the department are some of the most acknowledged and skilled radiation oncologists in the country, with the support from well-qualified medical physicists, radiation therapy technologists, and nurses, who strive to deliver quality cancer care.
The Radiation Oncology capabilities at the department include -
Rapid arc (RA) Therapy
Flattening filter free (FFF) therapy
The department also boasts of its state-of-the-art Brachytherapy system for various sites including the cervix, endometrium, Head and Neck, Breast, Esophagus, and other sites.
4. Bone Marrow Transplants
Certain types of cancer such as myeloma, leukaemia, and lymphoma can destroy the bone marrow. In such cases, the bone marrow fails to manufacture healthy blood cells. Bone marrow transplant is a process in which the defective bone marrow is replaced with healthy cells either from one’s own body (autologous transplant) or from a donor (allogeneic transplant). The Department of Haemato-Oncology Manipal Hospitals is highly enabled and experienced in performing both autologous transplants for Multiple Myeloma and Lymphoma patients and also Allogeneic Bone Marrow Transplants.
(1) A change in bowel or bladder habits (2) A sore that doesn’t heal (3) Unusual bleeding or discharge from any opening in the body (4) Unexplained weight loss and loss of appetite (5) Difficulty in swallowing or chronic indigestion (6) An obvious change in a wart or mole (7) A nagging cough or persistent hoarseness of voice
Cancer is not a single disease, but many different ones. Understanding this, Manipal Hospitals is committed to partnership and patient-centred care, and hence, collaborates and works with every patient to identify the optimal treatment plan and care to given them the best odds to beat cancer. Contact us to know more about cancer care and book an appointment with one of our Oncologists today.
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