Radio-Guided cancer surgery in Sarjapur Road is one of the most rapidly increasing surgeries. This surgery is, in fact, a group of procedures that have specific common features. All the features need a close collaboration between the various specialists, surgeons, nuclear physicians, and sometimes even pathologists. The common goal for such a procedure includes either a healthier control of the loco-regional disease or even a less invasive surgery.
To make the surgery successful, the target tissue which needs to be excised has to be tagged using adequate administration modalities and sufficient radiopharmaceuticals. This is the preliminary phase, just before the surgery. During the surgery, a hand-held counting probe is made use of to discover and identify the surgical field, which leads the surgeon to the tagged tissue. Following are the main clinical applications of Radio Guided Surgery:
SLNB (Sentinel Lymph Node Biopsy): A surgical procedure termed Sentinel node biopsy is used to understand if cancer has spread beyond the main tumour into the lymphatic system. It is most commonly used to evaluate melanoma and breast cancer. The sentinel nodes are the primary lymph nodes within which the tumour drains. Sentinel node biopsy includes inserting some tracer material that enables the surgeon to identify the sentinel nodes during the time of the operation.
The sentinel nodes are then detached and examined in a laboratory. Sentinel node biopsy is recommended for patients with specific types of cancer to understand if there is a spread of cancer cells within the lymphatic system. If the sentinel nodes are cancer free, then the cancer is not likely to have spread, and there is no need for the removal of the lymph nodes. If the biopsy reveals cancer, then your surgeon may recommend the removal of lymph nodes. Sentinel node biopsy is regularly used for patients with,
MIRP (Minimally Invasive Radioguided Parathyroid Surgery): Mini-parathyroid surgery is now the preferred way to treat parathyroid cancers. The MIRP mini operation is also termed "radio-guided parathyroid surgery. There are basically four main steps of a mini parathyroid surgery,
The surgeon needs to understand which parathyroid gland is infected with cancer before conducting the surgery.
The surgeon needs to be 100% sure where the parathyroid tumour is located.
The surgeon makes use of a special probe in the surgical room that can specify the differences between a parathyroid gland that is making the parathyroid hormone (PTH) and which glands are not producing any PTH.
The surgeon can evaluate the amount of hormone each of the parathyroid glands is producing during the surgery. This probe can identify the difference between an infected gland and the normal glands so that the normal glands are not removed.
ROLL Radioguided Occult Lesion Localisation for CA breast (early breast cancer): ROLL is a very simple and effective technique for the removal of breast tumours via surgery by using along with a minimum of the normal adjacent tissue. Either an ultrasound or a mammography is used to guide an injection of a tiny volume of colloid that is radiolabelled into the lesion centre. A tracer is administered to the patient before the operation and then the surgeon analyses the extensiveness required for the resection using a hand-held detector that is sensitive to the radiation being emitted.
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