Malignant Surgery

• Esophageal Cancer:
  Radical Esophagectomy with gastric or colon pull up. In this surgery the esophagus along with its adjacent lymph nodes are removed and replaced with a stomach tube or the colon.
• Stomach:
  Whole or part of the stomach along with lymph nodes is removed and continuity is restored by joining the stomach with the small intestine
• Pancreas:
  Cancer of the pancreas essentially involves the head of the pancreas and the treatment for this is a Whipple’s operation. This is a complicated operation which involves removal of the head of the pancreas with the whole of the duodenum, part of the stomach, gallbladder, bile duct and initial part of the small intestine. Following this the remnant pancreas, bile duct and stomach is joined up. A feeding tube may also be inserted for post-operative nutritional support.
• Gallbladder:
  Surgery involves removal of the gallbladder with part of the adjacent liver and the draining lymph nodes
• Cancers of the Bile duct:
  Removal of the bile duct with a portion of the liver.
• Liver:
  Resection of the left or right side of the liver.
• Colon & Rectal:
  Removal of part or whole of the colon. The colon is again joined up. Some patients may require a diverting stoma (an opening on the abdominal wall where stool comes out and is collected in a bag). This stoma and bag system is a sealed system with no odor and soiling. This stoma in most cases is temporary and is closed after 3 to 6 months. Only in a very few selected cases is the stoma made permanent. Some cases of rectal cancer may require radiotherapy and/or chemotherapy before or after operation.
  
  
  Please check (GI ) Cancer