Lung & mediastinal tumor (including thymoma) surgeries can be performed by conventional open method or by laparoscopy (VATS-video assisted thoracoscocpic surgery /Throracoscopy). Laparoscopic or Laproscopic cancer surgery has several advantages over conventional open surgery with same cure rate. Only surgery is curative in most of the cancers. Additional therapies (chemotherapy & radiotherapy) are mostly supportive. But, many patients and their relatives try to avoid surgery for the fear of the immense trauma for their loved ones, resulting in patient getting wrong or less effective treatment. With laparoscopy the trauma is much less and makes the treatment more acceptable. The Team MACS precisely addresses all these issues and works relentlessly for a better life.
DR. SANDEEP NAYAK
MNAMS (Gen Surg), DNB (Surgical Oncology),
Fellowship in Laparoscopic and Robotic Onco-Surgery.
Dr Nayak is one of the leading senior Surgical Oncologists (cancer surgeon) of Bangalore. He is one of the pioneers of Laproscopic (laparoscopic) cancer treatment (surgery). He is the Director of Surgical Oncology at Fortis Hospital, Bangalore.
DR. BHARATH .G
MBBS, MS, M.Ch
MBBS from KIMS, Bangalore
MS from NHLMMC, Ahmedabad
M.Ch Surgical oncology from Tata Memorial hospital,Mumbai
- WORK EXPERIENCE
Assistant Professor in RRMCH, Bangalore
LEAST PAIN & DISCOMFORT
LESS BLOOD LOSS
BETTER PRESERVATION OF PELVIC NERVES MAINTAINING THE SEXUAL & URINARY FUNCTIONS
COSMETICALLY BETTER (SMALLEST WOUND & SCAR)
SHORT HOSPITAL STAY
AVOID UNNECESSARY MAJOR SURGERY
LEAST WOUND COMPLICATIONS VERY LESS RISK OF WOUND INFECTION ESPECIALLY AFTER COLOSTOMY
NO PROLONGED STARVATION; BOWEL MOVEMENTS RECOVER MUCH QUICKER
QUICKER RETURN TO NORMAL LIFE & WORK
GET ALL THE ADVANTAGES OF ROBOTIC SURGERY
BETTER VISION QUALITY FOR THE SURGEON
About Lungs, Thymus And Mediastinum
Lungs a pair of air filled spongy organs located within chest that are involved in exchange of gas. The trachea or wind pipe carries inhaled air to the lungs. Trachea divides in br¬onchi which further divide into smaller branches before becoming microscopic and ending alveoli. Tumors of lung can arise from lung tissue itself (small cell cancer, squamous, adenocarcinoma, etc.) or could have spread from other organs (colon, rectum, kidney, etc.) or due to some infection (Tuberculosis or Hydatid cyst).
Mediastinum is the area in between the two lungs. This contains the heart, main blood vessels of the body and lymph nodes (small nodular structures that are present throughout the body that clear the tissue fluids). It also contains an organ called thymus. Thymomas refer to tumors arising in thymus and these can be cancers or non-cancerous. Also some thymomas can produce a form of paralysis called Myasthenia Gravis which can be life threatening. Apart from these the lymph nodes in the mediastinum may get affected (lymphomas) when they need to be biopsied for confirmation.
Lung and mediastinal tumors (including thymomas) do not produce symptoms to begin with. As they grow they cause symptoms related to chest due to pressure on adjoining organs. Patients with thymomas may develop weakness, difficulty in talking and breathing, etc. (Myasthenia Gravis). The symptoms related to any mass in the lung like cancer, abscess, and parasitic (hydatid) cyst are similar and can only differentiated by CT scan or after surgery. Common symptoms that are encountered include.
- A persistent cough that does not get better.
- Chest pain that is often worse with deep breathing, coughing, or laughing.
- Blood or rusty stained sputum
- Weakness, Weight loss and loss of appetite.
These tumors are diagnosed by a scan guided needle biopsy (FNAC) and need a scans (CT scan or PET CT) to determine the stage of the cancer.
Staging & Treatment
The curative treatment of lung and mediastinal tumors is surgical removal of tumor bearing tissue. Surgery is possible only in early stages of lung cancer. Tumors in the front of medistinum always needs to be removed by surgery.
A solitary pulmonary nodule is a single abnormality in the lung that is smaller than 3 cm in diameter. These usually do not cause any symptoms. But, could be early stage of cancer. These are usually observed over time to see if they grow, in which case surgery is performed.
All lung nodules larger than 3 cm in size are treated as cancer and need to be removed by surgery. The confirmed lung cancers are treated based on their stage as follows.