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Surgical Oncology

“What you get at Nepal Cancer Hospital and Research Center is not only a great surgeon and a great operation, but a surgeon who understands when and how to incorporate surgery into the total treatment plan of each patient.”

Cancer care in the second decade of the 21st century is still largely about the surgical treatment of the disease. The vast majority of people with cancer have surgery as their main or only treatment. It remains the most effective treatment, it is growing in its applications, and it’s getting better all the time.

Nearly 50 percent of patients with cancer have surgery as their only treatment and more than 70 percent have surgery as part of their treatment, along with chemotherapy, radiation therapy, or both.

Our surgeons specialize particularly in cancer surgery, and they are very experienced at the types of procedures they do.

The role of surgery is changing and expanding. There has been progress in understanding cancer genetically and development of remarkable new-targeted drugs that are highly effective against cancer — initially. But almost all solid tumors — lung, breastcolon — come back and these drugs alone do not lead to permanent cures. The multidisciplinary treatment of cancer has grown more complex; surgery is also getting more challenging. Cancer surgeons are doing increasingly complicated and difficult operations, because in many cancers the right combination of drug treatment and surgery gives much better results than either alone.

We have highly experienced surgeons, who are constantly exploring how to make surgery safer and more effective and how to do operations for patients with advanced cancers — in other words, cancers that have spread — and when to use surgery in combination with the appropriate drugs or other therapies.

Our surgeons deal only with cancer and are specially trained in oncology — not just in their surgical specialty — we have a deep knowledge of the disease. We understand the natural history of cancer, the different ways it manifests itself, and how to care for patients in a multidisciplinary setting.

What you get at Nepal Cancer Hospital & Research Center is not only a great surgeon and a great operation, but a surgeon who understands when and how to incorporate surgery into the total treatment plan of each patient.Which brings us to the collaborative approach to care.

At NCH&RC, when you meet with a surgeon you’re meeting with a team. The team includes experienced pathologists, radiologists, medical oncologists, and radiation oncologists, all of whom collaborate to develop a treatment approach that will be most effective for each patient. For example: Just because a surgeon has seen a case doesn’t mean he is automatically going to say, “You need surgery.” At NCH&RC, have the full repertoire of cancer experts, all of who are leaders in their fields. It doesn’t matter who treats the patient; we work together and use whatever therapies are necessary to achieve optimal outcomes for our patients.

We are always talking about a team that’s much broader than surgery.

Few examples of our experts

When you see a breast surgeon here, you’re not just seeing a surgeon expert at removing a lump, or even removing a breast if that proves necessary. You gain access to a highly sophisticated team — including experienced pathologists, radiologists, medical oncologists, and radiation oncologists — who apply the most-modern diagnostic tools to understanding your cancer and developing the most effective treatment plan possible. Our surgeons have the largest experience in axillary lymph node dissection. Our surgeons are also experienced in reconstructive surgery able to perform extremely complex breast reconstructions and prosthesis implant, if these are required.

Our Surgeons are experienced in all Urological Malignancies. We areexpert in the type of surgery we do, whether open or laparoscopic radical nephrectomy, cystectomy and prostatectomy. But the skill and experience of the surgeon makes the difference, not what tools are used — not only in the chances for a cure, but also whether a person will suffer the side effects of surgery.

Our thoracic surgeons deal exclusively with cancer, whether primary lung cancer, esophageal cancer, mesothelioma, or cancers that have metastasized to the lung. They are skilled in treating these complicated diseases, which often entail high-risk operations. They work with our medical oncologists and radiation oncologists to develop chemo-radiation treatments that can shrink tumors to make surgery possible and, sometimes, to allow a patient to avoid surgery altogether. They are also experienced in Laparoscopic surgery in lung cancer (VATS, video assisted thoracic surgery).

Our Musculo-Skeletal and Sarcoma Team deals only with the Cancers of the bone and muscle systems. The very sad part of Bone and Muscle tumor are that most of them require mutilating amputation surgeries. But when worked ina team and with best multimodality treatment the limbs can be preserved. Our team’s main focus is on Limb preserving surgery. They are also highly skilled in Reconstructive surgery.

Our Gynae-Oncologist trained in Rajiv Gandhi Cancer Hospital provides all surgeries of Gynaecological malignancy. Radical Hysterectomy of Level I, II, III are performed routinely and extensive pelvic surgeries like Anterior, posterior or Total Pelvic Exenteration are also routinely performed. Our multimodality team also provides Laproscopic surgeries in Gynaecology Malignancies.