In Today's Video Dr. Praveen Kammar (Surgical Oncologist, Mumbai) Explained What surgery options are available in an advanced stage of stomach cancer.

0:32 What is early-stage stomach cancer?
If stomach cancer is diagnosed in the beginning, it is called early-stage of stomach cancer.
In the early stage, cancer occurs on the inner layer of the stomach and gradually spreads throughout the stomach.

1:12 What treatment options are available for stomach cancer?
1. Surgery
2. Endoscopy

1:46 How is stomach cancer surgery done by endoscopy?
There are two options.
1. Endoscopic Mucosal Resection (EMR)
2. Endoscopic Submucosal Dissection (ESD)

2:19 Tumor characteristics for endoscopic removal
1. Tumor must be smaller than 2cm
2. Well-differentiated adenocarcinoma
3. Lymphovascular invasion
4. Depth of penetration

3:17 What types of surgeries are available when stomach cancer reaches an advanced stage?
Apart from standard open surgery, there are other Advanced surgeries available
1. Laparoscopic surgery
2. Robotic surgery

5:35 What kind of surgeries are done when Stomach cancer starts to spread to places other than the stomach?
This type of cancer is called peritoneum for which the following advanced surgeries are available.
1. Cytoreductive surgery
2. HIPEC surgery

8:18 cancer that is not suitable for HIPEC surgery. What surgery is used for this type of cancer?
1. PIPAC surgery
PIPAC Surgery is used for advanced stomach cancer in which chemotherapy drugs are used during the surgery.
2. Intraperitoneal port chemotherapy
In this therapy, chemotherapy is given through a port in the stomach But in less amount

To know about this topic in detail, watch the video till the end.

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About Dr. Praveen Kammar
Dr. Praveen Kammar is a surgical oncologist practicing in the city of Mumbai.
He completed his MCh course in surgical oncology from the reputed Tata Memorial Centre, Mumbai, one of the premier cancer care centers in the country. He also holds a fellowship in Colorectal surgery from Yopnsei cancer center, Seoul, South Korea. Dr. Praveen’s main area of focus is colorectal and GI oncology, Gynecological cancers, minimal access surgeries for abdominal and thoracic malignancies, transanal surgeries, and sphincter-saving surgeries for rectal cancer, cytoreductive surgeries, and HIPEC for advanced abdominal cancers.

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