Best Surgical Oncologists in Chennai, India

Breast-Conserving Surgery (Lumpectomy)

Breast-conserving surgery removes the cancer together with a rim of surrounding normal tissue and leaves the rest of the breast in place. You will hear it called a lumpectomy, a wide local excision, a partial mastectomy or a quadrantectomy depending on how much tissue comes out and on the surgeon's training. The intent is the same: take the tumour with a clear edge, keep the breast. The operation is judged on margins. The widely used standard for invasive cancer is no tumour cells touching the inked edge of the specimen; for ductal carcinoma in situ a slightly wider clearance is generally sought.

Surgical oncologists for Breast-Conserving Surgery (Lumpectomy)Breast-Conserving Surgery (Lumpectomy) treatment in India

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Mastectomy

Mastectomy removes the breast as the oncological operation. Depending on the plan, the surgeon may take the breast tissue with an ellipse of skin and the nipple, keep the skin envelope, or, when oncology and anatomy allow, keep the nipple-areola complex as well. The intent is to clear the disease in the breast; it is not a cosmetic procedure, even when reconstruction is discussed in the same week. The axilla is part of the same sitting more often than patients realise. Where nodes look clinically clear, a sentinel lymph node biopsy is the usual staging step. Where nodal disease is already known, an axillary dissection may be planned.

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Oncoplastic Breast Surgery

Oncoplastic breast surgery combines two jobs in one anaesthetic when that is oncologically sound: remove the tumour with a rim of healthy tissue, then reshape the remaining breast so the contour is usable after healing and radiotherapy. The goal is cancer treatment first. Reshaping is part of the surgical strategy, not a cosmetic extra you can buy independently of those facts. It differs from a standard lumpectomy when the expected hole would otherwise leave a dent, distortion or nipple shift that is hard to live with and hard to irradiate evenly. Volume displacement rearranges the breast's own tissue. Volume replacement borrows tissue from nearby — a different operation, a different recovery.

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Sentinel Lymph Node Biopsy

Sentinel lymph node biopsy is a procedure used to identify and remove the first lymph nodes to which cancer cells are most likely to spread from a primary tumour. Lymph fluid from a tumour bed drains along predictable paths. The first node or nodes on that path are the sentinel nodes. Mapping finds them; surgery removes them; pathology examines them. The result is staging information. If the sentinel nodes are clear, a full dissection of the remaining basin may not be required. If they contain cancer, the treating team discusses what that means for further surgery, radiation and systemic therapy. The biopsy does not remove the primary tumour and does not, by itself, treat the cancer.

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Esophagectomy

Esophagectomy is surgical removal of part or most of the oesophagus, the muscular tube that carries food from the throat to the stomach. In cancer care it is done to take out the tumour with a margin of oesophagus and, where indicated, regional lymph nodes, then restore a path for swallowing. Reconstruction usually uses the stomach as a conduit pulled up to replace the resected segment. When the stomach cannot be used, colon or jejunum may be considered. The join — the anastomosis — sits in the chest or the neck depending on the approach. That join is why leak monitoring dominates the first postoperative week.

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Gastrectomy

Gastrectomy is surgical removal of part or all of the stomach, the muscular pouch that receives food from the oesophagus and starts digestion. In cancer care it is done to take out the tumour with a margin of stomach and, where indicated, regional lymph nodes, then restore a path from oesophagus to small bowel. Partial or distal gastrectomy leaves a remnant of stomach. Subtotal gastrectomy leaves a smaller remnant. Total gastrectomy removes the entire stomach; the oesophagus is then joined to jejunum. Proximal gastrectomy, when used, removes the upper stomach in selected cases. Reconstruction — gastroduodenostomy, gastrojejunostomy or esophagojejunostomy, often Roux-en-Y after total resection — is why the join, not only the incision, dominates recovery.

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Cytoreductive Surgery

Cytoreductive surgery, often called CRS, is an extensive operation intended to remove visible tumour deposits from the peritoneal cavity in appropriately selected patients. Completeness of cytoreduction — how little visible disease is left — matters more than the length of the incision. It is not appropriate for every patient with peritoneal cancer. Selection depends on cancer type, distribution, whether a meaningful clearance looks possible, overall health and a multidisciplinary review. GAF Healthcare does not decide eligibility on this page.

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Cytoreductive Surgery with HIPEC

Cytoreductive surgery with HIPEC combines two steps in selected patients: removal of visible peritoneal tumour deposits, then heated chemotherapy circulated through the abdomen. Completeness of cytoreduction matters more than the length of the incision. HIPEC treats what cannot be seen, when the team judges that is honest. It is not appropriate for every patient with peritoneal cancer. Selection depends on cancer type, distribution, whether a meaningful clearance looks possible, overall health and a multidisciplinary review. GAF Healthcare does not decide eligibility on this page.

Surgical oncologists for Cytoreductive Surgery with HIPECCytoreductive Surgery with HIPEC treatment in India

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Radical Hysterectomy

The uterus and cervix sit in the pelvis between bladder and rectum. The ureters run through the parametrium beside the cervix, and the pelvic nerves that influence bladder emptying travel nearby, so identifying those structures is part of a radical rather than a simple hysterectomy. A simple hysterectomy removes the uterus and cervix; a radical operation takes additional parametrial tissue and a vaginal cuff because that is where early cervical cancer can spread. Pelvic nodes, and sometimes para-aortic nodes, are assessed in the same sitting.

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Ovarian Cancer Cytoreductive Surgery

Ovarian cancer cytoreductive surgery, or debulking, is intended to remove as much visible ovarian-cancer tumour burden as is safely and appropriately possible from the abdomen and pelvis. The operation can be extensive. It sits inside a multidisciplinary cancer plan, not as a stand-alone cure claim. Suitability and extent depend on disease distribution, imaging, pathology, fitness and the treating team's assessment. GAF Healthcare does not decide eligibility on this page.

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Thyroidectomy for Thyroid Cancer

The thyroid sits in two lobes in front of the windpipe. The recurrent laryngeal nerves that move the vocal cords run close behind it and the four parathyroid glands controlling calcium sit on or beside it, so preserving those structures is part of the operation. Lobectomy may suffice for a small, low-risk cancer in one lobe, while total thyroidectomy is usual for larger, multifocal or higher-risk disease and is what makes radioiodine treatment possible. Node levels are added only where staging shows involvement or material risk.

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Neck Dissection

Neck nodes are described in levels from level one under the chin and jaw to level five at the back of the neck. Running through them are the nerve that lifts the shoulder, the nerve to the lower lip, the large neck vein, the nerve to the tongue and, on the left, the thoracic duct. A selective dissection removes only the levels at risk for that primary site; a modified radical dissection removes levels one to five while preserving the shoulder nerve, vein or muscle; a radical dissection removes those structures when tumour involves them.

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Oral Cancer Surgery

The oral cavity includes the tongue, floor of the mouth, inner cheek, hard palate and the gum and jawbone. Tumours are assessed for depth of invasion, closeness to the jawbone, and whether they approach the nerves supplying the tongue, lip and chin. A small tumour may be excised through the mouth and closed directly, while a deeper tumour may need a composite resection with part of the jaw removed and a free tissue flap to rebuild what is taken. How much tissue must go for a clear margin drives the plan.

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