A Quickie on role of “Robotics in cancer treatment ?

Robotic surgery
robotic robot-assisted brain surgery,

Robotics or computer assisted surgeries are helping patients with advanced cancer care. Robotic surgery effectively means’ robotic systems designed specifically to assist surgeons perform, complex surgical procedures with precision, control and dexterity.

These are often difficult to reach cancerous tumours, which the surgeons are able to view with increased vision and hence excise with precious thanks to video assisted robotic systems.

In general,  the surgeon uses the robotic systems, arms to perform the surgery instead of his own hands. Most good systems come equipped with cameras and 3D imaging to enable surgeons to view deeper locations inside the body and reach the diseased tissue with greater range of motion and precision.

Cyberknife, Gamma Knife, Novalis, Da Vinci are various forms of robotics systems available to assist surgeons.

Robotics can today be used for prostate cancer treatment, oral cancer treatment, breast cancer treatment, throat cancer treatment, thyroid cancer treatment, ovarian cancer treatment, uterine cancer treatment, oesophageal cancerbrain tumour surgery, treatment of bone and soft tissue sarcoma, lung cancer,  and several other cancers.

Even basic procedures like thyroidectomy, hysterectomy can now be done robotically and several surgeons are trained to perform robotic thyroidectomy and robotic hysterectomy.

Though we will cover each of these procedures in greater detail in subsequent posts, here are a few significant benefits of minimally invasive, Robotics assisted surgeries

  • Fewer incisions- Maximum size of incisions is usually not more than 7mm .
  • Significantly lower blood loss as compared to open surgeries.
  • Targeted, Higher Dose of Radiation.
  • Less Trauma, pain Quicker, faster recovery.
  • Reduced hospital stays of sometimes even one day( specific to surgery)
  • Added benefits for obese and diabetic patients with co morbidities where wound healing and open surgery complications need to be avoided.

To know more on whether you can be helped with robotic assisted surgery , write to us on info@ihealthkonnect.com or click to send us a query.

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Decoding CyberKnife, for cancer treatment and benign tumours

We often get queries on CyberKnife and what is CyberKnife used for ?

CyberKnife is an excellent treatment option for treating cancer’s such as prostate cancer, gliomas ,brain cancer, kidney cancer, lung cancer, spine cancer, cancer of the pancreas, head and neck cancer, liver cancer, early stage -localised breast cancer and several types of malignant tumours, benign tumours and several other medical conditions.
CyberKnife delivers stereostatic radiation( SBRT) with extreme precision and a tissue margin of 1-5mm

Non invasive, CybeKnife vaporises a brain tumour

Cyber knife is totally non invasive and offers hope for inoperable localised cancers such as small cell lung cancer,for inoperable lesions where there is no other alternative for the patient to be treated.
CyberKnife can spot the exact size, shape and location of the tumor and delivers highly concentrated beams of radiation with precision ranging from 1 to 5 mm and this leads to minimal damage and bleeding.

Since CyberKnife treatment is totally non invasive, it is used for treatment of inoperable cancers as an alternate to surgery or as an alternative to surgery to minimise trauma, avoid complications and reduce risk.

Most patients can be treated several times with the CyberKnife and even treated again or retreated with minimal side effects leading to a better quality of life.For example for prostate cancer, even for a repeat surgery, CyberKnife can be used very successfully.

CyberKnife treatment is FDA approved and can spot patient movement even while breathing. The radiation beams can be aimed from several directions, thereby never losing the precision which is hall mark of a CyberKnife treatment.

CyberKnife treatment usually gets completed in 3 to 5 sessions spread over a week. Most patients can lead normal lives post CyberKnife treatment Most CyberKnife treatments are covered by insurance providers all over the world.

To know more on CyberKnife and how it works, click here.

Since the treatment involves a high degree of expertise, CyberKnife treatment is not offered by most hospitals.

The stage, location and size of the tumour or the cancer plays an important role, hence multiple teams of doctors and oncologists need to be involved before a decision on  use of CyberKnife as treatment option can be arrived.
To connect to the best hospitals in India, offering CyberKnife, and to know if CyberKnife is a treatment option for your medical condition, send us an email on info@ihealthkonnect.com or Consult Now.

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Other Rare Brain Tumors

There are some other rare Brain tumors including Choroid Plexus Tumors, papillomas and carcinomas, in infants. These tumors primarily treated with surgical resection and occasionally chemotherapy.

Craniopharyngiomas are treated by surgical resection and radiation therapy based on the location of the tumor and involvement of the surrounding tissues.

These Brain sarcomas are treated with maximal surgery, local radiation and chemotherapy appropriate for body sarcomas.

Brain Tumor Symptoms :

Signs and Symptoms of Brain Tumor are as frequent headaches, especially after waking up in the morning, vomiting, especially in the morning, Eye movement problems and/or vision changes, Unsteady gait or worsening balance, Weakness of one side of the face, Loss of previously acquired developmental milestones, Weakness in the arms or legs, Bulging fontanel (soft spot on an infant’s head where the bones that make up the skull have not fully joined) or increased head size in infants, Tilting of the head or neck to one side, Seizures, Difficulty with speech, swallowing or drooling, Back or neck pain, often waking the child at night.

Less common symptoms include: Changes in eating or thirst, Growth problems, Dizziness, Lethargy, irritability or other behavior changes, Deterioration in school performance, Loss of sensation in the arms or legs, Loss of consciousness, without history of injury, changes in, or loss of control of, bowel or bladder, Hearing loss, without evidence of infection

Treatment for Brain Tumors:

Treatment for rare brain tumors often includes surgical removing as much of the tumor as possible, but It also include Radiation therapy and Hormone replacement therapy (HRT).

Next Article: Ewing Sarcoma

Brain Tumors and Central Nervous System Tumors, Medulloblastoma

Brain tumors occur in the central nervous system (CNS) and spinal cord in children. These important organs, CNS and spinal cord work together to control functions necessary to sustain life, such as breathing, heart rate, movement, thinking and learning.

Brain produce important substances and chemical mediators which stimulate and control many other organs in the body. In general, brain tumors tend not to “metastasize” or spread to distant areas of the body outside the brain or spinal cord.

They can recur locally, and they can spread to other areas of the central nervous system. Collectively, they comprise nearly 20% of childhood cancers diagnoses.

There are several different types of brain tumors, description is as following.

Medulloblastoma
Medulloblastoma is the most common malignant brain tumor in children. It is a fast growing tumor that begins in the lower back part of the brain (the posterior fossa) and can spread to other parts of the body. In up to one-third of patients, the tumor would have been spread along brain lining (meninges) and spinal cord at the time of diagnosis.

Signs and Symptoms of Medulloblastoma:

Signs and Symptoms are associated with vomiting, headache and balance problems

Medulloblastoma Treatment:

The main types of treatment for Medulloblastoma are:

  • Chemotherapy
  • Immunotherapy
  • Targeted therapy
  • Radiation
  • Stem cell transplant
  • Bone marrow transplant and
  • Surgery.

Next Type of Brain Tumor: Primitive Neuroectodermal Tumor (PNET) and Pineoblastomas