TME rectal cancer కి, laparoscopic colectomy colon cancers కి. Peritoneal spread ఉంటే HIPEC. CION Hyderabad లో available.TME for rectal cancer, laparoscopic colectomy for colon cancers, HIPEC for peritoneal spread. Available at CION Hyderabad.
Rectal cancer కి TME (Total Mesorectal Excision) gold standard. Richard Heald develop చేసిన technique. Dutch TME Trial local recurrence significantly తగ్గిస్తుందని prove చేసింది. Sphincter preservation selected low rectal cancers లో possible.
Colon cancer కి laparoscopic colectomy suitable cases లో routinely use చేస్తాను. COST, CLASICC, COLOR trials oncological equivalence prove చేశాయి. Faster recovery, earlier adjuvant therapy start.
Colorectal peritoneal spread cases లో PRODIGE 7 trial evidence ఆధారంగా HIPEC consider చేస్తాను. PCI score అవసరం.
TME (Total Mesorectal Excision) is the gold standard for rectal cancer, a technique developed by Richard Heald. The Dutch TME Trial proved it significantly reduces local recurrence. Sphincter preservation is possible in selected low rectal cancers.
For colon cancer I routinely use laparoscopic colectomy in suitable cases. COST, CLASICC and COLOR trials proved oncological equivalence. Faster recovery and earlier adjuvant therapy start.
For colorectal peritoneal spread cases, I consider HIPEC based on PRODIGE 7 trial evidence. PCI score is required.