AIIMS M.Ch thesis specifically gastric cancer D2 surgery పైన. 15+ published papers. నా most experienced area. My AIIMS M.Ch thesis was specifically on D2 surgery in gastric cancer. 15+ published papers. The area where my experience is deepest.
Stomach cancer India లో, ముఖ్యంగా South India లో, high incidence ఉన్న cancer. నా AIIMS M.Ch thesis specifically D2 gastrectomy outcomes పైన. ఆ research నాకు ఈ cancer లో deep understanding ఇచ్చింది.
Japanese D2 trial evidence ఆధారంగా, D2 lymphadenectomy (extended node dissection) తో total gastrectomy gastric cancer లో survival improve చేస్తుంది. నేను ఈ standard follow చేస్తాను.
Early-stage gastric cancer కి surgery alone sufficient కావచ్చు. Advanced cases లో, FLOT chemotherapy regimen తో neoadjuvant (surgery before) approach better outcomes ఇస్తుంది అని FLOT4-AIO trial demonstrate చేసింది. నేను patient case ని CION Tumor Board లో present చేసి, combined approach plan చేస్తాను.
Peritoneal spread ఉన్న selected gastric cancer cases లో, CRS+HIPEC option consider చేయవచ్చు. Every case individually assess చేయాల్సిందే.
Stomach cancer has high incidence in India, particularly in South India. My AIIMS M.Ch thesis was specifically on D2 gastrectomy outcomes. That research gave me a deep understanding of this cancer.
Based on evidence from the Japanese D2 trial, total gastrectomy with D2 lymphadenectomy (extended node dissection) improves survival in gastric cancer. I follow this standard.
Early-stage gastric cancer may need surgery alone. In advanced cases, the FLOT4-AIO trial demonstrated that a neoadjuvant approach with FLOT chemotherapy gives better outcomes. I present each case at the CION Tumor Board and plan a combined approach.
In selected gastric cancer cases with peritoneal spread, CRS+HIPEC can be considered as an option. Every case needs individual assessment.
Standard curative surgery for gastric cancer. Removes entire stomach plus extended lymph node dissection. Reconstruction with Roux-en-Y esophagojejunostomy.
For distal (lower) gastric cancers where adequate margins allow partial stomach preservation. Better long-term nutritional outcomes.
For selected cases with limited peritoneal spread. Tumor Board evaluation required. PCI scoring determines feasibility.