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Procedures

Robotic and complex cancer operations

What each operation involves, who it suits, and what recovery looks like — as explained in consultation by Dr. Ishaan Allahabadi.

Colorectal

Robotic colectomy

Robotic colectomy removes the cancer-bearing segment of colon together with its mesocolon and lymph nodes through 8 mm ports. Complete mesocolic excision with central vascular ligation gives a high lymph node yield, and most patients are discharged in two to four days.

Colorectal

Robotic low anterior resection (LAR)

Robotic low anterior resection removes rectal cancer with total mesorectal excision while preserving the anal sphincter. Wristed instruments allow controlled dissection deep in the pelvis with nerve preservation, and a temporary protective ileostomy is often used for 8–12 weeks.

Colorectal

Robotic abdominoperineal resection (APR)

Abdominoperineal resection removes the rectum and anal canal with the sphincter complex and creates a permanent colostomy. It is used when the tumour involves the sphincter and no clear margin can be achieved otherwise. Robotic access allows precise pelvic and extralevator dissection.

Gynaecological oncology

Robotic radical hysterectomy

Robotic radical hysterectomy removes the uterus, cervix, parametrium and upper vagina with pelvic lymph node assessment, for selected early cervical cancer. Case selection follows current guidance, and open surgery is recommended where evidence supports it for tumour size or stage.

Gynaecological oncology

Robotic pelvic lymph node dissection

Pelvic lymph node dissection stages cancers of the cervix, uterus, rectum, bladder and prostate by removing nodes along the pelvic vessels. Robotic magnification helps expose the obturator and internal iliac regions while preserving nerves, vessels and lymphatic drainage of the legs.

Peritoneal surface oncology

Cytoreductive surgery and HIPEC (CRS-HIPEC)

Cytoreductive surgery removes all visible peritoneal tumour deposits, followed by heated intraperitoneal chemotherapy (HIPEC) delivered into the abdomen at about 41–43 °C for 30–90 minutes. It is offered to selected patients with peritoneal metastasis when complete cytoreduction is achievable.

Upper GI

Gastrectomy for stomach cancer

Gastrectomy removes part or all of the stomach with a D2 lymph node dissection and reconstruction of the digestive tract. Robotic and laparoscopic approaches are used for suitable tumours; locally advanced disease usually receives chemotherapy before surgery.

Hepatobiliary & pancreatic

Whipple procedure (pancreaticoduodenectomy)

The Whipple procedure removes the head of the pancreas, duodenum, gallbladder, bile duct and regional lymph nodes, then reconstructs the pancreatic, biliary and gastric connections. It is major surgery reserved for resectable tumours of the pancreatic head and periampullary region.

Hepatobiliary & pancreatic

Liver metastasectomy

Liver metastasectomy removes secondary tumours — most often from colorectal cancer — while preserving enough functioning liver. Selected patients treated with resection, sometimes combined with chemotherapy or ablation, can achieve long-term disease control.

Breast

Breast conserving surgery (lumpectomy)

Breast conserving surgery removes the tumour with a clear margin while keeping the breast, and is combined with radiotherapy. Oncoplastic techniques reshape the remaining tissue to preserve appearance, and the axilla is staged with sentinel node biopsy.

Breast

Modified radical mastectomy

Modified radical mastectomy removes the breast with axillary lymph node dissection, preserving the chest wall muscles. It is used for larger or multicentric tumours, node-positive disease, or when breast conservation or radiotherapy is unsuitable. Reconstruction can be immediate or delayed.

Breast

Sentinel lymph node biopsy

Sentinel lymph node biopsy removes only the first one to three nodes draining a tumour, identified with dye, radioisotope or indocyanine green. If they are clear, full lymph node dissection and much of the risk of lymphoedema can be avoided.

Endocrine & retroperitoneal

Robotic adrenalectomy

Robotic adrenalectomy removes an adrenal tumour through small incisions, either transperitoneally or via a posterior retroperitoneal approach. It is used for functioning adenomas, phaeochromocytoma, selected adrenal metastases and suspicious lesions, with careful perioperative hormonal preparation.

Endocrine & retroperitoneal

Retroperitoneal sarcoma resection

Retroperitoneal sarcoma resection removes the tumour en bloc, often with adjacent organs such as kidney or colon, to achieve a complete margin. Because the first operation largely determines local control, planning at a sarcoma multidisciplinary team is essential.

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Availability

Mon

10:00 – 14:00

Tue

10:00 – 13:00

Wed

Operating day

Thu

10:00 – 14:00

Fri

10:00 – 13:00

Sat

10:00 – 12:00

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