Surgical Oncology

Navigational Surgery

Precision-driven, minimally invasive, patient-centered cancer surgery 

At Thangam Hospital, our Surgical Oncology program is built on expertise, innovation, and a deep commitment to patient recovery. From complex resections to organ-sparing procedures, our multidisciplinary team of expert surgeons, anesthesiologists, oncologists, and rehabilitation specialists work in perfect sync to deliver world-class cancer surgery

Our Expertise in Cancer Surgery 

We handle some of the most challenging and intricate surgeries with a focus on: 

  • Head & Neck cancer resections and reconstructions
  • Liver, pancreatic, and biliary surgeries 
  • Minimally invasive and robotic-assisted procedures 
  • Limb-preserving surgeries for bone and soft tissue tumors
  • Microsurgical reconstructions 
  • Pelvic and abdominal tumor excisions 
Our Expertise in Cancer Surgery 

Key Surgical Procedures at Thangam Cancer Centre 

Commando Surgeries for Oral Cancer

Combined mandibulectomy and neck dissection, tailored to preserve facial aesthetics and oral function, followed by expert flap reconstructions. 

Hepatic Tumor Resections

Advanced liver surgeries performed using 3D imaging and navigation systems for precise tumor removal while safeguarding healthy tissue. 

Thoracic Cancer Surgeries

Our team performs VATS and robotic lung resections with reduced blood loss, quicker recovery, and high precision—even in high-risk cases. 

Gastrointestinal and Colorectal Cancer Surgeries 

Robotic and laparoscopic surgeries for esophageal, gastric, and colorectal cancers—with superior outcomes and minimal post-op discomfort. 

Gynecologic Oncology Surgeries 

We specialize in radical hysterectomies, fertility-preserving tumor surgeries, and robotic procedures for ovarian and endometrial cancers. 

Limb-Sparing Orthopedic Oncology 

We avoid amputations wherever possible by combining advanced resection techniques with cutting-edge reconstruction. 

Brain and Spine Tumor Surgery 

Performed with intraoperative navigation, monitoring, and precision tools like fluorescence-guided tumor detection for maximum safety. 

Robotic Surgery

At Thangam Cancer Center, robotic surgery represents the future of precision oncology. Using next-generation platforms, including the da Vinci Surgical System, we deliver unparalleled accuracy in complex cancer operations.

Advantages of Robotic Surgery:

  • 10x magnified, 3D high-definition views
  • Tremor-free surgical precision
  • Minimal incisions for reduced pain and faster healing
  • Enhanced access for deep pelvic, urologic, and gynecologic tumors
  • Lower complication rates and shorter recovery times

Robotic technology allows our surgeons to combine expertise with innovation—ensuring safer procedures and better outcomes for patients.

Minimally Invasive Surgery

Our minimally invasive cancer surgery program is designed to maximize patient recovery without compromising oncologic safety.

Benefits include:

  • Small incisions = less pain, bleeding, and scarring
  • Faster return to daily life with shorter hospital stays
  • Lower risk of infection and post-surgical complications
  • Highly suitable for gastrointestinal, thoracic, gynecological, and urologic cancers

Specialized scopes, advanced energy devices, and integrated imaging systems allow for delicate tumor resections with exceptional precision. Minimally invasive surgery ensures safety, technology, and patient comfort.

Innovative Surgical Technologies 

Oncoplastic Breast Surgery 

We combine tumor removal with aesthetic reconstruction in one procedure—preserving breast shape, symmetry, and patient confidence. 

Techniques we offer: 

  • Breast-conserving surgery with reshaping 
  • Therapeutic mammoplasty 
  • Nipple-sparing mastectomies 
  • Contralateral breast symmetry procedures 

Fluorescence-Guided Surgery (FGS) 

Using real-time fluorescent imaging, our surgeons achieve enhanced tumor visibility and safer margin clearance. 

Surgical Microscopy Integration 

Advanced microscopes with integrated imaging systems guide our team in microsurgical procedures—ensuring unmatched precision and safety. 

Bone Marrow Transplant (BMT) Services 

For blood cancers and hematologic conditions, our BMT unit performs: 

  • Autologous (self) transplants 
  • Allogeneic (donor) transplants 
  • Treatment of leukemia, lymphoma, and myeloma 

Our team supports patients through every phase—from stem cell harvesting to engraftment and post-transplant care. 

Surgical Support Infrastructure 

  • Modular Operation Theatres with laminar airflow 
  • Real-time pathology & imaging support 
  • Advanced anesthesia monitoring 
  • Dedicated Surgical ICU for cancer care 
  • In-house physiotherapy & rehabilitation 

Complex Visceral Surgery

We are one of the few high-volume centers equipped for complex visceral oncologic surgery, offering outcomes matched to global standards.

Our team specializes in:

  • Multi-organ resections of the liver, pancreas, stomach, intestines, and retroperitoneum
  • Surgical solutions for advanced, large, or recurrent tumors
  • Multi-disciplinary planning with intensive care support
  • Reconstruction procedures when organ continuity must be restored

Complex visceral surgery is designed for patients with difficult abdominal cancers—performed with utmost care to achieve control, survival, and optimal quality of life.

Organ Preserving Surgery

Wherever possible, we prioritize preservation of natural tissues and organ function—balancing cure with quality of life.

  • Breast-preserving approaches: Breast-conserving surgery, therapeutic mammoplasty, nipple-sparing mastectomy techniques
  • Rectum-protective resections: Restorative rectal surgeries designed to maintain continence and function
  • Limb and soft tissue preservation: Tumor removal while maintaining musculoskeletal integrity and mobility

Oncoplastic Breast Surgery

Our oncoplastic program uniquely combines tumor removal with cosmetic reconstruction in the same procedure. This ensures oncologic safety without compromising breast aesthetics.

  • Integration of cancer clearance + breast reshaping
  • Symmetry procedures for the opposite breast when needed
  • Preservation of femininity, confidence, and self-image post-treatment

Microvascular Surgery

At Thangam, our Microvascular & Super-Microsurgical Program provides highly advanced reconstructions for cancer patients.

Treatment Modalities include:

  • Free flap transfers using super-microsurgical precision (vessels <0.8 mm)
  • Reconstructive options after head & neck, breast, limb, and abdominal surgeries
  • Restoring both form and function after tumor excisions
  • Functional reconstruction for swallowing, speech, and limb mobility preservation

Microvascular surgery enables us to perform complex reconstructions that restore not only appearance, but also essential daily functions—helping patients return to life with confidence.

Microvascular Surgery
Cytoreductive Surgery​

Cytoreductive Surgery

Cytoreductive surgery is a highly specialized cancer surgery focused on reducing visible tumor burden in advanced-stage cancers. By removing as much tumor tissue as possible within the abdomen, we can significantly extend survival and improve response to additional therapies.

Applications include:

  • Ovarian cancer with widespread abdominal deposits
  • Peritoneal carcinomatosis from colorectal or appendiceal cancers
  • Selected sarcomas with regional peritoneal spread

Often performed in combination with HIPEC, cytoreductive surgery is done with meticulous planning and execution by our multidisciplinary oncology team.

HIPEC (Hyperthermic Intraperitoneal Chemotherapy)

For certain abdominal cancers, HIPEC combines surgical tumor removal with heated chemotherapy circulated inside the abdominal cavity. This direct, high-dose exposure increases effectiveness while lowering systemic toxicity.

Most effective in:

  • Advanced colorectal cancers
  • Ovarian cancers
  • Pseudomyxoma peritonei
  • Peritoneal mesothelioma
HIPEC
PIPAC

PIPAC (Pressurized Intraperitoneal Aerosol Chemotherapy)

Suitable for patients with recurrent or unresectable peritoneal cancers, PIPAC delivers chemotherapy as a fine aerosol mist, under controlled pressure, through a minimally invasive laparoscopic approach.

  • Repeatable with low side effects
  • Enhances penetration into tumor nodules
  • Preserves patient quality of life while extending treatment opportunities

HITOC (Hyperthermic Intrathoracic Chemotherapy)

For malignant pleural mesothelioma or lung metastases involving the pleural cavity, HITOC is a promising surgical innovation.

  • Performed after resection or decortication of visible disease
  • Heated chemotherapy solution is circulated within the chest cavity
  • Targets microscopic residual disease while preserving lung function
  • Shown to improve long-term control and survival in select cases

At Thangam, HITOC is integrated into a multimodality approach for thoracic cancers—combining surgery, systemic therapy, and precision care.

HITOC

Cancer Therapies 

HIPEC (Hyperthermic Intraperitoneal Chemotherapy) 
Used for peritoneal cancers like colorectal, ovarian, or pseudomyxoma peritonei—HIPEC combines surgery with heated chemotherapy for maximum tumor control. 

PIPAC (Pressurized Intraperitoneal Aerosol Chemotherapy)
For recurrent or advanced abdominal cancers, PIPAC offers targeted chemo delivery as a fine mist—minimally invasive, repeatable, and with fewer side effects.  

Head and Neck Surgery

Thangam offers comprehensive surgical care for head and neck cancers, preserving both function and appearance.

  • Tumor removal with clear margins for oral cavity, larynx, pharynx, and thyroid cancers
  • Focus on voice, speech, and swallowing preservation
  • Reconstructive options for post-surgical defects
  • Neck dissection for lymph node involvement
  • Combined modality approach with radiation and chemotherapy
  • Specialized care to balance cure with quality of life.

Sentinel Node Biopsy

Sentinel Node Biopsy helps determine cancer spread with accuracy, while sparing patients from unnecessary surgery.

  • Identifies first lymph node(s) likely to be affected
  • Minimally invasive and highly targeted
  • Common in breast cancer and melanoma
  • Helps tailor the need for complete lymph node dissection
  • Reduces complications like lymphedema
  • Critical in cancer staging and planning the right treatment approach.

Chemoport & Access Procedures

For patients undergoing chemotherapy or long-term IV therapies, we ensure seamless vascular access.

  • Chemoport placement for safe and repeated drug delivery
  • PICC line and central line insertions done with precision
  • Minimizes discomfort and protects veins from damage
  • Outpatient or day-care procedures
  • Maintained and monitored by specialized nursing team
  • Reliable access for uninterrupted cancer care.

Plastic & Reconstructive Surgery

Plastic surgery is a specialized field that involves the restoration, reconstruction, or modification of the human body. During cancer treatment, it helps patients regain form, function, and confidence after treatments such as tumor removal or radiation therapy.

Thangam Cancer Center specialises in both Reconstructive Surgery & Cosmetic Surgery.

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