Surgical Oncology

 

About the Department:

 

Surgical Oncology is a super specialty available in few centers and the training for superspecialists are available only in three places in India.  The Department of Surgical Oncology in NIMS has established itself as an important major specialty in this institute with the statistics averaging more than 7000 out patients, 1500 in patient and, about 1800 surgeries including 650major surgical procedures over one year.  The surgeries performed are major gastro-oesophageal, hepatobiliary, pancreatic, colorectal, genitourinary, gynecological, head and neck, endocrine and musculoskeletal tumors apart from attending general surgical emergencies.

 

The radical and innovative surgeries like isolated limb perfusion for melanomas, soft tissue tumors of extremities, preoperative regional chemotherapies and surgeries for GI malignancies are routinely done.  The Department is conducting regular cancer detection and screening camps and educational programs for the general public at various places across Andhra  Pradesh and neighbouring states.

 

Academically the department has kept progress by training the post doctoral fellows in surgical oncology and planning to start M.Ch course soon.  Continuing Medical Education programs have been conducted every year regularly for the past four years in the institute.  We started Rehabilitation Program for Cancer patients and  clinical Research on Immuno-therapy and Molecular treatment.  M.Ch Course will be started Faculty of the department, have participated as guest faculty and examiner for different institutions in India and abroad.  The training programmes for post graduates of general surgery, neurosurgery, maxillo facial surgery, AFRCS, visiting surgeons, oncologists from different states are being regularly organised in surgical oncology.


Patient Education  – On cancer and preventing aspect of cancer. Out Reach Programs;  Cancer camps – Conducted at various places in the state.

 

Faculty:

 

1.         Professor  and Head of  Department  -    Dr G. Suryanarayana Raju

 

2.                  Associate Professor

 

3.                  Assistant Professor                                  

 

3.                  Fellows                                     1.  Dr. Rajashekhar

 2.  Dr. Sharn Kumar

 

4.                  Senior Residents                        1. Dr. Pradeep Keshari

 2. Dr. Sanjay M.Gawale

 3. Dr. Wahid Mir

        

5.   Supporting Staff

      -  G. Srinviasa Murthy,  Personal Secretary

      -  P. Sai Reddy,  Theatre  Assistant

      -  R. Murthy Babu, Attender

 

Courses Offered:

 

Fellowship in Surgical Oncology

 

Cancer rehabilitation Therapy course

 

      Cancer Rehabilitation Therapists

                         1.D.Hari Shankar

                         2.Nuzhath Naheed

                         3.Amarnath

                         4.Kranthi Kumar

 

Major State of  art equipment:

 

Equipment  and Material       - Laparoscopic surgery facility

                        - Harmonic Scalpel.

 

Specialised procedures:

 

Patient care and special proceduresProcedures:

1.      Oncology surgeries and General Emergency surgeries.

 

2.      Laparoscopic Surgeries for Cancer:- These procedures are done only in few centers in the country. Surgeries being performed:

Nephrectomy, Oophrectomies, Abdominoperineal resection, Excision of pelvic tumours, Laparoscopic mobilisation of stomach for radical gestrectomies and  oesophagectomies

3.      Intra-arterial regional chemotherapy for advanced cancer stomach.

 

4.      Isolated limb perfusion for extremity melanoma/ sarcomas.

 

5.      Minor OT procedures (Diagnostic and therapeutic).

 

 Research Projects:

 

1)      “Utility of CK19 in the diagnosis of Follicular variant of papillary thyroid cancer”.

2)      “An observational  study on archived formalin fixed paraffin embedded (FFPE) tissue to evaluate molecular markers of disease progression and response to therapy in breast cancer” (On going)

3)      “An observational longitudinal study to evaluate Molecular markers of disease staging, progression, outcomes and treatment response in colorectal carcinoma”

 

OUT PATIENT SERVICES:

 

Morning General Op:

Tuesday, Wednesday and Friday

Surgical Oncology and General Surgery

Most of the patients come by referral system form all over the state and also from neighboring states of Andhra Pradesh.  Regular examination, expert care of cancer and General Surgical care on cancer is taken.  Significant number of persons come for screening of breast and uterine cervical cancers and awareness.

 

Emergency General Surgery call days 24 hours coverage:

Tuesday,  Wednesday,  Friday and alternate Sundays:

 

Evening Clinic:  Special Clinic of Surgical Oncology:

Monday to Friday between 4.30 PM to 7.30 PM

 

WORK LOAD YEAR WISE and STATISTICS from 1999 to 2005:

Work Load

 

1998

1999

2000

2001

2002

2003

2004

2005

Out Patients

3458

3540

4168

4037

5154

4838

6279

7666

Admissions

 

 

 

594

618

571

689

764

Surgery Total

1096

1090

1079

1183

1227

1221

1768

1899

Minor Surgeries

808

770

731

712

753

763

1207

1287

Major Surgeries

288

320

348

471

474

458

561

612

Emergencies

54

73

53

58

77

54

85

99

Deaths

 

 

 

 

 

7

14

13
 

 

 

 

 

 

 

 

Current Academic Activities-

1.      Fellowship programme in Surgical Oncology  - One year course 2 candidates per annum.

2.      Paramedical:  Cancer Care Rehabilitation  Training

3.      Senior Residents: Learn academic and practical surgical training in surgical oncology

4.      Weekly Academic Program:

 

Tuesday

8.00 -10.00a.m 

3.00 - 4.00p.m.

Bed side Discussions

Tumor Board/ Seminar

Thursday

3.00 – 4.00 p.m.

GE- SOG- Radiology Rounds

Friday

8.00 -10.00a.m 

12.00 – 1.00p.m.

3.00  - 4.00 p.m.

Bed side Discussions  

Journal club

Surgical  Pathological  Conference

Saturday

8.00 – 9.00 a.m.

9.00 – 9.30.a.m.

9.30 – 12.00p.m.

Seminar

Audit & Statistics

Grand Rounds

 

Patient care Infrastructure

OP Out Patient - We  have  daily  out  patient services along with  emergency general surgical services.

IP Beds -  Total 25  Beds (Gen Wards  + Surgical ICU)

Paying  rooms- 5 to 10  patients

Intensive Care Beds-  5

OT Tables  - 6 Per  week

 

Academic Distinctions  and Achievements:

 

Dr.  G.  Suryanarayana Raju:

 

  1. DNB Inspector – Appointed to study the infrastructure available for accreditation of D N B Course in Surgical Oncology at Cancer Centre, Welfare Home and Research Institute, Kolkata, in 2004.

  2. Vice president elect, Association of  Ostamates of AP for 2000 – 2004.

  3. Executive Member,  Association of Surgeons of India AP Chapter 2003-2004.

  4. Life Member, Twin cities Surgeons forum, Hyderabad.

  5. Life Member, Association of Minimum Access Surgeon of India.

  6. President: Faculty Association 2005 – 2006

  7. Prof. G.Suryanarayana Raju:  Elected as Joint Secretary , Association of Surgeons of India, A.P.Chapter during the years 2005 – 2007.

  8. Prof. G.Suryanarayana Raju:  Elected as President , NIMS Faculty Association

  9. Elected as Joint Secretary: Association of Surgeons of India, AP Chapter  for the years 2005-2007

 

Award & Gold Medal:

 

Prof. G.Suryanarayana Raju: 

1)      Received “Vydyasiromani” Award on the occasion of Doctors Day Celebrations on 30.06.2005 held by Navakalavedika at Jubilee Hall, Hyderabad

2)      Received “Rashtriya Rattan Award  & Gold Medal”  and “A Certificate of Excellence in Medical Science” at New Delhi on 12.02.2006 from International Study Circle, New Delhi.

Attended the Seminar on “Role of Medical Professionals towards Society held on 13th February, 2006 at New Delhi.

 

 Examiner:

 

1.         M.S.(General Surgery) Rajiv Gandhi University of Health Sciences, Karnataka. 2000-2004

 

2.         M.Ch. (Surgical Oncology), The Tamilnadu  Dr. M G R Medical University, Chennai. 1996-2004.

 

3.                  M.Ch. (Surgical Oncology), The Gujarat University, Ahmedabad  2004.

 

4.                  M.Ch., (Neuro Surgery), Nizam’s Institute of Medical Sciences, Hyderabad.

 

5.                  Appointed as Inspector for National Board of Examinations to inspect Sri Gokulam Hospital, Salem on 26th ad 27th August, 2006.

  

CME & work shops Conducted:

 

1.                   1st  Surgical Oncology Workshop on Gastro Esophageal Cancer on 19th and 20th December 1999.

 

2.                   2nd Surgical Oncology Workshop, Minimally Invasive Surgery for Cancer, on 17-4-2004. 

 

3.                   3rd Surgical Oncology Workshop, ASICON 2004 on 25-12-2004

 

  

CME & work shops Attended:

 

1.                  Laparoscopic Surgery in Cancer, A surgical Workshop at Cancer Institute, Chennai on 3rd to 5th February, 2004.

 

2.                  Golden Jubilee Scientific Programme at Cancer Institute, Chennai on 7th to 8th February, 2004

 

3.                  Indo Japanese Thoraco-Laproscopic Cancer Surgery Workshop-2004, Ahmedabad 30th July-1st August 16, 2004.

 

Guest Lectures Delivered:

 

1.                  Chaired a session on Cancer pattern, Trend and Survival in India, less developed and more developed countires at Golden Jubilee Scientific Programme at Cancer Institute, Chennai on 8th February, 2004.

 

2.                  Multiple Primary Cancers, a case report at ASI, AP Chapter on 25th May, 2004.

 

3.         Association of Apolipo protein E Polymorhism with Breast Cancer,  International Conference on Human Genome Update on 28th- 30th August 2004 at Hyderabad.

 

4.                  Surgery and isolated lump perfusion in management of malignant melanoma of extremities –An experience. ASI APCON, Bhimavaram,  September, 2004.

 

5.                  Chaired a session on Oncology and surgery at ASI APCON, Bhimavaram,  September, 2004.

 

6.                  Performed Live demonstration of Radical Surgery for Carcinoma Colon; at Pre-conference CME Surgical Workshop at ASI AP, Bhimavaram in September 2004.

 

7.                  Chaired three sessions on short papers :sessions 12, 13, 16 during ASICON 2004 at Hyderabad on 29tth DEC 2004.

 

8.                  Paper presented on “Tumors of Small Bowel” at NATCON 2005,  IASO Annual Conference at Kodaikanal on 25-9-2005

 

9.                  Breast Cancer management by a practitioner and a Surgeon  -A Guest Lecture at IMA Bhimavaram on 18-9-2005

 

10.              Cancer and Women in India – A Guest Lecture at BHEL Hyderabad on 26-11-2005

 

11.              Attended the conference at Egypt in Intensive Care Management of Cancer Patients between 13th and 16th August, 2006.

 

12.              Attended XXIX Annual Conference & South Zone Conference held  at Gandhi Hospital, Secunderabad from 8th – 10th September, 2006.

 

Publications:

 

1.                  Abdominal cocoon due to primary peritonitis:  Barium meal is valuable in Diagnosis. Tropical Gasroenterology, Vol 25, No 2.  April-June 2004

 

2.                  Abstract: Association of Apolipo protein E Polymorhism with Breast Cancer,  International Conference on Human Genome Update on 28th- 30th August 2004 at Hyderabad.

 

3.                  Surgery and isolated lump perfusion in management of malignant melanoma of extremities –An experience.  Proceedings of ASI APCON, September, 2004. Bhimavaram.

 

 Public Education and Cancer Camps:

 

Patient Education & Out Reach Programs –  Public education on cancer and preventive aspects of cancer.

 

Cancer camps – Conducted at various places in the state.

 

1.                  Monthly Cancer screening camps have been conducted at Akividu, West Godavari Dt. For the last 12 Years and examined about 5000 patients.

 

2.                  Multi Specialty Medical  Camp at Akividu W G Dt on 1st February 2004.

 

3.                  Mega Health Camp “ Swasthya Jagruha Maa” organized by Union Minister for Rural Development at Bhimavaram,  2nd  February 2004.

 

4.                  Conducted Cancer awareness Programmes and Lectures delivered at various schools, colleges and public meetings  on Preventive aspects of Cancer.

 

5.                  Cancer awareness Programmes and Lectures delivered in All India Radio and Dooradarshan.

 

6.                  Articles published in general magazines on cancer prevention and education of public.

 

7.                  Organised a multi-speciality Medical Camp on 19.02.2006 at Akividu, W.G.District, various specialists have been participated from NIMS, About 3000 patients have attended the camp.  Some of the patients have received IP treatment in NIMS.

 

8.                  Organised a multi-speciality Medical Camp on 04.10.2006 at  Neelakanta Puram, Ananthapur District, various specialists have been participated from NIMS,  About  4000 patients have attended the camp.  

 

Future Plans:

 

1.                  Academic: To start M.Ch.,  in Surgical Oncology from academic year 2004-05 onwards.

 

2.                  Building:  To have exclusive floor for OT’s, Cancer procedures, ICU and General Wards.

 

3.         Equipment: The following are in pipeline to acquire soon

·  Laser

·  Radiofrequency ablator

·  Intraoperative USG

·  Calposcope