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ONCOLOGY & CANCER CARE Procedure

da Vinci Robotic Surgical Oncology

Robotic Cancer Surgery utilizes the 4-armed da Vinci Xi surgical robot with Endowrist 3D 10x magnified vision to perform nerve-sparing radical resections of prostate, kidney, bladder, uterine, lung, and colorectal tumors through sub-centimeter incisions.

Robotic cancer surgery (da Vinci)
Robotic cancer surgery (da Vinci)

Clinical Overview & Disease Information

Robotic Cancer Surgery utilizes the 4-armed da Vinci Xi surgical robot with Endowrist 3D 10x magnified vision to perform nerve-sparing radical resections of prostate, kidney, bladder, uterine, lung, and colorectal tumors through sub-centimeter incisions.

Signs & Symptoms

Early Symptoms
  • Asymptomatic early tumor detected on routine screening
  • Elevated PSA or abnormal Pap smear
Common Symptoms
  • Hematuria (blood in urine) or pelvic pain
  • Abnormal uterine bleeding
  • Rectal bleeding or altered bowel habits
  • Solitary pulmonary nodule on chest CT
Emergency Symptoms
  • Acute urinary retention
  • Severe acute abdominal pain due to tumor perforation

Causes & Risk Factors

Primary Causes & Etiology

  • Localized Organ Malignancies (Prostate, Renal Cell, Endometrial, Colorectal, Lung Adenocarcinoma)
  • Early & Locally Advanced Solid Tumors

Who is at Higher Risk?

  • Patients requiring precise nerve preservation (potency/continence)
  • Obese patients with narrow pelvic anatomy

Diagnostic Evaluation & Testing

Diagnostic Test Clinical Purpose / What It Shows
Multiparametric MRI Pelvis / Prostate (mpMRI) Maps PIRADS score, extraprostatic extension, and neurovascular bundle proximity
3D PET-CT Whole Body Scan Confirms localized organ disease without distant metastasis

Comprehensive Treatment Options

da Vinci Xi Robotic Nerve-Sparing Radical Resection

Multi-port robotic radical prostatectomy, partial nephrectomy, or anterior resection with 7 degrees of freedom wrist motion.

Key Advantages:
Sub-millimeter dissection accuracy
Preserves urinary continence & erectile nerves
Blood loss < 100ml
Discharge home in 24-48 hours

Open Radical Cytoreductive Surgical Oncology

Traditional open abdominal sternotomy or laparotomy for bulky adherent tumors.

Recommended For:
Large bulky organ tumors (> 10cm)
Extensive retroperitoneal vascular invasion

Advanced Medical Technologies Available in Partner Hospitals

da Vinci Xi Robotic System Firefly Fluorescence Near-Infrared Vascular Imaging Robotic Staplers

Possible Complications If Untreated

Transient urinary incontinence
Lymphocele formation
Mild port site hematoma

Recovery Timeline, Diet & Lifestyle Care

Recovery Timeline

Procedure / Stage Expected Recovery Duration
Day 1 Post-Op Walking and oral liquids intake
Hospital Discharge 24 to 48 hours post surgery
Foley Catheter Removal 7 days
Full Return to Active Work 2 to 3 weeks

Recommended Post-Treatment Diet

  • High fiber soft diet
  • Adequate fluid intake (2.5L/day)
  • Protein rich wound healing foods

Essential Lifestyle Changes

  • Daily walking
  • Avoid lifting objects > 5kg for 4 weeks
  • Pelvic floor Kegel exercises
When to Contact a Doctor Urgently:
Fever > 101°F
Inability to urinate or catheter blockage
Wound discharge

Prevention & Long-Term Health

Annual PSA blood test for men over 50
Annual Pap smear & pelvic ultrasound for women

Frequently Asked Questions

Does the robot perform the surgery automatically?

No. The master surgical oncologist controls every micro-movement of the robotic arms from an ergonomic console.

Is nerve preservation better with robotic prostatectomy?

Yes. 3D 10x magnification allows precise separation of delicate cavernous nerves, maximizing potency recovery.

Top Recommended Specialists Available

Dr. Rajiv Sharma

Dr. Rajiv Sharma

Head – Interventional Radiology

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Dr. Gaurav Dixit

Dr. Gaurav Dixit

Head – Haematology Oncology & Bone Marrow Transplant (Unit II)

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Dr. Hari Goyal

Dr. Hari Goyal

Chief - Medical Oncology

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Dr. S Jayalakshmi

Dr. S Jayalakshmi

Chief - Radiation Oncology & CyberKnife Centre

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Dr. Syed Tauqueer Fazal

Dr. Syed Tauqueer Fazal

Head & Coordinator – Diagnostic Radiology

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Dr. Aditi Dixit

Dr. Aditi Dixit

Sr. Consultant – Women Imaging & Radiology

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Dr. Aditya Gupta

Dr. Aditya Gupta

Chairperson - Neurosurgery & CNS Radiosurgery & Co-Chief - Cyberknife Centre

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Dr. Biswajyoti Hazarika

Dr. Biswajyoti Hazarika

Head & Sr. Consultant - Head & Neck Surgical Oncology

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Dr. Deepa Goel

Dr. Deepa Goel

Head - Histopathology & Cytology Lab

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Dr. Deepak Jha

Dr. Deepak Jha

Chief - Breast Surgery & Sr. Consultant: Surgical Oncology

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Dr. Rahul Naithani

Dr. Rahul Naithani

Chief - Hematology, Oncology & Bone Marrow Transplant

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Dr. Rupinder Sekhon

Dr. Rupinder Sekhon

Chief - Gynae Oncology & Sr. Consultant: Surgical Oncology

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Dr. Sanjay Mehta

Dr. Sanjay Mehta

Chairperson - Radiology & Imaging

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Dr. Tapan Singh Chauhan

Dr. Tapan Singh Chauhan

Sr. Consultant - Surgical Oncology, Robotics, GI & HPB, Gynae & Peritoneal Surface Oncology

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Dr. Gurpreet Makkar

Dr. Gurpreet Makkar

Head Imaging & Chief DNB Program Director - Radiology

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Dr. Kamal Verma

Dr. Kamal Verma

Principal Consultant - Radiation Oncology

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Dr. Mukesh Patekar

Dr. Mukesh Patekar

Unit Head - Medical Oncology

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Dr. Namita Jaggi

Dr. Namita Jaggi

Chairperson - Lab Services & Infection Control; Chief - Education & Research

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Dr. Nandini Vasdev

Dr. Nandini Vasdev

Head Lab Medicine - Head Histopathology & Cytology

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Dr. Noaline Sinha

Dr. Noaline Sinha

Chairperson - Nuclear Medicine & Radio-Theranostics

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Dr. Parveen Yadav

Dr. Parveen Yadav

Chief & Senior Consultant - Minimal Invasive & Robotic Thoracic Onco Surgery

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Dr. Priya Tiwari

Dr. Priya Tiwari

Head - Medical Oncology

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Dr. Rajiv Sharma

Dr. Rajiv Sharma

Head – Interventional Radiology

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Dr. Ritika Singla

Dr. Ritika Singla

Sr. Consultant - Lab Medicine & Clinical Biochemistry

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Dr. Sandeep Goel

Dr. Sandeep Goel

Sr. Consultant - Radiation Oncology

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Dr. Subodh Chandra Pande

Dr. Subodh Chandra Pande

Chief - Radiation Oncology & Co-Chief - Cyberknife Centre

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Dr. Tajamul Syed Malik

Dr. Tajamul Syed Malik

Sr. Consultant - Nuclear Medicine & Molecular Imaging

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Dr. Vineeta Raina

Dr. Vineeta Raina

Sr. Consultant - Pathology & Hematopathology

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Dr. Y Naveen

Dr. Y Naveen

Head - Anesthesia for Oncology & Transplant

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Dr. Arun Singh Danewa

Dr. Arun Singh Danewa

Senior Consultant – Pediatric-Haemato-Oncology & Bone Marrow Transplant (Unit II)

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Global Cost Comparison Matrix

Procedure USA (Avg) India (ISG) Turkey (Avg) Thailand (Avg)
Robotic cancer surgery (da Vinci) $55,000 $9,500 $14,000 $16,000

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Commonly Prescribed Medications

  • Cefuroxime 1.5g IV
  • Paracetamol 1g as needed
  • Enoxaparin 40mg SC (DVT prevention)
  • Tamsulosin 0.4mg

International Patient Guide

Estimated Stay in India:
Pre-op MRI & Anesthesia Clearance 1 - 2 days
Robotic Surgery & Stay 2 - 3 days
Catheter Removal & Return Flight 7 - 10 days total stay
Documents to Bring:
  • Passport & Visa
  • Pelvic mpMRI & Biopsy CD
  • Medical Summary