DIGESTIVE CANCER CARE

OVERVIEW

Cancer – an uncaring disease that doesn’t discriminate when choosing a victim is one of the leading cause of death worldwide. We at GEM Hospitals Chennai has a team of experienced doctors treating malignancies arising from esophagus to anus.
Our department is headed by most renowned and dynamic surgeon – Dr.C.Palanivelu, who has performed more than 5000 cancer surgeries successfully. We are a team of surgical , medical , radiation oncologists, along with cancer specific nutritionist, physiotherapist.
Clinical details of each patient will be reviewed by a team of oncologists in a multi disciplinary tumor board meeting , where the best treatment options will be discussed and advised to the patient.
Post cancer therapy each patient will be reviewed on regular basis, with an emphasis on detecting the recurrences and dealing with post cancer therapy related symptoms.
We conduct a regular meets with cancer survival patients and screening programs whch helps in creating cancer awareness in the society.

DISEASES TREATED

Esophagus
  • Cancer esophagus
  • Esophagus GIST
  • Rare tumors like Sarcomas, Neuro-endocrine
Gastro –esophageal junction malignancies
Stomach
  • Carcinoma Stomach
  • GIST of Stomach
  • Malignant and pre malignant polys
Hepato- Biliary
  • Carcinoma Gall Bladder
  • Premalignant polyps
  • Liver tumors
  • Peri ampullary cancers
  • Biliary tract cancers – cholangiocarcinoma
  • Carcinoma head of pancreas
  • Distal pancreatic tumors
  • Neuro endocrine tumors of pancreas
  • Cystic neoplasm of pancreas
Small Bowel
  • Small bowel adenocarcinoma
  • Carcinoid tumors
  • Neuro endocrine tumors
Appendix
  • Adenocarcinoma of appendix
  • Mucinous neoplasms of appendix
  • Carcinoid tumors
Colo Rectal
  • Carcinoma Colon- Ascending, Transverse, Descending, Sigmoid
  • Carcinoma Rectum
  • GIST – Colon & Rectum
Peritoneum
  • Primary peritoneal cancer
  • Pseudomyxoma peritonei
  • Peritoneal mesothelioma

DIAGNOSTIC MODALITIES

  • Upper G.I Endoscopy (OGD)
  • Colonoscopy
  • Endoscopic Ultrasound (EUS)
  • Barium/Gastrograffin Swallow & Follow-through Studies
  • Ultrasound of Abdomen (USG)
  • Multidetector Computerized CT Scan with Cancer Specific Protocols
  • Laparascopic Ultrasound
  • Intraopeartive ultrasound

SURGERIES PERFORMED

Laparoscopic & Robotic Esophagectomy
Laparoscopic & Robotic gastrectomy – Distal, total , segmental
Laparoscopic & Robotic Whipples
Laparoscopic & Robotic Distal pancreatectomy
Laparoscopic & Robotic liver resections – hepatectomy
Laparoscopic & Robotic Radical cholecystectomy
Laparoscopic & Robotic small bowel resections
Laparoscopic & Robotic cyto reductive surgery
HIPEC
Laparoscopic & Robotic colectomy
  • Right/ extended Right Hemicolectomy
  • Left/extended Left Hemicolectomy
  • Transverse colectomy
  • Segmental colectomy
  • Subtotal/ Total colectomy
  • Sigmoid colectomy
Laparoscopic & Robotic – Rectal surgery
  • Anterior Resection (AR)
  • Low Anterior Resection (LAR)
  • Ultra Low Anterior Resection (ULAR)
  • Abdomino-perineal resection (APR)
  • TAMIS- Trans Anal minimally invasive surgery
Laparoscopic & Robotic Total Proctocolectomy with ileal-anal anastomosis
Robotic/Laparoscopic Resection of Gastrointestinal Stromal Tumours (GIST) & Neuroendocrine Tumours(NET)

GEM Expertise

  • Centre with the largest experience of Laparoscopic Whipple’s procedure for pancreatic cancer , considering that the first totally Laparoscopic Whipple’s procedure in the world was performed by the chairman Prof.C.Palanivelu in 1998.
  • Only centre to offer both Laparoscopic & Robotic surgery for complex and locally advanced cancer surgeries.
  • Advanced 3D , 4K & Robotic surgical platforms available for performing complicated and prolonged cancer surgeries.
  • Sophisticated cutting edge technology available like ICG (Indocyanine green ) guided Laparoscopic Liver and Bile duct resections.
  • Robust Therapeutic Endoscopic team available for performing adjunct procedures like ERCP, EUS & Spyglass cholangioscopy.
  • Dedicated 24 hour ,state of the art ICU with round the clock intensivists.
  • Comprehensive team of Interventional Radiologists to perform complex percutaneous therapeutic interventions for liver and pancreatic diseases.

Dr. PALANIVELU’S TECHNIQUE of Right Hemicolectomy - IRETA

Our GEM hospitals has introduced a newer way of Initila reteoileal endocopic tunneling approach – helps in easy identification of critical structures like duodenum and operating complex tumors of rt colon.

Dr. PALANIVELU’S TECHNIQUE of Esophagectomy

Open esophagectomy is associated with considerable morbidity in terms of respiratory complications and prolonged hospital stay.
Dr. C. Palanivelu innovated a ‘prone position technique’ of Thoraco-laparoscopic esophagectomy, which reduced overall morbidity and encouraged early discharge from hospital.
This is the most popular approach currently and is being followed as a standard of care globally.

“GEM technique of Esophagectomy is recognized as the World's Best”

GEM EXPERTS

  • Dr C. Palanivelu MS, MCh, FRCS
  • Dr Palanisamy Senthilnathan MS, DNB (G.I. Surgery),FRCS, FACS, FMAS
  • Dr Pinak Dasgupta MS, FNB (Minimal Invasive Surgery) , FACRSI, FMAS
  • Dr.S.Srivatsan Gurumurthy- M.S, DNB (G.I. Surgery), FMAS, FMIAS
  • Dr.Srinivasan Muthukrishnan M.S, Mch, FACS, FMAS
  • Dr Niranjan Ravuri MS, M.Ch (Surgical Gastroenterology)
  • Dr Ajay Pai MS, M.Ch (Surgical Gastroenterology
  • Dr.Sreeram Seshadri M.S, DNB (G.I.Surgery)
  • Dr Rejiv Rajandranath MD,DM, DNB – Medical Oncology

DR. C. PALANIVELU

MS, MCh, DNB, FACS, FRCS(Hon) Ed.,
  • Chairman – GEM Hospital and Research Centre
  • Professor & Director – Institute of Gastroenterology & Minimal Access Surgery
  • Managing Trustee – GEM Digestive Diseases Foundation – Charitable Trust

Dr. P. SENTHILNATHAN

MS, DNB, MRCS, DNB (GI Surgery)
Head, Department of HPB Surgery,Department of Minimal Access Surgery & Liver Transplantation

Dr. PINAK DASGUPTA

MS, FNB, FACRSI, FMAS, EFIAGES
Head & Chief Consultant – Colorectal and Abdominal Wall Reconstruction Surgery

Dr. S. SRIVATSAN GURUMURTHY

M. S. DNB (SGE) , FMAS, FMIAS
Consultant Surgical Gastroenterology & Hepatobiliary Pancreatic Surgery

Dr. R. NIRANJAN

MS, MCh, DMAS, FMAS
Consultant Colorectal and Abdominal Wall Reconstruction Surgery

Dr. G. AJAY PAI

MS, MRCS, MCh (SGE), FMAS. FACRSI, FALS (COLORECTAL SURGERY)
Consultant Colorectal and Abdominal Wall Reconstruction Surgery

Dr. SREERAM SESHADRI

M.S., DrNB (SGE), FMAS, Post Doctoral Fellowship (PDF) in Minimally Invasive Esophageal Surgery
Consultant Surgical Gastroenterology & Hepatobiliary Pancreatic Surgery

Dr. SRINIVAASAN MANI

M.S., M.Ch,(SGE)
Consultant Surgical Gastroenterology, Hepatobiliary Pancreatic Surgery & Surgical Gastro Oncology

Medical Oncology

Dr. REJIV RAJANDRANATH

MD,DM, DNB – Medical Oncology
Consultant Medical Oncologist
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