CANCER- A MAZE ITSELF

 

The menace of cancer is itself very catastrophic and panicking. Every time people notice any symptom of developing cancer, negativity and helplessness carve the way, making treatment tough and time taking. Among all the prevalent forms of cancer, Oral cancer is the most common form of cancer in India. 130,000 people succumb to oral cancer in India annually. Of the total cancer cases that are likely to go up from 979,786 cases in the year 2010 to 1,148,757 cases in the year 2020, Cases of head and neck cancers are estimated to be 122,643 and 53,148 cases, respectively by 2020 which is alarming to a large extent. The reason for this high prevalence of oral cancer in India is primarily tobacco consumed in the form of gutka, quid, and snuff.

MEDICAL OPTIONS

Certainly many medical advances has gleamed a ray of hope among cancer patients. These days, many treatment options are available and the types of treatment that one receives will depend on the type of cancer and how advanced it is. Procedures like Surgery, Radiation Therapy, Chemotherapy, Immunotherapy, Hormone Therapy, Stem Cell Transplant and many others are opted for treatment plans. Surgery is one of the most common procedure and patients have an obvious fear and stigma attached to it. In order to increase the precision and success rate of surgery, much new medical advancement has been adopted in cancer treatment. Potential value of Trans oral robotic surgery (TORS) has been recently accepted and recommended. Robotic head and neck surgery is a safe, feasible, and minimally invasive alternative to classic open surgery or endoscopic transoral LASER surgery in patients with early cancer of the head and neck.

ROBOTIC SURGERY

Use of a surgical robot to aid in the removal tumours of the throat (pharynx), voice box (larynx) and mouth (oral cavity), which includes the tongue, base of tongue, tonsils, uvula, palate, epiglottis and hypopharynx, is very effective. The transoral robotic procedure enables surgeons to work from within a patient’s mouth, avoiding external incisions in the neck and jaw that can leave an individual with permanent scarring and difficulties in eating, speaking and swallowing.

The latest robotic technologies offer delicate, state-of-the-art procedures to more patients in more types of cases. With the high-precision robotic system, surgeons place slim instruments and a video camera into a patient’s mouth to reach the base of the tongue, tonsils and other areas of the throat. During the operative procedure, the surgeon sits at a controlling console across from the patient.

An assisting surgeon remains at the patient’s bed-side to re-adjust the instruments and camera as needed. The operating surgeon has a three-dimensional view of the operative field and controls the robotic instruments from the console, which replicate the surgeon’s hand movements with precision. The console’s computers track the hand movements, digitizing the information and enabling extraordinary surgical accuracy. The robot is not pre-programmed; it is entirely under the control of the surgeon.

The robotic-assist system provides surgeons with better-quality vision, enhanced dexterity and easier access to difficult-to-reach areas of the throat. It also avoids the disfiguring and traumatic aspects of traditional open surgery. For people suffering head and neck cancers, the benefits can be significant. Robotic procedures leave the jaw intact, avoid cranial nerves and shorten recovery times while also lowering the risk of complications.

Benefits to patient:
• Less blood loss
• Good cancer control
• Reduces or avoids need for chemo-radiation therapy
• Eliminates need for tracheotomy
• Lessens complications
• Reduced hospital stay
• Faster recovery and return to normal speech and swallowing
• No visible scarring or disfigurement

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