Gastrointestinal Oncosurgery is a subspecialty, which deals with the surgical management of cancer of esophagus, stomach, small bowel, colon, rectum, anal canal, gall bladder & biliary tract, pancreas and liver. Rajiv Gandhi Cancer Institute and Research Centre is the first institute in Delhi NCR to have a specialized unit of gastrointestinal surgeons with special interest in GI cancers for the management of these cancers. Multidisciplinary team involved in the management of GI and HPB (hepatopancreatobiliary) cancers consists of gastrointestinal surgeon, medical oncologist, radiation oncologist, intervention radiologist, gastroenterologist, hepatologist, nuclear medicine experts, GI pathologist and a stoma therapist. All complex cases are discussed in multi-disciplinary GI and HPB tumor board which is conducted weekly.
For the last one decade this multi-disciplinary team has been providing state of art evidence-based cancer care, at par with international standards, for GI and HPB malignancies. As a result, RGCIRC is one of the highest volume centers for GI and HPB cancer surgeries in India. The department has also pioneered in starting minimally invasive surgery for GI/HPB malignancies especially laparoscopic/robotic resection of colorectal cancers, robotic esophagectomies and robotic liver resections.
The department offers a specialized Liver clinic for the patients of liver tumors such as hepatocellular carcinoma, metastatic tumor, intrahepatic cholangiocarcinoma and neuroendocrine tumors. Ours is the first center in India to have facility of ICG test and mebrofenin scan – quantitative liver function tests, which helps in selecting patients for safe liver surgery. We have a state of art Interventional radiology department providing all facilities like PTBD (percutaneous transhepatic biliary drainage) and PVE (portal vein embolization). Department offers whole spectrum of non- surgical treatments available for liver tumors including radiofrequency ablation, intra-operative ultrasound, TACE (Trans arterial chemoembolization), TARE (Trans arterial radioembolization) and SBRT for liver tumors. We are also performing deceased donor liver transplant (DDLT) and Living donor liver transplant (LDLT) for chronic liver disease and hepatocellular carcinoma.
Northern India is one of the areas with highest prevalence of gall bladder cancer in the world. As a result, RGCIRC caters to a large number of gall bladder cancer cases. We have adopted many recent advances in the treatment of gall bladder cancer like use of PET scan in preoperative evaluation, neoadjuvant therapy, anatomical segment IVb/5 resection using Intra operative ultrasound and aggressive surgical management for locally advanced gall bladder cancer (preoperative biliary drainage, portal vein embolization and major hepatectomy or multivisceral resection).
Management of locally advanced pancreatic cancers with the use of neoadjuvant chemotherapy or chemoradiotherapy and vascular resections.
Our department is offering comprehensive care for patients with stage 4 colorectal cancers with liver/lung or peritoneal metastases including neoadjuvant therapy, staged resections, intra operative radiofrequency or microwave ablation of liver metastases, metastatectomy for lung lesions and HIPEC. We also offer sphincter saving procedures for low rectal tumors and extralevator abdominoperineal resection (ELAPE) with reconstruction using biological mesh or pelvic exenteration procedures for locally advanced rectal tumors.
We are the first center in India to have a dedicated HIPEC machine in 2012 and to start CRS(cytoreductive surgery) and HIPEC (Hyperthermic intra-peritoneal chemotherapy) for gastrointestinal malignancies. Recently department has also started PIPAC (Pressurized intraperitoneal aerosolized chemotherapy) for peritoneal carcinomatosis.
Our department is offering robotic surgery for GI and HPB malignancies since 2012 including robotic esophagectomy, robotic gastrectomy, robotic colorectal resections and robotic liver resections. Our department is one of the highest volume Centre in the country for robotic esophagectomies.
The department has been actively involved in teaching and training of DNB trainees as a part of the DNB surgical Oncology course of the institute. The GI and HPB Oncosurgery department also offers, Indian Medical Association accredited one year fellowship in GI and HPB Oncosurgery and have trained many national and international surgeons in the intricate field of GI and HPB Oncosurgery. Our faculty has been participating in various capacities at national and international medical conferences.
The department is also actively involved in research on various aspects of GI and HPB malignancies ranging from basic science to clinical studies. We have been part of many multicentric national and international trials The department is credited with a large number national and international publications in reputed medical journals.