{"id":16809,"date":"2025-05-15T13:51:41","date_gmt":"2025-05-15T13:51:41","guid":{"rendered":"https:\/\/darkseagreen-pony-349255.hostingersite.com\/?page_id=16809"},"modified":"2025-06-21T10:14:02","modified_gmt":"2025-06-21T10:14:02","slug":"gastrointestinal-gi-cancer-surgery-lower-gi","status":"publish","type":"page","link":"https:\/\/drshivangshukla.com\/?page_id=16809","title":{"rendered":"Gastrointestinal (GI) Cancer Surgery &#8211; Lower GI"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_section][vc_row][vc_column][vc_single_image image=&#8221;16927&#8243; img_size=&#8221;full&#8221; onclick=&#8221;img_link_large&#8221; img_link_target=&#8221;_blank&#8221; css=&#8221;&#8221;][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Lower Gastrointestinal (GI) Cancer Surgery&#8221; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]<strong data-start=\"305\" data-end=\"336\">Colorectal and anal cancers<\/strong> are among the most common cancers worldwide, but they are also highly treatable\u2014especially when detected early. Surgical management plays a central role in treatment, offering a chance for cure in many cases. Our comprehensive approach combines cutting-edge surgical techniques with a strong focus on early detection, functional preservation, and long-term quality of life.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"717\" data-end=\"740\"><strong data-start=\"721\" data-end=\"740\">&#8211; Cancers Treated<\/strong><\/h3>\n<p class=\"\" data-start=\"742\" data-end=\"784\">We provide expert care for cancers of the:<\/p>\n<ol data-start=\"785\" data-end=\"820\">\n<li class=\"\" data-start=\"785\" data-end=\"796\">\n<p class=\"\" data-start=\"787\" data-end=\"796\"><strong data-start=\"787\" data-end=\"796\">Colon<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"797\" data-end=\"809\">\n<p class=\"\" data-start=\"799\" data-end=\"809\"><strong data-start=\"799\" data-end=\"809\">Rectum<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"810\" data-end=\"820\">\n<p class=\"\" data-start=\"812\" data-end=\"820\"><strong data-start=\"812\" data-end=\"820\">Anus<\/strong><\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"822\" data-end=\"954\">This includes both early-stage and locally advanced cancers, as well as recurrent or metastatic disease when surgery is appropriate.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"961\" data-end=\"996\"><strong data-start=\"965\" data-end=\"996\">&#8211; Surgical Procedures Offered<\/strong><\/h3>\n<p class=\"\" data-start=\"998\" data-end=\"1096\">Depending on the tumor\u2019s location, stage, and complexity, we offer several specialized procedures:<\/p>\n<ol data-start=\"1098\" data-end=\"1722\">\n<li class=\"\" data-start=\"1098\" data-end=\"1226\">\n<p class=\"\" data-start=\"1100\" data-end=\"1226\"><strong data-start=\"1100\" data-end=\"1113\">Colectomy<\/strong>: Removal of part (segmental colectomy) or all (total colectomy) of the colon, often performed for colon cancers.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1228\" data-end=\"1373\">\n<p class=\"\" data-start=\"1230\" data-end=\"1373\"><strong data-start=\"1230\" data-end=\"1262\">Low Anterior Resection (LAR)<\/strong>: Used for rectal cancers in the upper or mid-rectum, preserving bowel function and avoiding a permanent stoma.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1375\" data-end=\"1592\">\n<p class=\"\" data-start=\"1377\" data-end=\"1592\"><strong data-start=\"1377\" data-end=\"1413\">Abdominoperineal Resection (APR)<\/strong>: Involves removal of the rectum and anus, typically for low rectal or anal cancers where sphincter preservation is not possible. A permanent colostomy is required in these cases.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1594\" data-end=\"1722\">\n<p class=\"\" data-start=\"1596\" data-end=\"1722\"><strong data-start=\"1596\" data-end=\"1611\">Proctectomy<\/strong>: Removal of the entire rectum, sometimes part of a total mesorectal excision (TME) for advanced rectal cancer.<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"1724\" data-end=\"1835\">We aim to <strong data-start=\"1734\" data-end=\"1762\">preserve normal function<\/strong> wherever possible, using nerve-sparing and sphincter-sparing techniques.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"1842\" data-end=\"1892\"><strong data-start=\"1846\" data-end=\"1892\">&#8211; Advanced and Minimally Invasive Techniques<\/strong><\/h3>\n<p class=\"\" data-start=\"1894\" data-end=\"1966\">We routinely perform <strong data-start=\"1915\" data-end=\"1952\">laparoscopic colorectal surgeries<\/strong>, which offer:<\/p>\n<ol data-start=\"1967\" data-end=\"2097\">\n<li class=\"\" data-start=\"1967\" data-end=\"1986\">\n<p class=\"\" data-start=\"1969\" data-end=\"1986\">Smaller incisions<\/p>\n<\/li>\n<li class=\"\" data-start=\"1987\" data-end=\"2012\">\n<p class=\"\" data-start=\"1989\" data-end=\"2012\">Less postoperative pain<\/p>\n<\/li>\n<li class=\"\" data-start=\"2013\" data-end=\"2049\">\n<p class=\"\" data-start=\"2015\" data-end=\"2049\">Quicker return to daily activities<\/p>\n<\/li>\n<li class=\"\" data-start=\"2050\" data-end=\"2097\">\n<p class=\"\" data-start=\"2052\" data-end=\"2097\">Comparable oncologic outcomes to open surgery<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"2099\" data-end=\"2251\">In selected cases, <strong data-start=\"2118\" data-end=\"2144\">robot-assisted surgery<\/strong> or <strong data-start=\"2148\" data-end=\"2196\">transanal minimally invasive surgery (TAMIS)<\/strong> may also be considered for precision and preservation.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"3125\" data-end=\"3164\"><strong data-start=\"3129\" data-end=\"3164\">&#8211; Postoperative Care and Recovery<\/strong><\/h3>\n<p class=\"\" data-start=\"3166\" data-end=\"3230\">Post-surgical care is tailored to individual needs and includes:<\/p>\n<ol data-start=\"3231\" data-end=\"3439\">\n<li class=\"\" data-start=\"3231\" data-end=\"3271\">\n<p class=\"\" data-start=\"3233\" data-end=\"3271\">Pain management and early mobilization<\/p>\n<\/li>\n<li class=\"\" data-start=\"3272\" data-end=\"3299\">\n<p class=\"\" data-start=\"3274\" data-end=\"3299\">Bowel function monitoring<\/p>\n<\/li>\n<li class=\"\" data-start=\"3300\" data-end=\"3324\">\n<p class=\"\" data-start=\"3302\" data-end=\"3324\">Nutritional counseling<\/p>\n<\/li>\n<li class=\"\" data-start=\"3325\" data-end=\"3370\">\n<p class=\"\" data-start=\"3327\" data-end=\"3370\">Stoma education and support (if applicable)<\/p>\n<\/li>\n<li class=\"\" data-start=\"3371\" data-end=\"3439\">\n<p class=\"\" data-start=\"3373\" data-end=\"3439\">Regular follow-up with clinical exams, imaging, and CEA monitoring<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"3441\" data-end=\"3548\">Enhanced Recovery After Surgery (ERAS) protocols are followed to speed recovery and minimize complications.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"3555\" data-end=\"3585\"><strong data-start=\"3559\" data-end=\"3585\">&#8211; Expertise and Outcomes<\/strong><\/h3>\n<p class=\"\" data-start=\"3587\" data-end=\"3815\">With years of experience in managing complex colorectal and anal cancers, including difficult pelvic dissections, recurrent tumors, and post-radiation surgeries, we ensure patients receive evidence-based, multidisciplinary care.<\/p>\n<p class=\"\" data-start=\"3817\" data-end=\"4101\">Our work in <strong data-start=\"3829\" data-end=\"3864\">laparoscopic colorectal surgery<\/strong> and contributions to ongoing research and audits reflect a commitment to improving surgical outcomes. We have also participated in training programs and case presentations to enhance colorectal cancer awareness and treatment strategies.<\/p>\n<p data-start=\"3817\" data-end=\"4101\">Colorectal and anal cancers can be treated effectively with timely intervention and expert surgical care. With a focus on early detection, advanced minimally invasive surgery, and personalized treatment, we aim to help patients recover well and live fully after cancer treatment.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_section][vc_row][vc_column][vc_single_image image=&#8221;16927&#8243; img_size=&#8221;full&#8221; onclick=&#8221;img_link_large&#8221; img_link_target=&#8221;_blank&#8221; css=&#8221;&#8221;][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Lower Gastrointestinal (GI) Cancer Surgery&#8221; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]Colorectal and anal cancers are among the most common cancers worldwide, but they are also highly treatable\u2014especially when detected early. Surgical management plays a central role in treatment, offering a chance for cure in many cases. Our comprehensive approach combines cutting-edge surgical [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-16809","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages\/16809","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16809"}],"version-history":[{"count":5,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages\/16809\/revisions"}],"predecessor-version":[{"id":17026,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages\/16809\/revisions\/17026"}],"wp:attachment":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}