నా దగ్గరికి వచ్చే చాలా మంది రోగులు "laparoscopic surgery possible అవుతుందా" అని అడుగుతారు. వారు ఇప్పటికే Google లో చదివారు. Smaller cuts. Faster recovery. Less pain. అది నిజం. కానీ వారు ఒక ముఖ్యమైన విషయం miss చేశారు: cancer surgery లో laparoscopic approach అంటే only technique కాదు, ఒక clinical judgment. సరైన case లో, సరైన stage లో, సరైన anatomy తో laparoscopic approach genuinely better outcomes ఇస్తుంది. Wrong case లో అది compromise.
Most patients who come to me have already Googled laparoscopic surgery. They know about smaller cuts, faster recovery, less pain. That is all true. But they have missed one critical piece: in cancer surgery, laparoscopic is not just a technique, it is a clinical judgment. In the right case, right stage, right anatomy, laparoscopic gives genuinely better outcomes. In the wrong case, it is a compromise. My FALS Oncology training is specifically about making that judgment correctly.
నేను FALS Oncology fellow అయ్యాను ఒక specific reason తో: laparoscopic surgery ని cancer surgery కి safely apply చేయడం different skill set అవసరం. General laparoscopy వేరు, oncological laparoscopy వేరు. Cancer surgery లో margins clear అయ్యాయా, lymph nodes properly addressed అయ్యాయా, disease spread అయిందా లేదా అనే oncological principles laparoscopic approach లో కూడా equally apply చేయాలి. అది నేను trained అయిన దానికి.
I completed FALS Oncology for a specific reason: applying laparoscopic surgery safely to cancer requires a different skill set than general laparoscopy. In cancer surgery, the oncological principles must remain intact regardless of the approach. Clear margins, proper lymph node assessment, avoidance of disease spread. FALS Oncology training is specifically about maintaining these principles while using minimally invasive techniques. That is what distinguishes laparoscopic cancer surgery from general laparoscopic procedures.
ఒక విషయం నేను honest గా చెప్పాలనుకుంటున్నాను: నేను laparoscopic approach promote చేయటం లేదు. నేను appropriate approach promote చేస్తున్నాను. మీ case కి laparoscopic best option అయితే, నేను దాన్ని recommend చేస్తాను. Open surgery better అయితే నేనూ అదే చెప్తాను. Patient కి best outcome అంతే నా goal.
I want to be honest about something: I am not promoting laparoscopic surgery. I am promoting the appropriate approach. If laparoscopic is the best option for your case, I will recommend it. If open surgery gives better outcomes for your specific situation, I will tell you that directly. My goal is the best outcome for you, not the most technologically impressive surgery.
"Laparoscopic surgery cancer లో అంటే only technique కాదు, ఒక clinical judgment. FALS training అంటే ఆ judgment correctly చేయడం."
"Laparoscopic surgery in cancer is not just a technique. It is a clinical judgment. FALS training is specifically about making that judgment correctly."
Dr. Vajja Sandeep Kumar, Surgical Oncologist, CION Cancer Clinics