Open, Laparoscopic and Robotic Surgery for Colon and Rectum Cancer

It is called complete mesocolic excision with central vascular ligation, sometimes shortened to CME with CVL. The feeding blood vessels of the tumour are ligated right at their origin so that all the draining lymph nodes and the complete mesocolic fascia are removed together; this has been published in international journals and is associated with better survival than the standard technique.

If the liver metastases are limited, roughly one to three, and can be completely removed, liver metastasectomy can be done at the time of the primary surgery or as a second stage. If the liver is diffusely involved in both lobes, there is no role for curative surgery and only palliative chemotherapy is appropriate. If instead there is peritoneal-only spread with no other site involved, cytoreductive surgery combined with HIPEC gives a survival advantage of about fifty percent in colorectal cancer, provided the disease is limited and combined with chemotherapy before and after.

When a Jivo doctor partner has a relevant patient, they collect the case details and share the information with the Jivo team in advance. The patient is invited to the partner doctor's own clinic, where Dr. Yadav then joins the consultation by video call, so the consultation is guided jointly by doctors in both India and Africa.

Yes. The webinar recording link will be shared with participants, and Dr. Yadav's presentation, in English, will also be shared.

Nothing stops a doctor from referring the complex case to an Indian oncologist in parallel, so the patient has a second treatment pathway. Many patients from African countries who present to India face the same underlying problem: the evaluation, diagnosis and route to treatment usually takes a long time in the home country, and by the time they present to us the disease is already at an advanced stage, sometimes stage four with limited options.

Yes, laparoscopic surgery achieves equally good outcomes as open surgery, with the added benefit of a shorter hospital stay and better recovery.

Yes, robotic surgery has proved equally effective, and Max Hospital, Gurgaon operates the Da Vinci CXI system for these procedures.

All three achieve comparable oncological results, so the choice is increasingly guided by expected recovery time and what best suits the individual case.