{"id":5318,"date":"2021-05-05T10:31:44","date_gmt":"2021-05-05T10:31:44","guid":{"rendered":"https:\/\/tmckolkata.com\/in\/?page_id=5318"},"modified":"2023-12-08T09:55:31","modified_gmt":"2023-12-08T09:55:31","slug":"department-of-gi-surgery","status":"publish","type":"page","link":"https:\/\/tmckolkata.com\/in\/department-of-gi-surgery\/","title":{"rendered":"Department of GI Surgery"},"content":{"rendered":"<div id='av-layout-grid-1'  class='av-layout-grid-container av-kob4sql8-b884b6a5d03ee18003a56d100e952752 entry-content-wrapper main_color av-flex-cells  avia-builder-el-0  el_before_av_layout_row  avia-builder-el-first   container_wrap sidebar_right'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" 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.av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-kob4ui4z-cdaae2282fdfb724cc29769339a1bcb6 .av-special-heading-tag{\nfont-size:40px;\n}\n.av-special-heading.av-kob4ui4z-cdaae2282fdfb724cc29769339a1bcb6 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-kob4ui4z-cdaae2282fdfb724cc29769339a1bcb6 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-kob4ui4z-cdaae2282fdfb724cc29769339a1bcb6 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-kob4ui4z-cdaae2282fdfb724cc29769339a1bcb6 av-special-heading-h3 blockquote modern-quote  avia-builder-el-2  avia-builder-el-no-sibling  av-inherit-size'><div class='av-subheading av-subheading_above'><p>Department of<\/p>\n<\/div><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >GI-HPB Surgery<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-70eel2-1eb9a46c8463b33728aada1469322ea8\">\n.flex_cell.av-70eel2-1eb9a46c8463b33728aada1469322ea8{\nvertical-align:middle;\nheight:400px;\nmin-height:400px;\nbackground:url(https:\/\/tmckolkata.com\/in\/wp-content\/uploads\/2021\/05\/surgery.jpg) 0% 0% no-repeat scroll ;\n}\n.responsive #top #wrap_all .flex_cell.av-70eel2-1eb9a46c8463b33728aada1469322ea8{\npadding:80px 80px 80px 80px !important;\n}\n<\/style>\n<div class='flex_cell av-70eel2-1eb9a46c8463b33728aada1469322ea8 av-gridrow-cell av_one_half no_margin  avia-builder-el-3  el_after_av_cell_one_half  avia-builder-el-last  content-align-middle'  ><div class='flex_cell_inner'><\/div><\/div>\n<\/div>\n<div id='av-layout-grid-2'  class='av-layout-grid-container av-63mhqe-0a9a4c445ea63e52197681e0b0b67722 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avia-no-border-styling  avia-builder-el-9  el_after_av_layout_row  avia-builder-el-last  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-5318'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6odsm-05c1fcd1ec077322613a13e4c9bd7ab2\">\n.flex_column.av-6odsm-05c1fcd1ec077322613a13e4c9bd7ab2{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-6odsm-05c1fcd1ec077322613a13e4c9bd7ab2 av_one_full  avia-builder-el-10  el_before_av_one_third  avia-builder-el-first  first flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kob4yq3w-be5ae0cbbc465e5da6571ba26e22c144\">\n#top .av-special-heading.av-kob4yq3w-be5ae0cbbc465e5da6571ba26e22c144{\nmargin:10px 10px 10px 10px;\npadding-bottom:1px;\n}\nbody .av-special-heading.av-kob4yq3w-be5ae0cbbc465e5da6571ba26e22c144 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kob4yq3w-be5ae0cbbc465e5da6571ba26e22c144 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kob4yq3w-be5ae0cbbc465e5da6571ba26e22c144 av-special-heading-h4  avia-builder-el-11  el_before_av_textblock  avia-builder-el-first '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Department of GI-HPB (Gastro-intestinal and hepato-pancreatico-biliary) Surgery<\/h4><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kob50ro5-65934cf914d90d7bcc88cb9abdda99b4 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>About the Department:<\/strong><\/p>\n<p style=\"text-align: justify;\">The Department of GI-HPB surgery is one of the six units of the larger Division of<a href=\"https:\/\/tmckolkata.com\/services\/GI-HPB Surgery.ppsx\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-6342 alignright\" src=\"https:\/\/tmckolkata.com\/in\/wp-content\/uploads\/2021\/06\/Badge.png\" alt=\"\" width=\"262\" height=\"100\" srcset=\"https:\/\/tmckolkata.com\/in\/wp-content\/uploads\/2021\/06\/Badge.png 262w, https:\/\/tmckolkata.com\/in\/wp-content\/uploads\/2021\/06\/Badge-260x100.png 260w\" sizes=\"auto, (max-width: 262px) 100vw, 262px\" \/><\/a> Surgical Oncology in this tertiary care oncology hospital of Eastern India. As it steps in to its second decade, the unit boasts of a cohesive team of five full time Consultant Surgeons and six Fellows delivering high quality surgical service. In order to offer specialised surgical care, the unit is functionally divided in to three sub-specialities:<\/p>\n<p>(1) Upper gastrointestinal, thoracic and peritoneal surface oncology<\/p>\n<p>(2) Hepato-pancreatico-biliary surgery<\/p>\n<p>(3) Colorectal surgery<\/p>\n<p style=\"text-align: justify;\">The unit performs the entire gamut of operations for cancer of the GI tract and HPB organs: oesophagectomy, gastrectomy, pancreaticoduodenectomy, hepatectomy, radical cholecystectomy, colectomies and rectal resections etc. These cancers often spread to the peritoneum, the lining of the abdominal cavity, thereby precluding the possibility of being cured. But in selected patients cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) may be performed with curative intent: the surgical unit has considerable expertise in this area. While a large number of surgeries for colon and rectal cancer are performed by laparoscopic (key-hole) technique, the Da Vinci robot will be increasingly used in the future.\u00a0 It also boasts of using the CUSA routinely for liver operations. In addition surgery for lung and mediastinal cancers are also performed. The unit is also preparing to start liver transplantation programme for primary cancers of the liver.<\/p>\n<p style=\"text-align: justify;\">Our instituition has pioneered the multi-disciplinary management of GI cancers in this part of the country with disease management groups (DMGs) and multi-disciplinary teams (MDTs). The use of neoadjuvant treatments, where appropriate, as determined by our multi-discplinary teams, continue to improve patient outcomes.<\/p>\n<p style=\"text-align: justify;\">Based on the data of 2019, the approximate number of operations performed in a calendar year is: oesophagectomy (30), lung resections (35), gastrectomy (70), Whipple operations (35), hepatectomy (30), colectomy (100), rectal resections (80) and HIPEC (15).<\/p>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-hsrdi-d3871c5399da162a21a877e1abdb5ff3\">\n.flex_column.av-hsrdi-d3871c5399da162a21a877e1abdb5ff3{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-hsrdi-d3871c5399da162a21a877e1abdb5ff3 av_one_third  avia-builder-el-13  el_after_av_one_full  el_before_av_two_third  first flex_column_div av-zero-column-padding  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kocbqfnd-975386a3d27de9b78e15429c63464183\">\n.iconbox.av-kocbqfnd-975386a3d27de9b78e15429c63464183 .iconbox_icon{\nbackground-color:#21759b;\n}\n<\/style>\n<article  class='iconbox iconbox_top av-kocbqfnd-975386a3d27de9b78e15429c63464183  avia-builder-el-14  avia-builder-el-no-sibling  main_color'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\" aria-label=\"Icon: &lt;strong&gt;Teaching Programmes&lt;\/strong&gt;\"><div class='iconbox_icon heading-color avia-iconfont avia-font-entypo-fontello' data-av_icon='\ue84f' data-av_iconfont='entypo-fontello'  ><\/div><h3 class='iconbox_content_title '  itemprop=\"headline\" ><strong>Teaching Programmes<\/strong><\/h3><\/header><div class='iconbox_content_container '  itemprop=\"text\" ><p style=\"text-align: justify;\">The unit offers a 2-years Fellowship programme wherein the trainee has to undertake all routine clinical work, including assisting the Consultant in the operation. In addition they take turns to present cases in multidisciplinary meetings, present weekly audits and discuss recent publications. The Fellows actively participate in entering clinical data prospectively in a bespoke RedCap<sup>\u00ae<\/sup> based online database. They are also mandated to maintain a log book. The unit is on the verge of starting periodic internal assessment of Fellows using the online Moodle<sup>\u00ae<\/sup> platform.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-25z1hi-69a47b817791ebbf09143c06eb5c5cb6\">\n.flex_column.av-25z1hi-69a47b817791ebbf09143c06eb5c5cb6{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-25z1hi-69a47b817791ebbf09143c06eb5c5cb6 av_two_third  avia-builder-el-15  el_after_av_one_third  el_before_av_hr  flex_column_div av-zero-column-padding  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kocbvhew-1f90cf01b8d7ef8c19aebb0b1d52da3c\">\n.iconbox.av-kocbvhew-1f90cf01b8d7ef8c19aebb0b1d52da3c .iconbox_icon{\nbackground-color:#21759b;\ncolor:#ffffff;\n}\n.iconbox.av-kocbvhew-1f90cf01b8d7ef8c19aebb0b1d52da3c .iconbox_icon.avia-svg-icon svg:first-child{\nfill:#ffffff;\nstroke:#ffffff;\n}\n<\/style>\n<article  class='iconbox iconbox_left av-kocbvhew-1f90cf01b8d7ef8c19aebb0b1d52da3c  avia-builder-el-16  avia-builder-el-no-sibling '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\" aria-label=\"Icon: &lt;strong&gt;Research projects and collaborations&lt;\/strong&gt;\"><div class='iconbox_icon heading-color avia-iconfont avia-font-entypo-fontello' data-av_icon='\ue864' data-av_iconfont='entypo-fontello'  ><\/div><h3 class='iconbox_content_title '  itemprop=\"headline\" ><strong>Research projects and collaborations<\/strong><\/h3><\/header><div class='iconbox_content_container '  itemprop=\"text\" ><ol>\n<li>PANGEN study looking in to the genetic profiling of periampullary and pancreatic head cancers (in collaboration with Indian Statistical Institute, Kolkata)<\/li>\n<li>Developing ex-vivo models of gallbladder cancers to understand pathogenesis and newer modalities of treatment<\/li>\n<li>The department is also part of the Global Surgery International Collaborative and is running the following research projects\n<ul>\n<li>Cheetah Trial: Cluster randomised trial of sterile glove and instrument change at the time of wound closure to reduce surgical site infection<\/li>\n<li>Crocodile Study: A study on catastrophic expenditure and referral pathways influence on presentation and treatment<\/li>\n<li>Crane Trial: A Cluster Randomised Feasibility Study of a sustainable nutritional Intervention for Patients undergoing Cancer Surgery in low- and middle-Income Countries. (Formal approval awaited)<\/li>\n<li>Penguin Trial: Perioperative respiratory care and outcomes for patients\u00a0undergoing hIgh risk abdominal surgery<\/li>\n<li>Covid Surg cancer: A study to assess the impact of COVID 19 on cancer patients requiring surgery<\/li>\n<li>Covid Surg week: a study to assess optimal timing for surgery following SARS-CoV-2 infection<\/li>\n<\/ul>\n<\/li>\n<li>Molecular predictors of responsiveness of rectal cancer to neoadjuvant radiotherapy (being conceived in association with the Radiation Oncology unit)<\/li>\n<\/ol>\n<p>Covid-19 and Cancer in the Indian ethnic group (CCIG): The interplay between ethnicity and the environment. 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