Laparoscopy & Thoracoscopy in Stage 3 & Stage 4 Ovarian Cancer! | Dr Praveen Kammar, Mumbai

Hello friends, I’m Dr. Praveen Kammar, a cancer surgeon specializing in digestive system cancers and gynecological cancers. Today we’ll discuss in detail about Laparoscopy and Thoracoscopy – procedures where small incisions are made to insert an endoscope for direct visualization inside the abdomen or chest.
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CLINIC LOCATIONS : (A) Borivali Health Care, Lancelot Apartments, A wing, 4th floor, 401, Swami Vivekananda Rd, Shastri Nagar, Sumer Nagar, Borivali West, Mumbai, Maharashtra 400092

(B) SSO Hospital, ABOVE Bellevue Multispecialty Hospital, New Link Road, 2 floors, Opp. D.N. Nagar Metro Station gate no 3, Next to Audi Showroom, New Link Rd, opp. Star Bazaar Extension, Andheri West, Mumbai, Maharashtra 400053
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The Video Flow:
0:00 Ovarian Cancer
1:00 Main Goal in Stage 3 & 4 Ovarian Cancer: Cytoreductive Surgery
1:40 Spectrum of Stage 3 & 4 Ovarian Cancer
3:00 Limitations of CT and PET Scans
3:35 Risks of Not Performing Laparoscopy/Thoracoscopy
4:10 Missing the Opportunity for Neoadjuvant Chemotherapy
5:00 Risk of Chemotherapy-Resistant Clones
5:40 Patient Fitness for Major Surgery
6:00 Benefits of Laparoscopy & Thoracoscopy: Accurate Assessment
6:40 Better Surgical Planning and Patient Outcomes
7:15 Extra Biopsies for Chemotherapy Decisions
7:50 Benefits of Thoracoscopy in Stage 4 Ovarian Cancer
8:30 When Is Staging Laparoscopy Done?
9:30 Conclusion
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Laparoscopy & Thoracoscopy in Stage 3 & Stage 4 Ovarian Cancer! | Dr Praveen Kammar, Mumbai

Should Laparoscopy Be Done in Stage 3 & Stage 4 Ovarian Cancer?
Most ovarian cancers are diagnosed at Stage 3 or Stage 4. Laparoscopy gives a direct view of disease spread, helping doctors plan the most effective treatment.

What Is Thoracoscopy and Why Is It Important?
Thoracoscopy examines the chest cavity through a small incision. It is especially useful in Stage 4 ovarian cancer to detect disease in the pleura and guide advanced treatment.

Why Not Rely Only on CT or PET Scans?
CT and PET scans are useful but can miss tiny tumor nodules and plaque-like disease. Laparoscopy and thoracoscopy reveal hidden disease for accurate staging.

What Is the Main Goal in Stage 3 & Stage 4 Ovarian Cancer?
The aim is complete removal of visible cancer – cytoreductive surgery. Accurate staging ensures optimal surgery and better survival outcomes.

How Does Laparoscopy Help in Treatment Decisions?
Laparoscopy gives a precise disease map before chemotherapy. It decides whether neoadjuvant chemotherapy or immediate surgery is the best approach for the patient.

What Are the Risks of Skipping Laparoscopy or Thoracoscopy?
Without these procedures, disease extent may be underestimated, leading to incomplete surgery and reduced effectiveness of treatment. It can also risk chemotherapy-resistant cancer clones.

When Is Staging Laparoscopy Recommended?
When imaging suggests advanced disease or tumor markers (like CA125) are high despite unclear scans. It is crucial for deciding the safest and most effective treatment plan.

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Related Videos:

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About Dr. Praveen Kammar

Dr Praveen Kammar is a surgical oncologist practising in the city of Mumbai.
He completed his MCh course in surgical oncology from the reputed Tata Memorial Centre, Mumbai, one of the premier cancer care centres in the country. He also holds a fellowship in Colorectal surgery from Yopnsei cancer centre, Seoul, South Korea. Dr Praveen’s main area of focus is colorectal and GI oncology, Gynecological cancers, minimal access surgeries for abdominal and thoracic malignancies, transanal surgeries, and sphincter-saving surgeries for rectal cancer, cytoreductive surgeries, and HIPEC for advanced abdominal cancers.



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