Oncology with Arun Mitra

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Oncology with Arun Mitra

Surgical Oncologist working at MIOT International Hospital, Chennai.

07/09/2025

Robotic neck dissection:
A technically demanding procedure yet with rewarding outcomes.

- No spinal accessory nerve related shoulder pain / morbidity

- Less pain

- No restriction of neck movements

- High nodal yield

- Excellent oncologic clearance

- Adjuvant therapy can be started at the earliest

- Early return to work after completion of treatment

22/08/2025

A kindest gesture from a family we treated with Robotic surgery.

We performed a challenging procedure through Trans Oral Robotic Surgery(TORS) and the recovery was smooth, successful.

Conventionally, It would have needed breaking open the Mandible to access the site of lesion (Parapharyngeal space). This approach would result in tracheostomy, prolonged nasogastric tube feed, lifelong morbidity

While with TORS, the same surgery was performed with instruments smaller then my fingers yet could remove a tumour as big as tennis ball size from a complex anatomical region with ZERO morbidity.

It brings immense pleasure to our team to see the extraordinary outcomes in recovery and we are pleasantly surprised by their kind gesture of this painting made by Daughter and Grand daughter of the patient.

10/08/2025

Swipe through to see before - after a robotic surgery.

Follow the YouTube link in story to watch a brief video on the robotic surgery of a large, 10cm Thyroid tumour

08/08/2025

Youre as strong as your team is! And in a team, everyone is equal. If one doesn’t believe this honestly, it’s a futile effort to grow beyond mediocrity.

A brilliant colleague in our team left us to further her career and she took two weeks of her time despite hectic schedule to make my portrait.

Often, actions speak louder than words. Your actions are being watched, by your own. The genuine efforts are always appreciated and most importantly inspire others to do greater work.

Our team firmly believes that Mediocrity is a major illness. And all of us go an extra mile to provide support to the suffering when need be.

Our OPD was the most organised and waiting time was minimised. Thanks to our cheerful team for their efforts in coordination. We plan everything a day ahead. It takes immense effort, dedication and patience to bring in this lean efficiency.

In this entire process, somewhere someone’s inspired to make it a happier experience and achieve the larger goal.

27/07/2025

Outcomes of Robotic Surgery:

1) Early QOL - Quality Of Life outcomes:

On the evening after undergoing a robotic surgery, when you ask your patient regarding pain, they often reply -

“I dont feel the pain or find the wound (port site). Where have you operated?”

Pain is often described as discomfort in the throat, likely the endotracheal tube (no blame on anaesthesia intended here).

In most of the Thoracic, Head & Neck robotic procedures, patients will have oral liquids in the evening after surgery, depending on their recovery.

They are Transferred from ICU to the ward after day 1 assessment & are discharged anywhere between day 2 to 7 based on the type of procedure.

2) Late QOL outcomes:

Wound healing is cleaner. We are able to start adjuvant therapy at the earliest.

After completion of treatment, they return to work early and often do not have chronic pain of surgery.

3) Oncologic outcomes:

Robotic surgery excels in all these parameters which is proven by evidence. -

Improved lymph nodal yeild, margin clearance, adequacy of resection, ability to preserve vital structures / organ function, access difficult anatomy.

- As the implementation and pe*******on of robotic systems & units improve; accessibility, awareness, affordability will further enhance.

- This ensures that Robotic surgery is available for all, irrespective of barriers and we shall thrive in pursuing this endeavour.

💯

21/07/2025

Robotic Thyroid Surgery:

Follow the YouTube link in Bio to watch a series of Robotic Thyroid surgeries performed by me covering the entire spectrum.

Pe*******on of Robotic surgery in Head & Neck sub-site is limited by the challenges encountered by Surgeons during their learning curve. The procedure may take additional time during initial phases but the phenomenal outcomes of the procedure negate all other difficulties.

Space is a constrain to manoeuvre four instruments and it is more of fine, swift, gentle movements as in Thorax.

As we progressed & adopted the technique, size of lesion didnt stop us. The largest we could operate was 10.8 cm, although various factor also matter & not just the size.

Today, the Robotic Head & Neck program is successfully performing all amenable cases in Robotic including Neck dissection, TransOral Robotic Surgery (TORS), Salivary gland tumour (Parotid, Submandibular gland), Paraganglioma (carotid body tumour), any neck lesion (Thyroglossal cyst)

22/06/2025

Robotic surgery is the future? Not actually, its already there and is going to get better & farther!

NHS aims to perform 9/10 keyhole surgeries by Robotic platforms in the next decade.

The finer print is that 5/10 minimal invasive procedure are already Robotic surgeries in NHS

This is a testament of the quality of Robotic procedures. Surgery became precise, fine, magnified along with stereoscopic vision offering excellent disease related outcomes, faster recovery, lesser hospitalisation!

It takes an effort to drive this fact here and we are pledging to continue educating the medical professionals, public. There is resistance understanding the polity of the land but before you arrive at a conclusion, talk to someone who underwent a robotic surgery!

10/05/2025

At Amrita Institute of Medical Sciences - Intuitive APAC training centre for Robotic Surgery, Kochi!

A day-long, elaborate, data & technology driven module enhancing safety and efficiency of console surgeons performing robotic surgeries.

It reinforced my firm belief in training pathways which are structured, evidence based.

19/04/2025

At IMA Velachery, Chennai for an invited talk on ‘Robotic Surgery & advances in Surgical Oncology’

Faculty members of various medical institutions, consultants across disciplines participated in the program on a Sunday and engaged in an interesting discussion.

Landscape of Oncology is rapidly progressing and it is an honest effort to enlighten our peers who often consult the patients’ initially.

11/04/2025

Oncology camp - April 2025 at MIOT Hospital information centre in Madagascar.

Madagascar was a different experience. People there face hurdles and endure the challenges. Our team works along with local healthcare workers to support Cancer patients and other Non communicable diseases as well.

MIOT information centre in Anantanarivo is an expansive and well appointed facility that is always available to the people of Madagascar.

Taking advanced oncologic treatment to resource-constrained regions!

30/03/2025

At MIOT Seychelles for Oncology camp!

Over a week in Seychelles, we could review most of our patients who underwent treatment for Cancer at MIOT Chennai. We ensure a robust follow-up program through which the continuation of care is possible for Oncology patients in their homeland.

Our Robotic surgery patients are elated to share their long term experiences / outcomes which is phenomenally positive.

Seychelles was beautiful and Welcomed us with a small storm. Creole cuisine is a delight. There are a plenty of beaches and mountains around in a seemingly big island.

Thanks to the team at MIOT Seychelles, Chennai for flawless coordination and scheduling that ensured smooth work flow. We are only as strong as our team is!

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