Oncological surgery is founded on experience-related and research-proven basic principles for operating on cancerous tumours. They include:
- the no touch isolation technique, which refers to the surgical removal of tumours with a minimum of manipulation in order to prevent the shedding of cells during the operative procedure, which can cause distant metastases.
- the technique of lymphatic dissection, which refers to the removal of lymph vessels draining the tumour area and lymph node metastases.
- tumour extraction without contamination, in other words, without setting off regional metastases of the removed tumour into other organs or tissues.
- additional treatment of the tumour bed for thorough prevention of later regional recurrences. For this purpose, we use regional chemotherapy adapted to the specific situation, in the form of an arterial infusion or the isolated perfusion of an organ or a segment of the body.
- Low-complication surgery has a direct impact upon quality of life, especially if the operative time/duration for major procedures can be kept to a minimum, if blood loss is avoided and the occurrence of postoperative complications eliminated or minimized.
- Reconstruction following extensive procedures for tumour removal, and avoiding mutilating operations whenever possible are likewise important elements in maintaining quality of life.
- Setting indications for surgery: especially for advanced stages of tumours, this is of critical importance. Surgical treatment will be performed in a manner that is adapted to the stage of the tumour, administered at the proper time, and, its extent determined in accordance with the patient’s resilience.