Bangalore’s MACS Clinic introduces the Robotic Intersphincteric Resection Treatment for Rectal Cancer
Leading surgical oncologist, Dr. Sandeep Nayak, has been performing Robotic Intersphincteric Resection (ISR) in Bangalore, India and providing rectal cancer patients with a safe, effective, and life-changing surgical option.
Rectal cancer patients now have the opportunity to undergo Robotic Intersphincteric Resection (ISR) in Bangalore, a groundbreaking surgical procedure that eliminates the need for a permanent stoma or stool collection bag. ISR not only treats rectal cancer but also significantly improves the quality of life for patients post-surgery by preserving the functionality of the anus.

Traditionally, abdominoperineal resection (APR) involved the removal of the anus and the creation of a permanent bag, leading to physical discomfort, embarrassment, and emotional distress. In stark contrast, robotic ISR offers superior outcomes, allowing patients to regain their normal lives without the burden of a stoma. This remarkable advancement improves patients' overall well-being, enhancing their quality of life and restoring their confidence.
Dr. Sandeep Nayak, a surgical oncologist& Founder-Director of MACS Clinic, Bangalore, explains that robotic ISR is an organ-preserving surgical approach that achieves excellent cancer treatment outcomes without compromising survival or recurrence rates. Patients with rectal tumors located near the anus, particularly in the lower third of the rectum, are ideal candidates for this procedure.
These are the patients who are usually offered permanent stoma. Successful robotic ISR can be performed in nearly 90% of these patients, eliminating the need for a colostomy and providing them with a renewed sense of hope.
To ensure optimal results, the decision to proceed with ISR requires thorough pre-operative evaluation, meticulous patient selection, and surgical expertise. Dr. Nayak emphasizes the importance of choosing hospitals or medical centers with specialized expertise in robotic ISR for better outcomes and encourages patients to actively engage in discussions about this surgical option with their treating surgical oncologists.
Their experience of performing more than 50 complex ISR surgeries successfully has made them a center of excellence for rectal cancer treatment.
One patient's story serves as a testament to the transformative power of robotic ISR. A 43-year-old male diagnosed with lower rectal cancer, located just 3 cm from the anus, initially faced the prospect of a permanent bag following the standard treatment protocol of radiation therapy. However, after extensive research, he discovered the possibility of robotic ISR and consulted Dr. Sandeep Nayak. The successful robotic ISR procedure allowed him to be discharged on the fourth day post-surgery, with a newfound sense of freedom and improved quality of life.
Studies conducted on patients who have undergone ISR demonstrate enhanced continence, reduced risk of bowel dysfunction, improved sexual function, and an overall better quality of life after surgery. Robotic ISR has proven to be a reliable and effective treatment option for low rectal cancer, offering patients multiple benefits along with a quicker recovery.
In conclusion, Dr. Sandeep Nayak affirms that ISR represents a surgical innovation that effectively treats patients with low rectal cancer, providing positive physical and emotional outcomes. He encourages rectal cancer patients to discuss the suitability of robotic ISR with their surgical oncologists, empowering them to make informed decisions and embrace a brighter future.
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