KIDNEY CANCERS RISE BY 68% IN LAST 20 YEARS !

THE STARK REALITY

There is no use beating about this particular bush ! Fact is 68 % more people are diagnosed with this type of cancer than 20 years ago. A staggering rise ! Fotunately research into all forms of cancer has multiplied over the same period and new treatments and/or improvements are now available. In the case of Kidney cancer, a significant improvement in surgical technique is helping to redress the balance somewhat.

Previously, operations to remove the cancer often caused removal of the whole kidney with all the rmifications that involved for the patient. Cancerous tumours in kidneys are not only difficult to diagnose but also earler operations just did not have the accuracy to pinpoint them whilst not requiring those in good state to be removed.

Thus, diagnosis, which is often late due to patients not recognising symptoms and often regarding them as simple back pains etc. often shows a spread of the cancer beyond the actual kidney and reducing survival chances as a result.

The complexity of partial kidney removal to take out the cancerous element was hampered by the old style of operation performed by even the most competent surgeon. These operations affect thousands of people annually and so the new "robotic" technique now being blazed as a definitive trail is indeed, welcome news.

GREEN DYES,ROBOTS. AND 3D.

The new technique ,pioneered in the USA, and now being pursued in UK Hospitals is, at first sight, more sci-fi than operating theatre. Green Dyes, Robotic and minature instruments operated remotely by the surgeon using 3D vision combine to make the whole operation more accurate and effective in removing the cancerous tumours within the kidney.

The new, cost effective procedure begins when the Anaesthatist injects green dye, called Indocyannine Green, into the kidney. The dye once in the kidney highlights cancerous areas by presenting them not as green but as dark areas. The general anaesthetic then is administered and the surgeon begins work from behind his viewing and operating console..

Initially using traditional surgical methods small, incisions are made for the robotic arms to enter the area.The arms are supplied with a camera which has a fluorescent light to show up the dye clearly and are also fitted with minature instruments at the working end. The surgeon has a magnified view of the area involved as he manipulates the robotic arms.Both the tissue and the blood vessels are clearly visibile to him {or her} and this enables accuracy in the vital clamping off the blood vessel providing the food to the cancerous tumour and then in the removal of that tumour and the blood vessel both.

In this way partial removal with clinical accuracy can be completed and enable the patient to make a better, quicker and more complete recovery than was previously possible using earlier surgery which usually meant total kidney removal. The operation takes around 3 hours to perform and patient recovery times are greatly reduced from earlier days enabling most to return to their normal activities well within 12 months of the operation.

IN THE USA WHERE MORE PATIENTS HAVE BEEN TREATED, DOCTORS BELIEVE THAT THIS METHOD GREATLY REDUCES THE CHANCES OF THE CANCER RETURNING THAN PREVIOUSLY WHEN NOT ALL CANCEROUS CELLS WERE NECESSARILY ABLE TO BE REMOVED.

PREVENTION STILL BETTER THAN CURE.

The above is very welcome news and exemplifies the way in which Medical Science continues to advance and develop new ways of fighting previously almost unfightable diseases. However, Doctors rightly stress that by adopting more utilitarian lifestyles in some key ways, the number of cases diagnosed could go down and not continuously up as they have done over the past 20 years. They point to sensible dietry applications and moderation in all things consumed whilst at the same time urging each and everyone to move more. Obesity, Alcoholic excess, Fast and Fatty foods and Smoking are factors identified by too many knowledgeable minds to be ignored by anyone claiming to have commonsense in any quantity.

I have yet to meet anyone who would admit to me that they lack, or have no, commonsense. Yet everyday, the same people ignore advice to cut out or at least cut down on the above.

SADLY BUT INEVITABLY IT SEEMS THEY EXPECT MEDICAL SCIENCE TO GO MARCHING ON AS IN THIS CASE HERE, AND THUS EXTRACATE THEM FROM THE HOLES THEY HAVE DUG SO PASSIONATLEY FOR THEMSELVES OVER THE YEARS.

Whatever else we know we know that many of our current and escalating Health problems are, at least in part self inflicted. So sad but also on the other hand, so good that we continue to have dedicated people seeking to aid us whatever our illness or the cause of it.

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