Knowledge Center

Understanding Cancer Surgery: When and Why It’s Needed

jaslok hospital

Medical Oncology

| 09 December 2025

 

What Is Cancer Surgery?

Cancer ranks among the most formidable health issues globally, impacting millions of individuals annually.  Although treatment methods like chemotherapy, radiation therapy, immunotherapy, and targeted therapy have seen considerable advancements, cancer surgery continues to be one of the most effective and commonly employed treatment approaches.  It is essential for diagnosing, treating, and preventing the spread of cancer.

Grasping the necessity and rationale for cancer surgery can aid patients and their families in making knowledgeable choices amid challenging circumstances.  This blog examines the various types of cancer surgeries, their objectives, indications for use, factors influencing doctors’ decisions, and what patients can expect both before and after the operation.

The removal of cancerous tissue from the body is part of cancer surgery.  Depending on the cancer's stage and type, it may also involve the removal of surrounding tissue, lymph nodes, or organs.  For treatment, diagnosis, staging, or palliative purposes, surgery may be performed.

For cancers that are localized to one area of the body and have not spread extensively, it is frequently the first treatment option.

 

Why Cancer Surgery Is Needed

Depending on the patient’s condition, cancer surgery can fulfill several essential functions.  Below are the primary factors that may lead physicians to advise surgery:

 

1. To Remove the Entire Cancerous Tumor (Curative Purpose)

When the tumor is localized, the goal of curative surgery is to fully eradicate the cancer.  Its effectiveness is greatest when the tumor has not metastasized to other areas of the body.

Curative surgeries include the following examples:

  • Breast cancer lumpectomy
  • Mastectomy (surgical removal of the breast)
  • Colon cancer colectomy
  • Prostate cancer surgical removal of the prostate
  • Kidney cancer nephrectomy

A successful curative surgery can result in long-term remission.

 

2. To Diagnose Cancer (Diagnostic Surgery)

At times, imaging tests such as CT scans or MRIs do not suffice to confirm cancer. In such instances, an operation might be carried out to excise tissue samples for biopsy purposes.

Diagnostic surgeries help:

  • Verify if a tumor is malignant
  • Ascertain cancer type
  • Determine how aggressive it is
  • Direct the planning of treatment

 

3. To Determine the Extent of Cancer Spread (Staging Surgery)

To gauge the extent of cancer's progression, physicians may carry out an operation. This is referred to as staging surgery.  It assists in establishing:

  • Whether nearby lymph nodes are affected by cancer spread
  • Whether organs are impacted
  • Cancer stage (from Stage I to Stage IV)

In order to plan adequate treatment, it is essential to stage accurately.

 

4. To Remove As Much Cancer as Possible (Debulking Surgery)

In cases where the cancer is too large or has spread too extensively for complete removal, physicians may still excise a part of it.  This is carried out for the purpose of:

  • Enhance the efficacy of radiation therapy or chemotherapy
  • Alleviate symptoms
  • Gradual advancement of disease

Debulking surgery is a common treatment for ovarian cancer, advanced abdominal cancers, and certain types of brain tumors.

 

5. To Relieve Symptoms (Palliative Surgery)

The goal of palliative surgery is not to cure cancer; rather, it aims to alleviate symptoms resulting from the growth of cancer.  It might be useful:

  • Mitigate pain
  • Cease bleeding
  • Clear intestinal blockages
  • Reduce pressure on nerves or organs

This surgical procedure contributes to an enhanced quality of life for the patient.

 

6. To Reconstruct the Body After Tumor Removal (Reconstructive Surgery)

Some surgeries for cancer can alter how a person looks or how their body functions.  Reconstructive surgery aids in regaining normal function or appearance.

Instances consist of:

  • Post-mastectomy breast reconstruction
  • Reconstructive procedures following oral cancer therapy
  • Skin grafts following melanoma excision

 

7. To Prevent Cancer (Preventive or Prophylactic Surgery)

Some people with a high genetic risk may have preventive surgery.  This entails excising tissue or organs prior to the onset of cancer.

Examples:

  • Breast removal in individuals with BRCA1/BRCA2 gene mutations
  • Removal of polyps in the colon
  • Ovarian removal in patients with high risk

 

When Cancer Surgery Is Needed

Several factors are taken into account by doctors when recommending surgery for cancer.  The following are the typical circumstances under which surgery is required:

 

1. The Tumor Is Localized

When cancer is localized to a single area and has not metastasized, surgery proves to be the most effective treatment.  Surgery is a common treatment for solid tumors, including breast, colon, lung, kidney, and skin cancers.

 

2. The Tumor Is Causing Symptoms

Surgery may be necessary to alleviate symptoms like pain, bleeding, or blockage caused by tumors, even if it is not possible to completely cure the cancer.

 

3. The Tumor Could Spread Quickly Without Intervention

To avert a swift dissemination to other organs, it may be necessary to urgently excise aggressive tumors.

 

4. Surgery Is Needed to Support Other Treatments

At times, surgery is carried out prior to or following other treatments:

  • Before treatment: Aiming to decrease tumor size
  • After treatment: To eliminate residual cancer cells

 

5. Surgery Improves the Chances of Cure or Remission

When physicians think that excising the tumor raises the chances of survival or long-term remission, an operation is required.

 

6. Biopsy or Staging Requires Tissue Removal

Surgery is necessary for a precise diagnosis when imaging fails to clearly detect cancer.

 

7. Preventive Purposes in High-Risk Individuals

Individuals with a strong family history of cancer or genetic mutations may need preventive surgery to reduce the risk of developing cancer in the future.

 

Types of Cancer Surgeries

There are cancer surgeries that vary in their degree of invasiveness: some are minimally invasive, while others are major procedures.  The primary categories consist of:

 

1. Open Surgery

The conventional technique consists of excising the tumor along with adjacent tissue through a sizable cut.  It is frequently utilized when:

  • The tumor is large
  • The cancer has metastasized to adjacent organs.
  • It is necessary to remove it precisely.

 

2. Minimally Invasive Surgery

These techniques use smaller cuts and allow for quicker recuperation:

  • Laparoscopic surgery: Utilizes tools put in via small incisions
  • Robotic surgery: Offers improved accuracy through the use of robotic arms

Minimally invasive methods are commonly employed for cancers of the prostate, uterus, colon, and kidneys.

 

3. Laser Surgery

Laser beams serve the purpose of eliminating cancer cells or reducing the size of tumors.  Common for:

  • Skin cancer
  • Cervical cancer
  • Lung cancer (in early stages)

 

4. Cryosurgery

This technique utilizes liquid nitrogen to freeze and eliminate cancer cells.  Utilized for:

  • Precancerous cervical conditions
  • Early prostate cancer
  • Some skin cancers

 

5. Mohs Surgery

An expert technique for excising skin cancers in layers, while keeping healthy skin intact.

 

6. Endoscopic Surgery

To look for and extract tumors from organs like the colon, lungs, or stomach, doctors utilize a flexible tube equipped with a camera (endoscope).

 

Factors Doctors Consider Before Recommending Surgery

Prior to making a decision regarding surgery for cancer, physicians assess various elements:

 

Type and Stage of Cancer

Solid tumors and early-stage cancers are best treated with surgery.

 

2. Tumor Size and Location

It may be difficult to excise tumors located close to blood vessels or vital organs in their entirety.

 

3. Overall Health of the Patient

Patients must be suitable for anesthesia and recovery from surgery.

 

4. Risk of Cancer Spread

If the tumor is likely to spread or metastasize, surgery is given priority.

 

5. Response to Other Treatments

Surgery may have a higher success rate if chemotherapy or radiation has already decreased the size of the tumor.

 

6. Patient’s Age and Lifestyle

These elements assist in assessing the safety and advantages of surgery.

 

Benefits of Cancer Surgery

  • There are several benefits of cancer surgery:
  • Possibility of total healing in localized cancers
  • Instant extraction of large tumors
  • Enhanced survival rates
  • Improved reaction to therapies such as radiation or chemotherapy
  • Alleviation of pain and symptoms
  • Prevention of future cancers among individuals at high risk

 

Risks and Side Effects of Cancer Surgery

Like any major medical procedure, cancer surgery comes with risks. These include:

  • Pain
  • Fatigue
  • Bleeding
  • Infection
  • Blood clots
  • Swelling
  • Scarring
  • Loss of organ function (depending on surgery type)

However, modern surgical techniques and post-operative care significantly reduce complications.

 

Recovery After Cancer Surgery

The duration of recovery depends on the kind of surgery, the patient's health condition, and the severity of the cancer.  Common aspects after surgery include:

 

Pain Management

Drugs help manage discomfort while recovering.

 

2. Physical Rehabilitation

After major surgeries, physiotherapy may be necessary to regain mobility or strength.

 

3. Wound Care

Surgical wounds must be kept clean by patients, who should also monitor for signs of infection.

 

4. Follow-Up Appointments

Regular examinations assist in monitoring healing and identifying recurrences.

 

5. Emotional Support

It can be emotionally challenging to undergo surgery for cancer.  Mental well-being is aided by assistance from caregivers, counselors, and support groups.

In modern cancer care, surgery for cancer is an essential resource.  Whether it is used for diagnosis, treatment, symptom control, or prevention, it is vital for enhancing patient survival and quality of life.  Cancer surgery can be daunting, but comprehension of its necessity and rationale provides patients and their families with the knowledge they need to make sound choices.

Through close collaboration with oncologists, surgeons, and healthcare teams, individuals can select the most suitable treatment plan for their needs—and advance toward recovery and improved health.

 

All about Immunotherapy in cancer treatment

 

Jaslok Hospital ranks among the top cancer care institutions in India, providing cutting-edge surgical treatments supported by the latest technology and years of clinical expertise.  The hospital offers tailored treatment plans aimed at achieving optimal results, thanks to a team of highly skilled oncologists, surgeons, and multidisciplinary specialists.  Jaslok Hospital brings together precision, innovation, and compassionate care in its cancer treatment, from minimally invasive tumor surgeries to complex oncological procedures, making it a reliable choice for cancer treatment and long-term recovery.