Robotic Thoracic Surgery in Mumbai | Dr. George Karimundackal

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Published by drgeorgethoracic on April 2, 2026

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Robotic-Assisted Thoracic Surgery or RATS is a minimally invasive technique used to treat conditions inside the chest like lung cancer esophageal disorders mediastinal tumors and tracheal problems. In Mumbai this technology is available at select hospitals. It is recommended for patients who need complex chest procedures but want to skip the trauma of a big open cut between the ribs. Not everyone qualifies though and the decision depends on tumor size location and patient fitness

According to Dr. George Karimundackal, Lung Cancer Specialist in Mumbai, “Not every patient needs robotic surgery but for the right case it gives precision that open surgery simply cannot match”

Which Conditions Can Be Treated With Robotic Thoracic Surgery?

Early-stage lung cancer: Tumor limited to one lobe with no lymph node spread where the surgeon removes the lobe through tiny ports and the patient goes home in 4 to 5 days instead of 10 with open surgery

Mediastinal tumors and thymomas: Growths sitting between both lungs that traditionally required splitting the breastbone but robotic approach avoids that entirely and mediastinal mass surgery recovery looks very different now

Esophageal cancer: Robotic esophagectomy reduces blood loss and infection rates compared to open but few centres in Mumbai offer this because most surgeons do not have the required case volume

Pleural effusions and empyema: Fluid or pus collecting around the lung that medicines failed to clear and robotic decortication gets it out with noticeably less post-op pain than the open route

Patients dealing with esophageal cancer should ask their surgeon whether robotic approach works for their specific situation

Who Should Not Get Robotic Thoracic Surgery?

- Difficult chest anatomy: Some patients have narrow intercostal spaces or unusual rib positioning that makes robotic port placement hard and the surgeon catches this during pre-op CT review before scheduling
  - Very advanced locally invasive cancers: Tumor has grown into the chest wall or wrapped around major blood vessels and in these cases open surgery gives the surgeon better control and more direct access
  - Severe adhesions from previous surgery: Old infections or prior chest operations leave dense scar tissue inside and robotic arms struggle to navigate through that safely so good surgeons convert to open when needed
  - Very poor lung function: When pulmonary function tests show the patient barely has capacity to survive any surgery the approach stops mattering and the real question becomes whether operating at all is safe

Why Choose Dr. George Karimundackal For Robotic Thoracic Surgery?

Dr. George Karimundackal trained at Tata Memorial before heading thoracic surgery at Nanavati Max with over 1000 minimally invasive procedures done personally and is one of the few thoracic surgeons in Mumbai with genuine high-volume robotic experience He is upfront about whether robotic fits the case or not and that straight answer in the first meeting is what families remember and value most