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KIDNEY CANCER PROFILE

Dr. Swati H. Shah

Surgical Oncologist | Uro-Oncology & Kidney Cancer Surgery | Robotic, Laparoscopic & Open Surgery

1. Clinical focus

Dr. Swati H. Shah is a Surgical Oncologist with a focused clinical interest in uro-oncology and pelvic oncology, including surgical management of kidney tumours and kidney cancer.

Her kidney-cancer surgical practice encompasses the spectrum from:

  • small renal masses
  • localized renal tumours
  • complex renal masses
  • large renal tumours
  • hilar and central tumours
  • endophytic tumours
  • tumours close to major renal vessels
  • multifocal renal tumours
  • bilateral renal tumours
  • tumours in a solitary kidney
  • previously operated kidneys
  • recurrent renal tumours
  • renal-vein tumour thrombus
  • IVC tumour thrombus
  • locally advanced renal tumours
  • renal tumours with adjacent-organ involvement
  • selected metastatic kidney cancers requiring surgery

Her surgical approaches include: Open, laparoscopic and robotic renal surgery.

2. Surgical training

MS General Surgery — Maulana Azad Medical College, New Delhi

2008–2011

During her general-surgery training at MAMC, she had substantial exposure to renal malignancies and renal surgery, including:

  • renal cancer cases
  • radical nephrectomy
  • nephrectomy
  • laparoscopic nephrectomy
  • other renal surgical procedures

Her uro-oncology exposure during this period also included:

  • bladder cancer
  • testicular cancer
  • penile cancer

DrNB Surgical Oncology — Rajiv Gandhi Cancer Institute

2013–2016

During dedicated surgical-oncology training at Rajiv Gandhi Cancer Institute, she had extensive exposure to uro-oncology, including kidney tumours and advanced renal cancers.

Her training included management of:

  • renal tumours and renal masses
  • large renal tumours
  • metastatic renal cancer
  • partial nephrectomy
  • radical nephrectomy
  • renal tumours with enlarged retroperitoneal lymph nodes
  • renal/IVC thrombus
  • advanced renal tumours
  • recurrent renal tumours
  • tumours involving adjacent structures including colon

Dedicated uro-oncology training

She underwent dedicated uro-oncology training under Dr. Sudhir Rawal, with exposure to complex renal and other uro-oncological surgery.

Her training encompassed: open + laparoscopic + robotic approaches.

3. Robotic kidney surgery experience

Robotic surgery since 2013

Dr. Shah began robotic surgery in 2013.

Robotic platforms

  • da Vinci Si — initial robotic platform
  • da Vinci Xi — in use since 2018

Kidney robotic surgery

She has performed 100+ robotic kidney operations.

4. Partial nephrectomy / kidney preservation

Dr. Shah performs nephron-sparing surgery when it is oncologically and technically appropriate.

The decision for partial nephrectomy considers:

  • tumour size
  • tumour location
  • exophytic/endophytic nature
  • central/hilar location
  • relationship to renal vessels
  • relationship to collecting system
  • nephrometry/anatomical complexity when relevant
  • baseline renal function
  • solitary kidney
  • bilateral renal tumours
  • multifocal disease
  • previous renal surgery
  • overall oncological considerations

Her experience includes complex partial nephrectomy requiring:

  • renal hilar dissection
  • vascular control
  • selective clamping when appropriate
  • early unclamping when appropriate
  • tumour excision
  • collecting-system repair
  • renal reconstruction
  • complex renorrhaphy

The underlying philosophy is:

Cancer control remains the first priority. When oncologically and technically appropriate, preservation of functioning renal tissue is also an important objective.

5. Complex renal tumours

Her clinical experience includes surgical management of renal masses that are technically challenging because of:

Location

  • central tumours
  • hilar tumours
  • endophytic tumours
  • tumours close to major vessels
  • tumours involving/close to the collecting system

Disease pattern

  • large renal masses
  • multifocal tumours
  • bilateral renal tumours
  • recurrent tumours
  • previously operated kidneys
  • solitary kidney

Extent

  • renal-vein involvement
  • IVC involvement
  • adjacent-organ involvement
  • retroperitoneal lymph-node involvement
  • locally advanced disease
  • selected metastatic disease requiring surgery

6. Radical nephrectomy

Experience includes:

  • open radical nephrectomy
  • laparoscopic radical nephrectomy
  • robotic radical nephrectomy
  • extended radical nephrectomy
  • radical nephrectomy with lymph-node dissection
  • radical nephrectomy for large/advanced renal tumours
  • radical nephrectomy for recurrent renal cancer
  • radical nephrectomy with management of venous tumour thrombus
  • selected radical nephrectomy involving adjacent-organ surgery

The case library includes examples of robotic, laparoscopic and complex open renal surgery.

7. Renal vein and IVC tumour thrombus

Dr. Shah has experience managing renal tumours with renal-vein and IVC tumour thrombus.

This includes different levels/extent of IVC thrombus and advanced renal tumours requiring vascular planning.

Her experience includes:

  • renal vein thrombus
  • IVC tumour thrombus
  • Level II IVC thrombus
  • extensive IVC thrombus
  • complex renal tumour with venous extension
  • IVC thrombus resection as part of radical nephrectomy

She personally performs different types of IVC thrombus surgery.

Very extensive thrombus

She has experience with Type IV IVC thrombus extending toward the heart, managed with an appropriate multidisciplinary team.

8. Advanced / locally invasive renal tumours

Experience includes renal tumours:

  • involving or abutting major vessels
  • extending into the renal vein/IVC
  • associated with enlarged retroperitoneal lymph nodes
  • involving adjacent structures
  • recurrent after previous surgery
  • requiring extended renal surgery
  • requiring combined procedures involving adjacent organs

The case library includes examples of advanced renal tumours requiring complex oncological resections.

9. Metastatic kidney cancer

Dr. Shah has experience with selected metastatic kidney cancers requiring surgery, including advanced renal tumours in which surgery forms part of an individualized treatment strategy.

Surgery is considered only in selected patients, through individualized multidisciplinary decision-making.

10. Recurrent kidney tumours

Her experience includes surgery for renal tumours that have:

  • recurred after previous renal surgery
  • been previously operated upon
  • developed dense adhesions or altered anatomy
  • required complex resection

This is relevant because previous surgery can significantly change the anatomical and technical complexity of subsequent renal surgery.

11. Adjacent-organ / multivisceral surgery

Her renal/retroperitoneal surgical experience includes tumours with involvement or close relationship to adjacent structures.

Examples in her case experience include surgery involving:

  • colon
  • pancreas/spleen region
  • adrenal region
  • diaphragm
  • major retroperitoneal vessels
  • extensive lymph-node disease

These are described case by case; not every renal cancer requires multivisceral surgery.

12. Case library

The kidney-cancer case library is an important part of the evidence base for her clinical experience.

It includes cases representing different levels of complexity, including:

Kidney preservation

  • robotic partial nephrectomy
  • small/localized renal masses
  • complex partial nephrectomy
  • reconstructive procedures associated with partial nephrectomy

Radical surgery

  • robotic radical nephrectomy
  • laparoscopic radical nephrectomy
  • extended radical nephrectomy
  • radical nephrectomy with lymph-node dissection

Advanced disease

  • large renal masses
  • recurrent renal cancer
  • metastatic disease requiring surgery
  • renal vein/IVC thrombus
  • adjacent-organ involvement

13. Short-video case library

There are dedicated short-video collections covering:

Kidney tumours

Topics include:

  • renal tumour evaluation
  • tumour size/location
  • relationship to vessels
  • collecting-system involvement
  • partial nephrectomy
  • kidney preservation
  • complex renal tumours

Kidney cancer

Videos cover:

  • oncological clearance
  • radical surgery
  • advanced renal tumours
  • major-vessel involvement
  • complex kidney cancer surgery

14. Academic work specifically related to renal tumours

Small renal masses

Dr. Shah was a faculty member at an IASO conference in Kolkata in 2019, participating in discussion related to small renal masses.

Robotic kidney surgery teaching

She has conducted a training workshop for urologists on robotic kidney surgery.

Surgical video presentations

She has presented kidney cancer surgery videos through professional surgical meetings in:

  • Bhopal
  • Ahmedabad
  • Gujarat
  • Rajasthan
  • Madhya Pradesh

USICON WZ 2019

Presented papers related to robotic uro-oncology at USICON WZ 2019.

15. Academic webinars and multidisciplinary teaching

Dr. Shah has conducted multiple webinars and academic sessions demonstrating kidney cancer surgery videos, including:

  • robotic partial nephrectomy
  • laparoscopic renal surgery
  • radical nephrectomy

These sessions have involved medical associations/clinicians in:

  • Ahmedabad
  • Rajkot
  • Jamnagar
  • Bhavnagar
  • Jaipur
  • Udaipur
  • Jodhpur
  • Indore
  • Ratlam
  • other cities across Gujarat, Rajasthan and Madhya Pradesh

16. PROM

PROM — Radiology & Oncology Meeting

Dr. Shah initiated PROM, a multidisciplinary academic meeting bringing together:

Radiologists + Oncologists

for discussion of radiological assessment of renal tumours.

The meetings have been conducted in both:

  • physical format
  • online format

with participation across India.

This is particularly relevant to kidney cancer because interpretation of renal tumour imaging is central to decisions regarding:

  • tumour characterization
  • location
  • vascular relationship
  • collecting-system relationship
  • complexity
  • surgical planning

17. POINT

POINT — Pathology, Oncology, Immunology & Novel Therapeutics

Dr. Shah initiated POINT, a multidisciplinary academic forum involving: Pathologists + Oncologists

for discussion of renal tumours, including:

  • pathology
  • tumour biology
  • immunology
  • novel therapeutic approaches

The programme has also been conducted through physical and online academic formats across India.

18. Publication relevant to complex renal/vascular surgery

Published paper — 2025

“Technique and Intraoperative Strategy for Circumferential Resection of Perirenal Inferior Vena Cava with Bilateral Renal Vein Reconstruction”

Indian Journal of Vascular and Endovascular Surgery, 2025.

The publication lists Dr. Swati Shah as an author from Surgical Oncology, Apollo Hospital, Ahmedabad. The reported case involved a retroperitoneal dedifferentiated liposarcoma involving the perirenal IVC and both renal veins, rather than renal cell carcinoma. It required en-bloc tumour/IVC resection and bilateral renal-vein reconstruction using Y-shaped Dacron grafts to preserve renal perfusion.

The paper describes multidisciplinary management involving uro-oncosurgery, gastrointestinal oncosurgery, vascular expertise and anaesthetic planning.

19. Multidisciplinary surgical philosophy

A recurring feature of Dr. Shah’s approach is that complex kidney and retroperitoneal tumours may require coordinated planning involving multiple specialties.

Depending on the case, this may involve:

  • surgical oncology
  • uro-oncology
  • radiology
  • pathology
  • vascular surgery
  • gastrointestinal surgery
  • anaesthesia
  • medical oncology
  • other relevant specialties

The aim is to determine the safest approach while maintaining appropriate oncological principles.

20. Surgical philosophy

Core philosophy

Cancer control remains the first priority.

At the same time:

Preservation of kidney function and long-term quality of life are important when this can be achieved without compromising oncological outcomes.

Therefore:

  • partial nephrectomy is considered when appropriate
  • robotic/laparoscopic surgery is used when it provides a safe and suitable approach
  • open surgery remains appropriate for selected complex/advanced tumours
  • the surgical approach is determined by tumour anatomy, disease extent and patient factors rather than by the technology alone

Cancer control + kidney preservation + appropriate surgical approach

21. Geographic clinical reach

Patients undergoing kidney cancer surgery under Dr. Shah’s care come predominantly from:

  • Gujarat
  • Madhya Pradesh
  • Rajasthan

There have also been patients from Africa.

22. Overall robotic uro-oncology experience

Separate from kidney surgery, Dr. Shah has an overall experience of approximately:

650 robotic uro- and gynecologic cancer surgeries

Surgery video, short videos, patient testimonials and case summaries

Selected videos and anonymised case summaries from Dr Swati Shah’s kidney cancer practice, shared for patient education. Every patient’s plan is individual, and a past case does not predict an individual result.

Robotic partial nephrectomy surgery video

Patient-education short videos

Kidney tumour: save the kidney or remove it? How size, location and kidney function guide the choice.

Partial vs radical nephrectomy. When kidney preservation is possible for a renal mass.

Partial nephrectomy in kidney cancer. What nephron-sparing surgery aims to do.

Patient video testimonials

Radical nephrectomy with IVC thrombus. A family member describes the surgery and follow-up.

Recurrent renal mass. A patient who had robotic nephrectomy for recurrence.

Robotic partial nephrectomy for a kidney tumour. Patient experience.

Google reviews from patients

“Dr. Swati is an expert uro-oncologist with excellent results in kidney cancer surgery, including robotic partial nephrectomy. She offers precise treatment, clear guidance, and compassionate care.”

Patient · Google review

“We came from patan for my mother treatment. Dr swati shah had done surgery of my mother. Now my mother is absolutely fine. I am thankful to her. I am glad to say that Dr swati shah is expert in kidney tumour and Robotic cancer surgeon.”

Patient · Google review

“I am impressed with the way Dr Swati treated my friend who had kidney tumour. She is extremely professional and takes time to listen and explain. My friend came from Rajasthan, underwent robotic surgery and went back in few days.”

Patient · Google review

Kidney cancer case summaries

Robotic left extended radical nephrectomy for complex renal cell carcinoma

A 62-year-old man had an 8 cm left renal mass extending into the renal pelvis and adherent to the diaphragm, treated with robotic extended radical nephrectomy.

Robotic radical nephrectomy and splenectomy for recurrent renal cell carcinoma

A 57-year-old man had a recurrent renal mass after earlier partial nephrectomy for clear cell renal cell carcinoma, with splenomegaly and non-Hodgkin lymphoma, requiring a multidisciplinary surgical plan.

Clinical context. Locally advanced and recurrent renal tumours involve altered anatomy, adjacent-organ involvement, retroperitoneal lymph nodes and, in some patients, renal vein or IVC tumour thrombus. Surgical choices between nephron-sparing and radical nephrectomy are made case by case on imaging, nephrometry-type anatomical complexity and renal function.

Anonymised summaries for patient education. Every patient’s plan is individual, and a past case does not predict an individual result.

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dr swati shah - uro & gynec cancer surgeon
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