Docs remove 10-kg tumour from patient’s abdomen
After a complex surgery, that lasted for more than 10 hours, doctors successfully removed a giant 2-feet long tumour, weighing 10 kgs, from the abdomen of a patient. Doctors at Sir Ganga Ram hospital in national Capital gave new lease of life to a farmer, Charan Lal, from Bikaner in Rajasthan who was suffering from the cancer since last more than 6 months.
Doctors informed that having occupied more than 80 percent of the abdominal volume of the patient the tumour has made life miserable for the Charan Lal as he felt regular pain and was not able to eat anything. Further, he lost 10 Kg of weight in 3 months and was even unable to sleep or breathe easily.
Experts said that such large tumour was a grave threat to other vital organs of the patient body and was hampering their functioning also. “His scan revealed a large tumour in his body occupying more than 80 percent space in his abdomen. This tumour had grown so huge that it had displaced his intestines to the left side of his body. The tumour was now compressing on all structures of his abdomen including his liver, both of his kidneys, stomach and spleen. It was also putting pressure on the main blood vessels which help in getting blood to and fro from heart,” said Dr. Ushast Dhir, Consultant in Department of Surgical Gastroenterology and Liver transplantation at Sir Ganga Ram Hospital.
Patient said that initially he thought it was regular gas pain until recently when his symptoms got worse and he started feeling pain in his stomach. He said he always felt bloated and was not able to eat and he lost over 10 Kg of his weight in 3months. He said he was unable to lie flat on bed to sleep and nor was able to breathe easily. He approached many hospitals but never got any relief.
At Sir Ganga Ram, multi disciplinary team approach was employed on the patient for performing complex surgery. The process of optimizing the patient required help of multiple doctors from various disciplines including Dr. Sachin Kathuria from urology, Dr Ish Anand from neurology and Dr Mehta from cardiology. “The anaesthesia in this patient was complicated by the fact that this huge tumour had compromised blood return to the heart,” said the doctor.
According to experts, the tumour had left no room in the abdomen to operate. The surgery to be successful required removal of the tumour in one piece without damaging the vital organs and their blood supply.
“This required extremely precise dissection of this tumour separating it from liver and its blood supply, intestines, right kidney and Ureter. There was no room for blood loss as the venous return to heart was already compromised and loosing blood would mean a disaster. The most complex part of the surgery was separating the tumour from renal veins, aorta and vena cava without losing blood or damaging these structures,” said Dr Dhir.
According to him the team had to conduct this surgery with absolute perfection. “It required over 10 hours for the team to successfully remove the tumour. The tumour weighed over 10 Kg and was 2 feet long,” he said.
Dr Dhir said the tumour was a well differentiated “liposarcoma” and to his knowledge was the largest liposarcoma removed until now. The patient was discharged after 1 week of surgery.
“I felt I like I delivered delivered 4 babies in one go,” said the relieved patient in a light mood.
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