BGS Global Hospitals performs very rare Minimal Invasive (Key Hole) Liver Surgery for Metastatic Cancer

BANGALORE, KARNATAKA, INDIA

08-09-2011 06:08 PM

Minimally invasive or key hole surgery gives immense patient benefits such as minimized pain, fewer complications, early recovery and return to work The team of Surgeons with extensive experience in performing advanced laparoscopic surgeries of the liver and pancreas performed this complex surgery  The team of Surgeons from the Institute of Surgical Gastroenterology and Minimal Access Surgery lead by Dr. G. Srikanth at BGS Global Hospitals, Bangalore, part of the Global Hospitals Group performed a major liver surgery for metastatic cancer through the keyhole surgery procedure. The right lobe of the liver of the patient was completely removed by totally avoiding a major open resection of liver. The case 69 year old Lingappa (name changed) was distraught when he was diagnosed to have recurrence of cancer in the liver. He went through the ordeal of surgery for rectal cancer and post-operative chemotherapy just one year before. Now his follow-up scans clearly indicated that he had a metastatic liver cancer in the right lobe. His whole body PET scan showed no evidence of disease elsewhere. Surgical removal of the right lobe of liver would give him an opportunity for cure. But he was distressed to learn about the need for a second surgery for his current problem. Minimally invasive (key-hole) major liver surgery performed Dr. G. Srikanth, Director of Gastroentrology Services, BGS Global Hospitals said, ?The surgical removal of the right lobe of the liver afflicted with cancer was performed laparoscopically. In fact we are possibly the only other centre in the country performing such a major liver resection by minimal invasive surgery and this is the first of its kind in Karnataka. The surgery was performed through five small incisions of 0.5 inch each and the right lobe of liver of size 15 cms x 12 cms was removed through a 2.5 inch incision. Blood transfusion was not required during or after surgery.? The patient could walk comfortably the day after surgery. He made quick recovery and was fit for discharge in 6 days after surgery. This procedure enables the patient to enjoy many benefits as detailed below: Patient benefits: -- Smaller incision -- Aesthetically better with less scarring which fade with time -- Less post-operative pain -- Fewer wound related complications. -- Early recovery -- Lesser chance of infections -- The need for pain killers is significantly less -- Early mobilization, patient can walk the day after surgery -- Short stay at the hospital Surgery extremely challenging  Laparoscopic surgery of the liver is extremely challenging and considered the ?holy grail? of laparoscopic surgery. It requires a dedicated team of Surgeons, Anesthetists and Intensivists with requisite support facilities, operation theatres, ICU and infrastructure. Minimally invasive surgery an encouraging option for metastatic liver cancer Dr. Srikanth added, ?It is important to highlight that there is a misconception that 'when metastasis to liver occurs in colo-rectal cancer it is incurable?. The fact is that in selected patients cure is still possible. Since many of the patients presenting with metastasis in the liver from colon and rectal cancer have previously undergone a surgery for removal of the primary cancer, when metastasis are detected at follow-up as in the patient highlighted, a minimally invasive liver surgery is a very encouraging option for these patients who need to undergo reoperation.? What happens in an open surgery which is normally performed? An open surgery usually performed entails a very large abdominal wound. An incision of 12 to 15 inches ?mercedes benz? incision is required. (It is so called because of its resemblance to the logo of Mercedes benz). This leaves behind a very big scar. The wound is larger hence more risk of wound related complications and a higher chance of infection. A big incision limits breathing making it shallow and hence the patient is more prone to chest infections. The duration of hospital stay is around 10 to 12 days, and the patient can walk only after 4 days. About Department of Surgical Gastroenterology, Minimal Access Surgery and Bariatric Surgery The team of dedicated specialists has extensive experience in laparoscopic liver, biliary, pancreatic surgery and advanced laparoscopy. The hospital boasts of infrastructure, operating room facilities with latest equipment and liver intensive care unit which is the largest in the state. About BGS Global Hospitals BGS Global Hospitals is a multi-speciality tertiary care hospital focused on Neurosciences, Hepatology and Multiorgan Transplantation, Cardiac Sciences, Urology and Nephrology, Gasteroenterology, Minimally invasive and Bariatric Surgery, Orthopaedics, Oncology, Critical Care and Trauma. The Hospitals advanced infrastructure includes 14 major speciality operating rooms, more than 120 intensive care beds and a comprehensive emergency care and trauma unit. It?s Liver and Transplant ICU is the largest available across the state of Karnataka.