55-yr-old undergoes surgery to remove tumour in kidney

ST Correspondent
Sunday, 19 May 2019

A 55 year old patient underwent a surgery at a city-based hospital in which a tumour located inside one of his kidneys was removed. The doctors opted to remove the tumour with the help of robotic assisted surgery.

Pune: A 55 year old patient underwent a surgery at a city-based hospital in which a tumour located inside one of his kidneys was removed. The doctors opted to remove the tumour with the help of robotic assisted surgery. This provides a robust platform to enable minimally invasive procedures in urology and allows for better outcomes such as less blood loss, increased dexterity for surgeons, quicker recovery time for patients and minimal invasion.

The patient, a resident of Pimpri-Chinchwad, was recently diagnosed with hypertension. However, his ever increasing complaints of abdominal pain had him running from pillar-to-post. The patient said that the he tried everything to alleviate the pain but nothing would help subside it. “Finally, it was my family physician who suggested a sonography, which revealed a mass in my kidneys,” he said.

Fortunately, the 55-year-old was referred to Ruby Hall Clinic where Dr Himesh Gandhi took the case.

Dr Himesh Gandhi, Director - Rupa Rahul Bajaj Centre of Excellence in Robotic Surgery, Ruby Hall Clinic, said that tests at the hospital suggested that the tumour was completely endophytic in nature — or located completely within the kidney as opposed to on it.

“Occurring in barely 20 per cent of renal tumours, such a situation is indeed quite rare. Unlike commonly occurring tumours on the surface, we do not have visual clues about tumour location. Thus, surgical removal of these tumours intuitively presents greater technical difficulties,” said Gandhi. He further added that in such situations, doctors consider the option of either sacrificing the kidney or excising the tumour.

“However, since the patient’s kidney was otherwise healthy, doctors at the hospital opted to remove the tumour robotically. Standing out as a game-changer, robotic assisted surgery provides a robust platform to enable minimally invasive procedures in urology and allows for better outcomes,” said Gandhi.

He further added that finding a small growth in the kidney can be a bit like finding a needle in a haystack but ultrasound provides the depth and margins of the tumour, its lateral location and width as well as the arteries and veins headed to the tumour.

“We therefore used an ultrasound probe on the kidney surface and we were able to precisely mark the tumour and excise it. The two-hour long procedure involved merely 20 ml of blood loss and we excised a 4 cm mass from the patient. Post surgery biopsy showed negative margins and that the tumour was completely removed. In effect, we even managed to save the kidney,” concluded Dr  Gandhi.

Dr Manisha Karmarkar, Head of Operations - Rupa Rahul Bajaj Centre of Excellence in Robotic Surgery, Ruby Hall Clinic, added that in spite of this being such a challenging case, we were pleased to see the patient recover quickly.

“While robotic surgery has become a name to reckon with in the past few years, it is our surgeons’ expertise, multi-disciplinary team work and customised approach to care that has made all the difference,” said Karmarkar.

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