Showing posts with label Non-Resectable Liver Tumors. Show all posts
Showing posts with label Non-Resectable Liver Tumors. Show all posts
11 Hour Liver Resection Surgery to remove Cancerous Tumor
Tuesday, September 1, 2009
Surgeons at Wockhardt Hospitals,Mulund ,Mumbai led by Dr S.K Mathur performed a major liver resection which took 11 hours when they operated on a 58 year old man to remove a cancerous tumor.
Mr R. Jain, a 58-year-old male from Jodhpur, Rajasthan was diagnosed with a cancerous tumor in his liver (Hepatocellular Carcinoma- HCC) in October 2006. What followed the diagnosis was a liver resection involving removal of a part of the liver containing the tumor.
Almost two-and-a-half years later, a follow-up ultrasound and a CAT scan of the liver revealed the presence of three new tumors, one of which was extending dangerously behind the IVC – Inferior Venacava, the big vein in the abdomen that runs behind the liver, carrying blood from the lower half of the body to the heart. Owing to the dangerous location of the tumor, doctors whom the patient was consulting advised against a second surgery, and had put him on palliative treatment in the form of TACE (Transarterial chemoembolisation) -- a procedure in which the blood supply to a tumor is blocked and chemotherapy is administered directly into the tumor.
While two of the three nodules could be treated with TACE, the nodule close to the IVC could not be embolised (blocked), thereby causing him untold mental distress and helplessness. That’s when the patient decided to consult doctors at the Wockhardt Hospitals’ Department of Hepato Biliary- Pancreatic Diseases and Liver Transplantation
“Since the tumor was limited only to the liver and had not spread anywhere else in the body, we took an informed decision to perform a Right Hepatectomy and remove the tumor behind the IVC,” recalls Dr. Surendra Kumar Mathur, Senior Consultant Surgeon, HPB Surgery & Liver Transplantation, Wockhardt Hospitals who successfully headed the 11-hour surgery.
This was a a technically challenging surgery since liver as such is densely adhered to other organs in the vicinity like the diaphragm, colon and the duodenum, and more crucially, a first surgery had already been done on the patient’s liver. The patient required three units of blood, was shifted from the ICU two days post operation, and was immediately started on orals. Patient recovery was uneventful and he was discharged on the sixth day of the surgery.
Speaking to the media, Mr. Jain said, “When I was told in the other hospital that the liver tumor has recurred and this time only palliative treatment can be administered and no surgery, we had almost lost all hope and became averse to any kind of treatment. I just took this as another decision of God and to take things as it comes. That’s when we encountered Dr. Mathur and his team who came as a miracle to our lives, giving me a new lease of life with this miraculous surgery.”
Liver tumors and complexities of re-resection surgery
Major or complex resections of the liver are performed mainly for malignant tumors of the liver which can be either primary, i.e. arising from the liver like hepatocellular carcinoma (HCC), or metastasis, i.e. they originate in some other organ and then seed the liver.
World over, though the recurrence of HCC liver tumor after first surgery is reported to be around 30 percent over five years, only one third of these cases are known to be retreated successfully. Commonly, many surgeons choose to avoid an excision surgery of a liver tumor very close to the IVC due to a possible life-threatening bleeding of the IVC during the surgery.
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Labels: 11 hour liver tumor operation, Dr S.k Mathur, live cancer, liver resection surgery, Liver surgery Transplantation, Non-Resectable Liver Tumors
Minimally Invasive Procedures for Non-Resectable Liver Tumors
Wednesday, April 22, 2009
Minimally invasive techniques are used at also used at Wockhardt Hospitals for the treatment of non-resectable tumours of the liver. These treatments are the options if surgery is not possible due to cirrhosis (or other conditions that cause poor liver function), the location of the tumor within the liver, or other health problems.
- RFA: Radio-frequency ablation of the tumour which can be either percutaneous under Ultrasound or CT guidance or during open surgery.
- PEI: Percutaneous Ethanol Injection of the tumour
- TACE:Chemo-embolisation of the tumour using interventional radiological techniques.
- TACE for unresectable HCC
Portal Hypertension :
Portal hypertension and its complications (mainly bleeding from Varices) remain important clinical problems despite advances in treatment and understanding of the disease. Professor Mathur is recognised world over as an authority in the management of portal hypertension with huge experience of managing more than 600 patients of portal hypertension since 1982. Researched and developed an effective, safe and economical Sclerosant (3% Aqueous Phenol) for Esophageal variceal injection.It has been used more than 1000 patients since 1983.Developed inexpensive Injector indigenously for sclerotherapy.
He has to his credit developed his own surgical technique for emergency rebleed - mathur’s modification of Sugiura’s procedure, which is recognized world over with rebleed rate of < 5%.
Wockhardt Hospitals,Liver Center also performs all types of porto-systemic shunts including the selective shunts such as Distal Spleno-renal shunt.
Wockhardt Hospitals,Liver Center also performs all types of porto-systemic shunts including the selective shunts such as Distal Spleno-renal shunt.
Portal biliopathy, a term used for clinical condition where patient develops obstructive jaundice due to compression of the bile duct by portal cavernoma , is well recoganised. Wockhardt Hospitals,Mumbai has a vast experience in treating such cases where portosystemic decompression by shunt surgery with or without biliary diversion that has resulted in permanent cure of the disease.
This is one of the few units in the country with capability and experience of treating portal hypertension with all available treatment modalities namely – medical management, endoscopic therapy, TIPS and SurgeryThe unit has large experience in managing case of non-cirrhotic portal hypertension and Budd-Chiari Syndrome
Dr Mathur has published about 30 research papers on Portal hypertension in International and Indian National journals and written chapters in books and regularly get invited to deliver guest lectures on surgical management of Portal hypertension at International and National conferences and CMEs.
To contact our Liver Transplant and to know about our Minimally Invasive Procedures,please write to enquiries@wockhardthospitals.net
To contact our Liver Transplant and to know about our Minimally Invasive Procedures,please write to enquiries@wockhardthospitals.net
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Labels: Liver Transplant doctors Mumbai, Non-Resectable Liver Tumors, Portal biliopathy, S.K Mathur
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