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Thursday, December 6, 2012

A Large Phaeochromacytoma presenting as a retroperitoneal mass

A 54 year old male patient presented to us with  complaints of abdominal swelling since 1 month. CECT showed a large mass abutting the tail of the pancreas.



We planned to operate him with a suspicion of mesenchymal, retroperitoneal mass. At operation, a large mass was found below the mesocolon in the retroperitoneal area and patient’s hemodynamic parameters also showed fluctuations intraoperatively. The tumor was excised completely although it was very close to aorta, D-J flexure, pancreas, spleen and left kidney. The tumour was approximately 20 cm in diameter.
Patient tolerated the procedure well.
On pathological examination, the mass was found to be a phaeochromocytoma. Postoperative period was uneventful and the patient was discharged on 7th postoperative day. He will be investigated further during follow up.

Submitted by Dr Sudipto/Dr Qaleem on 6/12/2012

Sunday, August 19, 2012

Carcinoma Gall Bladder Resected Specimen


50 yr female with locally advanced carcinoma gall bladder. Fortunately it was a lesion at the fundus of the GB locally infiltrating the small bowel and transverse colon. There was no jaundice. No lymph nodes
Radical Cholecystectomy with enblock resection of the involved bowel was done along with wedge liver resection of segment  IV b  of liver.

Patient has done well and was discharged on 8th Post operative day.

Normally Carcinoma Gall bladder is associated with poor outcome. Majority of patients are not operable or resectable by the time they  present.

Radical Cholecystectomy with enblock resection of the involved bowel along with wedge liver resection of segment  IV b 


Saturday, June 9, 2012

Robotic colorectal cancer surgery

I am quite impressed by the use of robotics in colorectal cancer surgery. Robotic surgery has a place specially in narrow pelvis where manual or laparoscopic manipulation is limited. I was recently in Chicago and observed robotic surgery with Prof Leela Prasad - Chief, Centre for robotic colorectal surgery, Advocate Lutheran Hospital, Chicago.
We wish to promote this robotic colorectal surgical procedures here at our hospital, Indraprastha Apollo Hospitals, New Delhi

Friday, February 24, 2012

SPEN ( Solid papillary lesion pancreas) in a young female

A 19 yrs old girl was diagnosed SPEN Pancreas --a rare tumor related to pancreas. She showed in number of hospitals but could not be operated and then she came to us after about 8 months of diagnosis. We confirmed the diagnosis, reviewed the slides and planned for surgery. She had a l arge tumor arising from Head of Pancreas; Adherent to second part of Duodenum and proximal transverse colon. She was planned for surgery with preparation for even Whipples procedure. We dissected and were able to dissect it off the uncinate process of pancreas and were able to enucleate it preserving the rest of pancreas. Postoperatively the patient did well and was discharged after 7 days & is doing fine. Histopath also revealed adequate resection margins.

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