Pune Doctors laparoscopically removes 410 gm adrenal tumour

Pune doctors seek Guinness fame
21 May 2008, 0529 hrs IST,Umesh Isalkar,TNN

PUNE: A team of surgeons of the Ruby Hall Clinic recently laparoscopically removed an enormous 13.5 cm adrenal tumour weighing around 410 gm from a 36-year-old man. It was done while operating him for adrenal malfunctioning.

This is the first of its kind laproscopic operation in the world in which a tumour of such huge size has been removed, they claim. The surgeons have applied with the Guinness Book of World Records to get a mention of their surgical feat in the book.

"Normally, tumours measuring more than 7 cm are removed through open surgery. The biggest tumour removed laparoscopically before this measured around 9.5 cm. The one we removed measured 13.5 cm and this is a record," said Dr Shashank Shah, one of the senior surgeons in the team.

The patient reported severe right side abdominal pain. He had this complaint for more than three months. "He came to the clinic when the pain started worsening," said Dr Shah. Besides, the patient was also suffering from vomiting intermittently and restlessness, said Shah.

After medical investigations, we found a huge tumour just below the
liver and above the kidney, said
Dr Sanjay Ambagade, one of the team members. The patient weighed 135 kg. Considering the patient's high body mass index, it was difficult to conduct an open surgery due to lot of fat obstruction.
"Even if we had opted for open surgery, the post-operative management would have been difficult both for the patient and the doctors. Therefore,
we decided to go for laparoscopy after getting the patient's consent," said
Ambagade.

With an incision of 4.3 cm, the operation lasted around three-and-a-half hours. A huge tumour made up of adenoid cells and firm in consistency was taken out with the help of abdominal retractor, said Dr Ambagade.
The operation was performed on May 1 and the patient was given discharge on May 4 and now he is doing well, said Dr Ambagade. Dr Jayshree Todkar was one among the team of three surgeons who achieved this surgical feat.