Breakthrough keyhole kidney saving surgery for kidney cancer performed first time in Punjab
Author(s): City Air NewsLudhiana, March 1, 2014: Kidney cancer needs early diagnosis and treatment especially for kidneys to be saved said Dr Baldev Singh Aulakh , Professor of Urology and Head of Kidney transplant Surgery, Department...
Ludhiana, March 1, 2014: Kidney cancer needs early diagnosis and treatment especially for kidneys to be saved said Dr Baldev Singh Aulakh , Professor of Urology and Head of Kidney transplant Surgery, Department of Urology, DMC&H.
A 42 year old female consulted Dr Baldev Singh Aulakh for pain abdomen. She was diagnosed to have kidney cancer after CT scan of abdomen. According to a rough estimate kidney cancer affects around 5,80,000 people in India and is responsible for around 130000 kidney cancer specific deaths annually. Kidney cancer is quite common in Punjab because of increasing, hypertension, obesity and tobacco use. Management of kidney cancer is mainly removing entire kidney, but in this case Dr Aulakh decided to remove only the cancer bearing part of kidney, while saving the rest of the kidneys for the patient, that too through key hole surgery(Laparoscopic partial nephrectomy).
A laparoscopic surgery is done by putting three 5mm incision over abdomen using specially designed instruments. A small camera is inserted into the abdomen which is used to guide the small working instruments. This also avoids handling tissue with hands and unnecessary tissue damage. The patients were discharged on third day after operation. On the contrary if open surgery is done the incision is very long and hospital stay is at least for 5 days. Patient can return to his work early and start to earn early.
This surgery requires expertise as the major complication is uncontrolled bleeding and the risk of leaving behind tumors. The patient has the benefit of having both kidneys working, while her cancer is removed. This however requires a close follow up lest the cancer recurs. Must to know about kidney cancer: Pain abdomen, swelling in abdomen and blood in urine an be a symptom of kidney cancer. Hypertension , obesity and tobacco use are the confirmed risk factors. Surgery is the best treatment for kidney cancer, surgery can be done using laparoscope and the kidney tissue can be preserved in selected patients. A 4 year old child got his stone removed using very fine instruments called pediatric ureteroscope. Removing the stone in a child generally requires open surgeries as both the instrument and expertise are lacking. Dr Aulakh used specially designed instruments for this and removed the stone form the child’s ureter (urine pipe).
Surgeries which were earlier performed by long incision over body and required a long hospital stay are being increasingly performed using minimally invasive technique both in adults and in kids. The public must be aware of the facilities available and should consult the expert to avail the opportunity said Dr Aulakh.//ludhiana news online, ludhiana news in English, ludhiana news, ludhiana current news, ludhiana news live, Ludhiana breaking news, Ludhiana headlines, Ludhiana latest news, punjab news, india news, punjab news live, punjab news online, punjab news, punjab news headlines, punjab breaking news, india news, punjab news,