Pune : The team of urologists at ACE Hospital, Pune successfully performed a 3D laparoscopic surgery to remove the largest tumor in the adrenal gland. The adrenal gland is located on the upper part of both kidneys, measuring about 4 x 3 cm and of 4 to 8 grams.This gland plays a very important role in the functioning of the body.Adrenaline and steroids are very vital hormones or secretions produced in this gland.Adrenal cyst is among many diseases which can occur in this adrenal gland. A cyst means fluid filled bubble like tumor, is one of the rare disease among the diseases of adrenal gland.Generally tumors of more than 15 cm in size needs open surgery for its removal.
A 58-year-old, foreign national woman came to Ace Hospital with complaints of constant back pain and vomiting since years. On evaluation, her CT scan showed around 15cm cystic tumorin left Adrenal gland.The local doctor advised her to undergo surgery as soon as possiblebut due to fear of open surgery, she avoided further treatment for years.As the complaints did not subside, she finally decided to seek medical treatment in India. Here, she was admitted to ACE Hospital in Pune. After repeat CT scan, the same tumor appeared to have grown up to 23 cm in size and tumor occupied more than half of the patient’s abdomen.As this tumor was on the left side, it was tightly adherent to the left kidney, spleen, pancreas and the large intestine.In such cases, it is safer to perform the conventional open surgery by cutting the whole abdomen.But the patient herself was not willing to undergo the open method surgery under any circumstances, so she decided to come to India without seeking treatment in her country.The urology specialist of ACE Hospital explained to the patient that the operation can be attempted with the help of 3D laparoscopy, but if necessary, the open surgery will have to be done.
After the patient was prepared for it, the surgery was successfully performed with a modern telescopic technique called 3D laparoscopy.It took four and a half hours for surgery.With the great skill, all the surrounding organs were separated and only the tumor was removed without any damage to the adrenal gland and surrounding structures.Most of the time, in such a surgery, the adrenal gland has to be removed as well.3 liters of cyst fluid was removed from this tumor.The patient recovered completely within four days after this operation.
The team of skilled urologist Prof.Dr.Suresh B.Patankar, senior urologist Dr.Gururaj R. Padasalagi, urologists Dr.Mayur Narkhede and Dr.Kashinath V.Thakare succesfully performed this surgery.Other team members were Dr. Sonali Vaste anesthetic and Assistant nursing staff were Sunita Bangar, Usha Bawadhane, Savita Kokare, Abhishek Shinde, Manda Bahir and Vaibhav Korde.
In this context, all important scientific medical journals were searched. It showed that in India, till now upto 21 cm size tumor and in entire world around 22cm size tumor were removed by laparoscopy method. The present tumor removed in ACE hospital by 3D laparoscopy is of size 23 cm
