OGH surgeons conduct first keyhole surgery to remove giant liver tumour
The OGH surgeons conducted ‘Total Laparoscopic Right Hepatectomy’ for Giant Haemangioma of liver in a 31-year-old housewife Mallela Vani, a resident of Hyderabad,
Hyderabad: For the first time in a government hospital in Telangana, a team of surgeons from Osmania General Hospital (OGH) have conducted a complex liver surgery through a keyhole, also known as a laparoscopy method, to remove a strikingly large tumour.
The OGH surgeons conducted ‘Total Laparoscopic Right Hepatectomy’ for Giant Haemangioma of liver in a 31-year-old housewife Mallela Vani, a resident of Hyderabad, who was admitted to a giant tumour (size 14cm x 11 cm) in the right side of her liver.
A similar liver surgery would cost nearly Rs. 15 lakh in private hospitals and due to financial constraints, Mallela Vani along with her husband Rambabu, a daily wager, came to OGH seeking a solution for her medical condition.
“Giant Haemangioma of the liver is a tumour made up of blood vessels. It causes complications like rupture with severe internal bleeding and sometimes it also leads to high output heart failure,” said Dr. CH. Madhusudhan, Professor and Head, Department of Surgical Gastroenterology, OGH, who led the surgery.
Such liver surgeries are done by an open method that involves a big incision. Such surgeries are complex and are associated with bleeding, haemodynamic changes on heart and kidneys due to close relation to major blood vessels like IVC and heart.
“Laparoscopic Right Hepatectomy through Key Hole surgery (Laparoscopic method) is also very challenging and difficult. Very few cases were done in India and first time in government sector hospitals in India. This surgery needs experience of both liver surgery and laparoscopy. We are doing both open liver surgery and laparoscopic surgery for 10 years in Osmania. Laparoscopic liver surgery also needs very experienced anaesthesiologists because it causes huge changes in blood pressure, function of kidneys, heart, and lungs,” Dr Madhusudhan said.
The surgeons successfully operated in a marathon surgery that lasted for about 8 hours and removed the liver tumour through small holes in the abdomen on February 4. “The advantages of laparoscopic liver surgery are that they are less painful, help in quick recovery and patients end-up having a small scar instead of a huge incision mark. We are happy in helping the poor patient to get back to her work early through this laparoscopic surgery,” Dr. Madhusudhan added.
