Kolkata hospital deploys Robotic Radical Nephrectomy with Inferior Vena Cava (IVC) Thrombectomy to remove malignant tumour on a 70-year-old man
Times of India | 11 June 2024
KOLKATA: A 70-year-old man underwent a state-of-the-art procedure to remove renal tumour in a Kolkata hospital. Dulal Dutta was discharged within five days after the Robotic Radical Nephrectomy with Inferior Vena Cava (IVC) Thrombectomy. His kidney size had enlarged to 12 cm x 7 cm x 6 cmagainst the normal size of a human kidney, which is about 10cm x 5cm x 3 cm due to the malignant tumour that measuring 6cm x 5.5cm x 5cm and, a 3cmtumour thrombus in the Inferior Vena Cava – IVC, leading to obstruction of the blood flow.
Dutta’s family approached the clinicians at Apollo Cancer Centres (ACC), Kolkata on the treatment options. They were being offered open surgery by all the other cancer units in and around Kolkata which is a highly morbid procedure.
At ACC the team led by Dr Tarun Jindal, senior consultant uro-oncology and Robotic Surgeon, conducted the complex surgery and successfully removed the tumour from the kidney and the IVC through the Robotic approach. This minimally invasive technique significantly reduced blood loss, compared to open surgeries. The hospital claims that this technique is used for the first time in Eastern India.
“With unparalleled precision and minimally invasive approaches, robotic surgery offers a remarkable potential in ensuring meticulous tumor excisions. This level of precision can be witnessed in the case of the patient, which led to swift recovery and a normal life post treatment. The innovative modality not only enhances surgical outcome, but it also minimizes postoperative complications,” said Dr Jindal.
Dr Anshuman Roy, anaesthesiologist of the hospital said, “The intricacies of administering the right dosage of anaesthesia, fluid management and management of blood circulation during IVC clamping for the surgery makes these cases extremely challenging. The integration of robotic surgery has notably contributed to the advanced treatment and recovery processes in such complex cases.”
The patient who also had pre-existing renal failure, hypertension, diabetes, was discharged in just four days post-surgery. The minimally invasive robotic approach also resulted in less pain, reduced need for analgesics, quicker return of bowel function, and an earlier discharge, enabling the patient to return to normal life more swiftly.
“In witnessing the exceptional care and advanced treatment provided by the team of doctors, I am grateful for the procedure that led to my father’s swift recovery and cancer control,” said Dutta’s son Debajit.