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SGPGI’s cut above the rest

lucknow Updated: Apr 11, 2007 15:05 IST

SANJAY GANDHI Post Graduate Institute of Medical Sciences (SGPGIMS) doctors have performed country’s first ‘partial cystectomy of urachal carcinoma’ laparoscopically. Urachal carcinoma is cancer of umbilical cord.

“Some portions of our umbilical cord remain in the body. It remains like vestigial (useless and non functional) organ. But, sometimes it develops cancer. Urachal carcinoma if not treated in time spreads to urinary bladder. General procedure to treat the disease is surgical removal of carcinoma. Till now it used to be done by opening up the belly. But, we tried laparoscopy in the case of Dilip Singh, a 65-year-old patient from Bareilly,” said Department of Urology & Renal Transplant head Dr Rakesh Kapoor.

The doctor demonstrated the procedure.
Singh showed his belly that had only a small (1.5 inches) incision through which the camera was sent in and three tiny holes through which instruments were sent in to do camera guided surgery. The scars have healed in ten days. “I had started waking the third day after the surgery,” said Singh.

“Once, about three months ago, when I urinated, I saw myself urinating nothing except blood. I got scared. We went to doctors. I started taking homeopathic medicine. The blood stream stopped to a tickle. Then we went to a private nursing home,” he said.

“The nursing home diagnosed the problem after doing cystoscopy and biopsy. But, recommended radiotherapy which was not correct. It would have made the case complicated. Through another doctor’s referral the patient came to PGI,” said Kapoor who performed the surgery 10 days ago.

We knew that surgery was the best option, but then we decided to make it easy on the patient and chose to attempt laparoscopy, he said.
“We, with the help of camera and laparoscopy instruments surgically removed the cancerous portion along with a small portion of urinary bladder though which the cancer had spread. We sent in a small pouch that we use in laparoscopy procedure to take out tissues or organs. We placed the removed parts in the bag and took it out from the incision through which we had sent the camera in. And stitched the cut portion of the bladder,” said Kapoor.

The entire procedure, including the hospital stay and medicines, cost about Rs 30,000 to the family, said Dilip Singh.

SGPGIMS’ urology department has already using laparoscopy technique extensively to make it easy on patients. “The conventional surgery means about ten days stay in hospital and even more to recuperate,” said Kapoor.