Udaipur: Geetanjali Medical College & Hosptial’s Oncology Surgeons Dr. Ashish Jakhetiya & Dr. Arun Pandey have successfully performed the first Video Assisted Thoracoscopic Radical Esophagectomy (surgery for cancer of the food pipe) recently. The surgery was done on a 76 years old male hailing from local district, who was suffering from third stage cancer of the food pipe which was initially treated with three doses of neo adjuvant chemotherapy. This is a minimally invasive form of surgery for esophageal cancer wherein the entire esophagus (food pipe) is mobilized inside the chest using three small holes (Video Assisted Thoracoscopic Surgery – VATS).
The team of doctors involving the two onco surgeons also included anesthetist Dr. Naveen Patidar who provided with single lung ventilation using double lumen endotracheal tube. As the inflation of lung during ventilation interrupts during the surgery, single lung ventilation was used.
“There are several advantages of this less invasive modality of esophageal surgery compared to the conventional techniques of transhiatal (mobilizing the esophagus blindly in the chest) and the thoracotomy approach (opening the chest). This technique avoids the opening of the chest which decreases the complications associated with it like lung infections, atelectasis, pleural effusion, pneumonia etc which in turn leads to faster recovery of the patient. It is also less painful and cosmetically more appealing as ugly scars can be avoided. Faster recovery and mobilization of the patient translates into lesser hospital stay as well as cost effective technique when compared to the traditional modalities”, said Dr. Ashish & Dr. Arun.
The patient Shankar Lal, 76 years old male, reported with symptoms of difficulty in swallowing (food/water), vomit & unexplained weight loss. On consultation & investigations of CT Scan & Endoscopy it confirmed the third stage cancer of esophagus. The patient recovered well. The patient was treated free under the flagship scheme of Rajasthan Government’s Bhamashah Swasthya Bima Yojana (BSBY).