Doctors at the Narayana Health Hospital in Bengaluru, performed a unique robotic-assisted surgery to save a 60-year-old woman who had a complicated tumour in the pancreas. The surgery was led by Dr Ashwini Kumar Kudari, a Robotic Surgeon and Surgical Gastroenterologist, with Dr Jayant Mulchandani and Dr Mohammed Shies Sadat who were also part of the expert team who carried out this surgery, the hospital said in a statement on Wednesday
Doctors at the Narayana Health Hospital in Bengaluru, performed a unique robotic-assisted surgery to save a 60-year-old woman who had a complicated tumour in the pancreas. The surgery was led by Dr Ashwini Kumar Kudari, a Robotic Surgeon and Surgical Gastroenterologist, with Dr Jayant Mulchandani and Dr Mohammed Shies Sadat who were also part of the expert team who carried out this surgery, the hospital said in a statement on Wednesday.
The patient arrived at Narayana Health Hospital with severe abdominal pain, and a previous contrast MRI revealed a periampullary tumour in her pancreas, raising concerns about the potential need for a complicated Whipple procedure.
The PET CT scan performed at NH also suggested a likely malignant lesion. But, as there was no direct evidence of malignancy, Dr Kudari decided to perform a robotic-assisted ampullectomy followed by a frozen biopsy to confirm whether it was malignant or not. The result of the frozen biopsy came within 30 minutes, displaying a rare Intra ampullary papillary tubular neoplasm with no dysplasia or invasive malignancy.
Based on this diagnosis, Dr Kudari and his team decided to go ahead with robotic-assisted ampullectomy, avoiding the complex Whipple procedure that has very high morbidity and about 5 per cent mortality rate.
Dr Ashwinikumar Kudari, who led this procedure, said, “Performing country’s first-ever robotic-assisted ampullectomy is a remarkable achievement in the field of surgical gastroenterology in India. This procedure not only offers a minimally invasive approach, but also highlights the potential of robotic surgery technology in transforming the way we treat periampullary tumors. I am proud of our team’s relentless pursuit of innovation and their unwavering dedication in delivering exceptional patient outcomes.”
While talking about the procedure, Dr Kudari added that “Ampullectomy is a highly complex procedure involving the removal of the ampulla of Vater, a critical structure located at the junction of the common bile duct and the pancreatic duct. This delicate operation is traditionally performed by open method with large incisions, and it comes with post-surgical complications such as infection and pain. But, now, with advanced surgical technologies like da Vinci 4th generation RAS system, we had the option to do it through the minimally invasive method. With its magnified vision, easier accessibility and dexterity, we could make a critical clinical decision during the surgery to go ahead with Ampullectomy. The success of this surgery will definitely motivate more surgeons to take this approach in future, to provide better clinical outcome to their patients.”
The hospital said that the patient’s surgery was a success and the patient is recovering well.
