Mangalore, Feb 19: A 72-year-old woman suffering from locally advanced rectal cancer was treated wholly through Laparoscopic Surgery by Surgical Gastroenterologist and Advanced Laparoscopic Surgeon Dr. Vijay Ramachandran at Yenepoya Specialty Hospital, Kodialbail in the city.
Dr.Vijay with the patient (centre)
The procedure, termed Laparoscopic Abdominoperineal Resection has been performed for the first time in Mangalore. In this procedure, the cancer bearing portion of the rectum and anal canal is mobilised laparoscopically and removed resulting in minimal surgical trauma to the patient.
The advantages of the procedure include quicker return of bowel function, reduced pain, shortened postoperative stay and cosmesis.
Dr Vijay said that the patient resumed oral intake on the first postoperative day and was discharged on the fifth postoperative day. Although the majority of the surgeries performed for rectal cancer by Dr. Vijay aim at sphincter preservation, abdominoperineal resection is necessitated when the tumour is within 3 cms of the anal verge as in this case.
Dr Vijay elaborated that Laparoscopic Surgery has an established role in the management of gastrointestinal cancers and many such tumours can be successfully removed with the help of laparoscopy.
Port sites of Laparoscopic Rectal Cancer Surger (left) Lap APR Specimen (right)