Narayana Health City performs robot assisted surgery to cure pancreatic cancer

Becomes the first hospital to have performed the highest number of robotic whipple procedures in the country

Narayana Health City, Bhim Rao, Ashwinikumar Kudari, Senior Consultant, Surgical Gastroenterology, Robotic Surgeon, Jayant Mulchandani, Mohammed Shies Sadat, 360 degree rotation

Bhim Rao, a retired government officer from the Karnataka is relived today as he has been cured of pancreatic cancer by the team of doctors at Narayana Health City. The 71 year old retired police officer was treated using robotic whipple procedure.

Bhim Rao was leading a peaceful retired life. However, few months ago he started getting abdominal pain.  As his pain did not subside despite medication and he started developing jaundice coupled with weight loss as well as loss of appetite, he was referred to Narayana Health City. He was admitted under Dr Ashwinikumar Kudari , Senior Consultant- Surgical Gastroenterology & Robotic Surgeon and his team. Upon diagnosis it was found that he was suffering from pancreatic cancer.

Pancreatic cancer is one of the most dreadful conditions wherein the prognosis depends on early diagnosis & treatment. The 5 years survival rate is 20-25%. However, if identified early it can be treated and cured. Fortunately for Bhim Rao the tumour was identified at an early stage. Further, the tumor was confined to the head of the pancreas. Since it was localized and not spread into any nearby major blood vessels, the liver, lungs or abdominal cavity, doctors suggested whipple surgery.

Though whipple surgery is the most effective mode of treatment for pancreatic cancer, it is a complex one, especially open whipple surgery is a high risk procedure. Whipple surgery is generally associated with mortality rate of around 5%. The post-operative complications also in this procedure are as high as 40%. As the patient was old and has diabetes as well as borderline obesity doctor recommended him to undergo robotic whipple surgery. The surgery was performed successfully and he has been cured of pancreatic cancer.

The technically demanding surgery was performed by the team of doctors comprising of Dr Ashwinikumar Kudari, Dr Jayant Mulchandani and Dr Mohammed Shies Sadat. Elaborating about the case study, Dr Ashwinikumar Kudari, Senior Consultant – Surgical Gastroenterology & Robotic Surgeon, Narayana Health City, said, “The case of Bhim Rao was a challenging one as the patient was old and obese with a non-dilated ductal system with soft pancreas. In such circumstances, reconstruction can be difficult, however, with the stereoscopic vision and dexterity and stability of robotic arms we were able to perform reconstruction successfully and easily”

“Unlike the conventional open surgeries the quality of reconstruction using robotic method is far higher. The 360 degree rotation offered by the robotic arm assists in better suturing. The precision that it offers is also a great aid in ensuring superior outcomes. Further, as it is minimally invasive only small incisions are made which in turn leads to faster recovery, minimal loss of blood, low rate of complications and short hospital stay.  As the wound is small, the requirement for antibiotics as well as pain killers is also far lower,” added Dr Ashwinikumar Kudari.

The surgery took around 6 hours and the patient was discharged within eight days of the surgery.