AIIMS Jammu team removes recurrent liver tumor in high-risk surgery

By
Daily Excelsior
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Excelsior Correspondent
JAMMU, Apr 10: The Department of Surgical Gastroenterology at AIIMS Jammu has successfully performed a highly complex re-do liver surgery on a 58-year-old female patient with a recurrent neuroendocrine tumor of the liver, underscoring the Institute’s growing expertise in advanced hepatobiliary care.
The patient had previously undergone a left lateral hepatectomy at an outside hospital in 2021 for a neuroendocrine tumor in segments 2 & 3 of the liver. Following recovery, she developed a recurrence of the tumor in segments 6 & 7 of the liver, necessitating further surgical intervention.
She was presented to the Surgical Gastroenterology OPD, where after a Multidisciplinary Team (MDT) meeting, it was decided to offer resection. High-definition liver imaging and liver volumetry were performed to ensure adequate postoperative liver reserve.
Given the challenges associated with prior surgery including dense adhesions, altered anatomy, and increased risk of complications the Surgical Gastroenterology team at AIIMS Jammu undertook meticulous preoperative planning. The patient subsequently underwent a Right Posterior Sectionectomy (removal of segment 6 & 7) to remove the recurrent tumor.
The surgery was led by Dr Sahil Sandal, Assistant Professor and Officiating Head of Surgical Gastroenterology, along with Dr Akash Salaria, Senior Resident, at AIIMS Jammu, with the anesthesia team led by Dr Slomi Gupta, Assistant Professor, Department of Anaesthesia, and team.
This was a technically demanding re-do liver resection. Prior surgery significantly increases the complexity, but with careful planning and a coordinated multidisciplinary approach, we were able to achieve a successful outcome,” Dr Sandal said. A multidisciplinary team comprising surgeons, anesthetists, and critical care specialists worked in close coordination to ensure comprehensive perioperative care. The patient has been discharged on 9th postoperative day.
Prof (Dr) D N Sharma, ED & CEO, AIIMS Jammu, highlighted the Institute’s capability to manage complex liver cases locally and reducing the need for patients to travel outside the region for specialized treatment.

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