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Chandigarh, January 9, 2020: A staff of docs at Fortis Hospital, Mohali launched a brand new approach – Video Assisted Thoracoscopic surgical procedure – to efficiently deal with a 70-year-old man from lung most cancers right here not too long ago. This minimally invasive surgical procedure is a singular and first of its form process to be carried out on this a part of the nation. The staff was led by Dr Vijay Jagdish Jagad, Advisor, Surgical Oncology, Fortis Hospital, Mohali.
This distinctive approach makes use of a thoracoscope that’s launched into the affected person’s chest through a 5-6 cm small incision. The tumour can then be excised via movies transmitted via a thoracoscope onto a video monitor guiding the surgeon in performing the process. The endoscope was via a puncture within the chest wall located between the ribs.

Dr Vijay Jagdish Jagad, Advisor, Surgical Oncology, Fortis Hospital Mohali stated, “The affected person was recognized with neuroendocrine tumor of lung. The affected person was suggested a Dotanoc Pet Scan which revealed lesion confined to the left lung. If left undiagnosed and untreated, then it might have unfold to his mind, liver and bones and harmed him immensely. Affected person was suggested to endure VATS Left higher lobectomy. The surgical procedure went on efficiently and all the pieces went on easy. Affected person was discharged on fifth post-operative day.”
The brand new VATS approach has a number of benefits over open process. It’s minimally invasive which implies it’s much less painful, minimal lack of blood and swifter restoration. The approach additionally reveals minimal impact on affected person’s immune standing which is a particular enchancment over open surgical procedure. The possibilities of post-operative infectious problems are lesser. VATS causes least harm to the ribs and intercostal nerves and therefore post-operative lung operate is maintained and it’s helpful for many who want post-operative chemotherapy or radiotherapy.
“VATS could be carried out for numerous lung pathologies like Lobectomy (surgical elimination of a lobe of an organ) and Pneumonectomy (surgical elimination of a lung or a part of a lung) for lung most cancers, Drainage of Empyema Thoracis (situation the place thick-walled pus-filled cavity is current throughout the pleural cavity), Lung discount surgical procedure for sufferers of power obstructive pulmonary illness, Bullectomy (Affected person who develop massive air-filled lung house attributable to power lung illness) and so forth. VATS expertise causes minimal trauma and speedy restoration therefore reduces the general morbidity of the process,” added Dr Jagad.
Lung most cancers stays the commonest reason behind most cancers associated dying amongst males. The worldwide incidence of lung most cancers is rising. Lung most cancers is often recognized at a sophisticated stage the place the affected person presents with cough with expectoration (discharge matter from throat/lungs by coughing or hawking and spitting) or shortness of breath. Typically, the affected person presents in a really superior stage of the illness, the place it has unfold to the bones and mind. Screening is the best methodology to detect lung most cancers at early stage, the place a battery of sure exams could be carried out in wholesome high-risk people. Screening for lung most cancers could be carried out by low dose CT scan of chest.
Therapy of lung most cancers revolves round trimodality remedy i.e., Surgical procedure, Chemotherapy and Radiotherapy. Surgical procedures achieved by typical open process requires 15 to twenty cm incision over the chest and is fraught with excessive dying charges owing to post-operative main problems, the physician added.
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