{"id":24971,"date":"2024-02-29T13:22:56","date_gmt":"2024-02-29T13:22:56","guid":{"rendered":"https:\/\/faceinews.com\/?p=24971"},"modified":"2024-02-29T13:22:56","modified_gmt":"2024-02-29T13:22:56","slug":"surgeons-at-sai-uro-clinic-achieve-breakthrough-in-robotic-surgery-remove-kidney-tumour-to-save-senior-citizen-from-dialysis-dependency","status":"publish","type":"post","link":"https:\/\/www.faceinews.com\/?p=24971","title":{"rendered":"Surgeons at Sai Uro Clinic Achieve Breakthrough in Robotic Surgery; Remove Kidney Tumour to Save Senior Citizen from Dialysis Dependency"},"content":{"rendered":"

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Surgeons at Sai Uro Clinic Achieve Breakthrough in Robotic Surgery; Remove Kidney Tumour to Save Senior Citizen from Dialysis Dependency<\/p>\n

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\u25cf The 71-year-old patient has chronic diabetic and hypertensive condition, and one of his kidneys is dysfunctional.<\/p>\n

\u25cf Both open technique and laparoscopic surgery were not considered safe, given the patient\u2019s age, chronic health conditions, and the tumour\u2019s location.<\/p>\n

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*Chennai, February 29, 2024*: Sai Uro Clinic, among Chennai\u2019s leading centres for advanced urology, uro-oncology and robotic surgery, employed cutting-edge robotic surgical technology to remove a tumor from the right kidney of a 71-year-old male. The intervention was also critical to avert the imminent risk of dialysis dependency for the patient, whose left kidney had long ceased functioning.<\/p>\n

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The robotic surgery was the only safest option for the patient to get rid of the tumour, as both the open technique and laparoscopic surgery could prove to be too risky, given the patient\u2019s age, chronic health conditions as well as the challenges posed by the tumor’s location in the right kidney. Any major surgical stress like hypotension (low blood pressure) or torrential bleeding could make the patient\u2019s kidney lose the remaining function and result in dialysis dependency for the rest of his life.<\/p>\n

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The surgical team, led by *Dr. Vasantharaja Ramasamy, Managing Director, Sai Uro Clinic, and Senior Consultant in Uro-oncology, and Dr. Aarthy P, Robotic Surgeon*, performed \u2018partial nephrectomy\u2019, a surgery to remove a part of a kidney. The team chose an advanced robotic system for the surgery primarily to ensure precision. The procedure is hailed as \u2018nephron-sparing surgery\u2019 as it prevents blood from reaching the tumor region, while allowing it to flow to the functioning nephrons, kidney\u2019s filtering units.<\/p>\n

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The surgery was a success. The patient had very minimal blood loss (less than 50 ml) and did not require intensive care monitoring or dialysis support after the surgery. The kidney function too remained unaffected. Hence, the patient was discharged within 48 hours from the hospital.<\/p>\n

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In his comments, Dr. Vasantharaja Ramasamy, said that the patient had a tumor measuring 3.5 cm in his right kidney. He was ailing from a chronic kidney disease with his right kidney having a borderline function and his left kidney had already shrunken long back due to recurrent infection. He is also a diabetic and hypertensive patient who is on regular medications. His nephrologist was managing his renal condition conservatively on fluid restriction.<\/p>\n

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Dr Ramasamy added that the team decided to perform a partial nephrectomy using an advanced robotic system to ensure precise dissection of the kidney and removal of the tumour, which was in the lower part of the right kidney, close to the urine draining path exiting from the kidney. The team also faced the challenge of managing the blood supply to the kidney region. \u201cKidney is a highly vascular structure. It gets one fifth of the blood supply from the heart. Hence, we need to close the main vascular supply to the kidney in any kidney surgery to avoid catastrophic bleeding during tumor excision and suturing. However, in our case, we could not close the main supply as it would cut off the entire blood supply to the only functioning kidney.\u201d<\/p>\n

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In an innovative approach, the surgical team constructed a 3D model of the blood supply of the affected kidney and used \u2018firefly technique\u2019 which uses a dye to make the vascular structure visible in fluorescent imaging in real time. \u201cWe dissected the lower branch of the kidney\u2019s main blood supply in firefly fluorescent mode. This new technique in the robotic system helped us maintain the blood supply to the rest of the functioning nephrons, while blocking the supply to the tumor region. The patient had very minimal blood loss (less than 50 ml),\u201d Dr Ramasamy explained.<\/p>\n

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The surgery was eventless. The patient did not require intensive care monitoring or dialysis support after the surgery. Since the kidney function too remained unaffected, the patient was discharged within 48 hours from the hospital.<\/p>\n","protected":false},"excerpt":{"rendered":"

Surgeons at Sai Uro Clinic Achieve Breakthrough in Robotic Surgery; Remove Kidney Tumour to Save Senior Citizen from Dialysis Dependency   \u25cf The 71-year-old patient has chronic diabetic and hypertensive condition, and one of his kidneys is dysfunctional. \u25cf Both open technique and laparoscopic surgery were not considered safe, given the patient\u2019s age, chronic health […]<\/p>\n","protected":false},"author":2,"featured_media":24972,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10,31,27,34,28],"tags":[],"class_list":["post-24971","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-corporate","category-health","category-news","category-technology","category-value-added-services"],"_links":{"self":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts\/24971","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24971"}],"version-history":[{"count":1,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts\/24971\/revisions"}],"predecessor-version":[{"id":24974,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts\/24971\/revisions\/24974"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/media\/24972"}],"wp:attachment":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24971"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24971"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}