OVERCOMING A
MASSIVE CHALLENGE

Experts at BLK removed the largest chest tumour
robotically from a 54-year-old Tuvalu patient

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Iakopo Molotii, a 54-year-old resident of Tuvalu, was suffering from breathing difficulty and cough for the past few years. He had consulted many doctors in his native country, but his symptoms were not getting relieved. He was diagnosed with a large tumour in anterior mediastinum within the chest and was advised to undergo open chest surgery by doctors. After many searches on the internet about robotic chest surgery services in India, he finally got his healing answers at BLK Super Speciality Hospital, where a team of highly experienced specialists removed the largest ever thyroid tumour (12x10 cm) from within the thoracic cavity.

“The tumour was so big that it was compressing the windpipe and had completely involved the vein of the left upper limb with multiple large collaterals over the tumour,” informed Dr. Dabas.

“We investigated him with CT Angiography of chest and CT guided tru-cut biopsy which showed it to be a colloid goitre (benign disease) which was densely growing between the main arteries arising from the heart,” said Dr. Ashwani Sharma – Associate Director, Surgical Oncology, BLK Cancer Centre.

“This tumour could have been removed by cutting the chest bone, but the challenge, in this case, was to remove it with a minimally invasive technique using robotic technology as the patient

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This first-of-its-kind advanced surgery to remove such a big tumour was performed by Dr. Surender Dabas – Director, Surgical Oncology & Chief of Robotic Surgery, BLK Cancer Centre at BLK Hospital and his team including, Dr. Ashwani Sharma and Dr. Navdeep Singh Nanda. The tumour that was removed after a 5 hour-long surgery gave Iakopo a new lease of life. The patient recovered well after the surgery and was discharged on the 4th day post surgery. The doctors claimed it to be the country’s largest-ever retrosternal thyroid gland surgery using Robotic Technology.

had especially travelled to India for Robotic Surgery,” said Dr. Dabas who is a pioneer in Robotic Surgery in India.

The last 10 years have shown a major change in minimally invasive chest procedures for lung and mediastinum diseases. Mediastinal goiters and ectopic thyroids represent rare chest diseases. Such ailments were treated in the past through sternotomy, thoracotomy or combined cervicosternotomy. The evolution of robotic-assisted thoracic surgery seems to offer a valid treatment option also in patients with thoracic and cervicothoracic thyroid correlate diseases.

Robotic Surgery:
This new technology has come as a boon for Cancer patients. In minimally invasive techniques of surgery of which Robotics is the latest and the most advanced, surgeons can operate with greater control, precision and vision. It provides a magnified, 3-D view of the surgical site and helps the surgeons operate with utmost surgical precision, flexibility and control, allowing them to perform safe and less invasive procedures with improved outcome. With the advent of Robot-assisted surgery, patients now have the benefit of superior clinical outcomes, faster recovery, minimum scarring and short hospital stay.

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Dr. Surender Kr. Dabas
Director – Surgical Oncology
& Chief – Robotic Surgery
BLK Cancer Centre
BLK Super Speciality
Hospital, New Delhi

Dr. Ashwani Sharma
Associate Director
Surgical Oncology
BLK Cancer Centre
BLK Super Speciality
Hospital, New Delhi

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