Blood vomiting – Almost died

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 1

Dissecting the stomach from omentum

A rare surgery for a rare disease

Sushma Bagwe came with severe blood vomiting and with feeble pulse and blood pressure. An emergency upper GI scopy was performed by me as the bleeding was profuse. With all the blood in stomach it was a tricky job. I noticed that she had a tumor growing in her stomach that was heavily bleeding. This tumor did not appear like a typical stomach cancer or a peptic ulcer. In order to stop the bleeding, using the endoscope I injected medication around the tumor  That stopped the bleeding. Subsequently she was shifted back to ICU and was transfused four units of blood to restore her blood. I also took mulitple biopsies to know what was the nature of the tumor but to my dismay it did not indicate much. I repeated the biopsy again but that also was not conclusive. Subsequently CT scan was performed but even that was not conclusive of the nature of the tumor. I planned out the surgery for her. Instead of opening her abdomen with a large incision, I decided to give her the benefit of Minimally invasive surgery. I performed a total Laparoscopic partial stomach removal (Partial gastrectomy) using harmonic scalpel and endostaplers. This gave her the benefit of fast recovery, minimal post operative pain and almost invisible scar. The diagnosis of the tumour was leiomyoma – benign stomach tumor. Her condition was solved. Thus minimally invasive procedure that I used on this patient (endoscopy and laparoscopy) once again saved the life of a patient and cured her from her disease with minimal pain.

 

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 2

Identifying the tumor by intraopearative endoscopy and injection of blue dye

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 3

Opening the stomach after tumor identification

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 4

Cutting the stomach tumor keeping safe margins

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 5

Cutting the stomach without any blood loss using ultrasonic energy

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 6

Cutting the stomach using ultrasonic energy

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 7

Tumor on the left side and opened stomach on right side

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 8

Dividing the last attachment of the tumor form stomach

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 9

Delivering the tumor using an endobag

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 10

Stomach after the removal of the tumor

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 11

Taking important stiches on stomach

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 12

Using modern stapplers to close the stomach

Laparoscopic Partial Gastrectomy for Stomach Leiomyoma 13

Using stapplers to close the stomach

 

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