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Laparoscopic and Thoracoscopic Esophagectomy –

A fifty five year male patient presented with complain of dysphagia (the feeling of food getting stuck several secondsafter swallowing, initially for solid food progressing to inability to eat even solid and liquid diet) was presented to our department of laparoscopic GI & GI OncoSurgery :

Dr. Pradeep Jain and Dr Ashish Bhanot. Patient was evaluated carefully and thoracoscopic Esophagectomy was performed. Laparoscopic mobilization of stomach and thoracoscopic mobilization of esophagus was performed and stomach tube was created and brought out through cervical incision and anastomosis of cervical esophagus was performed in neck. The procedure was performed without any major incisions on chest and abdomen. Patient was able to walk very next day and recovered very well without any significant pain and other surgery related complications.

Esophagectomy is the partial or complete surgical removal of the esophagus. It is most often performed to remove esophageal cancer or benign lesions. Often the procedure follows courses of chemotherapy and radiation, which might also be continued postoperatively. For decades; surgeons have approached this procedure via open thoracotomy, a large incision in the chest. Via open or laparoscopic approach, this surgery and anesthetization is complex because of the anatomical structures involved. Depending on the length of esophagus to be removed stomach tube or colon is mobilized to make a tube and esophagogastrostomy or colonic transposition is performed. Procedure carries high morbidity because of multiple large incisions causes’ severe pain and take long time to heal in debilitated patients who are already down in health because of cancer. Thoracoscopic esophagectomy is routinely performed by our GI Surgery team and has markedly reduced morbidity in esophageal cancer surgery.

Our GI & Bariatric Surgery experts Dr Pradeep Jain & Dr Ashish Bhanot are also performing laparoscopic colorectal cancers, Bariatric, Pancreatic cancer surgery as well hepatobiliary and other GI surgeries by minimally access surgery techniques.

Stomach Cancer Treatment By Dr. Pradeep Jain , Delhi

Stomach cancer, or malignant tumors of the lining of the stomach, have seen an overall decrease in recent years, says Dr. Pradeep Jain at Action Cancer Hospital, but researchers nonetheless see over 21,000 new cases and 15,000 deaths per year in the United States alone. There are different types of stomach cancer, which are classified according to the type of tissue in which they originated. Adenocarcinoma is the most prevalent type; this originates in the glandular tissue and accounts for over 90 percent of all stomach cancers. Other types of stomach cancers are lymphomas (involving the lymphatic system) and sarcomas (involving connective tissues like blood vessels, muscle, or fat). Dr. Pradeep Jain, explains that Early detection is vitally important in stomach cancers, as cure rates are extremely high when these cancers are caught early – but drop dramatically when the cancer is at an advanced stage when found. Stomach cancer, unfortunately, is most frequently not found until it has advanced considerably. It is usually impossible to pinpoint the exact cause of stomach cancer, but several factors are known to increase the risk. For example, men get more stomach cancers than women, and Asian and African American people have a higher risk than other races. A genetic link is undoubtedly present in many cases, and having a family member with stomach cancer can double or triple your risk. Your age matters, too; the highest-risk age is 70 for men and 74 for women. Stomach Cancer Treatment By Dr. Pradeep Jain, Action Cancer Hospital, Delhi - Dr. Pradeep Jain is well renowned Gastroenterology surgeon with wide experience in Gastrointestinal and Hepatobiliary Surgery. Many stomach cancers are probably caused by lifestyle factors like smoking, drinking alcohol heavily, and consuming a diet low in fiber and high in salt (including salt- or nitrate-preserved foods such as smoked meats or other foods high in salt). H. pylori bacteria, the bacteria often blamed for ulcers, is a known risk factor for stomach cancer. Finally, exposure in the workplace to certain agents like asbestos can greatly increase a person's stomach cancer risk. Dr. Pradeep Jain, at Action Cancer Hospital explains that Early detection is vitally important in stomach cancers, as cure rates are extremely high when these cancers are caught early – people should be on the lookout for symptoms and report them at once to their doctors. Early on, there may be no symptoms at all – one of the reasons stomach cancers are so often found late. However, there are some early symptoms that should alert you that something could be wrong, such as indigestion, a bloated feeling after eating, nausea, and loss of appetite. Often people write these symptoms off as acid reflux or simple heartburn rather than seeing their doctors for a proper diagnosis. At this stage, you have the greatest chance of successful treatment, so it's important to be proactive and make an appointment to see your doctor.