The patient with covid complications underwent supra-major surgery
A team headed by Dr Imran Shaikh, Consultant Surgical Gastro and GI Oncosurgery, Wockhardt Hospital, Mira Road, performed a supra-major surgery on a 54-year-old man from Odisha suffering from pancreatic cancer.
Initially, a procedure known as endoscopic biliary stenting was done to open the blocked bile duct (tube). The stent helps to widen the narrowed area of your bile duct and allows the bile to flow through. Unfortunately, the stent placed was blocked that developed into an infection in the biliary system. As a result, the patient’s health deteriorated. He then approached Wockhardt Hospital, Mira Road wherein Dr Imran Shaikh saved his life.
Dr Shaikh, “Before the surgery, the patient turned out to be covid positive. This was a big setback. If the surgery was postponed, all the tests including ERCP would have to be done all over again. Also, there was a risk that in waiting time as cancer may have advanced and go out of hand as the patient has already wasted two months before he reached us, besides the monetary front.
Dr Imran Shaikh added, “The supra-major surgery was done in the specially designed negative pressure OT (designed for Covid positive cases) wherein the head of the pancreas should be removed. A part of the small intestine, part of the stomach and gallbladder with the bile duct were also removed. After surgery, three major critical anastomoses were done. The small intestine was used to make anastomosis with Pancreas (Pancreato-jejunostomy), with the bile duct (Hepatico- jejunostomy)and with the stomach ( Gastro-jejunostomy). Surgery was difficult due to his infection, long-term jaundice and stenting. The surgery lasted for six hours and the blood loss was minimal. The patient was in covid ward and post-operatively shifted to the covid ICU.”