Bhubaneswar: A team of doctors at KIMS Bhubaneswar performed two rare surgeries consecutively within a span of two weeks through a minimal invasive process with the help of an endoscope to remove a tumour in the lower end of the trachea or airway.
Usually, a tumour from the trachea is removed by surgery in which anaesthesia is given through a tube. But in these cases, as the tumours were blocking the tracheal tube, the surgery was done with the help of the Heart Lung Machine as anaesthesia could not be administered by tubing. To supply oxygen to the lungs during the surgery, the heart-lung machine was chosen. The complex operations were carried out by doctors from ENT and Cardio Vascular and Thoracic Surgery (CTVS).
In the first case of a 68-year-old male patient, the tumour in the lower end of the trachea was blocking the opening of the lungs. Within a week, a 46-year-old woman was operated upon by the same ENT and CTVS team of KIMS.
Both surgeries were performed with the help of the Heart Lung Machine, which is generally used in cardiac surgery. Both patients are doing fine at KIMS and will be discharged soon.
Explaining the procedure, ENT HoD Prof Khageswar Rout said, “The tumours in both the cases were blocking the lungs and in the second case one part of the lung of the woman was not working. The strategic location of the tumour between the heart and lung also posed a challenge for the ENT and CTVS team while planning for the surgery.
CTVS surgeon Chandan Kumar Ray Mohapatra said that in the normal procedure, if the tumour is not critical, such surgery is done with ventilator support while administering anaesthesia by tubing. However, as the tumour was too critical with respect to size and location, the Heart Lung Machine was used to supply oxygen to the body during the surgery.’’
From KIMS ENT Department Prof Rout and Associate Prof Pradipta Ranjan Sahoo participated in the surgeries and from CTVS Dr Ray Mohapatra and HoD Prof A Sharda were in the team.
