Fortis Noida Doctors Perform Rare Tumour Extraction Surgery on 59-Year-Old

5 December 2024: Doctors at Fortis Hospital Noida have successfully performed a complex and high-risk surgery to remove a renal tumour in a 59-year-old woman suffering from Multiple vascular anomalies – a congenital condition where a person has multiple abnormal blood vessel supplying the kidneys. It is a rare condition and occurs in 1 in 25,000 cases.

In normal cases, a kidney has one artery, one vein and one ureter, but in this particular case, the patient was born with 4 renal arteries and 2 ureters. Extracting the tumour from the lower part of her left kidney by clamping multiple veins and arteries was a difficult task. However, the team of doctors led by Dr Piyush Varshney – Director, Urology & Kidney Transplant, Fortis Hospital, Noida conducted the high-risk procedure with the help of Robotic Partial Nephrectomy in mere 90 minutes and the patient was discharged in a stable condition.

The patient was admitted to Fortis Noida with severe pain on the left side of her body, extending from the bottom of the rib cage to the hips. An ultrasound was done, which revealed a tumour on the lower part of her left kidney. Additionally, a CT Urography was also conducted, which revealed multiple abnormal blood vessel. Due to this condition, it was difficult to dissect the blood vessels, tie them separately and cut the tumor, without blood loss. To address the complexity of the case, the team opted for a robot-assisted partial nephrectomy, which provided a 10 times magnified view of the blood vessels and allowed for meticulous dissection and tumour removal.

Giving details of the case, Dr Piyush Varshney – Director, Urology & Kidney Transplant, Fortis Hospital, Noida said, “The surgery was challenging due to the complexity of identifying all the major vessels supplying blood to the kidney, dissecting them without causing injury, and clamping each and every artery and veins separately to remove the kidney tumour without blood loss. However, with the help of Robot-assisted partial nephrectomy, we could successfully remove the tumour without damaging any surrounding tissues or blood vessels. If the tumour was not removed on time, it could have ruptured any time leading to severe bleeding. The problem with such a tumour is that they are composed of fat and blood vessels and has no protective covering. Therefore, a small injury can lead to rupture and the patient may bleed profusely, leading to sudden fall of blood pressure.”

Mohit Singh, Zonal Director, Fortis Hospital, Noida said, “It was a challenging case and, in such cases, it is very important to consult a multi-specialty hospital which is well equipped with the best medical facilities. We have a comprehensive robot-aided surgical program at Fortis Noida, with the specialized team of doctors.”