Laparoscopic Pancreatic Surgery In Delhi By Dr. Neeraj Goel

1. LaparoscopicPancreaticSurgeryInDelhiBy Dr.NeerajGoel, GI SurgeonInDelhi Laparoscopic Pancreatic Surgery WhatIs LaparoscopicPancreaticSurgery? Laparoscopicpancreaticsurgeryis the minimallyinvasiveprocedure performed to treat various pancreatic diseases. The disease that can be managed throughthisprocedureincludeacute and chronicpancreatitis, pancreaticcancer,premalignant cysts,andanomalies ofthe pancreatic duct. What Are The Various Diseases That Can Be Treated With Laparoscopic Pancreatic SurgeryInDelhi?

2. There areseveraldiseasesofthe pancreas thatcanbetreatedwith thelaparoscopicsurgery.Your doctorwilldetermineyour eligibilityto undergo thelaparoscopicsurgeryby diagnosingyourconditionthroughseveraltests, includingthe imaging techniques.Some ofthediseasesare: PancreaticCysts:Severalcystsoccur in pancreas. These cystsare filled withthe fluid.Most patientswiththe pancreaticcystsexperience no symptoms.The cystsmay be benignor malignant.Fortunately,mostofthem are benign.Symptoms,ifpresent,mayinclude weightloss,nausea and vomiting,andpersistentabdominalpain.Ifthecystsarecancerous,the doctor myremovethe cystthrough laparoscopicsurgery.  Pancreatitis: Pancreatitis isthe inflammation ofthepancreas. Pancreatitis maybeacute orchronic. Acutepancreatitispresentswithsudden developmentof symptoms. Chronicpancreatitis develops overa longperiod. The symptoms ofpancreatitisincludeabdominalpain,fever,nausea and vomiting,and weightloss.Althoughmostcasesofpancreatitisrequirealittle or no medical intervention, in severe cases, the surgeon may remove a part or completepancreasthroughlaparoscopicsurgery.  PancreaticTrauma:Patientsmayhavepancreatic trauma dueto severaltypesofpancreaticinjurythatmaydamagethepancreas.The patients mayhavegunshot wounds, bluntabdominaltrauma,orstabbing that maydamagethepancreas.There is ahighmorbidity and mortalityin pancreatic trauma.Theacceleration-decelerationinjuryalsocausedamageto the pancreas.Doctormay performthelaparoscopicsurgeryto manageinjury duetopancreatictrauma.  PremalignantPancreatic cysts:Severalcystsoccurinthe pancreas thathavethe potentialto developinto cancerous cells.The most common premalignantcysts ofthe pancreas include mucinouscysticneoplasm and intraductalpapillarymucinousneoplasm. Thedoctormaymonitortheirgrowth and removethem through laparoscopyifthe cystsareposing danger tothe healthofthe patients.  WhatAreTheVariousTypesOfLaparoscopic PancreaticSurgery InDelhi?

3. Several hospitals in Delhi have the required infrastructure and experienced surgeons to perform the laparoscopic pancreatic surgery. However, you should consultwith thebestlaparoscopicGIsurgeon in Delhifor having laparoscopic pancreatic surgery in Delhi. Some of the laparoscopic pancreaticsurgeryperformed in Delhiare: Laparoscopic resectionof theheadof thepancreas (Laparoscopically assisted pylorus-preserving pancreaticodudenectomy): Thisprocedure isdone totreatseveralcancers of the pancreas, including ampullary carcinoma, pancreatic cystadenocarcinoma,pancreaticheadadenocarcinoma,andlowcommonbile duct cancer. Surgeons may also perform this procedure for chronic pancreatitis.  Laparoscopic enucleation:The surgeonsperformthisprocedurein insulinomaand non-functioningtumor.However,thisprocedureisnot advisable incase thepatientshavecanceroustissues. Through this procedure, the surgeons remove the tumor cells by keeping the pancreas intact.  Distalpancreatectomy:Laparoscopic techniquemayalso beusedfor performingdistalpancreatectomy.This surgerytakesaround twotofourto complete.During the surgery,the surgeon removesthetumor fromthe tailor thebodyofthe pancreas.  Laparoscopic PancreaticNecrosectomy:Sometimesincomplicated acutepancreatitis withseverepancreatic necrosissurgeryisrequired.With the increasing experience these necrosectomies are being performed laparoscopicallyand other minimallyinvasivemethods.  What Are The Advantages Of Laparoscopic PancreaticSurgery? Thereareseveraladvantagesofthe laparoscopic pancreatic surgeryover the traditionaland open pancreatic surgery.Unlikethe traditionalsurgery,the doctormakesverysmallincisionsin theabdominalcavityduringlaparoscopic surgery.Thus, there isaless scar formation, lowriskofbleeding,and less

4. post-operativepain. Whenthereisalesstissuedamageduringlaparoscopic surgery,thepatientwillrecoverfastand spend fewerdaysin the hospitalas comparedto traditionalsurgery.Normally,after the opensurgerythe patient is discharged after4-5 daysafter the surgery,whilethis timeisreducedto 1-2 days after thelaparoscopicsurgery. What Are The Complications Of Laparoscopic PancreaticSurgery? The complications aresignificantlyreducedwithlaparoscopicsurgeryas comparedto opensurgery. However,asthere isa tissue damage and exposure ofthe internal tissues,laparoscopicsurgeryalsocarriessmallriskof complications.Some ofthe complicationswithlaparoscopic pancreatic surgery aredamageto nearbyorgans,damage to major artery,infection, post-operativepain,andbleeding. How The Doctor Performs Laparoscopic PancreaticSurgery InDelhi? ThebestGIsurgeoninDelhiwillgiveyouanesthesiato preventthe sensation ofpain. Thenthe surgeonwillcreate a smallincision onthe abdominalactivity to reach the pancreas.Thesurgeonwilltheninsertasmalllongtube with camera at the other end to visualize the damaged pancreas or any cyst presentinit. Once identified the site ofsurgery,the doctorwillthen create one ofmoreincisionsto insertthe surgicalinstrument for performing surgery. Oncethesurgeryiscompleted,thedoctorremoves the laparoscope and the surgicalinstruments.Thedoctorthencloses theincisions by stitchingand placethebandage. What To Expect Before The Laparoscopic PancreaticSurgery?

5. Notallthe patients withpancreaticdiseaseareeligibleforlaparoscopic pancreatic surgery. The surgeonwillcompletelydiagnoseyouconditionand determineifyouareeligibleforundergoingalaparoscopicsurgery.The doctorprovidescompleteinformationabout the laparoscopic surgery.The doctormayadviseyounottoeatordrinkfew hoursbeforethe surgery.On the day of the surgery, the healthcare team will evaluate your health and measure youbloodsugarlevel,bodytemperature, andcardiovascularvitals. How Do I Get More Information About The LaparoscopicPancreaticSurgery? ThebestGIsurgeoninDelhiwillprovideyoucompleteinformationaboutthe diseaseand treatmentoptions. Allyouneedisjusttofillthe form.