Laparoscopic Surgeries By Dr PRadeep Jain At Action Cancer Hospital

LAPAROSCOPIC GASTRECTOMY FOR CORROSIVE GASTRIC INJURY PERFORMED BY DR PRADEEP JAIN, ACTION CANCER HOSPITAL, DELHI.

Dr Pradeep Jain, the Chief of Department of GI at Action Cancer Hospital & Sri Balaji Action Medical Institute, has the wide spectrum of advanced laparoscopic surgery in GI surgical field. Among his specialties are Advanced Laparoscopic GI, GI Onco, and Bariatric surgery. He has often been able to deliver an accurate diagnosis, even in cases where the real diagnosis eluded other doctors in the same field. He has a strong sense of duty to the field of medicine and aspires to clinical excellence.

LAPAROSCOPIC COLORECTAL SURGERY BY DR PRADEEP JAIN :- GASTROENTEROLOGY AND HEPATOBILIARY SURGERY EXPERT

Laparoscopic hemicolectomy, anterior resection, APR done for cancers of rectum and colon in which the cancer bearing segment along with the draining Lymph nodes are removed en bloc.TheLaparoscopic Treatment By Dr Pradeep Jain for these cancers are almost on the verge of becoming Gold standard. if done by trained and expert. The oncological outcome is same as in open surgery and short term results are better. complications are lower than open surgery. Laparoscopic surgery for inflammatory bowel disease like Ulcerative colitis, Colonic tuberculosis, or for rectal prolapsed ( rectopexy ) are other indications.

LAPAROSCOPIC ESOPHAGECTOMY SURGERY BY DR PRADEEP JAIN

Thoraco / laparoscopic Esophagectomy is indicated in cancer of Esophagus or GE Junction. The complete esophagus with surrounding tissues and draining lymph nods are removed. It has definite lesser morbidity than open Thoracotomies and Laparotomies. Oncological superiorities are yet get established. Other benign conditions like Benign tumors or Diverticuli have excellent results.

LAPAROSCOPIC UPPER GASTROINTESTINAL SURGERY BY DR PRADEEP JAIN :

Gastroenterology and Hepatobiliary Surgery Expert Laparoscopic surgery for Hiatus Hernia and Achalasia Cardia are Gold standard in fundopication the diaphragmatic hiatus ( opening in the diaphragm ) is tightened and artificial valve is created by wraping the fundus of stomach around the lower part of esophagus ( food pipe )
Radical Gastrectomy for Cancer of stomach and other tumors like GIST, Leiomyomas, Lymphomas or other benign disorders are very much feasible with good outcome and low morbidity. The same kind of radicality is achieved by laparoscopy.

LAPAROSCOPIC PANCREATIC SURGERY BY DR PRADEEP JAIN :

In laparoscopic whippels surgery en bloc resection of head and neck of pancreas, gall bladder, Common bile duct, duodenum and proximal small intestine are removed en bloc along with lymph nodes. This is done for pancreatic, bile duct or duodenal cancers.
Laparoscopic distal pancreatectomy is done for cancers of body and tail of pancreas, chronic pancreatitis or pancreatic cysts and pseudocysts. Laparoscopic pancreatic necrosectomy in infected pancreatic necrosis is feasible in selected patients either by transperitoneal or retroperitoneal approach.

LAPAROSCOPIC LIVER SURGERY BY DR PRADEEP JAIN :

Gastroenterology and Hepatobiliary Surgery Expert Liver surgery needs large incisions with significant morbidities. Laparoscopic liver resection are feasible but demanding and involve technical expertise. Laparoscopic liver surgery can be ranging from staging procedures to non anatomical resections to large anatomical resections. These are done for Primary liver tumors,cysts,hemangiomas,secondary tumors etc.

LAPAROSCOPIC SMALL BOWEL SURGERIES :

Common laparoscopic surgeries for small intestine are for perforations, small bowel inflammatory diseases like tuberculosis and crohn’s disease, small intestine tumors like lymphoma, adenocarcinoma, GIST, intestinal obstruction etc.

LAPAROSCOPIC RETROPERITONEAL SURGERIES :

Retroperitoneal tumors like soft tissue sarcomas, paraganliomas and adrenal tumors can excised with help of laparoscope with minimal morbidity.

Details @ http://www.drpradeepjain.org/

Dr Pradeep Jain - COLORECTAL - Laparoscopic Ultra Low Anterior Resection

Dr Pradeep Jain - COLORECTAL - Laparoscopic Ultra Low Anterior Resection 

 

Dr Pradeep Jain is currently appointed the Chief of Department GI, GI Onco, Bariatric & MinimalAccessSurgery, at Action Cancer Hospital & Sri Balaji Action Medical Institute .

Dr Pradeep Jain - COLORECTAL - Laparoscopic Ultra Low Anterior Resection


Patient and Port position: Patient placed in modified Lloyd Davies position.

Pneumoperitoneum created by veress needle through 10 mm Supraumbilical skin incision which is later on converted into 10mm camera port. 10mm RIF port, 5mm right and left lumbar ports, 12mm supraumbilical ports made. 

STEPS:
Initial step is to visualize all quadrants of peritoneal cavity, liver surfaces, pelvis for metastasis, lymphadenopathy and ascites.

The left side of the patient is raised up to allow the small bowel to fall out of the pelvis. The apex of sigmoid is held up and to left. The sacral promontory is identified and the peritoneum over is incised on the medial aspect of the mesosigmoid. A window is made in the mesocolon over the IMA. IMA & IMV dissected, ligated and divided at just distal to their origin the left ureter and gonadal vessels are identified and carefully preserved during this part of dissection. Descending colon mobilized from medial to lateral. The descending colon, splenic flexure and the distal transverse colon are completely mobilized at the end of this phase. This helps to obtain adequate length of proximal colonic segment for tension free anastomosis. Rectum dissected from surrounding structures in anatomical planes upto pelvic floor. Course of ureter traced. Rectal division done by Endo GIA staplers (green) just above ano rectal junction. Rectal mass along with left colon delivered outside through 5cm transverse suprapubic laparotomy. Specimen removed by dividing left colon. Anvil attached to distal end of left colon and returned into peritoneal cavity. No. 29 CDH stapler passed per anus and stapled anastomosis done. Loop ileostomy created 20cm proximal to IC junction at RIF.

Details @ http://www.drpradeepjain.org

Dr Pradeep Jain - Laparoscopic Surgeries By Dr Pradeep Jain

Laparoscopic Gastrectomy for Corrosive Gastric Injury performed By Dr Pradeep Jain, Action Cancer Hospital, Delhi.

Dr Pradeep Jain, the Chief of Department of GI at Action Cancer Hospital & Sri Balaji Action Medical Institute, has the wide spectrum of advanced laparoscopic surgery in GI surgical field. Among his specialties are Advanced Laparoscopic GI, GI Onco, and Bariatric surgery. He has often been able to deliver an accurate diagnosis, even in cases where the real diagnosis eluded other doctors in the same field. He has a strong sense of duty to the field of medicine and aspires to clinical excellence.

Laparoscopic Colorectal Surgery By Dr Pradeep Jain :- Gastroenterology and Hepatobiliary Surgery Expert

Laparoscopic hemicolectomy, anterior resection, APR done for cancers of rectum and colon in which the cancer bearing segment along with the draining Lymph nodes are removed en bloc.The laparoscopic treatment for these cancers are almost on the verge of becoming Gold standard. if done by trained and expert. The oncological outcome is same as in open surgery and short term results are better. complications are lower than open surgery. Laparoscopic surgery for inflammatory bowel disease like Ulcerative colitis, Colonic tuberculosis, or for rectal prolapsed ( rectopexy ) are other indications.

Laparoscopic Esophagectomy Surgery By Dr Pradeep Jain

Thoraco / laparoscopic Esophagectomy is indicated in cancer of Esophagus or GE Junction. The complete esophagus with surrounding tissues and draining lymph nods are removed. It has definite lesser morbidity than open Thoracotomies and Laparotomies. Oncological superiorities are yet get established. Other benign conditions like Benign tumors or Diverticuli have excellent results.

Laparoscopic Upper Gastrointestinal Surgery By Dr Pradeep Jain :

Gastroenterology and Hepatobiliary Surgery Expert Laparoscopic surgery for Hiatus Hernia and Achalasia Cardia are Gold standard in fundopication the diaphragmatic hiatus ( opening in the diaphragm ) is tightened and artificial valve is created by wraping the fundus of stomach around the lower part of esophagus ( food pipe )
Radical Gastrectomy for Cancer of stomach and other tumors like GIST, Leiomyomas, Lymphomas or other benign disorders are very much feasible with good outcome and low morbidity. The same kind of radicality is achieved by laparoscopy.

Laparoscopic Pancreatic Surgery By Dr Pradeep Jain :

In laparoscopic whippels surgery en bloc resection of head and neck of pancreas, gall bladder, Common bile duct, duodenum and proximal small intestine are removed en bloc along with lymph nodes. This is done for pancreatic, bile duct or duodenal cancers.
Laparoscopic distal pancreatectomy is done for cancers of body and tail of pancreas, chronic pancreatitis or pancreatic cysts and pseudocysts. Laparoscopic pancreatic necrosectomy in infected pancreatic necrosis is feasible in selected patients either by transperitoneal or retroperitoneal approach.

Laparoscopic Liver Surgery By Dr Pradeep Jain :

Gastroenterology and Hepatobiliary Surgery Expert Liver surgery needs large incisions with significant morbidities. Laparoscopic liver resection are feasible but demanding and involve technical expertise. Laparoscopic liver surgery can be ranging from staging procedures to non anatomical resections to large anatomical resections. These are done for Primary liver tumors,cysts,hemangiomas,secondary tumors etc.

Laparoscopic small bowel surgeries :

Common laparoscopic surgeries for small intestine are for perforations, small bowel inflammatory diseases like tuberculosis and crohn's disease, small intestine tumors like lymphoma, adenocarcinoma, GIST, intestinal obstruction etc.

Laparoscopic retroperitoneal surgeries :

Retroperitoneal tumors like soft tissue sarcomas, paraganliomas and adrenal tumors can excised with help of laparoscope with minimal morbidity