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India’s First Single-hole Robotic Cholecystectomy
A complex procedure was successfully performed to treat severe lumbar canal stenosis in a 40-year-old male patient weighing 185kg. Given the urgency of the situation and the patient's extreme weight, an intricate spinal decompression and stabilisation surgery was performed. Thereafter the patient regained his ability to walk and control his body functions. India's first-ever single-hole robotic cholecystectomy using conventional robotic instruments was successfully performed for a 60-year old male patient diagnosed with cholelithiasis, thickened gallbladder containing multiple large calculi each over 3 cm in size. This procedure, typically available in western countries with expensive specialized equipment, marks a significant milestone in Indian healthcare. The surgery was successfully completed within one hour without any major complications.
About the Speaker
Dr. Arun Prasad
Surgical Gastroenterologist, Bariatrics Surgeon, Indraprastha Apollo Hospitals, New Delhi
Dr. Arun Prasad is currently working as Surgical Gastroenterologist & Bariatric Surgeon at Indraprastha Apollo Hospitals, New Delhi. With 35 years of surgical experience, this surgeon is among the most seasoned in India and globally, pioneering various advanced techniques, including laparoscopy since 1990, advanced laparoscopy in 1997, single incision laparoscopy in 2010, bariatric surgery in 2004, robotic surgery in 2012, and bariatric endoscopy in 2018. A graduate of the Armed Forces Medical College, Pune, he completed his master's in surgery at Maulana Azad Medical College, New Delhi, in 1988, and received higher surgical training in GI surgery in the UK, where his team initiated laparoscopic surgery. After earning his FRCS in 1990 and working at Charing Cross Medical School, London, he returned to India in 1996, joining Apollo Hospitals as one of the youngest senior consultants. Recognized as a pioneer in laparoscopy in both the UK and India, he was awarded the prestigious FACS (USA) in 2019. His achievements include performing over 6000 laparoscopic cholecystectomies, 2000 laparoscopic hernia surgeries, and pioneering bariatric surgery in India with over 1000 procedures. He also led the way in bariatric endoscopy, robotic bariatric surgery, and GI surgery, holding several records in these fields.
Upcoming Case Discussions
Impact of Endometriosis on Fertility
Endometriosis, a condition where endometrial-like tissue grows outside the uterus, can significantly impact fertility. It causes inflammation, scarring, and adhesions that may distort pelvic anatomy, block fallopian tubes, and impair ovarian function. Endometriosis is also linked to hormonal imbalances and poor egg quality, reducing the chances of conception. Symptoms like chronic pelvic pain and painful intercourse further complicate fertility. Diagnosis often requires laparoscopy, while management includes pain relief, hormonal therapy, and assisted reproductive techniques like IVF. Early intervention with medical or surgical treatment can improve reproductive outcomes, but severe cases may necessitate advanced fertility treatments for conception.
Hyperlipidemia: From Diagnosis to Treatment
Hyperlipidemia is a condition characterized by elevated levels of lipids, such as cholesterol and triglycerides, in the blood, which can increase the risk of cardiovascular diseases. Diagnosis typically involves blood tests measuring lipid profiles, while treatment focuses on lifestyle changes, such as diet and exercise, alongside medications like statins to manage cholesterol levels and reduce cardiovascular risk. Regular monitoring is essential for effective management and prevention of complications.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Lung Ultrasound in Acute Respiratory Failure
Lung ultrasound has emerged as a vital, non-invasive tool in the rapid assessment of acute respiratory failure. It provides real-time imaging to differentiate conditions like pneumonia, pulmonary edema, pneumothorax, and pleural effusion with high accuracy. Compared to traditional chest X-rays, lung ultrasound offers superior sensitivity, especially in critically ill patients where bedside evaluation is crucial. Its ability to guide immediate clinical decisions improves patient outcomes and reduces unnecessary radiation exposure. With standardized protocols like the BLUE (Bedside Lung Ultrasound in Emergency) protocol, it enhances diagnostic efficiency in emergency and ICU settings.
Gallstone Disease & Cholecystitis: When to Operate?
iGallstone disease and cholecystitis are common conditions requiring careful evaluation to determine the need for surgery. Symptomatic gallstones causing recurrent pain, nausea, or complications like cholecystitis often necessitate cholecystectomy. Acute cholecystitis, characterized by inflammation, fever, and right upper quadrant pain, typically requires early surgical intervention to prevent complications like perforation or sepsis. In high-risk patients, conservative management with antibiotics and drainage may be considered. Elective surgery is recommended for asymptomatic patients with high-risk factors, such as large gallstones or gallbladder polyps, to prevent future complications.
