Mahul Resident Survives Double Surgery
51-year-old underwent back-to back oral cancer, bypass surgeries on same operation table
In a rare feat, a 51-year-old Mahul resident underwent two high-risk surgeries back-to-back on the same operation table. The patient, Sharad Tandel, had visited a doctor for treatment of a mouth ulcer, which turned our to be high grade oral cancer.
Pre-operative tests revealed that he had four major blockages and his heart’s pumping rate had dropped to a mere 20%. Given that both his health conditions required immediate intervention, a team of doctors carried out a heart and cancer surgery one after other.
Mr. Tandel, a driver who lives in Mahul’s Ambada village, went into surgery on September 27. Doctors said he had been a tobacco chewer since the last decade. “We first took him in for the bypass surgery. While the conventional bypass surgery takes more time, we carried out a beating heart procedure to reduce the duration and blood loss,” said cardiac surgeon Dr. Partha Sarathi, who operated on Mr. Tandel at the Surana Hospital in Chembur.
According to the doctor, in a beating heart procedure, the patient is not put on a heart lung machine. He said attending to the patient’s oral cancer first would have put him at the risk of a heart attack as all his blockages were above 80%. Attending to his cardiac problem first would mean allowing the cancer in his mouth spread further.
“After an overall evaluation, we decided to carry out the surgeries in phases, one after another,” surgical oncologist Dr. Amit Chakraborty said. “The cancer surgery involved removal of a part of the upper jaw and glands in the neck,” he said, adding that the procedures were carried out in shortest possible time, each requiring about four hours.
The biggest risk involved was blood loss, but the teams managed the procedures without any transfusion. Another risk was that the patient could go into a cardiac arrest as his heart was already in a compromised condition.
“We explained to the patient and his family every aspect of the procedure and both the surgical teams put in a well coordinated effort,” said Dr. Prince Surana, director, Surana Group Of Hospitals. He said the hospital raised ₹3 lakh for the procedures while the patient’s family raised the remaining ₹3 lakh. “We will be discharging him within a day or two. He will require radiation and may also require chemotherapy,” he said.
Mr. Tandel’s brother, Laxman, said he had undergone an angioplasty in 2015. “We did not expect that along with the cancer, he will have to undergo such a major heart procedure. Fortunately, both the surgeries went well,” he said.
Cardiologist Dr. Dev Pehlajani, who practices in south Mumbai, said it is rare to club such high risk surgeries together unless there is an emergency. “Doctors prefer staging such major procedures,” he said.
Dr. Amit Chakraborty
Dr. Amit Chakraborty is a Surgical Oncologist in Girgaon, Mumbai and has an experience of 15 years in this field. He is a well known cancer specialist with an expertise in diagnosing and treating head and neck cancer.