 Early Times Report
JAMMU, July 25: The Department of Surgery/Urology at Acharya Shri Chander College of Medical Sciences & Hospital (ASCOMS), Sidhra, Jammu, has successfully performed a major urological cancer surgery-Radical Cystectomy with Bilateral Pelvic Lymph Node Dissection and Ileal Conduit Urinary Diversion-on a 71-year-old patient diagnosed with muscle-invasive transitional cell carcinoma of the urinary bladder. The patient, a financially disadvantaged resident of Kishtwar, presented to the Urology Outpatient Department with complaints of painless gross hematuria for three months. Following admission, he underwent a comprehensive clinical evaluation and diagnostic work-up, which revealed a large urinary bladder mass.
A Transurethral Resection of Bladder Tumor (TURBT) was performed, and histopathological examination confirmed high-grade urothelial (transitional cell) carcinoma infiltrating the muscular wall of the urinary bladder, necessitating definitive surgical management.
After obtaining informed written consent from the patient's attendants, the surgical team successfully carried out a Radical Cystectomy with Bilateral Pelvic Lymph Node Dissection and Ileal Conduit Urinary Diversion. The procedure involved the removal of the urinary bladder, seminal vesicles, distal ureters, prostate gland, and bilateral pelvic lymph nodes, followed by urinary diversion through an ileal conduit.
The patient tolerated the surgery well and remained hemodynamically stable throughout the perioperative period. Postoperative management was carried out in accordance with the Enhanced Recovery After Surgery (ERAS) protocols. The postoperative course remained uneventful, with no complications reported, and the patient is recovering satisfactorily.
The surgery was performed by the Urology team under the supervision of Dr. Ranjeet Singh Rathore, Associate Professor and Head of Unit-II, Urology, Department of Surgery, ASCOMS & Hospital. He was assisted by Dr. Ifrah Hafiz Zaki, Postgraduate Resident, along with interns Dr. Akshun and Dr. Fazil.
The anesthesia team was led by Dr. Jyoti Sakral, Assistant Professor, Department of Anesthesia, assisted by Senior Resident Dr. Nisha and postgraduate residents Dr. Peerzada Saqib, Dr. Nargis, and Dr. Kaiser. Technical support during the procedure was provided by Mr. Deep, Mr. Vishal, and Mr. Ravi.
This successful surgery highlights the advanced surgical expertise and multidisciplinary approach available at ASCOMS & Hospital. It also reflects the institution's continued commitment to providing advanced, evidence-based, and patient-centered healthcare services to the people of Jammu and Kashmir and adjoining regions. |
