Case Description :
A 78-year-old gentleman diagnosed with locally advanced cancer of the proximal stomach (cardia) with triple vessel disease came to our centre for opinion, as he was recommended surgery outside with high cardiac risk. He had taken 3 cycles of Neoadjuvant chemotherapy. He had taken multiple opinions outside which always pointed to the high cardiac risk. This case was discussed in our tumour board meeting with the cardiac surgeon.
Consultation & Diagnosis
Prompt and accurate diagnosis made in-house
Tumor Board
A multi-disciplinary team deliberated on action
Individualized Care
Patient’s mental makeup taken into consideration.
Modular Care
A suite of therapies that contribute to holistic healing.
What We Did :
Applying a personalised approach, we planned to perform cardiac bypass first and then go for stomach cancer surgery within 3-4 weeks. We also counseled the patient for the same and he agreed to this. He underwent a Cardiac bypass and did postoperatively well due to our dedicated rehabilitation team. We operated on him after 4 weeks on blood thinners. We were successfully able to perform the Stomach cancer surgery eliminating cardiac risk (Radical Proximal Gastrectomy with D2 Lymphadenectomy surgery)
Action Plan
- Applied personalised approach
- Performed cardiac bypass first
- Underwent stomach surgery
- Decreased cardiac mortality risk
- Rehabilitation worked wonders
Final Results :
Postoperatively, we had some challenges with bleeding as he was on blood thinners, but the most critical thing was how we decreased the cardiac mortality risk by doing a bypass first. He has recovered and tolerated 2 major surgeries in a span of 4 weeks. It was only possible by a personalised multidisciplinary approach along with a rehabilitation team
At present he is doing well and leading a balanced life.
